DOCKET NUMBER: BC-2012-01182
COUNSEL: NONE
HEARING DESIRED: YES
RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF:
________________________________________________________________
APPLICANT REQUESTS THAT:
1. He be continued on Medical Continuation (MEDCON) orders from
24 March 2010 through 1 November 2010 and receive back pay and
allowances for that timeframe.
2. His five Lines of Duty Determinations (LODs) that were
abandoned be processed to completion.
3. He be medically retired effective 1 November 2010.
________________________________________________________________
APPLICANT CONTENDS THAT:
In a twelve-page personal statement the applicant presents the
following contentions:
a. During the course of specialized training and conditioning
for a six-month assignment to Speicher Air Base (AB), Iraq, he
suffered shoulder and low back pain and a large posterior
vitreous detachment in his right eye which caused blurred
vision. The Army medical facility took x-rays of his shoulder
and treated the pain with a steroid shot. He was told to see a
surgeon when he returned stateside.
b. Due to a lack of knowledge of reserve component medical
care policy, regulations, and poor administration and
cooperation between reserve management and active duty units,
four of his LODs were not processed in a timely manner resulting
in loss of pay, medical care and ability to meet a medical
evaluation board.
c. His commander incorrectly informed him that he could not
go on MEDCON orders until the LODs were completed. The LODs
took over six months to complete in spite of the stated goal of
39 days per page 12 of AFI 36-2910, Line of Duty (Misconduct)
Determination. Because of the lengthy processing, little time
remained for appeals.
d. A medical evaluation board was not conducted on his behalf
because of careless administration and incorrect coding of the
AF Form 469, Duty Limiting Conditions Report which contained the
following significant errors:
(1) The “Physical Limitations/Restrictions block did not
include a reduction or weight limit to accommodate his shoulder
pain nor did it place him on weapons restriction because of his
blurred vision.
(2) Code 31; “Illness or Injury will be Resolved Within 31-
365 Days” was check marked instead of code 37; “Medical
Defect/Condition Requires MEB or PEB Processing (IAW AFI 41-
210).”
e. His final AFRC IMT 348, Informal Line of Duty
Determination, contained a change of date and a change in the
medical officer’s signature block from the medical officer
overseeing his case to an enlisted member who was not a
physician.
f. He could not deploy, complete his annual two-week tour, or
accomplish mandays because of his medical coding, yet, at the
very same time, he was not medically continued on orders,
precluding him from receiving treatment for his conditions or
starting new LODs. His second set of LODs were never processed.
g. He received several documents to sign verifying he was
briefed on his responsibilities for the LOD process; however, he
was not briefed. He was given the documents via email over five
months after the LOD processing began. Additionally AFMOA, the
local BIMAA and his commander were still coordinating with him
and working MEDCON orders issues well past his retirement date
because neither they nor he knew that he was retired effective
1 November 2010.
The applicant’s complete submission, with attachments, is at
Exhibit A.
________________________________________________________________
STATEMENT OF FACTS:
According to copies of documents extracted from his Military
Personnel Record (MPR) the applicant is a former commissioned
officer of the Regular Air Force and Air Force Reserves. He was
progressively promoted to the grade of Lieutenant Colonel, (O-
5), with an effective date of rank and pay grade of
1 October 2003. During his reserve service, the applicant
completed five active duty tours for a combined total of
3 years, 7 months and 4 days of active duty service.
Effective 1 November 2010, the applicant was relieved from his,
then, current assignment and assigned to the Retired Reserve
section awaiting pay at age 60 (24 February 2015).
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________________________________________________________________
AIR FORCE EVALUATION:
AFRC/SG recommends denial. AFRC/SG states the applicant’s
statements and medical records reveal that his shoulder
condition stems from his time in the Regular Air Force.
Although orthopedic conditions that affect one’s ability to
perform functions of the AFSC are potentially disqualifying, he
was able to continue to perform his military duties for many,
many years after leaving active duty and joining the AF
Reserves. Therefore, he was not eligible for a medical board
because his condition clearly overcame the presumption of
fitness. His underlying condition was not permanently worsened
beyond its natural progression as is required in AFI 36-2910,
Line of Duty (Misconduct) Determination. He was found not in the
line of duty for his original shoulder injury as there was no
evidence of permanent worsening on any specific period of
reserve service.
The applicant also filed an LOD (which was completed as in line
of duty) for vitreous detachment of his right eye. This is not
a permanently disqualifying condition either, and he was not
boarded for this non-disqualifying condition as, again, no board
is warranted unless the service member is unable to perform
duties of their office. Finally, the applicant filed an LOD for
a cervical herniated disk which was found existed prior to
service, service aggravated. Each of these lines of duty cases
were initiated on 29 June 2010 and completed on 25 August 2010,
well within the SAF/MR measurable time requirements, although,
it appears, he may have asked the active duty military treatment
staff to initiate a line of duty sooner. The applicant
requested line of duty completion on several chronic orthopedic
conditions, some of which date into the mid 1980s. He was
granted a 30-day medical hold through 1 November 2010, but the
applicant provided no further documentation to AFRC/SGP
requesting continuation on medical hold.
Given the chronic and longstanding nature of his complaints, the
underlying issues remain his ability to overcome the presumption
of fitness. It would not be appropriate to continue medical
hold given he was able to participate many years with those very
same conditions. Medical continuation orders also require a
member to be in the process of a medical board. Given his lack
of disability, they do not recommend the applicant gain relief
from the Board with respect to his request for medical
retirement. His conditions were longstanding and he remained
qualified for military service throughout.
The complete AFRC/SG evaluation is at Exhibit C.
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AFMOA/SGHI recommends denial. SGHI states there is no adequate
evidence within the provided medical records and Command Man-Day
Allocation System (CMAS) to establish that the applicant would
have been eligible for Medical Continuation orders during the
timeframe requested. For that reason, they are unable to
recommend approval for the back pay portion of the request based
upon the documentation submitted demonstrating the applicant’s
ability to run marathons and complete overseas deployments.
The complete AFMOA/SGHI evaluation is at Exhibit D.
________________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
In a four-page response, the applicant references the AFMOA/SGHI
evaluation and indicates he did report he was pain free on
5 February 2010; however, his pain was and is caused by
movement. He does not believe he has to be in continuous pain
to have a significant ailment. The remark “already running
marathons, so no room to improve on exercise” was taken out of
context. He was not in training for a marathon during or after
his deployment. He made the statement to say that he did not
need assistance regarding physical conditioning. SGHI inferred
that this one statement about marathons suggested that his
conditions were not to a degree of severity that would render
him disqualified for continued service. There was no
relationship of having run a marathon in years past to his
current condition.
SGHI failed to note his mobility restriction as well as medical
personnel remarks regarding his shoulders and neck in the
original package. He does not deny that his shoulders suffered
pain as far back as 1988 while at pararescue indoctrination
training. His shoulders have had pain on and off throughout the
years, but not enough to be disabling as long as he took care
during physical conditioning and work.
Regarding the medical treatment documentation he was asked to
provide after his medical retirement date was extended, he
explained in his original statement that losing Tricare
coverage, moving to the VA healthcare system, and suffering two
heart attacks during that specific period did not allow him the
time to meet the request.
His request for early retirement based on an MEB is centered on
the factors that surround the marking of a wrong block on the AF
Form 469 and that his shoulders should have been found in the
line of duty paired with four other debilitating issues not
acknowledged based on poor administration from the medical
group.
The applicant’s complete response is at Exhibit F.
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________________________________________________________________
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 error or injustice. We took notice
of the applicant's 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 and adopt their rationale as the basis for our
conclusion that the applicant has not been the victim of an
error or injustice. We note the applicant’s contention that he
had mobility restrictions regarding his shoulders and neck;
however, he did not provide evidence to overcome the presumption
of fitness for duty in spite of the chronic and long-standing
nature of his complaints. Therefore, in the absence of evidence
to the contrary, 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 issue(s)
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 this application
BC-2012-01182 in Executive Session on 14 November 2012, under
the provisions of AFI 36-2603:
The following documentary evidence was considered:
Panel Chair
Member
Member
5
Exhibit A. DD Form 149, dated 28 February 2012, w/atchs.
Exhibit B. Applicant's Master Personnel Records.
Exhibit C. Letter, AFRC/SG, dated 15 May 2012.
Exhibit D. Letter, AFMOA/SGHI, dated 2 July 2012.
Exhibit E. Letter, SAF/MRBR, dated 22 August 2012.
Exhibit F. Letter, Applicant, dated 12 September 2012.
Panel Chair
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