RECORD OF PROCEEDINGS
AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
IN THE MATTER OF: DOCKET NUMBER: BC-2013-03800
COUNSEL: NONE
HEARING DESIRED: NO
________________________________________________________________
_
APPLICANT REQUESTS THAT:
Her entry-level separation and narrative reason of Personality
Disorder be changed to a medical discharge with a sleep
disorder and/or narcolepsy narrative reason.
________________________________________________________________
_
APPLICANT CONTENDS THAT:
1. She is trying to gain employment through her state and would
like to have her military records corrected to show the proper
diagnosis.
2. She was not aware of her medical condition at the time of her
discharge, but now believes that her discharge was inequitably
due to her excessive sleepiness and sleepwalking. However, she
was classified as having a personality disorder that was later
found to be due to her narcolepsy illness.
3. At the time of her discharge, she was told that due to her
sleepwalking disorder that she was not fit for duty and would
not be allowed to continue serving in the Air Force. It was
during Basic Military Training (BMT) that she began experiencing
difficulties adjusting to not getting enough sleep due to the
military regimen. She had never experienced anything like this
before.
4. In 2007, she was finally diagnosed as having narcolepsy with
cataplexy and obstructive sleep apnea/hypoxemia syndrome. These
symptoms were seen as a mental/mood disorder rather than a
neurological disorder. Since her diagnosis, she must take
Adderall daily in order to stay alert. She wishes she had known
sooner about her condition; however, her doctor explained to her
that it was common to be diagnosed later on in life.
In support of her request, the applicant provides a copy of her
DD Form 293, Application for the Review of Discharge from the
Armed Forces of the United States, a copy of her DD Form 214,
Certificate of Release or Discharge from Active Duty, a letter
from the Disorders Center and the Salem Hospital Medical
Director, excerpts from her medical records, a personal
statement, her discharge package, WHMC Form 2999, Mental Health
Evaluation of Active Duty Air Force Personnel, and a memorandum
from the Behavioral Analysis Service.
Her complete submission, with attachments, is at Exhibit A.
________________________________________________________________
_
STATEMENT OF FACTS:
The applicant enlisted into the Air Force Reserve on 1 Mar 05.
The applicant was notified by her commander that she was
recommending her for discharge from the Air Force under the
provisions of AFPD 36-32 and AFI 36-3208, Chapter 5, Section 5B,
Involuntary Convenience of the Government, Paragraph 5.11,
Conditions that Interfere with Military service, specifically
Paragraph 5.11.9, under Mental Disorders. The applicant was
diagnosed with:
Axis I Adjustment Disorder with Depressed Mood and
Sleepwalking Disorder.
Axis II Deferred.
Axis III Refer to applicants medical records.
After a legal review, the Chief of Adverse Actions found the
case to be legally sufficient. The applicant received entry-
level separation with a narrative reason for separation of
Personality Disorder effective 25 Mar 05 after serving 25 days
on active duty.
The remaining relevant facts pertaining to this application are
contained in the letters prepared by the appropriate offices of
the Air Force, which is at Exhibit B.
________________________________________________________________
_
AIR FORCE EVALUATION:
The BCMR Medical Consultant recommends denial of changing her
reason for discharge to medical, but alternatively recommends
offering her Secretarial Authority. In this respect, the
Medical Consultant agrees with the implicit contention that her
sleepwalking and/or sleep apnea were the result of her inability
to adapt to the military service-training environment that
resulted in her referral for a mental health evaluation.
However, her reported and witnessed crying spells in response to
her difficulties, added the new dimension of her adaptability to
military service. Consequently, she was diagnosed with an
Adjustment Disorder. The Medical Consultant finds that either
of the aforementioned diagnoses could have resulted in the
applicants involuntary discharge. However, since the
conditions became disqualifying within 180 days of service, by
policy she would have been vulnerable for the entry-level
separation that she received. Moreover, since neither condition
would have been considered compensable disabilities; with both,
more likely than not, existing prior to service; noting their
clinical expression so soon after entering active military
service; and the self-report of observations made by her spouse.
With respect to the applicants narcolepsy and cataplexy spells,
although listed in the VA rating schedule as compensable
conditions, these episodes were predominantly displayed after
the applicants release from service in 2007.
The Medical Consultant firmly recommends granting some relief as
the applicant was never diagnosed with a Personality Disorder,
noting that this diagnosis was the Default entry made on the
DD Forms 214 for individuals discharged for what was determined
to be an unsuitable mental disorder. Therefore, rather than
burden the applicant with sleepwalking on her DD Form 214, or
Adjustment Disorder, the latter which has likely resolved since
her release from service, the Medical Consultant recommends
changing her narrative reason to Secretarial Authority.
The complete Medical Consultant evaluation is at Exhibit B.
________________________________________________________________
_
APPLICANT'S REVIEW OF AIR FORCE EVALUATION:
A copy of the Air Force evaluation was forwarded to the
applicant on 22 Jan 14 for review and comment within 30 days.
As of this date, this office has received no response.
________________________________________________________________
_
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. Sufficient relevant evidence has been presented to
demonstrate the existence of error or injustice warranting a
measure of relief. We note the BCMR Medical Consultants
recommendation that the applicants narrative reason should be
changed to reflect Secretarial Authority. After a thorough
review of the documentation submitted, we agree with the BCMR
Medical Consultants recommendation to change her narrative
reason to Secretarial Authority since she was never diagnosed
with a Personality Disorder. Accordingly, we recommend the
records be corrected as indicated below.
________________________________________________________________
_
THE BOARD RECOMMENDS THAT:
The pertinent military records of the Department of the Air
Force relating to APPLICANT be corrected to show that on 25
March 2005, she was discharged under the provisions of AFI 36-
3208, paragraph 1.2, Secretarial Authority with Separation
Program Designator (SPD) Code of KFF.
________________________________________________________________
_
The following members of the Board considered AFBCMR Docket
Number BC-2013-03800 in Executive Session on 22 Apr 14, under
the provisions of AFI 36-2603:
, Panel Chair
, Member
, Member
All members voted to correct the records, as recommended. The
following documentary evidence was considered:
Exhibit A. DD Form 149, dated 5 Aug 13, w/atchs.
Exhibit B. Letter, BCMR Medical Consultant, dated 17 Jan 14.
Exhibit C. Letter, SAF/MRBR, dated 22 Jan 14.
Panel Chair
4
ARMY | BCMR | CY2013 | 20130015455
For his service-connected medical conditions, the VA proposed: * Obstructive Sleep Apnea, claimed as exercise-induced asthma, 50% * Degenerative disc disease, lumbar spine, claimed as back pain, 10% * Tinnitus, 10% * Adjustment Disorder with mixed anxiety and depressed mood, 10% * Right hand strain, left hand strain, cervical strain, right knee degenerative disc disease, left knee degenerative disc disease, allergic rhinitis, enteritis, GERD, and migraines, 0% each 15. (2) Tinnitus (MEB...
AF | BCMR | CY2014 | BC 2014 02556
RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2014-02556 COUNSEL: NONE HEARING DESIRED: NO APPLICANT REQUESTS THAT: The reason for discharge of Miscellaneous reasons on her NGB Form 22, Report of Separation and Record of Service, be changed to a medical discharge. APPLICANT CONTENDS THAT: She was diagnosed with a neurological disorder (Narcolepsy with Cataplexy) and was incorrectly told it was a completely disqualifying...
AF | PDBR | CY2010 | PD2010-00606
after discharge for narcolepsy (20%) rating the following would be the correct code for condition. My VA rating for this condition is 50%. I would ask the board to please review all unfitting conditions that would have applied.” He additionally mentions his VA conditions and ratings per the rating chart below.
AF | PDBR | CY2011 | PD2011-00955
We feel that this warrants a review for a consideration to The Permanent Disabled Retired List.” He elaborates no specific contentions regarding rating or coding and mentions no additionally contended conditions. The Board however noted a neurology clinic record dated 21 May 2007 that indicated the CI was not using CPAP, that prescribed medication completely controlled the cataplexy, and that medication was also controlling his daytime sleepiness. At the time of the 26 March 2010 C&P...
AF | PDBR | CY2009 | PD2009-00552
The medical basis for the separation was Central Nervous System Hypersomnolence. The CI was referred to the PEB, determined unfit for continued military service, and separated at 10% disability using the Veterans Affairs Schedule for Ratings Disabilities (VASRD) and applicable Air Force and Department of Defense regulations. The initial 10% rating was based on lack of evidence of either at least two minor seizures in the last six months or a diagnosis of sleep apnea with persistent...
AF | PDBR | CY2014 | PD-2014-01495
SEPARATION DATE: 20091228 The Board’s assessment of the PEB rating determinations is confined to review of medical records and all available evidence for application of the Veterans Affairs Schedule for Rating Disabilities (VASRD) standards to the unfitting medical condition at the time of separation. The Board gives consideration to VA evidence, particularly within 12 months of separation, but only to the extent that it reasonably reflects the severity of the disability at the time of...
AF | BCMR | CY2012 | BC-2003-03035-2
ADDENDUM TO RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS DOCKET NUMBER: BC-2003-03035 COUNSEL: NONE HEARING DESIRED: YES IN THE MATTER OF: ________________________________________________________________ APPLICANT REQUESTS THAT: Her narrative reason for separation of “Personality Disorder” be corrected. Despite the fact that the applicant was also given an Axis I diagnosis of Adjustment Disorder, the Consultant is of the opinion that the choice of using...
AF | BCMR | CY2005 | BC-2004-03541
RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2004-03541 INDEX CODE: 110.02 COUNSEL: NONE HEARING DESIRED: NO MANDATORY COMPLETION DATE: 20 MAY 2006 ________________________________________________________________ APPLICANT REQUESTS THAT: The narrative reason and related codes for his discharge on his separation document (DD 214) be changed from “Personality Disorder” to “Conditions That Interfere With Military Service –...
AF | BCMR | CY2005 | BC-2005-03541
RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2004-03541 INDEX CODE: 110.02 COUNSEL: NONE HEARING DESIRED: NO MANDATORY COMPLETION DATE: 20 MAY 2006 ________________________________________________________________ APPLICANT REQUESTS THAT: The narrative reason and related codes for his discharge on his separation document (DD 214) be changed from “Personality Disorder” to “Conditions That Interfere With Military Service –...
AF | BCMR | CY1999 | BC-1997-02730
_________________________________________________________________ AIR FORCE EVALUATION: The BCMR Medical Consultant reviewed this application and noted that the applicant was seen by mental health providers shortly after starting basic training and was diagnosed with an adjustment disorder which interfered with her military duties/training and she was discharged because of the medical condition interfering with her training. A complete copy of the DPPRS evaluation is at Exhibit...