RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2005-00080
XXXXXXX COUNSEL: MARSHALL R MUDGE, DVA
XXXXXXX HEARING DESIRED: YES
MANDATORY CASE COMPLETION DATE: 9 JULY 2006
_________________________________________________________________
APPLICANT REQUESTS THAT:
His narrative reason for separation be changed from “Disability, Existed
Prior to Service” to a medical discharge.
_________________________________________________________________
APPLICANT CONTENDS THAT:
There is "no record" of any mental illness in his family history or his
until October 2003 and it became progressively severe. Narrative reason for
separation should be changed to "medical" and the separation code should be
changed.
In support of his application, applicant submits a copy of DD Form 293,
Application for the Review of Discharge or Dismissal From the Armed Forces
or the United States, personal letter, VA Form 21-4138, Statement of
Support of Claim, and a letter from SAF/MRBR.
Applicant's complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant entered active duty 9 March 2002, at age 25, completed
training and served as a communication computer systems operations
apprentice. Prior to entering the service the applicant worked as a postal
clerk from October 1997 to February 1999, then as a truck driver for three
different employers until becoming unemployed in December 2000 (and
apparently remaining so until entering active duty). After completion of
training, he was assigned to Kadena Air Base, Japan. His performance report
closing 18 November 2003 was an overall five report reflecting excellent
duty performance and commenting the applicant was "One of the hardest
working airmen I have ever worked with " and recommended below the zone
promotion.
Review of service medical records shows that during 2003 the applicant
sought care for a variety of physical complaints without clear medical
cause. A May 2003 (14 months after entry) medical record entry noted
anxiety symptoms. Beginning in late summer 2003 the applicant presented on
a frequent basis for various physical complaints for which no cause or
diagnosis could be identified after thorough evaluation. In October 2003 he
was noted to have depressed mood and referred for mental health evaluation
leading to subsequent diagnosis and treatment for psychotic disorder not
otherwise specified (psychiatrist suspected evolving schizophrenia) and
referral for Medical Evaluation Board (MEB). The 23 October 2003 internal
medicine evaluation for chest pain recorded a list of symptoms including
migratory burning discomfort of the chest, arms and legs; headaches, visual
changes, sleep disturbance, anhedonia, decreased energy, and others. The
internist stated, "Symptoms > one year (since tech school)." The MEB
narrative summary dated 29 January 2004 reported a history of symptoms
dating to basic training stating he had "not been feeling good since basic
training" including feeling distorted and his tongue and eyes would move by
themselves non-voluntarily.
In January 2004, a Medical Evaluation Board was initiated leading to
administrative discharge for psychotic disorder not otherwise specified
determined to have existed prior to service without permanent service
aggravation.
On 18 June 2004, the applicant was administratively separated under the
provision of AFI 36-3212, Physical Evaluation for Retention, Retirement,
and Separation, with an honorable discharge and a narrative reason for
separation of disability, existed prior to service. He served a total of 2
years and 3 months of total active service.
The applicant filed a claim with the Department of Veterans Affairs (DVA)
for service connected disability benefits and is presently receiving
service connected disability compensation for schizophrenia, paranoid type,
rated 50 percent.
_________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant is of the opinion that no change in the records
is warranted and states based on the preponderance of evidence of the
record and accepted medical principles, the reviewer concurs with the
findings and recommendations of the IPEB. Action and disposition in this
case are proper and equitable reflecting compliance with Air Force
directives that implement the law.
The applicant was administratively discharged due to a disability,
psychotic disorder not otherwise specified, that was determined to have
existed prior to service and was not permanently aggravated by service
beyond the natural progression of the disease. The applicant, determined to
be competent for pay and records by his psychiatrist, accepted the
recommendations of the Informal Physical Evaluation Board after counseling
by the Physical Evaluation Board Liaison Officer. He now requests change of
records to show "medical separation" not further specified contending his
condition did not exist prior to entering military service.
The reviewer concludes that the preponderance of the evidence of the record
supports the findings of the IPEB. The symptoms described as occurring
during basic training, feeling distorted with involuntary eye and tongue
movement, are consistent with the applicant's schizophrenia and not
explainable by other conditions. The presence of these symptoms while in
basic training combined with evidence of job instability prior to entry to
active duty are consisted with a prolonged phase of manifestation extending
prior to entry into military service. The indolent progression of the
applicant's symptoms is completely consistent with the expected progression
of the applicant's disease that would occur regardless of military service.
There was nothing unique about military service that would lastingly
aggravate the natural progression of this disease. The excellent duty
performance demonstrated by the applicant is not inconsistent with his
disease.
BCMR Medical Consultant's 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 6 June
2005 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 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 an error or injustice warranting a change in his narrative
reason for separation. Applicant’s contentions are duly noted; however, we
agree with the opinions and recommendation of the BCMR 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. Shortly after entering
active duty, the applicant began experiencing anxiety symptoms. He
underwent several medical evaluations and was diagnosed with a psychotic
disorder not otherwise specified that was determined to have existed prior
to service and was not permanently aggravated by service beyond the natural
progression of the disease. The applicant’s case was processed through the
medical disability evaluation system and it was determined the applicant’s
condition rendered him unfit for continued military service. Therefore, in
the absence of evidence to the contrary, we find no compelling basis to
recommend granting the relief sought in this application
4. The applicant's case is adequately documented and it has not been shown
that a personal appearance with or without counsel will materially add to
our understanding of the issues involved. Therefore, the request for a
hearing is not favorably considered.
_________________________________________________________________
THE BOARD DETERMINES THAT:
The applicant be notified that the evidence presented did not demonstrate
the existence of a 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-BC-2005-
00080 in Executive Session on 16 May 2006, under the provisions of AFI 36-
2603:
Mr. Thomas S. Markiewicz, Chair
Ms. Janet I. Hassan, Member
Ms. Kathleen F. Graham, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 14 Jan 04, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 7 Apr 06.
Exhibit D. Letter, SAF/MRBR, dated 10 Apr 06.
THOMAS S. MARKIEWICZ
Chair
CG | BCMR | Discharge and Reenlistment Codes | 2003-015
PM Article 12.B.16.b authorizes unsuitability discharges for members diagnosed with one of the “personality behavior disorders … listed in Chapter 5, CG Medical Manual … .” Chapter 5.B.2 of the Medical Manual (COMDTINST M6000.1B) lists the person- ality disorders that qualify a member for administrative discharge pursuant to Article 12 of the Personnel Manual. of the Medical Manual states that schizoaffective disorder and psychotic disorder NOS are disqualifying for military service and...
AF | BCMR | CY2003 | BC-2002-02624
The board recommended discharge. The IPEB again reviewed the file and noted that the pre-existence of the applicant’s mental health condition was not in question but rather whether or not the condition was aggravated by his military service and, if so, whether that aggravation was permanent. A complete copy of the evaluation is at Exhibit D. _________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: Complete copies of the Air Force...
ARMY | BCMR | CY2003 | 2003090390C070212
In the processing of that formal LOD investigation, a statement was obtained from the physician who had made the entry that the applicant had stated she had been taking anti-psychotic medications prior to AT. As the illness progresses, psychotic symptoms develop: The preponderance of evidence supports a finding that the applicant’s schizophrenia existed prior to her entry on active duty during her AT, and there is no evidence of any event which may have aggravated that condition.
AF | BCMR | CY2003 | BC-2001-02424
The Board noted that the applicant was diagnosed with adjustment and personality disorders, but a determination was made by the evaluator that she did not have a psychiatric disorder that warranted disposition by a medical evaluation board, and that her personality disorder did not significantly impair her ability to adapt to military service. In view of the fact that the applicant’s symptoms were very mild at the time of her mental health evaluation, and the presence of a pre-morbid...
AF | PDBR | CY2012 | PD2012 01074
She was given several “rule out” diagnoses (delusional disorder, posttraumatic stress disorder, and paranoid personality disorder/traits) at the start of her treatment.The CI was followed by an outpatient psychiatrist whodocumented “hx of paranoid personality”on a progress note dated 07 May 2002.The CI was hospitalized following this visit which recommended that the CI be evaluated by a psychologist and considered for “repeat MEB.”(It was noted that the provider’s progress notes that...
AF | BCMR | CY2004 | BC-2003-03989
In support of his application, the applicant provides a personal statement and copies of his of his Medical Evaluation Board (MEB) findings; Psychiatric Temporary Disability Retirement List (TDRL) Summary; Physical Evaluation Board (PEB) findings; discharge certificate; DD Form 214, Certificate of Release or Discharge From Active Duty; prescription for Albuterol; and an article on inhalers containing Albuterol. On 3 July 2000, the applicant was relieved from active duty and placed on the...
AF | BCMR | CY2006 | BC-2005-00300
Although the mental health records are not available for review (only limited entries in the main service medical record), the Medical Evaluation Board (MEB) narrative summary dated June 28, 2002 provides the most complete psychiatric summary available in the case file while she was on active duty. Had the Physical Evaluation Board concluded that service aggravated her condition, rating deductions for existing prior to service symptoms and for non-compensable personality...
AF | BCMR | CY2006 | BC-2005-01954
The fact that the applicant has been granted service connected disability from the DVA does not entitle her to Air Force disability compensation. Applicant contends her psychiatric condition was aggravated by her Air Force Reserve service. We believe it is interesting to note that although the applicant was diagnosed with personality disorder while on active duty and reported symptoms of depressed mood at the time of her separation examination, she did not seek medical attention nor was...
ARMY | BCMR | CY2004 | 20040004366C070208
The applicant requests that his records be corrected to show that his disability did not exist prior to service (EPTS), that it was service aggravated, and, in effect, that he be granted a medical retirement with a 100 percent disability rating. Counsel further states that the PEB's finding that the applicant had a long history of hospitalizations for psychiatric disturbances and schizoid traits is not supported by the applicant's records. The applicant's civilian medical history indicated...
ARMY | BCMR | CY2006 | 20060002334C070205
There is no medical evidence, and the applicant did not provide any, that showed he was medically unfit and required physical disability processing. No medical evidence has been presented by the applicant to demonstrate an injustice in the medical treatment received in service. Consequently, there is no basis for granting the applicant's request to correct his records to show that he was discharged for medical reasons.