RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2003-00866
INDEX CODE: 100.03, 100.06
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
1. Her medical diagnosis be changed.
2. Her Reenlistment Eligibility (RE) code be changed.
_________________________________________________________________
APPLICANT CONTENDS THAT:
She was wrongfully diagnosed and only provided an entry-level separation.
In support of her request, applicant provided statements from her
physicians and a document extracted from her medical record. Her complete
submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
Applicant enlisted in the Regular Air Force on 11 Jun 02. On 28 Aug 02,
while attending Security Forces technical training, she was notified by her
commander that he was recommending that she be discharged from the Air
Force in accordance with AFPD 36-32 and AFI 36-3208, paragraph 5.14, for
erroneous enlistment. The specific reason for this action was the
Chronological Record of Medical Care dated 4 Aug 02, which indicated that
she was diagnosed with Vocal Cord Dysfunction (VCD). It was determined
that the condition existed prior to service and was not aggravated by
service. Because of the condition, her ability to function in a military
environment was significantly impaired. She was advised of her rights in
this matter and acknowledged receipt of the notification on that same date.
The applicant waived her right to consult counsel and elected not to
submit statements on her own behalf. In a legal review of the case, the
attorney advisor found the case legally sufficient. The discharge
authority concurred with the recommendation and directed that she be
discharged with an entry-level separation. Applicant was discharged from
the Air Force on 27 Sep 02. She served 3 months and 17 days on active
duty.
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends denial. The Medical Consultant
states that individuals with VCD do become incapacitated during an attack,
as much as with an asthma attack. The attacks are precipitated by stress
including military training and operations and may not occur again during
less stressful times. Patients with this condition are often thought to
have asthma, or exercise induced asthma. Provocative testing with exercise
or inhaled histamine can reproduce the symptoms in some individuals with
VCD enabling an opportunity for diagnosis by direct visualization of the
vocal cords as occurred in this case. Thus, the normal examination in
December 2002, while the applicant was asymptomatic does not exclude this
diagnosis. She was diagnosed by a specialist experienced in the diagnosis
of this condition. The applicant had a history of asthma and exertional
related bronchospasm existing prior to service. Testing reliably excluded
asthma. The presence of symptoms previously diagnosed as exercise related
bronchospasm is consistent with the presence of VCD. VCD is a chronic,
recurrent condition, and is disqualifying for service. There is no single
effective treatment which would reliably prevent recurrent symptoms
interfering with the performance of duty. Enlistment medical standards
stipulate that any condition of the larynx that interferes with speech or
breathing is disqualifying for enlistment. The Medical Consultant
evaluation is at Exhibit C.
AFPC/DPPRS recommends denial. DPPRS states that the discharge was
consistent with the procedural and substantive requirements of the
discharge regulation and was within the discretion of the discharge
authority. Airmen are given entry-level separation/uncharacterized service
characterization when separation is initiated in the first 180 days of
continuous active service. Uncharacterized entry-level service should not
be viewed as negative and should not be confused with other types of
separation. The DPPRRS evaluation is at Exhibit D.
AFPC/DPPAE states that the applicant's RE code 2C, "Involuntarily separated
with an honorable discharge; or entry level separation without
characterization of service" is correct. Waivers of RE codes for
enlistment are considered and approved based on the needs of the respective
military service and recruiting initiatives at the time of the enlistment
inquiry. The DPPAE evaluation is at Exhibit E.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Copies of the Air Force evaluations were forwarded to the applicant on 18
Jul 03 for review and comment within 30 days. 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 error or injustice. We took notice of the applicant's
complete submission in judging the merits of her case; however, we do not
find the opinions of her civilian physicians sufficiently persuasive to
override the rationale provided by the BCMR Medical Consultant. Therefore,
we are not persuaded that she has been the victim of an error or injustice
with respect to her medical diagnosis. Regarding her request to change her
RE code, evidence has not been presented which would lead us to believe
that a change of her RE code is warranted. We agree with the opinions and
recommendation of the Air Force offices of primary responsibility and adopt
their rationale as the basis for our conclusion that she has not been the
victim of an error or injustice. 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-2003-
00866 in Executive Session on 21 Aug 03, under the provisions of AFI 36-
2603:
Mr. Richard A. Peterson, Panel Chair
Mr. Roscoe Hinton, Jr., Member
Ms. Brenda L. Romine, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 28 Feb 03.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 27 May 03.
Exhibit D. Letter, AFPC/DPPRS, dated 1 Jul 03.
Exhibit E. Letter, AFPC/DPPAE, dated 11 Jul 03.
Exhibit F. Letter, SAF/MRBR, dated 18 Jul 03.
RICHARD A. PETERSON
Panel Chair
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