RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2003-02464
INDEX CODE: 110.00
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
Her medical discharge be upgraded to a medical retirement.
_________________________________________________________________
APPLICANT CONTENDS THAT:
She was discharged for supraventricular tachycardia (SVT) in her heart, and
depression. She was discharged with a 10 percent rating on her SVT. She
is now rated at 30 percent for the SVT, and 10 percent for depression. The
conditions were incurred while on active duty through no fault of her own.
She indicates she is eligible for a medical retirement.
Applicant’s complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
Applicant enlisted in the Regular Air Force on 4 October 1993 in the grade
of airman basic for a period of 6 years.
The applicant’s medical records reveal the following:
A narrative summary prepared for an Medical Evaluation Board (MEB)
in January 2000, indicated the applicant was diagnosed with
supraventricular tachycardia (SVT) with poor control on medical therapy,
depression - stable by history. She was not qualified for worldwide duty
and it was determined her conditions were incurred while in the line of
duty. The disposition and recommendation indicated that the applicant had
declined optimal therapy and had poor control on reasonable medical
therapy. It was recommended she not be qualified for worldwide duty and
would be recommended to be separated from the Air Force.
On 18 February 2000, the commander’s evaluation indicated the
applicant performed her duties in a satisfactory manner. Her duties did
not require any intense physical challenges and she was operating within a
sound team environment and a stable mental health support network. There
was a high probability she would not be able to perform duties commensurate
with her grade if she had to deploy or mobilize as a Contingency
Contracting Officer (CCO). Deployment exercise feedback indicated the
physical demands in a contingency environment might have exceeded her
physical capacities. Comments from her supervisors and superiors indicated
she appeared to maintain and operate from an unusually unhealthy life
position often appearing to be depressed or generally unmotivated. The
commander further indicated it was unlikely the applicant would have
adequately performed the duties required of her office and grade in a
contingency environment.
On 23 March 2000, a narrative summary was prepared in preparation
for an MEB regarding her psychiatric history and treatment. The
disposition and/or recommendation indicated the applicant presented with a
long history of depressed mood and irritability had acutely worsened at
times over the past three years to become major depressive episodes. Her
depression was generally well controlled through medications and
psychotherapy, and had only a mild or minimal effect on her
social/industrial functioning. Due to the recurrent nature of her major
depressive illness, it was important that she continued to be followed by
psychiatry for treatment of her major depressive disorder.
On 30 March 2000, the applicant was evaluated by an MEB and was
diagnosed with DSM-IV Axis I: (296.31) Major Depressive Disorder,
recurrent, mild; Military Impairment (MI): Minimal; Social and Industrial
Impairment (S&I): Mild and Axis II: Supraventricular Tachycardia. Radio
frequency ablation declined. They recommended her case be referred to an
Informal Physical Evaluation Board (IPEB).
On 10 April 2000, the Informal Physical Evaluation Board (IPEB)
diagnosed the applicant with Category I - Unfitting conditions which are
compensable and ratable: Supraventricular tachycardia, not well
controlled. Patient refuses definitive surgical ablation; Category II -
Conditions that can be unfitting but are not currently compensable or
ratable: Major Depressive disorder. Additional findings of the PEB:
applicant is unfit because of physical disability, disability was incurred
in line of duty and may be permanent. She was rated as having a disability
of ten percent and it was recommended she be discharge with severance pay.
On 13 April 2000, the applicant did not agree with the findings and
recommended disposition of the IPEB and requested a formal hearing
On 3 May 2000, the applicant requested to waive a Formal Physical
Evaluation Board (FPEB) Hearing. The applicant indicated that after
receiving the explanation of the findings and recommendations, she
requested waiving her earlier election to demand a formal hearing, for the
purposes of now concurring with the IPEB’s recommendations and findings.
She stated she now feels it was in her best interest to agree with the
findings and recommended disposition.
On 3 May 2000, the FPEB approved the applicant’s request to waive a
FPEB.
On 16 May 2000, the Office of the Secretary of the Air Force determined the
applicant physically unfit for continued military service and directed
discharge with severance pay under the provisions of 10 U.S.C. 1203.
On 3 July 2002, the applicant was honorably discharged from active duty, in
the grade of senior airman, under the provisions of AFI 36-3212
(Disability, Severance Pay). She completed six years and nine months of
total active duty service.
The applicant received an RE code of 2Q (Personnel medically retired or
discharged).
The Department of Veterans Affairs (DVA) rating decision dated 7 April 2003
indicates the applicant’s supraventricular tachycardia was previously rated
by the DVA at 10 percent and was increased to 30 percent based on an
evaluation in May 2001 with the benefit effective retroactive to 4 July
2000. The rating decision shows her depression rated at 10 percent.
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommended denial. He indicates that the
applicant was disability discharged with severance pay for supraventricular
tachycardia. She also has a history of depression that was not unfitting
at the time of discharge and was not rated or compensated. The Department
of Veterans Affairs granted service connected disability compensation for
supra-ventricular tachycardia at 30 percent and depression at 10 percent.
The applicant’s condition that rendered her unfit for continued military
service was the supraventricular tachycardia that was judged to be no more
than a mildly disabling one, and separation with 10 percent disability was
appropriately recommended. At the time of disability evaluation, the
applicant’s depression was not unfitting. Further the PEB is specifically
prohibited from considering worsening of depression due to the stresses of
the disability evaluation process and separation. Evidence of record
establishes beyond all reasonable doubt that the applicant was properly
evaluated and rated, that separation for physical disability with a 10
percent rating was proper, and that no error or injustice occurred in this
case.
The evaluation is at Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicant reviewed the evaluation and indicated she is entitled to a 30
percent disability rating from the Air Force which is equal to the 30%
rating the Veterans Administration granted her effective the date of her
discharge. She would still be an active duty member of the Air Force had
she not been medically discharged for a condition (supraventricular
tachycardia) she was told was too severe to remain on active duty and a
secondary disability (major depressive disorder) that was mildly disabling.
Applicant’s complete response is at Exhibit E.
_________________________________________________________________
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 an error or injustice warranting the applicant’s medical
discharge be changed to a medical retirement. After a thorough review of
the evidence of record and applicant’s submission, the discharge appears to
be in compliance with the governing AFI and we find no evidence to indicate
that her separation from the Air Force was inappropriate. We find no
evidence of error in this case and after thoroughly reviewing the evidence
of record, we do not believe she has suffered from an injustice. The Board
is of the opinion the Disability Evaluation System properly evaluated and
rated the applicant. She has not provided any evidence which would lead us
to believe otherwise. In view of the above, we agree with the opinion and
recommendation of the Medical Consultant and adopt his rationale as the
basis for our conclusion that the applicant has not been the victim of an
error or injustice. Therefore, in the absence of evidence to the contrary,
we find no compelling basis to recommend granting the relief sought.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not demonstrate
the existence of an 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-
02464 in Executive Session on 11 February 2004, under the provisions of AFI
36-2603:
Mr. Thomas S. Markiewicz, Chair
Ms. Ann-Cecile McDermott, Member
Ms. Leslie E. Abbott, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 16 July 2003, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFBCMR Medical Consultant,
dated 15 December 2003.
Exhibit D. Letter, SAF/MRBR, dated 9 January 2004.
Exhibit E. Letter, Applicant, dated 21 January 2004.
THOMAS S. MARKIEWICZ
Chair
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