RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2010-00353
INDEX CODE: 107.00
COUNSEL: NONE
HEARING DESIRED: NO
___________________________________________________________________
APPLICANT REQUESTS THAT:
Her DD Form 214, Certificate of Release or Discharge from Active
Duty, be corrected to reflect her medical conditions were service
connected.
___________________________________________________________________
APPLICANT CONTENDS THAT:
The Department of Veterans Affairs (DVA) established that her
medical disabilities were service connected and rated her at a
40 percent disability rating. She disputes the fact that she had a
pre-existing medical condition when she was separated from the Air
Force. She has never been diagnosed with a condition involving her
knees and/or never received medical care prior to entering the Air
Force. She did admit to having a one-time occurrence of
experiencing a shin splint that occurred approximately 6 years
prior to joining the military and did not require medical
attention. If she had a pre-existing condition, she was not aware
of it and never experienced any effects from what the Air Force
diagnosed as Patellofemoral Syndrome. Since the DVA found her
disability service connected, she believes the Air Force should
have done the same.
She also has a concern that her feet injuries were not included in
any of her separation paperwork or separation codes. She did not
discover this discrepancy until after she separated. She was on a
profile waiver that allowed her to wear athletic shoes due to
calluses that were forming on her feet. The problems with her feet
were documented in her medical records and did not exist prior to
entering the Air Force. She has since had two surgeries and still
experiences problems that may require future surgeries. Prior to
entering the Air Force she underwent a physical through the
Military Entrance Processing Station (MEPS) medical personnel and
her feet were listed as normal and asymptomatic.
In support of her request, the applicant provides a copy of her DVA
rating, a copy of her DD Form 214, Certificate of Release or
Discharge from Active Duty, copies of personal letters, and
excerpts from her medical records.
Her complete submission, with attachments, is at Exhibit A.
___________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted into the Air Force Reserve on 6 Oct 08. The
applicant was notified by her commander that he was recommending
her for discharge from the Air Force under the provisions of AFI
36-3208, Administrative Separation of Airmen, paragraph 5.14, under
basis for discharge for erroneous enlistment, with an entry-level
separation. The specific reason for this action was for not
meeting medical standards to enlist. The applicant should not have
been allowed to join the Air Force because she has Patellofemoral
Syndrome. The commander did not request a disability separation
because the medical staff found her unqualified. The applicant
acknowledged receipt of the discharge notification and her right to
consult with legal counsel, and the right to submit statements on
her own behalf. After a legal review of the case, the assistant
staff judge advocate found it legally sufficient. The applicant
received an entry-level separation on 20 Nov 08 after serving
1 month and 15 days on active duty.
___________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPSOS does not provide a recommendation. DPSOS states that
they must defer the question as to whether the applicants medical
conditions were pre-existing prior service and whether the
conditions were further aggravated by training (active duty) to the
appropriate medical authorities.
The DPSOS complete evaluation is at Exhibit C.
The BCMR Medical Consultant recommends denial. The Medical
Consultant states that according to the clinical notes in the
applicants records, on 10 Nov 08, the applicant indicated that she
had knee problems prior to enlistment but had not sought medical
care and failed to report this information to MEPS prior to her
enlistment. Although the applicant did not seek medical care for
her knee problems prior to enlistment, this does not negate the
fact that a history of knee problems were pre-existing and was not
indicated on the MEPS DD Form 2807, Report of Medical History. It
is noted the applicant was placed on limited physical activity
profile due to knee problems less than three weeks after
enlistment. The applicant also mentions she received a 20 percent
service connection disability rating from the DVA for both knees.
The Medical Consultant addresses how the Department of Defense
(DoD), operating under Title 10, United States Code (U.S.C.), only
provides disability compensation for the medical condition(s) which
is (are) the cause for career termination, and then only for the
degree of impairment present at the time of final military
disposition. It must be noted the Air Force disability boards must
rate disabilities based on the members condition at the time of
evaluation; in essence a snapshot of their condition at the time.
It is then the charge of the DVA to pick up where the Air Force
leaves off. The DVA is authorized to offer compensation for any
illness or injury determined service-incurred or aggravated,
without regard to its demonstrated impact upon a service members
retainability, fitness to serve, or underlying reason for
separation. The Medical Consultant considered whether or not a
Medical Evaluation Board (MEB) was appropriate; however,
collectively given the timing of the applicants symptoms (less
than three weeks after entry and without any intervening new
traumatic occurrence, e.g., fall, twisting, sprain, or external
blunt force injury), and the admission of knee problems prior to
enlistment, an MEB would not be appropriate since this syndrome was
likely not service incurred. Nevertheless, had the applicant met
an MEB and her case referred to a Physical Evaluation Board (PEB),
her condition would have, more likely than not, been determined to
have existed prior to service, resulting in her discharge under
other than Chapter 61, 10 USC. Therefore, the Medical Consultant
is of the opinion that a change in her separation designation to a
service connected disability is not medically justified.
The BCMR Medical Consultants complete evaluation is at Exhibit D.
___________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
Copies of the Air Force evaluations were forwarded to the
applicant on 24 Sep 10 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 timely filed.
3. Insufficient relevant evidence has been presented to
demonstrate the existence of error or injustice. After a thorough
review of the evidence of record and applicant's submission, we
are not persuaded that the reason for her discharge should be
changed. The applicants contentions are duly noted; however, we
do not find her arguments sufficiently persuasive to override the
rationale provided by the BCMR Medical Consultant. Therefore, we
agree with the opinion 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. 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 AFBCMR Docket Number
BC-2010-00353 in Executive Session on 2 Nov 10, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 26 Jan 10, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPSOS, dated 20 Jul 10.
Exhibit D. Letter, BCMR Medical Consultant, dated 21 Sep 10.
Exhibit E. Letter, SAF/MRBR, dated 24 Sep 10.
Panel Chair
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