RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2007-00552
INDEX CODE: 108.02
COUNSEL: DAVID P. SHELDON
HEARING DESIRED: NOT INDICATED
_________________________________________________________________
APPLICANT REQUESTS THAT:
His records be corrected to show he was medically retired with a 100
percent disability rating rather than a disability rating of 40
percent.
_________________________________________________________________
APPLICANT CONTENDS THAT:
He was retired on 27 February 2004 by reason of permanent physical
disability after having served over 20 years on active duty. Due to
complex debilitating medical problems, he could no longer perform his
assigned duties and was referred to a physical evaluation board (PEB).
Despite overwhelming evidence that his condition required a
disability rating of 100 percent, he was arbitrarily assigned a
disability rating of 40 percent, while several of his
ailments/disabilities went unaddressed.
In support of his appeal, the counsel for the applicant has provided a
statement and several attachments.
Applicant’s complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
Applicant entered the Regular Air Force on 17 January 1984. He was
progressively promoted to the grade of lieutenant colonel effective
and with a date of rank (DOR) of 1 February 2000. On 9 July 2003, he
met an Informal PEB (IPEB) and subsequently a Formal PEB (FPEB) on 11
September 2003 accompanied by counsel. Both Boards recommended
permanent retirement with a disability rating of 40 percent.
Applicant submitted a rebuttal to the FPEB’s findings to the Secretary
of the Air Force Personnel Council (SECAF/PC) arguing that his
disability rating should be 100 percent. SAF/PC considered his appeal
and, in a memorandum dated 17 December 2003, concurred with and upheld
the recommendation of the earlier Boards that he be permanently
retired with a disability rating of 40 percent. On 7 January 2004,
SAF/PC directed his date of separation (DOS) be established as 27
February 2004. He was retired for physical disability with a
disability rating of 40 percent for recurring episodes of chronic
fatigue and associated myofascial pain condition, after serving on
active duty for 20 years, 1 month, and 11 days.
_________________________________________________________________
AIR FORCE EVALUATION:
The AFBCMR Medical Consultant opines that the 40 percent disability
rating set by the Air Force was too low. He contends the applicants
symptoms related to his disability more closely approximates a
disability rating of 60 percent at the time of his retirement. The
fact he was subsequently rated 100 percent disabled by the Department
of Veteran’s Affairs (DVA), is irrelevant as the Air Force Disability
System strictly evaluates member’s disabilities at the time of
discharge. Therefore, his hepatitis and hypertension were not
considered disabling at the time of his retirement.
The remaining pertinent medical facts are contained in the evaluation
prepared by the BCMR Medical Consultant at Exhibit B.
AFPC/DPPD recommends denial regarding his request his record be
corrected to show an Air Force disability rating of 100 percent.
However, DPPD states the IPEB reviewed the BCMR Medical Consultant’s
findings and recommendations and opines that the member did not in
fact meet the clinical criteria for chronic fatigue syndrome. DPPD
states his symptoms should have been coded using Veteran’s
Administration Schedule for Rating Disabilities (VASRD) code 5025,
fibromyalgia. DPPD therefore recommends his record be corrected to
show he was retired by reason of physical disability for fibromyalgia
with a permanent disability rating of 60 percent.
AFPC/DPPD’s complete evaluation is at Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Counsel for the applicant states while the BCMR Medical Consultant’s
advisory does conclude his client should be awarded permanent
retirement with a disability rating of 60 percent, it fails to
acknowledge the true nature of his condition and therefore falls short
of the requested 100% disability rating. Counsel notes a “math error”
in the advisory regarding the applicant’s actual time spent on the job
prior to his disability retirement that he contends, if corrected,
would lead the Board to conclude the applicant should have received a
100% disability rating from the Air Force.
Counsel’s complete response, with attachments, 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 not timely filed; however, it is in the
interest of justice to excuse the failure to timely file.
3. Sufficient relevant evidence has been presented to demonstrate the
existence of error or injustice. In this respect, the BCMR Medical
Consultant has recommended the applicant be placed on the TDRL and
opines that the severity of his symptoms at the time of his separation
more closely approximates a rating of 60 percent, rather than 40
percent. The IPEB, upon considering the Medical Consultant’s
recommendation, noted, with the advantage of a three-year gap between
his separation and today, that the applicant’s disability when
considered today would more closely approximate fibromyalgia, rather
than chronic fatigue syndrome, and that permanent retirement, rather
than placement on the TDRL, with a 60 percent disability rating would
be the suitable action to take in this case. In light of the
differing opinions and noting that both evaluations agree that a 60
percent disability rating is warranted, it is our opinion that the
recommendation of DPPD, being in a position to render such
determinations in these cases, appears to be the appropriate
corrective action. We considered his request that his disability
rating be increased to 100 percent; however, we concur with the
Medical Consultant’s and DPPD's findings that any other conditions
identified prior to his separation were appropriately identified as
not unfitting at the time and therefore were not eligible for
consideration during the adjudication and rating of his disability.
Air Force and DVA disability systems appear to have addressed the
applicant’s conditions within the confines of the laws that govern
each process. We are not persuaded by his assertions that correction
of his records in a manner contrary to what has been recommended is
warranted. Therefore, we recommend his records be corrected to the
extent indicated below.
______________________________________________________________
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air Force
relating to APPLICANT be corrected to show that:
a. On 17 December 2003, he was found unfit to perform the
duties of his office, rank, grade, or rating by reason of physical
disability, incurred while he was entitled to receive basic pay; that
the diagnosis in his case was fibromyalgia, VASRD code 5025, rated at
60 percent, rather than chronic fatigue syndrome rated at 40 percent;
that the degree of impairment was permanent; that the disability was
not due to intentional misconduct or willful neglect; that the
disability was not incurred during a period of unauthorized absence;
and, that the disability was not received in the line of duty as a
direct result of armed conflict or caused by an instrumentality of
war.
b. On 27 February 2004, he was honorably discharged and on
28 February 2004, he was permanently retired by reason of physical
disability.
______________________________________________________________
The following members of the Board considered AFBCMR Docket Number BC-
2007-00552 in Executive Session on 27 November 2007, under the
provisions of AFI 36-2603:
Mr. Thomas S. Markiewicz, Chair
Ms. Debra K. Walker, Member
Mr. Kurt R. LaFrance, Member
All members voted to correct the records, as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 15 February 2006, w/atchs.
Exhibit B. Letter, BCMR Medical Consultant, dated 30 August
2007.
Exhibit C. Letter, AFPC/DPPD, dated 11 October 2007.
Exhibit D. Letter, SAF/MRBR, dated 12 October 2007.
Exhibit E. Letter, Counsel, dated 16 November 2007, w/atchs.
THOMAS S. MARKIEWICZ
Chair
DEPARTMENT OF THE AIR FORCE
WASHINGTON DC
[pic]
Office Of The Assistant Secretary
AFBCMR BC-2007-00552
MEMORANDUM FOR THE CHIEF OF STAFF
Having received and considered the recommendation of the Air
Force Board for Correction of Military Records and under the authority
of Section 1552, Title 10, United States Code (70A Stat 116), it is
directed that:
The pertinent military records of the Department of the Air
Force relating to APPLICANT, be corrected to show that:
a. On 17 December 2003, he was found unfit to perform the
duties of his office, rank, grade, or rating by reason of physical
disability, incurred while he was entitled to receive basic pay; that
the diagnosis in his case was fibromyalgia, VASRD code 5025, rated at
60 percent, rather than chronic fatigue syndrome rated at 40 percent;
that the degree of impairment was permanent; that the disability was
not due to intentional misconduct or willful neglect; that the
disability was not incurred during a period of unauthorized absence;
and, that the disability was not received in the line of duty as a
direct result of armed conflict or caused by an instrumentality of
war.
b. On 27 February 2004, he was honorably discharged and on
28 February 2004, he was permanently retired by reason of physical
disability.
JOE G. LINEBERGER
Director
Air Force Review Boards Agency
The applicant suffers from two conditions unfitting for military service, chronic back pain apparently due to degenerative disc disease without neurologic findings, and fibromyalgia syndrome (FMS). The FPEB rated his disability at 40 percent. Air Force disability boards can only rate unfitting conditions based upon the individual’s medical status at the time of his or her evaluation; in essence a snapshot of their condition at the time.
AF | BCMR | CY2010 | BC-2009-04657
_________________________________________________________________ APPLICANT CONTENDS THAT: Her Medical Evaluation Board (MEB) decision should be revisited. On 19 Sep 08, an Informal Physical Evaluation Board (IPEB) found the applicant unfit for service and recommended discharge with severance pay with a 20 percent disability rating for Fibromyalgia. On 18 Nov 08, the FPEB agreed with the IPEB decision and recommended discharge with severance pay with a 20 percent disability rating.
AF | PDBR | CY2009 | PD2009-00635
The PEB reconvened on 20080104 and evaluated the CI as 10% disabled due to Fibromyalgia Syndrome (5025) and again considered the CI’s mental health condition. However, the VA included all of the CI’s mental health symptoms in its rating for fibromyalgia. The occupational and social impairment that resulted from the CI’s Depressive Disorder with Anxious Mood is sufficient to warrant a 30% rating separate from the fibromyalgia.
AF | PDBR | CY2011 | PD2011-00088
The Formal PEB (FPEB) adjudicated “Fibromyalgia Associated with Depression and Fatigue” as unfitting and rated 20% with application of DoDI and Veterans Administration Schedule for Rating Disabilities (VASRD). The CI was then medically separated with a 20% disability. At the time of the MEB examination and the VA C&P examination, the CI had constant symptoms of joint pain, depression, fatigue, headache, and sleep disturbance that responded poorly to therapy.
AF | PDBR | CY2009 | PD2009-00634
The 7 September 2004 PEB found the CI unfit for status post PE, resolved, rated at 0% disability with category II and III (not unfitting/not compensable) diagnoses of OSA, PFS, myofascial pain (new diagnosis), chronic fatigue secondary to deconditioning, and obesity. The examiner opined that the CI had a history of bilateral PE, but was doing well on coumadin therapy; however, the etiology of the chronic joint pain was unclear. The PEB applied the code 6354 (chronic fatigue syndrome [CFS])...
AF | PDBR | CY2013 | PD2013 00545
STRs noted a consultation with rheumatology on 03 June 2003, six months prior to separation, which described a “constellation of symptoms compatible with fibromyalgia with chronic generalized pain, complications of fatigue, sleep disturbance and chronic depression.” Physical examination noted “typical trigger pointing noted in the cervical, scapular and lumbar regions of the spine.”An outpatient note on 24 July 2003reported “widespread muscle pain and fatigue,” back pain and neck pain, “hip...
AF | BCMR | CY2008 | BC-2007-01005
The AFPC/DPPD evaluation is at Exhibit C. The BCMR Medical Consultant is of the opinion that the applicant’s total combined permanent disability percentage should be increased from 40 to 60 percent to reflect the severe nature of his bilateral foot pain, which prevented him from reasonably performing his military duties. In the applicant’s case, the Air Force limited its unfit finding to his bilateral foot condition since that was the only condition limiting the performance of his military...
AF | PDBR | CY2012 | PD2012-00095
The headache, pinched nerve and herniated discs in the back and neck, and carpal tunnel syndrome bilaterally conditions as requested for consideration meet the criteria prescribed in DoDI 6040.44 for Board purview and are addressed below, in addition to a review of the ratings for the unfitting condition of fibromyalgia. There is no evidence in the record of a headache, back, or neck condition separate from the fibromyalgia condition. RECOMMENDATION: The Board recommends that the CI’s...
AF | BCMR | CY2010 | BC-2010-03132
RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2010-03132 COUNSEL: HEARING DESIRED: YES ________________________________________________________________ THE APPLICANT REQUESTS THAT: The findings of the USAF Physical Evaluation Board (PEB) be corrected to reflect injuries he sustained while on active duty and the reasons for his medical retirement. The applicants case was forwarded to the FPEB and they concurred with the...
AF | PDBR | CY2012 | PD-2012-00128
Post‐Separation) – All Effective Date 20010621* Exam Condition Rating Code Fibromyalgia (Claimed as cervical condition to include pain radiating down Left Arm to hand; myofascial pain; and, low back condition No VA Entry 5099‐5025 20% 5025 40% 20020710 ↓No Addi(cid:415)onal MEB/PEB Entries↓ Combined: 20% Not Unfitting 0% X 0 / Not Service‐Connected x 1 Combined: 40% 20020710 in DoDI 6044.40, however, resides *VA effective date is based on date of VA Application received more than one year...