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AF | BCMR | CY2003 | BC-2002-02622
Original file (BC-2002-02622.DOC) Auto-classification: Denied

                            RECORD OF PROCEEDINGS
             AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS

IN THE MATTER OF:                       DOCKET NUMBER:  BC-2002-02622
                                       INDEX CODE:  112.10
      XXXXXXXXXXXXXXXXXXX               COUNSEL: NONE

      XXXXXXXXXXXXXX                    HEARING DESIRED:  NO

_________________________________________________________________

APPLICANT REQUESTS THAT:

His reenlistment  eligibility  (RE)  code  be  changed  from  4K  (medically
disqualified for continued service; or pending evaluation by MEB/PEB) to  1J
(eligible to reenlist but elected to separate).
_________________________________________________________________

APPLICANT CONTENDS THAT:

He was not forced to separate; rather he elected  to  separate  because  his
extension had run out.   Separations  told  him  that  his  separation  code
should be 1J.

In support of his application, the applicant provides a personal  statement;
his DD Form 214, Certificate of Release or Discharge From Active  Duty;  his
Medical Evaluation Board (MEB)/Physical Evaluation Board (PEB)  notification
of results;  and  his  Physical  Profile  Serial  Report.   The  applicant’s
complete submission, with attachments, is at Exhibit A.

_________________________________________________________________

STATEMENT OF FACTS:

On 22 April 1993, the applicant enlisted in the Regular  Air  Force  at  the
age of 21 in the grade of airman basic (E-1) for a  period  of  four  years.
He was progressively promoted to the rank of Staff Sergeant (E-5)  effective
1  January  2000.   The  applicant  was  trained  in  the  Health   Services
Management career field.  He received  eight  Enlisted  Performance  Reports
(EPRs) during his military  service.   His  overall  ratings  for  his  EPRs
closing 1994 through 2000 were 4, 4, 5, 5, 5, 5, 5 and 5 respectively.   His
awards and decorations included the Air Force  Achievement  Medal  with  one
device, Air Force  Longevity  Service  Award  with  one  device,  Air  Force
Training Ribbon, Air Force  Overseas  Long  Tour  Ribbon,  National  Defense
Service Medal, NCO Professional  Military  Education  Ribbon,  Armed  Forces
Expeditionary Medal, Air Force Outstanding Unit Award, and  Air  Force  Good
Conduct Medal with one device.

In November 2000, two months  prior  to  his  planned  separation  from  the
military,  the  applicant  was  hospitalized  with  irregular  heart  rhythm
characterized by a very slow  heartbeat.  He  had  a  prior  history  of  an
irregular heart beat  in  September  1997.   The  applicant  was  placed  on
medical hold pending  completion  of  treatment  and  a  medical  evaluation
board.  The applicant’s condition was diagnosed as sick sinus  syndrome  and
was effectively treated with a combination of a  pacemaker  and  medication.
The applicant underwent a Medical Evaluation  Board  (MEB)  and  a  Physical
Evaluation Board (PEB) in the spring of 2001.  The PEB returned him to  duty
with a “Code C” limitation (prevents assignments to remote locations).   The
applicant continued with his separation plans.  The applicant was  honorably
discharged effective 14 July 2001 with a separation code KBK (completion  of
required active service) and a reentry code of  4K  (medically  disqualified
for continued service; or pending evaluation by MEB/PEB).  He had  served  8
years, 2 months and 14 days on active duty.

While  on  active  duty  the  applicant  had  intermittent  gastrointestinal
distress  diagnosed  as  gastritis  (inflammation  of   the   stomach)   and
gastroparesis (poor movement of the stomach  muscle)  of  unclear  etiology.
Reevaluation  by  Gastroenterology  in  December  2000  and  February  2001,
documented inflammation of the stomach with changes suspected to be  due  to
either drug associated gastritis or possibly Crohn’s disease.  Results  from
a colonoscopy were unremarkable.  However,  a  specific  antibody  test  was
suggestive of the diagnosis.   Based  on  suspicion  of  inflammatory  bowel
disease, the applicant was treated with prednisone at the  time  of  his  26
February  2001  MEB  narrative  summary.   The  gastroenterologist’s   final
diagnosis is  not  evident  in  the  applicant’s  service  medical  records;
however, the gastroenterology narrative summary  indicates  a  diagnosis  of
gastritis  of  unknown  etiology  and  that  the  applicant  was   worldwide
qualified at the time of dictation.  Following his discharge, the  applicant
was diagnosed with Crohn’s disease.

The applicant is now receiving disability compensation from  the  Department
of Veterans Affairs (DVA) at  10%  for  sick  sinus  syndrome  and  30%  for
Crohn’s disease, for a combined compensable rating of 40%.

_________________________________________________________________

AIR FORCE EVALUATION:

AFPC/DPPAE  recommends  denial.   The  applicant   is   not   eligible   for
reenlistment once he separated, therefore the RE  code  of  4K  is  correct.
The DPPAE evaluation is at Exhibit C.

The BCMR Medical Consultant  is  of  the  opinion  that  no  change  in  the
applicant’s record is warranted.  Action and disposition in  the  case  were
proper and equitable reflecting compliance with Air  Force  directives  that
implement the law.

The BCMR Medical Consultant notes that the applicant  developed  sick  sinus
syndrome while  on  active  duty  that  was  treated  with  placement  of  a
pacemaker and medication within two months of his  planned  separation  from
the Air Force.   He  was  placed  on  medical  hold  pending  completion  of
treatment and medical  evaluation  board.   The  Physical  Evaluation  Board
returned him to duty on a Code  C  limitation  and  he  continued  with  his
planned separation.  Had the  applicant  instead  reenlisted  prior  to  his
diagnosis of sick sinus syndrome, he would have  been  retained  on  Code  C
limitation since he was otherwise able to perform his duties.  Once  he  had
separated and returned to non-active status, his condition is  disqualifying
for reenlistment.

It is the opinion of the BCMR  Consultant  that  the  applicant  likely  had
Crohn’s disease for a  few  years  prior  to  discharge  that,  due  to  its
indolent and limited nature could not be definitely diagnosed.  It  did  not
interfere  with  his  ability  to  perform  his  duty  nor  result  in   the
termination of his career.  Had the applicant reenlisted rather than  opting
to separate prior to diagnosis, it is likely he would  have  been  medically
discharged when the diagnosis became clear.  A condition of Crohn’s  disease
is disqualifying for reenlistment.

Details of the BCMR Medical Consultant’s evaluation are at Exhibit D.

_________________________________________________________________

APPLICANT'S REVIEW OF AIR FORCE EVALUATION:

Copies of the Air Force evaluations were forwarded to the  applicant  on  14
February 2003, for review and comment within 30 days  (Exhibit  E).   As  of
this date, this office has received no response.

_________________________________________________________________

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.  The applicant made the choice to
separate rather  than  reenlist.   Once  he  separated  his  condition  was
disqualifying for reenlistment.  It is our opinion that the action in  this
case  was  proper  and  equitable  reflecting  compliance  with  Air  Force
directives.  The applicant did not provide persuasive evidence showing  the
RE code, which was issued at the time of his separation, did not accurately
reflects the circumstances of his separation.  In view of the foregoing, we
conclude that no basis exists upon which to recommend favorable  action  on
his request that it be changed.

_________________________________________________________________

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 this application in  Executive
Session on 2 April 2003, under the provisions of AFI 36-2603:

      Mr. Edward C. Koenig III, Panel Chair
      Ms. Brenda L. Romine, Member
      Mr. Thomas J. Topolski, Member

The following documentary evidence was considered in connection with  AFBCMR
Docket No. BC-2002-02622:

    Exhibit A.  DD Form 149, dated 12 Aug 02, w/atchs.
    Exhibit B.  Applicant's Master Personnel Records.
    Exhibit C.  Letter, AFPC/DPPAE, dated 3 Feb 03.
    Exhibit D.  Letter, BCMR Medical Consultant, dated 29 Oct 02.
    Exhibit E.  Letter, SAF/MRBR, dated 14 Feb 03.




                                   EDWARD C. KOENIG III
                                   Panel Chair


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