RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2012-03004
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
APPLICANT REQUESTS THAT:
Her assignment to the Retired Reserve Section and placement on
the Air Force Reserve Retired List be set aside and she be given
a medical retirement, with all benefits effective immediately.
_______________________________________________________________
APPLICANT CONTENDS THAT:
The Informal Physical Evaluation Board (IPEB) only determined
that she suffered from Metatarsalgia. They failed to properly
evaluate neuropathy which stemmed from lower back problems she
suffered since 1979 when she was active duty in the Army.
The Department of Veteran Affairs (DVA) gave her a 80 percent
service connected disability rating.
The applicant's complete submission, with attachments, is at
Exhibit A.
_______________________________________________________________
STATEMENT OF FACTS:
The applicant was placed on the Air Force Reserve Retired List
effective 28 Apr 2012, eligible for retired pay at age 60, in
the grade of technical sergeant (E-6).
The remaining relevant facts pertaining to this application are
contained in the letter prepared by the appropriate office of
the Air Force at Exhibit C. Accordingly, there is no need to
recite these facts in this Record of Proceedings.
_______________________________________________________________
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends denial. The Medical
Consultant opines that the applicant has not met the burden of
proof of error or injustice that warrants the desired change of
the record. After reviewing her medical records the Medical
Consultant notes numerous temporary profiles and duty
limitations throughout the years for various issues. The one
constant factor appears to be her Metatarsalgia. The applicant
was able to perform the duties of her office, grade, rank or
rating through-out the years in the services (Army, Air Force,
and Navy). However, through natural progression, the
Metatarsalgia ultimately progressed to a painful condition
requiring surgery.
The applicant received a Fitness only evaluation from the IPEB;
however, she declined a Formal Physical Evaluation Board (FPEB),
where she could have appealed for a possible compensable
disability within the military Disability Evaluation System
(DES).
Addressing her desire for a medical retirement, the military
DES, established to maintain a fit and vital fighting force, can
by law, under Title 10, United States Code (U.S.C.), only offer
compensation for those service incurred diseases or injuries
which specifically rendered a member unfit for continued active
service and were the cause for career termination; and then only
for the degree of impairment present at the time of separation
and not based on future occurrences. The Medical Consultant
opines even if she had presented to the FPEB she would not have
meet the rating threshold for a medical retirement.
On 24 Feb 2012, the DVA performed a comprehensive disability
evaluation and she was awarded a disability rating of
80 percent. However, it should be noted the DVA gave her a
10 percent disability rating for Bilateral Pes Planus, Veterans
Affairs Schedule for Rating Disabilities (VASRD) Code 5276,
which is comparable to VASRD code 5279 Metatarsalgia given by
the IPEB.
In the case under review, the IPEB found the applicant unfit to
perform the duties of her office grade, rank or rating only for
the diagnosis of Metatarsalgia, VASRD Code 5279. Based upon the
supplied Service medical evidence, the Medical Consultant found
no other medical conditions that established, or should have, a
cause and effect relationship with the termination of her
service or as an additional reason for her release from military
service. Although she was evaluated and treated for a number of
other episodic illnesses or injuries during her military service
none were shown to have interfered with her military service to
the extent or duration that warranted a separate basis for
medical disqualification or for consideration of placement on
Medical Hold for a Medical Evaluation Board and further
processing through the military DES under AFI 36-3212, Physical
Evaluation for Retention, Retirement, and Separation.
Operating under a different set of laws (Title 38, U.S.C.}, with
a different purpose, the DVA is authorized to offer compensation
for any medical condition with an established nexus with
military service, without regard to [and independent of] its
demonstrated or proven impact upon a service member's
retainability, fitness to serve, or the narrative reason for
release from military service. With this in mind, Title 38,
U.S.C., which governs the DVA compensation system, was written
to allow awarding compensation ratings for conditions that were
not proven unfitting for military service at the time of
separation. This is the reason why an individual can be found
fit for release from military service for one reason and yet
sometime thereafter receive a compensation rating from the DVA
for service-connected, but militarily non-unfitting medical
conditions.
The complete BCMR Medical Consultants evaluation is at Exhibit
C.
_______________________________________________________________
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the Air Force evaluation was forwarded to the
applicant on 26 Mar 2013 for review and comment within 30 days.
As of this date, this office has received no response (Exhibit
D).
_______________________________________________________________
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 BCMR Medical Consultant and adopt his rationale as the
basis for our conclusion 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 this application
in Executive Session on 30 Apr 2013, under the provisions of AFI
36-2603:
Panel Chair
Member
Member
The following documentary evidence was considered in AFBCMR BC-
2012-03004:
Exhibit A. DD Form 149, dated 3 Jul 2012, w/atchs.
Exhibit B. Applicants Master Personnel Records.
Exhibit C. Letter, BCMR Medical Consultant, dated 18 Mar
2013.
Exhibit D. Letter, SAF/MRBC, dated 26 Mar 2013.
Panel Chair
AF | PDBR | CY2012 | PD 2012 00918
The Board evaluates DVA evidence proximal to separation in arriving at its recommendations, but its authority resides in evaluating the fairness of DES fitness decisions and rating determinations for disability at the time of separation. Painful Feet Condition. RECOMMENDATION: The Board recommends that the CIs prior determination be modified as follows, effective as of the date of her prior medical separation: UNFITTING CONDITION VASRD CODE RATING Painful...
AF | PDBR | CY2012 | PD-2012-00083
The Physical Evaluation Board (PEB) adjudicated the bilateral metatarsalgia condition as unfitting, rated 10% for each foot with application of the bilateral factor for a combined 20%, with application of the Veteran’s Affairs Schedule for Rating Disabilities (VASRD). Thiscondition was noted in the NARSUM and MEB and was clinically tied to the CI’s bilateral unfitting foot condition(s). Physical Disability Board of Review
AF | PDBR | CY2014 | PD-2014-02370
The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of theVeterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. Bilateral Foot Condition . In the matter of the bilateral foot condition and IAW VASRD §4.71a, the Board unanimously recommends no change in the PEB adjudication.There were no other conditions within the Board’s scope...
AF | PDBR | CY2013 | PD-2013-02609
The bilateral foot condition, characterized as “metatarsalgia, bilateral feet” and “neuroma, left foot,” was forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501.A second MEB changed the “neuroma, left foot” to “neuroma, right foot.” No other conditions were submitted by the MEB.The Informal PEB (IPEB) adjudicated “chronic bilateral foot pain diagnosed as metatarsalgia with left sided neuroma, status post neurectomy”as unfitting, rated 10%, with likely application of the Veterans...
AF | PDBR | CY2010 | PD2010-01176
The Informal PEB (IPEB) adjudicated the chronic right foot pain due to Morton’s neuroma condition as unfitting, rated 10%, with application of the Veterans Administration Schedule for Rating Disabilities (VASRD). Although there were examination findings of hallux valgus and hammer toes (single toes) there were no symptoms or impairment attributed to these abnormalities that would warrant rating under VASRD codes 5280 or 5282, and, if rated using these codes, would not attain a minimum...
AF | BCMR | CY2013 | BC-2013-00105
On 16 Jun 10, the Formal Physical Evaluation Board (FPEB) reviewed the case file and medical records and also recommended discharge with severance pay with a disability rating of 10 percent for diagnosis of POTS using VASRD code 8299-8210. Her condition has not changed in severity, the DVA made their rating by correctly applying the laws for analogous ratings. In this respect, the applicant is requesting that her medical discharge be changed to a medical retirement based on the 80 percent...
AF | PDBR | CY2012 | PD2012 01495
The CI then returned with left foot pain and was diagnosed by bone scan in June 2001 to have another metatarsal stress fracture; she was again treated. The VA rated the right foot pain and the left foot pain separately, each as 5299-5284 (analogous to other foot injury) at 10% (moderate), combined with bilateral factor to 20%. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130009110 (PD201201495)I have reviewed the enclosed Department of Defense...
AF | BCMR | CY2006 | BC-2005-02390
In support of her request, the applicant provided a personal statement and documents extracted from her military personnel record. At the time the applicant was being evaluated in the Air Force disability evaluation system, her depression and hypothyroidism were not separately unfitting and did not warrant a separate rating from the rating for fatigue. We find no evidence of error in this case and after thoroughly reviewing the evidence of record, we do not believe she has suffered from an...
AF | BCMR | CY2007 | BC-2005-02390
In support of her request, the applicant provided a personal statement and documents extracted from her military personnel record. At the time the applicant was being evaluated in the Air Force disability evaluation system, her depression and hypothyroidism were not separately unfitting and did not warrant a separate rating from the rating for fatigue. We find no evidence of error in this case and after thoroughly reviewing the evidence of record, we do not believe she has suffered from an...
AF | BCMR | CY2013 | BC 2013 02749
The complete DPFD evaluation is at Exhibit C. The BCMR Medical Consultant recommends amending the applicants record to reflect he was removed from the TDRL and permanently retired with a 50 percent disability rating due to PTSD, under VASRD Code 9411, effective 12 March 2012. While the Medical Consultant recommends granting the applicant the 50 percent rating, he does not believe this should be based upon the documentation from the DVA; as this evidence was the same old evidence utilized...