RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: 00-02911
INDEX NUMBER: 108.02, 108.10
COUNSEL: GEORGE E. DAY; ANTHONY WALLUK
HEARING DESIRED: NOT INDICATED
___________________________________________________________________
APPLICANT REQUESTS THAT:
His disability discharge, effective 21 February 1998, with a 20%
disability rating be set aside, and he be granted disability
ratings of 20% for spinal injury, 10% for tinnitus, 30% for
migraine headaches, and 50% for panic attacks, for a combined
compensable rating of 70%, with service connection established
during the Gulf War.
Counsel asks for a modification of the Air Force record to show a
rating of 30% for lumbar disease, 10% for migraine headaches, and
50% for panic attack disease.
___________________________________________________________________
APPLICANT CONTENDS THAT:
The Air Force Physical Evaluation Board (PEB) failed to properly
evaluate his case. After returning from the Gulf War in March
1991, he began experiencing severe left leg pain. He was unable to
identify any previous specific trauma, which would account for the
pain. He began experiencing insufferable migraine headaches.
He was referred to a Medical Evaluation Board (MEB). He has
documentation that between 1991 and 1997, he had multiple visits to
physicians, including at least 60 clinic visits, 3 emergency room
visits, and multiple visits to neurologists, neurosurgeons and
orthopedic surgeons. This demonstrates a chronic pain as well as
debilitating pain. In 1993, a CT scan demonstrated that he had a
central disc bulge at L-4-5 disc space and an MRI in August 1993,
indicated a disc bulge at L-5, S-1. He also had a non-malignant
brain cyst, with complaints of migraine headaches.
The PEB conducted on 31 March 1997 rated his disability at 20%,
code 5293, back pain with left side radiculopathy associated with
lumbar spinal stenosis. There was no rating for headaches. The
Board found him unfit for further military service and recommended
discharge with severance pay. He was placed on the temporary
disability retired list (TDRL) on 31 March 1997. [On 31 March
1997, the FPEB did render a diagnosis of back pain with left-sided
radiculopathy associated with lumbar spinal stenosis, rated at 20%,
and recommended discharge with severance pay. However, there is no
documentation in the record to indicate his name was ever placed on
the TDRL.]
The weight of the evidence indicates that while his spinal stenosis
was reported as mild, his symptoms were in fact severe. The
Department of Veteran Affairs (DVA) increased the rating to 60%,
finding that he suffered from migraine headaches sufficient to
justify a rating of 10%; and from a panic disorder to the extent of
a 50% disability rating.
There was no evidence to support a finding that his condition was
not Gulf War related. He is entitled to the presumption of combat
connection.
The first PEB was recalled and a second board was convened on
17 October 1997. It was to be a new board, not a review of the old
board. The second board used the old record and findings instead
of conducting a “de novo” board.
He was involuntarily separated and experienced serious problems
seeking employment. He has not worked since he left active duty in
October 1997.
Upon reconsideration, the DVA rated the applicant’s disability at
50% for panic attack disease, 10% for migraine headaches, and 20%
for lumbar disease, for a combined rating of 60%. He is appealing
the 20% rating for spinal disease.
The applicant’s complete submission is at Exhibit A.
___________________________________________________________________
STATEMENT OF FACTS:
The applicant is a former member who was honorably discharged from
the Air Force on 21 February 1998, under the provisions of AFI 36-
3212, due to a physical disability, rated at 20%, with entitlement
to severance pay. At the time of his discharge, the applicant was
serving in the grade of E-5 and was credited with 13 years, 1 month
and 13 days of active duty service.
The applicant's Enlisted Performance Report (EPR) ratings follow:
PERIOD ENDING EVALUATION
8 Apr 1993 5
8 Apr 1994 4
15 Dec 1994 4
15 Dec 1995 5
20 Apr 1996 5
20 Apr 1997 5
Documentation submitted by the applicant indicates that in December
1999, the DVA found that his migraine headaches had increased in
severity and changed the rating for migraine headaches from 10% to
30%. The ratings of 10% for tinnitus, 10% for lumbar disc disease,
and 50% for panic/depressive disorder remained unchanged.
The remaining relevant facts pertaining to this application,
extracted from the applicant’s records, are contained in the
official documents at Exhibit A and in the letters prepared by the
appropriate offices of the Air Force at Exhibits C and D.
Accordingly, there is no need to recite these facts in this Record
of Proceedings.
___________________________________________________________________
AIR FORCE EVALUATIONS:
The Chief Medical Consultant, AFBCMR, reviewed the application and
recommended denial, stating that the evidence of record establishes
beyond all reasonable doubt that the applicant was properly
evaluated and rated; that the level of compensation awarded prior
to separation was proper; and that no error or injustice occurred.
A complete copy of the evaluation is at Exhibit C.
The USAF Physical Disability Division, AFPC/DPPD, recommended
denial. They noted that under military disability laws and policy,
USAF disability boards can only rate those medical conditions which
make the member unfit for continued military service at the time of
evaluation. Service-connected medical conditions incurred, but not
found unfitting while on active duty, are not compensated under
Title 10, USC; however, under Title 38, USC, the DVA may compensate
prior service members for these conditions. The DVA is chartered
to provide medical care for veterans once they leave active duty.
Under Title 38, USC, the DVA may increase or decrease a member’s
disability rating based on the seriousness of the medical condition
throughout his or her life span. This is why sometimes the
services and the DVA disability ratings may differ. Records
indicate that the applicant is currently being treated and
compensated by the DVA for his service-connected medical
conditions.
After a thorough review of the case, the Physical Disability
Division concluded that the applicant was treated fairly throughout
the entire military disability evaluation process; that he was
properly rated under federal disability guidelines; and that he was
afforded a full and fair hearing as required under military
disability laws and policy. They found no errors or irregularities
that would justify a change to the applicant’s military records.
The complete evaluation is at Exhibit D.
___________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATIONS:
Counsel stated that the purpose of a PEB is to evaluate the impact
of a claimant’s impairment on future employability. It was the
duty of the PEB to properly evaluate the existing evidence of the
applicant’s mental condition, headaches, and chronic fatigue. His
work attendance and performance had naturally been seriously
affected. His attendance and quality of work had been seriously
impaired. Those same impairments could clearly be expected to
impinge on his civilian employment just as they did his Air Force
work. His condition made it impossible to deploy him worldwide.
He was assigned to light duty and was further referred to an MEB
and a PEB, who were required to recognize all of the reasons that
the applicant was on light duty. The DVA had the same records to
evaluate as the Air Force, but found him entitled to a 30% rating
for migraine headaches and a 50% rating for panic disorder. The
applicant never held a meaningful job after leaving the Air Force,
nor was he able to make use of the GI bill to upgrade his education
and to create some earning ability. The findings of the PEB must
be reversed and the applicant be provided with a rating consistent
with his conditions upon leaving the Air Force (Exhibit F).
___________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing
law or regulations.
2. The application was timely filed.
3. Insufficient relevant evidence has been presented to
demonstrate the existence of probable error or injustice. We noted
the applicant's complete submission in judging the merits of the
case; however, we agree with the opinion and recommendation of the
Air Force offices of primary responsibility and adopt their
rationale as the basis for our conclusion that no error or
injustice occurred during the processing of the applicant through
the Air Force Disability Evaluation System. The medical boards
were aware of all of his conditions at the time of discharge and we
have seen no evidence that he was not appropriately evaluated.
Therefore, in the absence of evidence to the contrary, we find no
compelling basis to recommend granting the relief sought in this
application.
4. The documentation provided with this case was sufficient to
give the Board a clear understanding of the issues involved and a
personal appearance, with or without counsel, would not have
materially added to that understanding. Therefore, the request for
a hearing is not favorably considered.
___________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of probable material error or injustice;
that the application was denied without a personal appearance; and
that the application will only be reconsidered upon the submission
of newly discovered relevant evidence not considered with this
application.
___________________________________________________________________
The following members of the Board considered this application in
Executive Session on 20 March 2001, under the provisions of AFI 36-
2603:
Mr. Richard A. Peterson, Panel Chair
Mr. Roscoe Hinton, Jr., Member
Mr. Thomas J. Topolski, Jr., Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 11 Sep 2000, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 8 Dec 2000.
Exhibit D. Letter, AFPC/DPPD, dated 4 Jan 2001.
Exhibit E. Letter, SAF/MIBR, dated 19 Jan 2001.
Exhibit F. Letter, Counsel, dated 15 Feb 2001.
RICHARD A. PETERSON
Panel Chair
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