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AF | BCMR | CY2005 | BC-2004-01532
Original file (BC-2004-01532.doc) Auto-classification: Denied

                       RECORD OF PROCEEDINGS
         AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS

IN THE MATTER OF:      DOCKET NUMBER:  BC-2004-01532
            INDEX NUMBER:  108.00
      XXXXXXX    COUNSEL:  None

      XXXXXXX    HEARING DESIRED:  No

_________________________________________________________________

APPLICANT REQUESTS THAT:

Her honorable disability discharge with severance pay be changed to  a
medical retirement.

_________________________________________________________________

APPLICANT CONTENDS THAT:

In 1998 while she was  still  on  active  duty,  a  thyroidectomy  was
performed on her.  The physician made an error and  also  removed  her
parathyroid glands.  Since then, she has had a problem  maintaining  a
normal balance of calcium, magnesium, and thyroid  hormone.   She  was
subsequently unable to complete her enlistment.

In Sep 03, she was diagnosed with a severe cataract condition in  both
eyes.  This condition is a side effect of her low calcium levels.  She
continues to have problems as a result of the surgery performed  while
she was in the Air Force.

In support of her appeal, she provides a copy of  a  letter  from  her
physician giving his opinion of the cause of the applicant’s cataracts
and copies of records from the Department  of  Veterans  Affairs  (VA)
hospital in Philadelphia.

The applicant’s complete submission, with attachments, is  at  Exhibit
A.

_________________________________________________________________

STATEMENT OF FACTS:

The applicant entered active duty in the Air Force on 21 Nov 95.  As a
result of a total thyroidectomy performed on the applicant in  Jun  98
and a history of incapacitating mixed headaches, a medical  evaluation
board   (MEB)   evaluated   the   applicant   for   determination   of
qualifications for worldwide duty.  The MEB recommended the  applicant
meet an informal physical evaluation board (IPEB).  On 12 Nov 98,  the
IPEB diagnosed the applicant as  having  the  unfitting  condition  of
mixed-migraine headaches, which existed prior to service  (EPTS)  with
service aggravation.   The  applicant  was  also  diagnosed  with  the
condition of surgical hypothyroidism post  thyroidectomy  Jun  98  for
probable follicular thyroid cancer.  This condition was not determined
to be currently  ratable  or  compensable.   It  was  recommended  the
applicant be discharged with severance pay with a  compensable  rating
of 10 percent.  The applicant signed  the  AF  Form  1180  (Action  on
Physical Evaluation Board Findings and Recommended Disposition) on  18
Nov 98 and indicated her agreement with the findings  and  recommended
disposition of her case and waived her right to  a  formal  PEB.   The
applicant  was  discharged  on  11  Jan  99  and  received  disability
severance pay in the amount of $5,643.77.

_________________________________________________________________

AIR FORCE EVALUATION:

The BCMR Medical  Consultant  recommends  denial  of  the  applicant’s
request.  The applicant underwent total thyroidectomy in  Jun  98  for
multiple  thyroid  nodules  suspicious  for   thyroid   cancer.    She
experienced a common problem associated with the surgical  removal  of
the thyroid gland, the removal of the parathyroid glands.  Loss of the
parathyroid glands results  in  low  calcium  levels  and  requires  a
regimen of oral replacement of calcium, magnesium, and  vitamin  D  to
maintain normal calcium levels.  The applicant’s military records show
her calcium levels were satisfactorily normalized within two months of
surgery and that thyroid hormone levels were also normalized with oral
replacement therapy.  The records also show the  applicant  was  unfit
for  continued  military  service  due  to  migraine  headaches.   Her
hypothyroidism and hypoparathyroidism, which were successfully treated
with replacement therapy, were not unfitting  for  continued  military
service.

The military disability evaluation system under Title 10 can, by  law,
only  offer  compensation  for  those  diseases  or   injuries   which
specifically rendered a member unfit for continued active service  and
caused termination of their career.  Compensation can only be  awarded
for the degree of impairment present at the time of separation and not
based on future possibilities.  At the time  of  her  evaluation,  the
only condition that rendered the applicant unfit for military  service
was migraine headaches rated at 10  percent  resulting  in  disability
discharge with severance pay.  She had not yet  developed  symptomatic
cataracts.

The VA system, which operates under Title 38, is  chartered  to  offer
compensation and  care  to  all  eligible  veterans  for  any  service
connected disease or injury without regard to whether it was unfitting
for  continued  military  service.   The  VA  is  also  empowered   to
reevaluate veterans periodically for the  purpose  of  changing  their
disability awards if their level of impairment varies over time.

The complete evaluation is at Exhibit C.

_________________________________________________________________

APPLICANT'S REVIEW OF AIR FORCE EVALUATION:

A copy of the Air Force evaluation was forwarded to the  applicant  on
24 Jan 05 for review and comment within 30 days.  To date, a  response
has not been received.

_________________________________________________________________

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 to timely file.

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, we agree with the opinion  and  recommendation  of  the  BCMR
Medical Consultant and adopt  his  rationale  as  the  basis  for  our
conclusion 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  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 Docket  Number  BC-2004-
01532 in Executive Session on 2 March 2005, under  the  provisions  of
AFI 36-2603:

      Mr. Michael J. Novel, Panel Chair
      Mr. Clarence D. Long, III, Member
      Mr. Patrick C. Daugherty, Member

The following documentary evidence was considered:

    Exhibit A.  DD Form 149, dated 7 May 04, w/atchs.
    Exhibit B.  Applicant's Master Personnel Records.
    Exhibit C.  Memorandum, BCMR Medical Consultant,
                dated 18 Jan 05.
    Exhibit D.  Letter, SAF/MRBR, dated 24 Jan 05.




                                   MICHAEL J. NOVEL
                                   Panel Chair

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