RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2010-00488
INDEX CODE: 108.00
XXXXXXX COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
1. While the applicants request is not readily apparent, it
appears he is requesting a disability retirement, instead of his
reserve retirement.
2. By amendment, he requests that his DD Form 214, Certificate
of Release or Discharge from Active Duty, be corrected to
reflect he was retained on active duty for medical hold until
his adjusted mandatory separation date (MSD) of 15 Feb 10,
instead of 15 Dec 09.
________________________________________________________________
APPLICANT CONTENDS THAT:
The Air Force failed to extend his MSD to allow for his medical
condition to be properly evaluated. He should have been
referred to a Medical Evaluation Board (MEB) for his fractured
tibia, which was incurred in the line of duty (LOD). He should
have been kept on active duty until he was medically discharged
in accordance with paragraph 6.6.3.2 of DoD Instruction 1241.2, Reserve Component Incapacitation System Management.
In support of his request, the applicant provides copies of his
DD Form 214 and various excerpts of his military personnel and
service medical records related to his injury and subsequent LOD
determination.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
Available records indicate the applicant served in the Air Force
Reserve in the grade of lieutenant colonel (O-5), effective and
with a date of rank of 1 Oct 02.
On 1 Jan 09, he commenced a tour of active duty. On 12 Aug 09,
he was struck by an automobile while riding his bicycle and
sustained multiple fractures to his leg. A Line of Duty (LOD)
Determination was initiated on 28 Aug 09 and his injuries were
found to be in the LOD. According to the applicants
DD Form 214, he was released from active duty on 15 Nov 09.
In accordance with paragraph 6.6.3.2 of DoD Instruction 1241.2, Reserve Component Incapacitation System Management, a Reserve
component member on active duty under a call or order to active
duty of 31 or more days who incurs or aggravates an injury,
illness, or disease in the line of duty shall, with the member's
consent, be continued on active duty until the member is
determined to be fit for duty or separated or retired as a
result of a Disability Evaluation System (DES) determination.
On 6 Apr 10, pursuant to the applicants present request,
ARPC/DPSVT notified him that they corrected his DD Form 214 to
reflect he was released from active duty on 15 Dec 09, instead
of 15 Nov 09.
Information extracted from the Military Personnel Data System
(MilPDS) indicates the applicant was transferred to the Reserve
Retired List on 16 Feb 10.
The remaining relevant facts pertaining to this application are
contained in the letters prepared by the appropriate offices of
the Air Force, which are attached at Exhibits C and E.
________________________________________________________________
AIR FORCE EVALUATION:
AFRC/SGP recommends denial, indicating the applicants original
request for medical hold was appropriately denied in accordance
with the governing instructions. In accordance with AFI 41-210, Patient Administration Functions, medical hold is to be used for
the purpose of DES processing and not appropriate for evaluating
or treating chronic conditions or convalescence from non-
emergent elective surgery. Medical hold is warranted when
members overcome the presumption of fitness. This presumption
can be overcome if an acute injury would prevent the member from
performing further duty if he or she were not already retiring.
The documentation submitted for medical hold consideration
indicated that although the member would require physical
therapy and was under temporary duty restrictions, he was
expected to be returned to duty. Additionally, AFI 41-210
indicates the mere presence of a defect, in and of itself, does
not provide justification for or entitlement to an MEB. While
his last duty limiting condition report temporarily restricted
him from mobility status, it did not indicate an MEB would be
required. Ultimately, there was no indication that the injury
was going to cause a permanent disability or require MEB
processing following surgery and recovery; therefore, medical
hold was denied by AFRC/SGP on 4 Dec 09.
A complete copy of the AFRC/SGP 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 25 Jun 10 for review and comment within 30 days.
As of this date, no response has been received by this office
(Exhibit D).
________________________________________________________________
ADDITIONAL AIR FORCE EVALUATION:
The AFBCMR Medical Consultant recommends granting partial relief
by approval of medical continuation orders to include the period
16 Dec 09 through 15 Feb 10, with the establishment of a new
retirement date of 16 Feb 10. Notwithstanding the AFRC/SGP
evaluation in this case, the AFBCMR Medical Consultant believes
the applicants uncertain outcome and requirement for intensive
physical therapy satisfies the criteria for a medical hold to
allow for completion of the recommended treatment course. It
would have been reasonable to extend the period of active
service to include the six week period of intense physical
therapy that occurred after his release from active duty. This
option could have been utilized under medical hold, which is a
method of retaining a service member beyond an established
retirement or separation date for disability processing or for
conditions where the presumption of fitness does not apply. In
reference to his request for an MEB, he was under active
treatment during the period of service. Hence, a determination
of fitness for duty or residual disability would have been
inappropriate. To assess whether a permanent functional
impairment or inability to perform required duties exists, it is
imperative to establish the level of functioning, as recommended
by an MEB. However, the applicant has not presented evidence
that he has been left with a residual functional impairment that
would have precluded the performance of the duties of his
office, grade, rank, and rating, were he not already retiring.
The evidence indicates that his post-operative course was
essentially uncomplicated and followed the predicted course of
recovery.
A complete copy of the AFBCMR Medical Consultants evaluation is
at Exhibit E.
________________________________________________________________
APPLICANT'S REVIEW OF ADDITIONAL AIR FORCE EVALUATION:
The applicant refutes the position that he has not presented
evidence that he has been left with a residual functional
impairment precluding his return to duty if he were not
retiring. The orthopedic surgeon who performed the
reconstruction of his leg indicated that he will never be able
to run on his right leg again. At the moment, he cannot even
push on things. He is still in constant pain even ten months
after surgery. Having been deployed to Afghanistan, he knows
full well that he could not do the things he had to do while
there, which included climbing, jumping, running, lifting, and
pushing. There is no way he could be deployed or returned to
duty.
A complete copy of the applicants response is at Exhibit G.
________________________________________________________________
THE BOARD CONCLUDES THAT:
1. The applicant has exhausted all remedies provided by
existing law or regulations.
2. The application was timely filed.
3. Sufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice. After a
thorough review of the evidence of record and the applicants
complete submission, we are convinced the applicant should have
been retained on active duty under the provisions of medical
hold for the purpose of treatment and recovery from his LOD
injury. In this respect, we note the comments by the AFBCMR
Medical Consultant indicating the applicants requirement for
intensive physical therapy and uncertain outcome satisfied the
criteria for a medical hold. Notwithstanding the above, the
evidence is not sufficient to convince us of the applicants
entitlement to an MEB and subsequent referral into the DES. In
this respect, we note the comments by the AFBCMR Medical
Consultant indicating there is insufficient evidence to conclude
the applicant would have been left with a residual functional
impairment that would have precluded the performance of his
duties were he not already retiring. We note the applicants
argument in response to the AFBCMR Medical Consultant Evaluation
that his condition precludes his world-wide deployment, thus
rendering him unfit to perform his duties. Nonetheless, he has
not provided sufficient evidence to convince us that his
condition would have rendered him unfit to perform his duties,
regardless of his ability to deploy. Therefore, we agree with
AFBCMR Medical Consultants recommendation to correct the record
to reflect he was retained on active duty under the provisions
of medical hold until his transfer to the Retired Reserve List.
In our view, this affords the applicant full and fitting relief.
Accordingly, we recommend the applicants 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 he was not
released from active duty on 15 December 2009, but remained on
active duty until 15 February 2010, on which date he was
relieved from active duty and transferred to the Retired Reserve
List, effective 16 February 2010.
________________________________________________________________
The following members of the Board considered AFBCMR Docket
Number BC-2010-00488 in Executive Session on 4 Nov 10, under the
provisions of AFI 36-2603:
Mr. XXXXXXXXXX, Panel Chair
Ms. XXXXXXXXXX, Member
Ms. XXXXXXXXXX, Member
All members voted to correct the records as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 2 Feb 10, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFRC/SGP, dated 23 Apr 10.
Exhibit D. Letter, SAF/MRBR, dated 25 Jun 10.
Exhibit E. Letter, AFBCMR Medical Consultant,
dated 22 Sep 10.
Exhibit F. Letter, SAF/MRBR, dated 29 Sep 10.
Exhibit G. Letter, Applicant, dated 4 Oct 10.
XXXXXXXXXX
Panel Chair
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