RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2006-00807
INDEX CODE: 108.00, 110.00
COUNSEL: NO
HEARING DESIRED: YES
MANDATORY CASE COMPLETION DATE: 18 Sep 07
_________________________________________________________________
APPLICANT REQUESTS THAT:
1. His general (under honorable conditions) discharge be upgraded to
honorable.
2. His discharge be changed to reflect he was either medically retired or
discharged with entitlement to disability severance pay.
_________________________________________________________________
APPLICANT CONTENDS THAT:
In August of 1998 it was discovered he suffered from a cavernous angioma in
the brain stem. His condition gradually got worse and he eventually met
before a Physical Evaluation Board (PEB) which recommended his discharge
with severance pay.
After he joined the Air Force in 1985 he began one of the most successful
career tracts in the Air Force. He had selected assignments such as the
youngest officer to be assigned to the Presidential Mandated Strategic Air
Command Airborne Command Post to being hand-picked to man the newly
organized Air combat Command Headquarters and on to the Inspector General
team. His Officer Performance Reports (OPRs) show that he was well
deserving of the "Top 5%" of all Air Force officers and on two occasions
selected as the Best Senior Planner in all the Air Force. After he was
stricken with his illness his life literally "went to hell in a hand
basket." He lost his marriage, kids, and became obsessed with gambling and
video games. His memory was such that he carried a list each day to help
remember what he was supposed to do. It is amazing to him that not one
doctor related his change in ability, judgment, and professionalism to his
brain disease. His Air Force career came to an end when he did not pay his
Government Credit Card and used it on a gambling trip in the summer of
1999. In March of 2000 an Administrative Discharge Board was held and
recommended his discharge under honorable conditions. Through out the
entire process his previous work and effort was highlighted by general
officers, his contemporaries and subordinates.
The Air Force committed three great failures on his behalf. First, after
his initial diagnosis his case should have been put in front of a Medical
Evaluation Board (MEB) at that time. One of the more important aspects of
his case is that the cavernous angioma happened before any infractions
occurred. Second, the Administrative Review Board, his superiors,
physicians, neurologists or neurosurgeons did not correlate his behavior
with his disease. Every aspect of his life began its death spiral
immediately after his first mid-brain bleed. Third, prior to his discharge
board, the medical board determined that based on his brain stem angioma,
he was medically unfit for duty. He would have been discharged much sooner
but his discharge was postponed time after time until the PEB could
complete its findings.
In support of his request, applicant provided a personal statement,
documentation associated with a Congressional inquiry, documentation
extracted from his medical and military personnel records, awards and
recognition letters, and medical information retrieved from the internet.
His complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
Applicant enlisted in the Air Force Reserve on 21 Dec 84 and was discharged
on 28 Jan 85. He enlisted in the Regular Air Force Air Force on 29 Jan 85
and was discharged on 25 Apr 85 in order to accept a commission. He was
appointed a second lieutenant, Reserve of the Air Force on 26 Apr 85 and
was voluntarily ordered to extended active duty on that same date. On 1
Feb 95, he was separated from the Regular Air Force under the Special
Separation Program Benefit early release program in the grade of captain
and was transferred to the Air Force Reserve. He served on various active
duty tours (Stat Tour/AGR Tour) from 15 Oct 96 through 31 May 01 during
which he was progressively promoted to the grade of major.
On 5 Jan 00, applicant was notified by his commander of his intent to
recommend that he be discharged from the Air Force under the provisions of
AFI 36-3206, paragraphs 3.6.1 and 3.6.4. The specific reasons for this
action were: 1.) His failure to pay his government Nations Bank Visa Card
in full and on time; 2.) He uttered checks to Nations Bank in the amounts
of $755.12, $1,864.68, $2,500.00, and $1,590.00 with insufficient funds in
his checking account; and 3.) He wrongfully used his government Nations
Bank Visa Card for unauthorized purposes. He was advised of his rights in
this matter.
A Board of Inquiry convened on 29 Mar 00 and recommended he be separated
from the Air Force Reserve with a general discharge. AFRC/JA reviewed the
case file and recommended the case be forward thru AFPC to the Secretary of
the Air Force Personnel Council and USAF/JAG reviewed the case file and
found it legally sufficient and recommended his discharge from the Air
Force Reserve.
On 27 Sep 00, applicant was placed on medical hold for Disability
Evaluation System processing.
An MEB convened on 21 Feb 01 and referred his case to an Informal Physical
Evaluation Board (IPEB) with diagnoses of cavernous angioma, hypertension,
hyperlipidema, and tobacco abuse disorder. On 12 Mar 01, the IPEB found
him unfit for further military service based on the compensable diagnosis
of cavernous angioma. The IPEB recommended that he be discharged with a
combined compensable rating of 10 percent. The applicant agreed with the
findings and recommended disposition of the IPEB.
On 1 May 01, his discharge and disability proceedings were forwarded to the
Secretary of the Air Force Personnel Council (SAFPC) as a dual action to
determine if applicant would be discharged for disability reasons or
administratively with a general discharge. On 18 May 01, SAFPC directed he
be discharged by execution of the approved AFI 36-3206 action. He was
discharged on 31 May 01. He served a total of 15 years and 17 days on
active duty.
_________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPPRS recommends denial. DPPRS states his discharge was consistent
with the procedural and substantive requirements of the discharge
regulation and was within the discretion of the discharge authority.
The DPPRS evaluation is at Exhibit C.
The BCMR Medical Consultant recommends denial. The Medical Consultant
States the applicant argues that his vascular malformation caused the
behavior leading to administrative discharge. His lesion was in the pons
(cerebellar peduncle at the pontine - diencephalons junction) and lesions
in this area are associated with focal neurologic symptoms including loss
of sensation, weakness, and disturbances of coordination (including eye
movement). Discrete lesions in this location are not associated with
disorders of impulse control, compulsive behaviors (including gambling), or
cognitive disturbances. For a lesion in this location to have effects on
cognition or behavior it would require severe bleeding which would manifest
not merely in cognitive or behavioral disturbances but with marked motor
and sensory deficits that would overshadow the cognitive/behavioral
effects. It is plausible that after a severe bleed (or surgical
intervention) there may be residual cognitive effects but there would also
be severe disabling residual sensorimotor deficits as well. There is no
evidence whatsoever of a bleed of such magnitude prior to or during the
time of his misconduct. His lesion was in the small range reported in the
literature and his objective neurologic deficits were very mild consistent
with the small size. The size of his hemangioma remained stable without
evidence of re-bleeding from the time of diagnosis to the time he underwent
an MEB, two years later. Evidence of the records indicates misconduct
during a time of clinical quiescence and apparently continued good duty
performance. There is no documentary evidence of cognitive disturbance
prior to his discharge. Evidence of record reflects a pattern of decision
making and conduct leading to his financial circumstances and misuse of the
government travel card that preceded the initial onset of symptoms of his
cavernous hemangioma.
The Medical Consultant's complete evaluation is at Exhibit D.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Applicant responded to the Air Force evaluation through his congressman and
states he was diagnosed with a Brain Stem Cavernoma in August of 1998 and
was told at the time it was not a question of IF it would bleed more, but
when. His first night at home after his procedure he had his first bout of
double vision. He was rushed to the emergency room. The prognosis was
that those types of symptoms and deficits were to be expected. He
continued with numbness on his right side, double vision episodes, body
jerks and he developed a "zoning out" phase. All of this was prior to any
charges or disciplinary action brought against him and was around the same
time he was having cognitive, impulse and judgment impairments. He was
having daily zoning out conditions daily lasting for a few minutes followed
by numbness or fog as if he were medicated or drunk.
He had and continues to have small and large bleeds since he was first
diagnosed. The Medical Consultant wants to place emphasis on the MRIs
conducted at the time, while he fails to mention that while the MRI may
show the same size or stability at the time of the MRI, it does not show
any reabsorption or hemorrhaged blood back into the brain or dissipation
after small bleeds. He continued to experience a variety of neurological
symptoms, was having numerous small hemorrhages and rehemorrhages for the
entire time, and continues to have them along with the major bleed last
year. He had these symptoms and problems with both physical and
neurological issues to judgment and impulse problems from the time of the
initial bleed, prior to any disciplinary issues clear up until this very
day. His visit to his physician in which he confided he had zoning out
problems proves the Medical Consultant is incorrect that there is no
medical documentation that shows recurring or new neurological symptoms
during the period of time of his misconduct. The Medical Consultant is
wrong stating that based on the location of his lesion it would not impair
his judgment or contribute to any of his actions. He has previously
submitted facts that show he went from an outstanding officer to one under
disciplinary proceedings. A document provided from the Journal of
Neurology Neurosurgery and Psychiatry on seven cases of cognitive
dysfunction after isolated brain stem insult shows high prevalence of
cognitive dysfunction was observed and proven by test.
His compete response, with attachments, is at Exhibit F.
_________________________________________________________________
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. After careful consideration of the
evidence submitted in support of his appeal, we are not persuaded that the
applicant's administrative discharge was erroneous or unjust. Applicant's
contentions are duly noted; however, the evidence presented does not
convince us that the medical condition from which he suffered at the time
rendered him incapable of distinguishing right from wrong and, assumably,
to adhere to the right. Because we have seen nothing which, in our opinion
successfully refutes the professional assessment of the Medical Consultant
and due to the multiplicity and serious nature of his misconduct, we
believe that the applicant bears some responsibility for his predicament.
The applicant's discharge processing was proper and in compliance with the
applicable directives, we see no evidence that he was denied rights to
which entitled, and it appears that all appropriate considerations were
given to the matters presented before the deciding officials. Therefore,
we agree with the opinions and recommendations of the Air Force offices of
primary responsibility and adopt their rationale as the basis for our
conclusion that the applicant has not been the victim of an error or
injustice. In the absence of persuasive 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 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-2006-
00807 in Executive Session on 17 Aug 06, under the provisions of AFI 36-
2603:
Mr. Michael K. Gallogly, Panel Chair
Ms. Mary C. Puckett, Member
Mr. Joseph D. Yount, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 21 Mar 06, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPPRS, dated 29 Mar 06.
Exhibit D. Letter, BCMR Medical Consultant, dated 7 Jul 06.
Exhibit E. Letter, SAF/MRBR, dated 10 Jul 06.
Exhibit F. Congressional Letter, dated 25 Jul 06, w/atchs.
MICHAEL K. GALLOGLY
Panel Chair
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