RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-01911
COUNSEL: NONE
HEARING DESIRED: NO
_________________________________________________________________
APPLICANT REQUESTS THAT:
1. She be placed on the Temporary Disability Retired List (TDRL)
and receive retroactive compensation; or as an alternative if she
is found fit for duty, return her to duty with all pay and
benefits associated.
2. Per the governing regulations, she receive the Certificate of
Retirement, United States Flag, Air Force Lapel Button, the
Certificate of Appreciation for Service in the Armed Forces of
the United States, and if appropriate, the Presidential Letter of
Appreciation.
_________________________________________________________________
APPLICANT CONTENDS THAT:
She should have been placed on the TDRL because she was found
unfit, met the criteria for retirement and her condition may be
permanent, but was not stable. Her AF IMT 356, Findings and
Recommended Disposition of USAF Physical Evaluation Board,
clearly reflects the degree of impairment marked as may be
permanent as opposed to is permanent. Her condition was rated
as not being stable and the decision of the Formal Physical
Evaluation Board (FPEB) was based on her condition the day the
board convened; she was experiencing muscle spasms.
After reviewing her documents, she discovered the AF Form 356 did
not match the rule and column of the governing regulation. The
regulation notes, When the rule and column are blank, the item
on the AF Form 356 may be Yes, or No, or NA. However,
where the rule and column are filled in the rule must match with
the items on the AF Form 356. However, her AF Form 356 clearly
shows that the rules do not match. Therefore, she should have
been put on the TDRL and been able to prove that she was fit to
return to duty.
The Physical Evaluation Board Liaison Officer (PEBLO) discouraged
her to submit any support letters stating, that if I did the
Board would most likely discharge me without any compensation,
and this discouraged me from doing so and I did what the PEBLO
asked of me so that this would not happen.
Had she been placed on the TDRL, she could have been taking off
the TDRL and returned to active duty a couple of years ago or
later placed on the PDRL if still deemed as unfit.
She was never asked if she wanted a retirement ceremony and would
like to be receive all appropriate documents as listed above.
In support of her request, the applicant provides excerpts from
her medical and personnel records.
Her complete submission, with attachments, is at Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant met an Information Physical Evaluation Board (IPEB)
for spondylosis and degenerative disc disease, cervical spine
with herniated discs. The IPEB recommended discharge with
severance pay with a 20 percent disability rating. The applicant
did not agree with the IPEB findings and appealed to the FPEB.
On 31 Jan 05, the FPEB reviewed her case and agreed with the
IPEB, and recommended permanent retirement with a 30 percent
disability rating. The applicant concurred with the FPEB
findings on 1 Feb 05. She served 5 years, 2 months, and 20 days
on active duty.
_________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPSD recommends denial. Through the applicants own
testimony, her condition had progressively gotten worse since the
5 years that elapsed and since her original injury in June 2000
occurred. Although her AF Form 356, Block 10E, was checked as
may be permanent versus is permanent, the error made was an
administrative error in the checking of the wrong box rather than
in the recommendation of permanent retirement. While the
severity of the symptoms related to such conditions may be
intermittent and vary over time, the underlying condition is not
reversible and usually becomes progressively worse. DPSD states
that given this diagnosis and history, even if she had not been
having neck spasms the day of her formal hearing, the board would
have been hard pressed to recommend anything short of permanent
retirement.
The complete DPSD evaluation is at Exhibit B.
_________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicant responded by stating, her record does not clearly
reflect that she has significant and progressively worsening
degenerative disc disease at the time of the original boards.
The records states that she had progressively worsening muscle
spasms and neck pain; there is clearly a difference between the
two statements.
According to the medical documentation, it was the spasms that
she was being seen for and not the actual discs. She finds the
statement, And while the severity of the symptoms related to
such conditions may be intermittent and vary over time, the
underlying condition is not reversible and almost always becomes
progressively worse, contradicting. She asks, Does not
intermittent mean occurring in irregular intervals; not steady,
meaning that my condition is not stable? Also, is it medically
proven that degenerative disc disease is permanent and not
reversible? She believes this is merely an opinion because the
medical personnel informed her that degenerative disc disease is
not permanent and can be reversed.
Disc degeneration is not a disease and is a natural part of
aging; over time, all people will exhibit changes in their discs
consistent with a greater or lesser degree of degeneration.
Unfortunately, her developed after sustaining an injury from a
motor vehicle accident. Her MRI report does not show any
significant changes in her condition from 2000 to present.
Regardless of the administrative error that was pointed out by
AFPC/DPSD, she has proven her point and believes if she had
argued this matter sooner she may have had a better chance of
returning to active duty.
As for the statement, Applicants inability to train in chemical
gear along with on-going narcotics use makes her undeployable,
it is interesting since there are so many active duty members
that are undeployable and yet are still on active duty; some of
their conditions are worse than her medical condition. Her
records clearly reflect that she was worldwide qualified until
she arrived in Turkey. However, her primary care manager (PCM)
did not want to deal with her situation and recommended she be
evaluated by the Disability Evaluation System (DES).
The applicants complete submission, with attachments, is at
Exhibit D.
_________________________________________________________________
ADDITIONAL AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends denial. The Medical
Consultant states that the applicant is correct in her assertion
that when a PEB believes a medical condition may be permanent,
then temporary retirement (TDRL) under 10 U.S.C., Section 1202,
applies, keeping in mind that there must be a minimum rating of
30 percent. The applicant also correctly illustrated the
requirements for TDRL placement; however, the Medical Consultant
concedes that the documentary rule for TDRL placement is
inconsistent with the final decision of Permanent Retirement, but
opines the FPEB likely acknowledged that in clinical practice
there is no way to predict with any degree of certainty the
lifelong natural progression of the applicants cervical
degenerative disc over time or her myofascial pain (particularly
in the context of the date of the injury and its persistence over
a 4-year period without a durable resolution). Therefore, her
current implicit argument that her medical condition was unstable
and she should have been placed on the TDRL does not invalidate
the clinical judgment and rationale exercised by the FPEB at the
snap shot time of her release from active duty.
Although the law allows for a maximum period of 5 years in TDRL
status, with 18-month interval re-evaluations, there is no
statutory requirement for a PEB to place or retain an individual
on the TDRL unless, in the judgment of the rating board, the
condition rates at least a 30 percent and the condition is
unstable. The Medical Consultant notes the applicants condition
was first rated at 20 percent that would not have rendered her
retirement eligible, neither temporarily or permanently; however,
she was successful in convincing the FPEB to increase her rating
to 30 percent at a time when the stability of her condition was
not brought into question. The applicant now argues that the
errant mark on her AF Form 356 is the reason she should have been
placed on the TDRL; with the assumption that her condition would
have resolved while on the TDRL resulting in her ultimate removal
from the TDRL and the opportunity to resume her military career.
However, the Medical Consultant opines that the greater
administrative error was failing to put the check mark in the is
permanent block to match the decision to retire her permanently,
and not failing to enter her on the TDRL.
The Medical Consultant opines that to return the applicant to
duty poses an unreasonable uncertainty for a return on investment
for the Air Force; notwithstanding the multi-level cervical disc
bulges, which have been disassociated with her pervious bouts of
neck pain. Furthermore, taking away her retirement benefit poses
an unreasonable risk for a greater long-term detriment to her if
returned to duty and later separated with severance pay if for
some reason she is again medically disqualified and unable to
achieve a 20-year retirement; or if placed on the TDRL, then
discharged with severance pay for a condition that improved, but
was still found unfitting.
The BCMR Medical Consultants evaluation 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. 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 Air Force office of primary responsibility and the BCMR
Medical Consultant and adopt their 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-2011-01911 in Executive Session on 29 Nov 11, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence for Docket Number BC-2011-
01911 was considered:
Exhibit A. DD Form 149, dated 18 May 11, w/atchs.
Exhibit B. Letter, APFC/DPSD, dated 20 Jun 11.
Exhibit C. Letter, SAF/MRBR, dated 1 Jul 11.
Exhibit D. Letter, Applicant, dated 27 Jul 11.
Exhibit E. Letter, BCMR Medical Consultant, dated 26 Oct 11.
Exhibit F. Letter, SAF/MRBR, dated 28 Oct 11.
Panel Chair
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