RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2002-03604,
INDEX CODE: 108.00
APPLICANT COUNSEL: None
SSN HEARING DESIRED: No
_________________________________________________________________
APPLICANT REQUESTS THAT:
His records be corrected to allow him to receive compensation for
permanent injuries he sustained while on active duty.
_________________________________________________________________
APPLICANT CONTENDS THAT:
The Air Force did not evaluate the spine and neck injuries he received
in the performance of his official duties.
Applicant's complete submission is attached at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant entered Regular Air Force on 2 December 1957 for a
period of four years as an airman basic.
During the applicant’s military career he was treated for a variety of
conditions. A review of his medical records reflects he presented to
the clinic on 6 September 1973 for acute back pain to the right lumbar
area radiating to his knee with tingling sensation of the right toes.
The applicant was hospitalized with bed rest and traction. The
applicant was again hospitalized on 30 January 1974 through 30 April
1974 for evaluation of his diffuse spine pain. A myelogram (injection
of x-ray contrast into the spinal canal allows detection of herniated
discs and other conditions with x-rays) was attempted on 4 February
1974. A second myelogram was performed on 12 February 1974 and
detected a small defect of L5 on the right. The applicant was treated
with a Depro-Medrol (steroid) injection with good results. Prior to
be being discharged from the hospital the applicant was evaluated by
Neurosurgery and it was recommended his conservative therapy be
continued. On 25 April 1974 a request was made for cross training for
the applicant. The applicant was discharged from the hospital on 30
April 1974 with a permanent profile of L3. The applicant had a follow
up appointment at the orthopedic clinic on 3 July 1974 and the visit
reflected he was doing well without back pain except for cold weather.
A 10 September 1974 clinic note reports the applicant was experiencing
mild back pain that was relieved with Tylenol. The applicant, at a 5
December 1974 orthopedic visit, complained of continued back pain, but
revealed he was not performing his back exercises. The applicant was
referred to physical therapy. Physical therapy evaluated the
applicant on 10 and 11 December 1974. They recommended daily therapy.
A 18 December 1974 physical therapy record entry indicates the
applicant did not show up for his appointments after his initial
evaluation. The applicant was treated on 30 January 1975 for a flare
up of back pain.
The applicant’s term of enlistment was expiring in September 1975. He
underwent his separation physical on 30 July 1975. The separation
physical documented his history of herniated nucleus pulposus which
required limitation of duty including not lifting, climbing, twisting
or aerobics. The applicant was wearing a back brace and taking
Darvon. There was no indication of neck pain listed on the separation
physical. The physician determined the applicant’s condition did not
warrant evaluation by the disability system, but referred the
applicant for evaluation and opinion by Neurosurgery and Orthopedics.
On 30 July 1975, Neurosurgery determined the applicant had a 2-year
history of recurrent back pain. The examination revealed no weakness
or muscle atrophy. Reflexes were normal and there was abnormal
sensation involving the left foot and leg to the knee. The Neurology
Clinic note indicated no evidence of radiculopathy and that the
applicant’s pain was mostly non-specific musculoskeletal pain; it was
felt that there was no lumbar disc protrusion. The Orthopedic
evaluation was performed on 13 August 1975 and determined that the
applicant could be separated routinely.
The applicant’s personnel files indicate the applicant was transferred
from aircraft maintenance to the administrative duties after 27 June
1974.
Applicant’s EPR profile as a staff sergeant is listed below.
PERIOD ENDING OVERALL EVALUATION
1 Aug 69 9
1 Aug 70 6
21 Jun 71 8
10 May 72 9
20 Mar 73 8
15 Oct 73 9
27 Jun 74 9
26 Jun 75 9
The applicant was voluntarily discharged in the grade of staff
sergeant on 19 September 1975, after completion of his required
service. He served 15 years, 11 months, and 28 days of active federal
military service. The applicant had a 1 year, 9 month and 19 day
break in service from 2 December 1965 through 21 September 1967.
The applicant, after his discharge, applied for service connected
disability compensation through the Department of Veterans Affairs
(DVA). He was initially rated at 10 percent for his back pain. The
applicant underwent another DVA compensation examination on 26 June
1999. The examination documented degenerative arthritis of his joints
and there was no mention neck pain. On 4 August 1999 the DVA
increased his rating for his herniated nucleus pulposus from 10
percent to 20 percent; and awarded him 10 percent for degenerative
joint disease of the hands, knees, and elbows, giving the applicant a
combined rating of 30 percent. The applicant currently has a combined
DVA disability rating of 40 percent.
_________________________________________________________________
AIR FORCE EVALUATION:
The Chief, Medical Consultant, AFBCMR, reviewed this application and
states the reason the applicant could be found fit for duty by the Air
Force and later be granted a service connected disability by the DVA
lies in understanding the differences in Title 10 USC and Title 38
USC. Title 10 USC, Chapter 61 is the federal statue that charges the
Service Secretaries with maintaining a fit and vital force. For an
individual to be considered unfit for military service, there must be
a medical condition so severe that it prevents performance of any work
commensurate with rank and experience. The presence of a physical
defect or condition does not qualify the servicemember for a
disability retirement or discharge. The physical defect or condition
must be severe enough to render the servicemember unfit for duty, and
their military career must have been cut short due to the service
connected disability. Congress created Title 38 because they
recognized that servicemembers may acquire conditions that may not be
unfitting at the time of their separation, but later progress in
severity and possibly may alter the servicemember’s lifestyle and
employability. Title 38 USC governs the DVA compensation system in
awarding disability percentage ratings for conditions that are not
unfitting for military service.
The BCMR Medical Consultant further states the disposition of the
applicant’s discharge was proper and equitable and in compliance with
Air Force directives that implement the law and recommends denying the
applicant’s request.
A complete copy of the BCMR Medical Consultant evaluation is attached
at Exhibit C.
HQ AFPC/DPPD states the medical disability evaluation system is used
to determine if the servicemember’s medical condition renders him fit
or unfit for continued military service. If the member’s condition is
found to preclude him from continuing on active duty, the law provides
appropriate compensation for the premature termination of the member’s
military career. They further state that under military disability
laws and policy, the boards can only rate those medical conditions
which make the member unfit for continued service at the time of the
medical evaluation. The DVA is chartered to provide continual 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. Furthermore, they concur with the BCMR Medical Consultant’s
advisory. Therefore based on the evidence submitted DPPD recommends
denying the requested relief (Exhibit D).
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Copies of the Air Force evaluations were forwarded to the applicant on
18 April 2003, for review and response. As of this date, no response
has been received by this office.
_________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by existing
law or regulations.
2. The application was not timely filed; however, it is in the
interest of justice to excuse the failure of timely file.
3. Insufficient relevant evidence has been presented to demonstrate
the existence of error or injustice. Applicant’s contentions are duly
noted; however, we agree with the opinions and recommendations of the
Air Force and adopt their rationale as the basis for our conclusion
that the applicant has not been the victim of an error or injustice.
Title 10, USC, Chapter 61 is the federal statue that charges the
Service Secretaries with maintaining a fit and vital force. For an
individual to be considered unfit for military service, there must be
a medical condition so severe that it prevents performance of any work
commensurate with rank and experience. The applicant has presented
insufficient evidence that he was not reasonably capable of performing
his duties in compliance with his office, grade, rank or rating right
up until his release from active duty. In fact, it is noted the
applicant received the highest rating available on his last two
performance reports, which would appear to confirm he was performing
his military duties in an appropriate manner. However, former
servicemembers are authorized treatment from DVA under the provisions
of Title 38, USC. Title 38, USC allows the DVA to provide
compensation for servicemembers who incurred a service-connected
medical condition while on active duty and to increase or decrease the
disability rating based on the seriousness of medical condition
throughout the servicemember’s life span. In this respect, we note
the applicant currently has a combined DVA disability rating of 40
percent. Therefore, in the absence of evidence to the contrary, we
find no compelling basis to recommend granting the relief sought in
this application.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not
demonstrate the existence of 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 AFBCMR Docket Number BC-
2002-03604 in Executive Session on 8 July 2003, under the provisions
of AFI 36-2603:
Ms. Barbara A. Westgate, Chair
Mr. Roscoe Hinton, Jr., Member
Ms. Carolyn J. Watkins-Taylor, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 7 Nov 02.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFBCMR, Medical Consultant, dated
26 Feb 03.
Exhibit D. Letter, HQ AFPC/DPPD, dated 9 Apr 03.
Exhibit E. Letter, SAF/MRBR, dated 18 Apr 03.
BARBARA A. WESTGATE
Chair
AF | BCMR | CY2007 | BC-2006-01017
In August 1981 the applicant reported right arm pain, with no history of trauma, and was diagnosed with musculoskeletal pain and was treated with non-steroidal anti-inflammatory drugs (NSAIDs). On 22 March 1992, the applicant’s exam was recorded as normal and he was re-profiled U1. The presence of medical conditions that were not unfitting while in service, and were not the cause of separation or retirement, that later result in service connected DVA compensation is not a basis...
AF | BCMR | CY2003 | BC-2002-01886
The Medical Consultant also noted that the applicant completed a DD Form 2697, Report of Medical Assessment, as part of his separation physical examination in Jun 00, reporting problems with low back pain, shin splints and bilateral elbow tendonitis. Under the Air Force system (Title 10, USC), Physical Evaluation Boards (PEBs) must determine if an individual’s medical condition renders them unfit for duty. A complete copy of the AFPC/DPPD evaluation is at Exhibit...
AF | BCMR | CY2002 | BC-2002-01544
The remaining relevant facts pertaining to this application, extracted from the applicant’s military records, are contained in the letters prepared by the appropriate offices of the Air Force at Exhibits C and D. _________________________________________________________________ AIR FORCE EVALUATION: The AFBCMR Medical Consultant recommends the application be denied. There is no evidence in the record that shoulder pain interfered with performance of military duty or made him unfit for duty...
AF | BCMR | CY2004 | BC-2003-01519
Title 38 USC governs the DVA compensation system in awarding disability percentage ratings for conditions that are not unfitting for military service. A complete copy of the Air Force evaluation is attached at Exhibit C. HQ AFPC/DPPD states the purpose of the disability evaluation system (DES) is to maintain a fit and vital force by separating or retiring members who are unable to perform the duties of their office, grade, rank or rating. Evidence of record indicates the applicant was...
AF | BCMR | CY2008 | BC-2007-02292
The FPEB reviewed his case and recommended permanent retirement with a 30 percent disability rating. Further, it must be noted that the service disability boards must rate disabilities based on the individual's condition at the time of evaluation. AFPC/DPPD'S complete evaluation is at Exhibit C. _________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: The applicant states the evaluation stated he wanted his disability rating changed from...
AF | BCMR | CY2008 | BC-2007-02827
The fact that a person may have a medical condition does not mean that the condition is unfitting for continued military service. In the medical Consultant’s view, the preponderance of evidence of the record shows that the applicant’s scoliosis condition existed prior to service, and that her back pain was the natural progression of the condition. We took notice of the applicant's complete submission in judging the merits of the case; however, we agree with the opinions and recommendations...
ADDITIONAL AIR FORCE EVALUATION: Pursuant to the Board's request, the Chief, Physical Disability Division, HQ AFPC/DPPD, again reviewed the application, which plicant's 12 November 1993 letter to Congresswoman The specific questions the applicant raised in the aforementioned letter concerning the disability issue have been addressed by DPPD in their evaluation at Exhibit D. DPPD stated that the applicant was evaluated, boarded, found unfit and rated based upon the "back pain, associated with...
AF | BCMR | CY2003 | BC-2001-03671A
In her case the DVA rating decision is definitely relevant to a determination of whether the Air Force disability system made the appropriate determination in finding her fit for duty. Using the VASRD code for neuralgia that affects the entire extremity as claimed by the applicant is not appropriate since her disability at the time of separation from the Air Force was limited to the left index finger. The DVA rating decision rates her medical condition for the left index finger sagittal...
AF | BCMR | CY2008 | BC-2007-01005
The AFPC/DPPD evaluation is at Exhibit C. The BCMR Medical Consultant is of the opinion that the applicant’s total combined permanent disability percentage should be increased from 40 to 60 percent to reflect the severe nature of his bilateral foot pain, which prevented him from reasonably performing his military duties. In the applicant’s case, the Air Force limited its unfit finding to his bilateral foot condition since that was the only condition limiting the performance of his military...
A complete copy of the Air Force evaluation is attached at Exhibit C. The Chief, Special Actions/BCMR Advisories, HQ AFPC/DPPD, also reviewed this application and states the medical disability evaluation system is used to determine if the service member’s medical condition renders him fit or unfit for continued military service. They further state that under military disability laws and policy, the boards can only rate those medical conditions which make the member unfit for...