RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-03294
COUNSEL: NONE
HEARING DESIRED: YES
________________________________________________________________
APPLICANT REQUESTS THAT:
His medical records be processed for medical disability by a
Medical Evaluation Board (MEB).
________________________________________________________________
APPLICANT CONTENDS THAT:
He should have been processed as medically disabled in 1996
versus simply retired to allow his family the appropriate
benefits. No MEB was conducted and his paperwork was initiated
the same day as his surgery. The Veterans Affairs (VA) office
continues to omit any review of his active duty medical records
and rely solely on their single opinion from their
gastroenterologist. Previous symptoms/attacks of his pancreatic
and his lifelong Protein S deficiency was unknown prior to his
entry to service and was aggravated by his service. These
conditions were never considered during his retirement
processing or during his VA claim.
In support of his appeal, the applicant provides his
congressional inquiry, copies of his DVA medical records,
excerpts from his master personnel records and other supporting
documentation.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
The applicant enlisted in the Air Force Reserve on 13 January
1977. He received his commission on 9 December 1992.
On 27 February 1996, he was medically disqualified for military
duty due to Persistent Tracheotomy, Pancreatitis, Myocardial
Infarction and amputation of all digits of the right hand. He
was placed on the USAF Reserve Retired List effective 12 March
1996.
The remaining relevant facts pertaining to this application are
contained in the letter prepared by the appropriate office of the
Air Force which is at Exhibits B.
________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends denial. The applicant
previously asserted that his pancreatitis was the result of his
elevated lipids profile dating back to a period in which he was
characterized as active duty. He now concedes that Sphincter of
Oddi dysfunction contributed to or caused his pancreatitis. The
Medical Consultant adopts the analysis of the DVA
gastroenterologist who opined that the applicants recurrent
bouts of pancreatitis were due to Oddi dysfunction and that
hyperlipidemia did not play a role in the applicants pancreatic
disease. The existence of hyperlipidemia, a non-ratable and
non-compensable risk factor for coronary artery disease does not
alone infer or justify service connection for the subsequent
myocardial infarction.
There is also no basis in science or evidence of record to
establish service aggravation of the applicants Protein S.
deficiency, a genetic defect, notwithstanding his self reported
environment, physical and mental stressors which he infers
aggravated his condition. The tragic loss of the applicants
fingers of his right hand was likely the collective result of
the low blood flow state during resuscitation efforts to treat
systemic shock, use of vasopressors, the impeding compartment
syndrome of the right hand and his Protein S deficiency. The
latter which also predisposed him to clotting further
obstructing the vessels supplying the right and that resulting
in the ischemic changes in fingers.
In order for the applicant to be eligible for MEB processing and
referral for a possible medical retirement, aside from first
being disqualifying, the medical condition must be, in the case
of a reservist found in the line of duty, or if determined to
have existed prior to service, must show permanent aggravation
by military service. Stated inversely, individuals with a
disqualifying medical condition that is not considered duty
related or permanently aggravated by military service are only
eligible to enter the military Disability Evaluation System for
a fitness-only review and not for disability compensation.
Based upon the generous supply of administrative documentation
supplied by HQ AFRES/SG, the applicant was considered eligible
for DES processing as best determined by individuals most
familiar with his medical condition and duty status at the time.
He was offered transfer to the Retired Reserve.
The applicant completed over 8 years of active service,
rendering any conditions which existed prior to service eligible
for service incurrence, by law, with the caveat that the
condition must also have become unfitting or disqualifying
during a period of active service. The Medical Consultant
reviewed the applicants point credit summary and concedes it is
difficult to determine which period of eligibility or
ineligibility his chronic recurrent pancreatitis or its causes
first began. Regardless of when the applicants Sphincter of
Oddi dysfunction first began, the current evidence suggests that
his pancreatitis and certain secondary disabilities became
disqualifying while performing a period of non-active service,
without sufficient evidence of permanent service aggravation.
The Medical Consultant is sensitive to the life-threatening
ordeal the applicant has previously experienced and the surgical
procedures he has endured. However, when seeking evidence of
error or injustice, the applicant has not met the burden of
proof of error or injustice that warrants the desired change of
the record.
The complete BCMR Medical Consultant evaluation is at Exhibit B.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicant responded to the BCMR Medical Consultant and asked
the Board consider several issues of his complicated case. He
addresses the 8 year rule as it applies to his case and suggests
it is the reason he filed this request. He also addresses the
conditions from which he suffers and explains how this has
affected his life. He requests the Board allow an examination
of his records by an MEB to make the determination whether or
not his medical condition met standards for continued service.
The applicants complete response, with attachments, is at
Exhibit D.
________________________________________________________________
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. We
carefully considered the available evidence of record; however,
we found no indication the actions taken to affect the
applicants transfer to the Retired Reserve was improper or
contrary to the provisions of the governing instructions.
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. Although we are sympathetic to the
applicants situation, we find no basis to recommend granting
the relief sought in this application.
4. The applicant's 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 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 BCMR Docket Number
BC-2011-03294 in Executive Session on 17 May 2012, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 9 May 11, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPSD, dated 10 Jun 11.
Exhibit D. Letter, AFPC/DPSOS, dated 11 Jul 11.
Exhibit E. Letter, SAF/MRBR, dated 29 Jul 11.
Exhibit F. Applicants Response, dated 10 Aug 11.
Exhibit G. IMA Medical Advisor, dated 18 Oct 11.
Exhibit H. Letter, SAF/MRBR, dated 3 Nov 11.
Exhibit I. Applicants Response, dated 9 Dec 11.
Panel Chair
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