RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2003-01556
INDEX CODE: 110.02, 108.10
COUNSEL: NONE
HEARING DESIRED: NOT INDICATED
___________________________________________________________________
APPLICANT REQUESTS THAT:
His involuntary administrative discharge be changed to a disability
discharge.
_________________________________________________________________
APPLICANT CONTENDS THAT:
The record states that he was discharged due to "asthma" which he does not
have nor has he ever had.
In support of his appeal, the applicant provides a copy of a DD Form 293,
Application for the Review of Discharge or Dismissal from the Armed Forces
of the United States, copies of letters sent to his congressman, and
documentation extracted from his medical records.
His complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted into the Regular Air Force on 30 October 2001,
completed basic military training and entered Security Forces training.
While in training, in late December 2001, he developed an apparent
respiratory tract infection associated with shortness of breath. Prior to
entering basic military training he reported that he had minimal symptoms
and was active in athletics without problems and had never used an inhaler.
He also reported a family history of asthma in his mother and brothers.
Baseline lung function testing was normal, but because of a high suspicion
of asthma or reactive airway disease, he underwent histamine
bronchoprovocation testing. He had a positive test (38% decline in the
forced expiratory volume in one second; 20% decline is positive) at a low
dose of histamine (2mg - protocol escalates the dose up to 8mg), which
completely reversed with inhaled bronchodilator medication. Based on the
histamine bronchoprovocation test; he was medically disqualified for duty
and administratively discharged on 5 March 2002 with an entry-level
separation and a reenlistment eligibility code (RE) of 2C. He was credited
with four months and six days of active service.
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant indicates the applicant developed persisting
symptoms of shortness of breath following an upper respiratory tract
infection that was accompanied by symptoms including wheezing, chest
tightness, nocturnal awakenings with shortness of breath and wheezing
consistent with bronchospasm. These symptoms are suggestive of reactive
airways disease and asthma. Based on symptoms consistent with reactive
airways disease and asthma and the positive bronchoprovocation test
confirming abnormal bronchial reactivity, he underwent entry-level
separation.
Medical standards for enlistment and continued service indicate that
"asthma, including reactive airways disease, exercise induced bronchospasm
or asthmatic bronchitis, reliably diagnosed at any age" is disqualifying
for enlistment. Although the applicant may not have had asthma in the
strictest definition before entering the military, he clearly demonstrated
symptoms of reactive airways disease or asthma during his presumptive
period (first 180 days of active service) that rendered him unfit for duty.
The applicant provided evidence that confirms his claim he was never
diagnosed with asthma before entering the service, however he did have
allergic rhinitis, and a strong family history of asthma, both indicators
of possible underlying bronchial hyper-activity (not an absolute).
Individuals without a history of asthma are routinely identified who
develop respiratory symptoms attributed to reactive airways
bronchoconstriction during initial military training. The applicant's
experience during training and his positive bronchoprovocation test
indicate that he is at considerably higher risk for recurrent problems when
subjected to the rigors of military operational environments.
Erroneous Enlistment is one that would not have occurred had the relevant
facts been known by the Air Force and it was not the result of fraudulent
conduct on the part of the member. Thus, the BCMR Medical Consultant is of
the opinion that no change in the records is warranted; however the Board
may consider changing the narrative reason to "Failed medical/physical
procurement standards" (SPD Code: JFW; with accompanying RE code of 4C).
The BCMR Medical Consultant's evaluation is at Exhibit C.
AFPC/DPPD recommended denial of applicants request to have his medical
condition for asthma considered service-connected or aggravated by his
military service and disapproval of the award of a disability discharge.
His military records revealed he was diagnosed with asthma shortly after
entering technical training. His asthma was considered to have existed
prior to his entrance on active duty and not considered to have been
service aggravated. In February 2002, administrative discharge action was
initiated due to continued respiratory problems. The discharge action was
found legally sufficient, approved by the discharge authority, and he was
subsequently separated with an uncharacterized entry-level discharge.
The DPPD evaluation is at Exhibit D.
AFPC/DPPRS states that on 25 February 2002, the applicant acknowledged
receipt of his notification for discharge and understood his right to
consult with counsel and submit statements in his behalf. He waived his
right to consult with counsel and to submit statements. Based upon the
documentation on file, the discharge was consistent with the procedural and
substantive requirements of the discharge regulation. The discharge was
within the discretion of the discharge authority. Therefore, his
uncharacterized character of service is correct and in accordance with
Department of Defense and Air Force instructions. An entry-
level/uncharacterized separation should not be viewed as negative and
should not be confused with other types of separations.
The DPPRS evaluation is at Exhibit E.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Applicant states he was sick with a bad case of bronchitis when he was
tested for asthma. He did not have asthma. A number of other airmen in
his dorm were also sick at the time. Some were admitted to the hospital
and allowed to recover while others were sent home with an "erroneous
enlistment." He was not given a chance to recover from the bronchitis.
The advisory states he was provided an opportunity to seek counsel but did
not. He was told by numerous individuals on the base, including his
training officers, that seeking counsel would cause nothing but problems.
He was told he could not retrain, even though he qualified for numerous
other jobs. Applicant asks that he be allowed to be reexamined by a
physician in Boston to see if he is able to return to the Air Force.
His complete submission is at Exhibit G.
_________________________________________________________________
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 the case; however, it is our
opinion that the reason and authority for his discharge were appropriate
under the circumstances. We find no evidence that a physical condition
existed that would have warranted processing through the disability
evaluation system in accordance with the governing instruction, which
implements the law. We agree with the BCMR Medical Consultant that under
the circumstances of this case, the narrative reason "Failed
Medical/Physical Procurement Standards" more appropriately reflects the
reason for his discharge, and we note the correction has been
administratively accomplished. In view of the above, we find no compelling
reason 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-
01556 in Executive Session on 31 Mar 04, under the provisions of AFI 36-
2603:
Mr. Thomas S. Markiewicz, Chair
Ms. Leslie E. Abbott, Member
Ms. Renee M. Collier, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 25 Sep 02, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 17 Sep 03.
Exhibit D. Letter, AFPC/DPPD, dated 13 Jan 04.
Exhibit E. Letter, AFPC/DPPRS, dated 3 Feb 04.
Exhibit F. Letter, SAF/MRBR, dated 13 Feb 04.
Exhibit G. Letter, Applicant, dated 2 Mar 04.
THOMAS S. MARKIEWICZ
Chair
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