RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2009-00799
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
She be given a medical retirement.
_________________________________________________________________
APPLICANT CONTENDS THAT:
She was not given adequate consideration for a medical
retirement and her headaches were overlooked in her disability
computation at the time of her discharge.
Appropriate consideration of her headaches, with a rating
comparable to the 30 percent assigned by the Department of
Veterans Affairs (DVA) within nine months of her discharge,
along with the 10 percent for her Dsythymic Disorder, would have
made her eligible for a medical retirement.
Her headaches were listed as a condition which was incurred
while entitled to basic pay and did not exist prior to service
and the headaches were noted several times in her Medical
Evaluation Board Narrative Summary; however, her AF Form 356, Findings and Recommended Disposition of USAF Physical Evaluation
Board, fails to ascribe a disability rating for the issue
clearly identified in the reports.
In support of her request, the applicant provides copies of her
AF Form 356, dated 13 Jan 03; AF 618, Medical Board Report,
dated 24 Sep 02; Medical Evaluation Board Narrative Summary,
dated 20 Sep 02; and DVA rating decision, dated 11 Dec 03.
The applicant's complete submission, with attachments, is at
Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant entered her second term in the Regular Air Force
on 31 Jul 00 and was discharged on 10 Mar 03.
On 24 Sep 02, the applicant underwent a Medical Evaluation Board
(MEB) where it was determined she was fit for continued military
service.
In an undated letter to the MEB and Informal Physical Evaluation
Board (IPEB), the applicants commander recommended her
discharge, citing her diagnosed depression and insomnia, duty
profile restriction, and disqualification from worldwide
deployments.
On 4 Oct 02, the IPEB found the applicant unfit and recommended
discharge. On 9 Oct 02, the applicant disagreed with the
findings and requested a hearing before the Formal Physical
Evaluation Board (FPEB).
On 29 Oct 02, the FPEB recommended discharge. The applicant
disagreed with the findings and appealed to the Secretary of the
Air Force Personnel Council (SAFPC) and requested to be returned
to duty, allowed to cross-train, or be allowed to receive
separation pay.
On 13 Jan 03, SAFPC directed the applicants discharge with
severance pay and a ten percent disability rating. SAFPC noted
the applicant had a previous successful enlistment in the Air
Force, without emergence of any mental impairment or therapies,
which resulted in an honorable discharge in 1997. Also noted in
the SAFPC decision, was her frequency of mental health
interventions during portions of 2001 and much of 2002, in
addition to her need for a non-rotating duty schedule.
The DVA is authorized to offer compensation for any medical
condition determined service-incurred or aggravated, without
regard to its proven or demonstrated impact upon a service
members retainability or ability to perform military service.
The DVA is also empowered to periodically re-evaluate veterans
for the purpose of adjusting the disability rating as the level
of impairment or severity of a given medical condition may vary
(worsen or improve) over time.
_________________________________________________________________
BCMR MEDICAL CONSULTANTS EVALUATION:
The BCMR Medical Consultant recommends denial and states the
applicant has not met the burden of proof that warrants a change
in her records.
Although there is evidence the applicant was treated for
headaches during the course of her military service, there is
insufficient evidence that it was, or should have been, a stand-
alone cause for deficient duty performance or career
termination; as would otherwise have been demonstrated through
performance reports, sufficient medical evidence of lost duty
time due to treatment of headaches (e.g., recurring emergency
treatment), profile restrictions directed at the headaches which
impact worldwide qualification of sufficient level of
restriction, e.g., P4, commanders assessments, and medical
progress notes.
Further, in accordance with Department of Defense Instruction
1332.38, Enclosure 3, Part 3, E3.P3.3.4, Cause and Effect
Relationship, regardless of the presence of illness or injury,
inadequate performance of duty, by itself, shall not be
considered as evidence of unfitness due to physical disability
unless it is established that there is a cause and effect
relationship between the two. The BCMR Medical Consultant finds
insufficient evidence of a cause and effect relationship
specifically between the applicants headaches and an impairment
of duty performance; and finds insufficient evidence that this
particular condition was separately unfitting at the time of the
applicants evaluation and separation.
The complete BCMR Medical Consultants evaluation is at
Exhibit C.
_________________________________________________________________
APPLICANT'S REVIEW OF BCMR MEDICAL CONSULTANTS EVALUATION:
A copy of the BCMR Medical Consultants evaluation was forwarded
to the applicant on 8 Jan 10 for review and comment within
30 days (Exhibit D). As of this date, this office has not
received a 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 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 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-2009-00799 in Executive Session on 4 March 2010, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 17 Mar 09, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 31 Dec 09.
Exhibit D. Letter, SAF/MRBR, dated 8 Jan 10.
Panel Chair
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