RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2010-02151
COUNSEL:
HEARING DESIRED: YES
_________________________________________________________________
APPLICANT REQUESTS THAT:
1. His record be corrected to reflect he was not discharged but
referred for a medical review.
2. In the alternative, his records be corrected to reflect that
he received an honorable discharge under Secretarial
Authority.
_________________________________________________________________
APPLICANT CONTENDS THAT:
1. Prior to entering military service, he received surgical
treatment for a medial meniscus tear of his right knee and was
medically cleared to enlist. The Air Force had all the relevant
information and there was no derangement of his right knee when
he joined the Air Force.
2. While in basic military training (BMT), he began experiencing
pain in his right knee and was subsequently diagnosed as having
an internal derangement of the right knee. It was not a
preexisting condition that the Air Force was unaware of when it
permitted him to enlist. He did not meet the criteria required
under AFI 36-3208, Administrative Separation of Airmen, for a
discharge based on erroneous enlistment.
In support of his request, the applicant provides copies of a
five page supplemental statement, AF Form 3005, Guaranteed
Aptitude Area Enlistment Agreement Non-Prior Service - United
States Air Force; AF Form 3008, Supplement to Enlistment
Agreement United States Air Force; DD Form 4/1, Enlistment/Reenlistment Document Armed Forces of the United
States; DD Form 2807-1, Report of Medical History; DD Form 2808, Report of Medical Examination; medical records and other
documents in support of his application.
The applicant's complete submission, with attachments, is at
Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
On 30 Jun 09, the applicant enlisted in the Regular Air Force.
According to SGPS, on 3 Jul 09, the applicant sought an
evaluation of his knee pain at Wilford Hall Medical Center
emergency room after attempting to stand from a squatting/seated
position (presumably on the floor). Throughout Jul 09, the
applicant was treated for his injury with no resolution
On 10 Aug 09, the applicant was notified of his commanders
intent to recommend that he be discharged from the Air Force
under the provisions of AFPD 36-22, Air Force Military Training
and AFI 36-3208, Administrative Separation of Airmen, paragraph
5.14. for Erroneous Enlistment. The applicant acknowledged
receipt of the notification of discharge, waived his right to
seek counsel and to submit a statement on his own behalf.
On 11 Aug 09, the case was reviewed and determined to be legally
sufficient to support separation.
On 12 Aug 09, the discharge authority approved his entry level
separation (ELS).
On 14 Aug 09, the applicant was discharged from the Air Force
with an entry-level separation, with an uncharacterized
character of service in the grade of airman first class. He
served 1 month and 15 days of total active service.
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, D, and E.
_________________________________________________________________
AIR FORCE EVALUATION:
HQ AETC/SGPS did not provide a recommendation. SGPS states the
applicants separation was done in accordance with (IAW)
established policy and administrative procedures. Even though
the applicants condition rendered him unsuitable to continue
military service; his condition has since been corrected.
SGPS states they have no objection to the Board changing the
applicants reentry (RE) code to allow him to reenter military
service and changing the characterization of service to
honorable.
The complete SGPS evaluation is at Exhibit C.
HQ AFPC/DPSOS recommends denial. DPSOS states Airmen are given
entry-level separation/uncharacterized service characterization
when separation is initiated in the first 180 days continuous
active service.
The Department of Defense (DoD) determined if a member served
less than 180 days continuous active service, it would be unfair
to the member and the service to characterize their limited
service. Therefore, his uncharacterized service is correct and
IAW with DoD and Air Force instructions.
The applicants discharge to include the characterization of his
service was consistent with the procedural and substantive
requirements of the discharge instruction and was within the
discretion of the discharge authority.
The complete DPSOS evaluation is at Exhibit D.
The BCMR Medical Consultant found no regulatory reason to change
the applicants entry-level separation, reason for discharge, or
the uncharacterized service. However, he agrees the applicant
should be offered a change in his RE code to allow him to apply
for reentry into military service.
The Medical Consultant found no error in the use of the entry-
level separation provision of AFI 36-3208 for the applicants
knee condition, which had shown no evidence of permanent service
aggravation, interfered with the completion of his training, and
was discovered within the first 180 days of service. Under such
circumstances, the Department of Defense (DoD) and the Air Force
has determined that it would be unfair to characterize a
members service following such a short duration of service;
hence the issuance of an uncharacterized character of service.
Had it been determined the applicant's knee ailment was
permanently aggravated by military service, it is probable that
he would have been eligible for processing through the military
Disability Evaluation System for a medical separation, under
provisions of AFI 36-3212 and an honorable character of service.
The Medical Consultant opines that the 26 Aug 09 intra-operative
evidence of a previous "attempted" surgical repair of the
applicant's damaged medial meniscus, that "had not healed
whatsoever" and was discovered within days of his separation,
indicates the damage was more likely than not already present at
the time the applicant entered military service. Therefore, the
Consultant opines that had the Air Force known the applicant's
repair had been unsuccessful, he likely would not have been
cleared to enter military service at the time. However, the
Medical Consultant opines that since over two years have passed
since the applicants most recent surgical treatment, it is
reasonable to change his RE-code, if requested, to allow him to
re-enter military service; noting this recommendation has also
been made by the Air Force waiver authority for pre-existing
medical conditions.
The complete BCMR Medical Consultant evaluation is at Exhibit E.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicants counsel responded that the BCMR Medical
Consultant states the applicant is requesting a change to his
discharge to Honorable, Medical. However, the applicant is
requesting he be referred for medical evaluation by the
Disability Evaluation System (DES).
The Consultant describes the evidence as showing that the repair
was unsuccessful and thus the applicant entered the Air Force
erroneously because he did not meet the requirements to enlist.
The Consultant concedes that if the applicant's knee ailment was
aggravated by military service he would have likely been
eligible for processing under the DES.
The Consultant argues that the repair was unsuccessful because
the applicant reinjured his knee shortly after entering basic
military training (BMT). However, there is no underlying basis
for this argument other than the fact the applicant did in fact
hurt his knee four days after starting BMT.
The Consultant argues that the post operative notes from the
2008 repair show that the applicant had some residual symptoms
after the surgery. However, the medical records show that he
recovered well from his surgery and at six months his only
symptom was an occasional "give way of the knee." However, this
is only a partial excerpt from his six month follow up.
Specifically, he reported, "that he jumps down from a height of
approximately 2-1/2 to 3 feet at home and occasionally the knee
will want to give way when he lands." The doctor also reported
that his "meniscus is healing well. He has no recurrent
mechanical symptoms or pain. He continues to have some mild
quadriceps atrophy, and I have discussed that he needs to work
diligently on increasing his strength." Counsel states there is
a difference between the knee wanting to give way and the knee
actually giving way. The applicants description of the knee
wanting to give was consistent with his mild quadriceps atrophy.
It is important to note that the doctor stated he had no
recurrent "mechanical symptoms." In short, his six month follow
up is consistent with a knee repair that was successful and
healing well. Further, he underwent an entrance physical on
31 Mar 2009 and was cleared to enlist. This is also consistent
with a successful repair of his meniscus.
The Consultant points to the post operative notes from his
second surgery on 17 Sep 2009 to support his argument that his
first knee repair was unsuccessful. Doctor B, the applicants
second surgeon, made a notation in his medical record that
"there was a tear that had been attempted to be repaired and had
not healed whatsoever." The Consultant argues that this note
described the first repair prior to the injury. However, we
have consulted with Doctor B and he clarified that he did not
mean that note to indicate the original repair was unsuccessful.
He was describing the condition of the knee as he saw it.
Clearly at that point the prior repair was torn apart. Doctor B
states that given the length of time from the surgery to the new
injury and the lack of symptoms after the surgery, he had to
assume that the tear was the result of a new injury and not the
result of a failed surgery. At the time Doctor B saw the
applicant's medial meniscus tear the prior repair was torn apart
and any opinion on the prior repair would be speculation. Given
the clarification, the Consultant's reliance on Doctor B's post
operative description of the prior repair is misplaced
The Consultant does support changing the applicant's RE Code to
allow him to reenter the military. In support of this the
Consultant cites the Department of Defense (DoD) medical
standard for entry after knee surgery contained in DoD
Instruction 6130.3, Medical Standards for Appointment,
Enlistment, or Induction in the Military Services, which states
"history of surgical reconstruction of knee ligaments does meet
the standard if 12 months have elapsed since reconstruction, and
the knee is asymptomatic and stable." This is exactly the
standard upon which the applicant entered the Air Force in 2009.
It was a year and almost four months from the time of his
surgery to his enlistment and the new injury. He was
asymptomatic or he would not have been allowed to enlist. The
Consultant's argument is just as valid for his enlistment in
2009.
Based on Doctor B's clarification and DoDI 6130.3 the
appropriate determination is that the applicant entered the Air
Force after a successful knee surgery. He then reinjured his
knee in BMT. Using the standard in DoDI 6130.3 only for the RE
Code analysis and not the initial entry analysis is unjust.
Since Doctor B has clarified his original post operative notes
the only appropriate determination is that he had a new injury
in BMT and should have been referred for disability evaluation
vice being discharged under AFI 36-3208.
Finally, counsel states that just changing the applicant's RE
Code is not a sufficient remedy. He was involuntarily separated
from the Air Force almost two and a half years ago. He is now
27 years old and has moved on with his career. Therefore, the
only remedy with any real impact is to refer him to the
Disability Evaluation System.
Counsels complete evaluation with attachment, is at Exhibit G.
_________________________________________________________________
APPLICANT'S REVIEW OF ADDITIONAL AIR FORCE EVALUATION:
Copies of the Air Force evaluations were forwarded to the
applicant on 22 Feb 12 for review and comment within 30 days
(Exhibit H). 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 timely filed.
3. Insufficient relevant evidence has been presented to
demonstrate the existence of an error or injustice. The
applicant requests that he be processed through the disability
evaluation system (DES) or in the alternative, he receive an
honorable discharge under Secretarial Authority. The
applicants counsel asserts the applicants knee injury
originally suffered in 2008, prior to entry on active duty in
2009 should not be considered as existed prior to service (EPTS)
but aggravated by service contending that the applicant entered
service under the same standards referenced by the Medical
Consultant in support of his recommendation to change the
applicants reentry code, that is, the applicant was
asymptomatic and 12 months had elapsed since the reconstruction
of the knee. Even if we concede this point, we are not
persuaded the applicants condition should not be considered as
EPTS. It is well established in the record that the applicant
suffered the injury prior to entering service and within only
3 days of entering service suffered problems with the same knee.
In our view the preponderance of evidence supports that the
injury should be considered EPTS rather than aggravated by
military service. Additionally, we are not in agreement with
the position of AETC/SGPS or the recommendation of the BCMR
Medical Consultant that the applicants reentry code should be
changed to allow him the opportunity to reenter service. In our
view, the applicants prior medical history provides a high
likelihood the rigors of military service would result in the
same outcome. At any rate since the applicants counsel
indicates they are not seeking reentry, this is a moot point.
Regarding his alternative request for an honorable discharge
under secretarial authority, as pointed out by DPSOS, Airmen are
given entry-level separation/uncharacterized service
characterization when separation is initiated in the first
180 days continuous active service. Given the fact the
applicant had less than 60 days of total active service, we find
no error in his entry level separation. Therefore, we conclude
that the applicant has failed to sustain his burden that he has
suffered either an error or an injustice. In view of the above
and in the absence of evidence to the contrary, we find no basis
to recommend granting the relief sought in this application.
4. The applicants 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 BOARD DETERMINES THAT:
The applicant be notified the evidence presented did not
demonstrate the existence of material error or injustice; the
application was denied without a personal appearance; and 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-2010-02151 in Executive Session on 21 Jun 12, under
the provisions of AFI 36-2603:
Panel Chair
Member
Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 1 Apr 11, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, HQ AETC/SGPS, dated 15 Jun 11.
Exhibit D. Letter, HQ AFPC/DPSOS, dated 25 Oct 11.
Exhibit E. Letter, BCMR Medical Consultant, dated
21 Nov 11.
Exhibit F. Letter, SAF/MRBC, dated 20 Dec 11.
Exhibit G. Letter, Applicants Counsel, dated 19 Jan 12,
w/atch.
Exhibit H. Letter, SAF/MRBC, dated 22 Feb 12.
Panel Chair
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