RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2011-04893
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
1. His Fitness Assessment (FAs) scores dated 3 Mar 11 and
2 Jun 11 be declared void and removed from the Air Force Fitness
Management System (AFFMS).
2. His referral Enlisted Performance Report (EPR), rendered for
the period 8 Jun 11 through 1 Aug 11, be declared void and
removed from his records.
3. He be promoted to the rank of Master Sergeant (MSgt) with an
effective date of rank of 1 Nov 11.
________________________________________________________________
APPLICANT CONTENDS THAT:
He suffers with Post Traumatic Stress Disorder (PTSD), Panic
Attacks, and Anxiety Disorder which resulted in his flunking the
two FAs in question. The medication he takes for these
disorders, selective serotonin reuptake inhibitors (SSRIs),
caused him to gain weight. Therefore, he failed the two FAs,
received a referral Enlisted Performance Report (EPR), and lost
his line number to MSgt. The SSRI Celexa caused him to gain
30 pounds. When he was removed from Celexa in Sep 2009, he
quickly lost the weight. In Jan 11, before his first FA
failure, he notified his supervision and physicians about this
unnatural weight gain, but received no support.
In support of his request, the applicant provides a copy of a
memorandum for the record (MFR) and a note from his physicians,
excerpts from his Chronological Official Record of Medical Care,
several AF Forms 422s, Notification of Air Force Members
Qualification Status, and medical articles.
The applicants complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
The applicant entered active duty on 25 Sep 96, and is currently
serving in the grade of Technical Sergeant (E-6).
In 2008, the applicant was diagnosed with PTSD, Panic Attacks,
and Anxiety Disorder.
On 3 Mar 11, and again on 11 Jun 11, the applicant participated
in the contested FAs.
The applicant received a referral EPR for the period 8 Jun 10
through 7 Jun 11, on which he was rated as Does Not Meet
standards in Block 3, FITNESS.
The applicant appealed his referral EPR to the Evaluation Report
Appeals Board (ERAB); however, the ERAB was not convinced the
contested report was inaccurate or unjust.
The remaining relevant facts pertaining to this application are
described in the letters prepared by the Air Force offices of
primary responsibility and AFBCMR Medical Consultant which are
included at Exhibits C, D, E, and I.
________________________________________________________________
AIR FORCE EVALUATION:
AFPC/DPSIM recommends denial, indicating there is no evidence of
an error or injustice. The FAs in question were administered in
accordance with the medical recommendation annotated on the
AF Form 422. Both FAs were completed in compliance with Air
Force policy.
A complete copy of the AFPC/DPSIM evaluation, with attachment,
is at Exhibit C.
AFPC/DPSID recommends denial of the applicants request to
remove the referral EPR that resulted from his FA failures.
While the applicant does provide some documentation from
competent medical authorities to demonstrate that a prescription
of Zoloft given to him to treat his underlying medical
conditions could have played a role in weight gain, his medical
records include evidence that he was given ample consideration
by competent medical authority, and they determined not to
exempt the applicant from the abdominal circumference (AC)
component of the FA. The applicant also provides a copy of an
article from the Cleveland Clinic journal of Medicine in support
of his case; however, said article indicates that medical
opinions vary as to whether or not Zoloft may be likely to cause
weight gain. Having waist measurements of 41.5 and 42.5 inches
at the time of the FAs is not physically fit and not in keeping
with Air Force standards. It is every Airmans responsibility
to maintain the standards set forth in AFI 36-2905, Fitness
Program, for 365 days a year. The FA is presumed to be
administered fairly and accurately unless evidence to the
contrary is provided. Ultimately, an evaluation report is
considered to represent the rating chains best judgment at the
time it is rendered. The applicant has not substantiated the
contested report was not rendered in good faith by all
evaluators based on knowledge available at the time. The
referral EPR in question was completely appropriate and within
the regulatory Air Force requirements.
A complete copy of the AFPC/DPSID evaluation is at Exhibit D.
AFPC/DPSOE recommends denial based upon the advisories from
DPSIM and DPSID. The applicant was considered and tentatively
selected for promotion to MSgt during cycle 11E7. He received a
Promotion Sequence Number (PSN) of 2636.5, which would have
resulted in his pinning on MSgt on 1 Nov 11; however, the fact
that he received the referral EPR rendered him ineligible for
promotion and his line number was subsequently removed.
A complete copy of the AFPC/DPSOE evaluation is at Exhibit E.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
He reiterates his original contention, and takes exception to
two advisories. He agrees with DPSIM that both failed FAs were
accomplished in accordance with Air Force policy, but does not
think the advisory writers looked at the other pieces of
evidence surrounding the FA failures. He reemphasizes that he
was actively seeking help with his problem of not being able to
lose weight, and submits his caloric intake for the period
Jan 11 through Apr 11. In addition, he submitted his rebuttal
letters for his Letter of Counseling and Letter of
Reprimand/Unfavorable Information File (UIF) which he received
for the two FA failures prior to receipt of his referral EPR,
and asks the Board members to consider them. In addition, he
notes he had no problem passing the FA administered under the
new standards on 29 Apr 10, has passed his latest FA, and will
pass his upcoming FA. Finally, he submitted two additional
articles related to his medical condition (Exhibit G).
________________________________________________________________
ADDITIONAL AIR FORCE EVALUATION:
The AFBCMR Medical Consultant recommends denial of the
applicants request due to insufficient medical evidence to
support his claim of significant weight gain solely due to use
of an SSRI. The applicant has a medical history of PTSD, panic
attacks and anxiety disorder diagnosed in 2008. However, this
case hinges upon whether there is sufficient medical evidence to
substantiate his claim that his significant weight gain resulted
from SSRIs. Therefore, it is necessary to conduct a survey of
scientific evidence for significant weight gain resulting from
long term use of SSRIs. For the purpose of evaluating weight
gain, significant weight gain is generally defined as a seven
percent or greater increase in body weight. In the scientific
literature, the pharmaceutical manufacturer of Celexa, Forest
Pharmaceuticals, Inc. publishes scientific data regarding
potential side effects, contraindications and warnings relative
to this medication. In its publication, dated Aug 11, the
literature states Patients treated with Celexa in controlled
trials experienced a weight loss of about 0.5 kilograms
(1.1 pounds) compared to no change for placebo patients. The
present clinical evidence suggesting that significant weight
gain with long-term SSRI use remains unclear according to
established experts. In fact, other placebo-controlled studies
using an SSRI for more than one year reported no weight gain.
Therefore, the scientific evidence to support the claim that use
of the SSRI was solely responsible for the applicants 30 pound
weight gain is unsupported by scientific evidence. The AFBCMR
Medical Consultant acknowledges the written opinions of treating
health professionals involved in the applicants care during the
period of unsatisfactory physical testing; however, the
scientific literature should clearly support any medical
opinions as to the impact and degree of any adverse effects
attributed to use of a specific medication. Hence, we conclude
there is no scientific evidence the SSRIs were solely
responsible for the applicants weight gain and subsequent FA
failures.
A complete copy of the AFBCMR Medical Consultants evaluation is
at Exhibit H.
________________________________________________________________
APPLICANT'S REVIEW OF THE ADDITIONAL AIR FORCE EVALUATION:
A copy of the additional Air Force evaluation was forwarded to
the applicant on 1 Oct 12 for review and comment within 30 days.
As of this date, no response has been received by this office
(Exhibit I).
________________________________________________________________
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 took
notice of the applicants complete submission in judging the
merits of the case; however, we agree with the opinions and
recommendations of the Air Force offices of primary
responsibility (OPR) and the AFBCMR Medical Consultant and adopt
their rationale as the basis for our conclusion the applicant
has not been the victim of an error of injustice. We note the
applicant has provided a written statement from his physician
indicating the applicants medication played a significant role
in the applicants weight gain and subsequent FA failures;
however, we concur with the determination of the AFBCMR Medical
Consultant that the applicants arguments are not supported by
scientific evidence. 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 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-2011-04893 in Executive Session on 7 Nov 12, under the
provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
The following documentary evidence was considered:
Exhibit A. DD Form 149, dated 12 Feb 12, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFPC/DPSIM, dated 24 Feb 12, w/atch.
Exhibit D. Letter, AFPC/DPSID, dated 9 Apr 12.
Exhibit E. Letter, AFPC/DPSOE, dated 18 Apr 12.
Exhibit F. Letter, SAF/MRBR, dated 11 May 12.
Exhibit G. Letter, Applicant, dated 18 May 12, w/atchs.
Exhibit H. Letter, AFBCMR Medical Consultant,
dated 18 Sep 12.
Exhibit I. Letter, AFBCMR, dated 1 Oct 12.
Panel Chair
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