RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-04820
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
Post-Traumatic Stress Disorder (PTSD) be included in his medical
disability computation and he be granted a medical retirement.
________________________________________________________________
APPLICANT CONTENDS THAT:
He has been granted service connection by the Department of
Veterans Affairs (DVA) for post-traumatic stress disorder
(PTSD), which was not considered during this Medical Evaluation
Board (MEB). He was told to seek this correction to gain
medical retirement.
In support of the appeal, the applicant provides his DVA rating
and his DD Form 214, Certificate of Discharge or Release from
Active Duty.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
The applicant is a former member of the Regular Air Force who
served from 21 July 1999 through 25 August 2007. A Medical
Evaluation Board referred him to an Informal Physical Evaluation
Board (IPEB) for chronic low back pain.
On 13 February 2007, the IPEB found him unfit and recommended he
be discharged under the provisions of Title 10, U.S.C for
chronic low back pain, with disc herniation and recommended he
receive severance pay with a disability rating of 10 percent.
On 13 March 2007, the Secretary of the Air Force directed the
applicant be separated from the service for physical disability.
He received a disability discharge and his service was
characterized as honorable. He was credited with 7 years,
9 months and 5 days of active duty service.
________________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends denial. The applicant
sustained a back injury in December 2005 after jumping in a
bunker with full gear while evading enemy fire. He reportedly
ignored the pain until March 2006 when he experienced a stabbing
pain as he came down while playing basketball. The MRI scans
revealed the presence of an L5-S1 herniated disc. He received
an epidural treatment on 12 May 2005 and reported sustained
relief for one month. A second injection was initiated, but the
physician claimed the applicant was somewhat hostile and
disrespectful causing them to opt out of the treatment. He was
ultimately found unfit by an IPEB and discharged with severance
and 10 percent disability rating. The applicant agreed with the
finding and recommendation of the IPEB.
The Board and the applicant are reminded that Chapter 61, Title
10 U.S.C states, Military Departments, can by law only offer
compensation for illnesses, injuries or diseased that caused or
contributed early termination, and then only to the degree of
impairment present at the snap shot in time of final military
disposition. The evidence supports the principal impediment to
the applicants functioning at the time of referral for MEB was
his recurring thoracolumbar pain, and not an underlying PTSD.
The Department of Defense Instruction 1332.38, states if the
evidence establishes that the service member adequately
performed his or her duties until the time the service member
was referred for physical evaluation, the member may be
considered fit for duty even though medical evidence indicates
questionable physic ability to continue to perform. It is clear
the applicants thoracolumbar pain interfered with his military
service. However, under another paragraph, it becomes clear
that the mere presence of a medical condition determined service
connected, in this case PTSD, is not sufficient for, nor
automatically warrants an unfit finding by the military, it is
established that there is a cause and effect relationship
between the two factors. The Medical Consultant was unable to
identify a cause and effect between the de novo diagnosis of
PTSD, whether acute or delayed, and the applicants ability to
perform his duties.
The DVA operates under Title 38 and is authorized to offer
compensation for any medical condition with nexus to military
service, without regard to its demonstrated or proven impact
upon a service members retainability, fitness to serve, or
narrative reason for release from military service. This is the
reason individuals can be found fit for release from military
service for one reason and yet receive compensation ratings from
the DVA for service-connected, but not military unfitting at the
time of release from military service.
The Medical Consultant noted the Air Force issued a 10 percent
rating for the applicants back ailment, whereas the DVA granted
him a 20 percent rating. This is likely based upon a change in
service versus post-service thoracolumbar range of motion
findings. However, either rating would result in discharge with
severance pay.
The record provided does not meet the burden of proof of an
error or injustice that warrants the desired change of record.
The BCMR Medical Consultants complete evaluation is at
Exhibit C.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
The applicant requests the Board remember there is a real person
behind this file, with real problems. He cannot begin to
explain what hes been through and how PTSD has affected his
life. While in the Air Force, he could not be honest with his
superiors, especially handling weapons every day. PTSD
completely devastated his life. He is a single dad and needs
the money. Its only $350.00, but he needs the help and he
needs insurance for his children.
The PTSD is well documented in his medical records and shows its
service connected. He was discharged so quickly, he did not
have time to see a mental health professional. He was treated
unfairly and rushed out. PTSD is a serious issue and he has
taken classes to help deal with that along with anxiety and
depression. He now needs the Air Force as well as the DVA; its
all he has.
The applicants complete response, with attachment, 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 an error or injustice. We
carefully considered the available evidence of record; however,
we found no indication the actions taken to affect the
applicants discharge were 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. We are sympathetic to the applicants
situation; however, 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 BCMR Docket Number
BC-2011-04820 in Executive Session on 2 October 2012, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dtd 14 Jul 11, w/atchs.
Exhibit B. Applicants Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dtd 2 Sep 12.
Exhibit D. Letter, SAF/MRBC, dtd 4 Sep 12.
Exhibit E. Letter, Applicants Response, dtd 11 Sep 12.
Panel Chair
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