AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
DOCKET NUMBER: BC-2012-02176
COUNSEL:
HEARING DESIRED: YES
IN THE MATTER OF:
__________________________
_________________________________________________________________
APPLICANT REQUESTS THAT:
He be allowed to undergo a Medical Evaluation Board (MEB) and
disability processing for a history of recurrent cerebral
vascular accidents.
_________________________________________________________________
APPLICANT CONTENDS THAT:
He was clearly on active duty when his injuries were incurred;
therefore, he is entitled to be processed through the Disability
Evaluation System (DES).
He suffered a stroke while on active duty on or about 7 September
2010. He was admitted to a local hospital for a headache,
tingling tongue, and blurry vision. He was subsequently
discharged on 8 September 2010, without a determination as to the
cause of his symptoms. He suffered another stroke on 8 February
2011 while on active duty to attend a class from 7 February 2011
to 1 March 2011. He was admitted to the emergency room for
treatment and was released from the hospital on 11 February 2011.
He was subsequently found to be temporarily medically
disqualified and was given 60 days to provide the Air Force with
medical documentation regarding his injuries. On 18 February
2011, he was found to be non-deployable as a result of his
medical condition. As a result, he was separated from the
Reserves as being medically unfit for a condition not acquired in
the line of duty.
The applicant's complete submission, with attachments, is at
Exhibit A.
_________________________________________________________________
STATEMENT OF FACTS:
The applicant is a former member of the United States Air Force
Reserve (USAFR) who served in the grade of staff sergeant (E-5).
While serving on an active duty tour from 4 April 2010 through
30 September 2010, the applicant was admitted to a local hospital
with a headache and blurred vision. He was discharged on
8 September 2010 without diagnosis. A neurology consult obtained
at that time revealed consideration that his condition was caused
by medication, although an MRI did reveal areas of old infarct.
A line of duty (LOD) was submitted and he was found in the LOD
for this acute episode for which he was hospitalized in order to
ensure his hospital costs were covered.
In February 2011, the applicant was again on a short tour of
active duty from 7 February 2011 through 14 February 2011. On
8 February 2011, the applicant was admitted to a local hospital
for left hand numbness. He was diagnosed with acute recurrent
ischemic cardio vascular accident (CVA). A CT at the time of
admission revealed atrophy and small vessel disease consistent
with age as well as an old right MCA infarct. The applicant was
maintained on orders to undergo medical evaluation and follow-up.
An LOD was submitted for recurrent CVA, which was found as
existed prior to service (EPTS)-LOD not applicable.
_________________________________________________________________
AIR FORCE EVALUATION:
AFRC/SG recommends denial. SG states that to find the
applicant’s underlying cause of his condition to be in the LOD is
not reasonable given he had evidence of recurrent, pre-existing
disease. There is no question the applicant was in status at the
time of his two episodes of transient infarct. Both events,
including hospitalization and work-up, were the responsibility of
the Air Force. However the underlying disease process is long-
standing and not related to duty.
The complete SG evaluation is at Exhibit B.
COUNSEL'S REVIEW OF AIR FORCE EVALUATION:
No entity in the Air Force is more member hostile than AFRC.
AFRC’s denial of LOD status is a recurring theme. There is no
proof, as suggested in the advisory opinion, that the “underlying
disease process is long-standing and not related to duty.” There
is no legal requirement that a condition be “related to duty.”
It merely has to occur while the member is entitled to basic pay.
During these episodes, the applicant was entitled to basic pay.
To the extent the applicant’s condition was EPTS, the fact does
not mitigate the actual unfitting events occurred on active duty.
Since the applicant did not meet retention standards while on
active duty, an MEB should have been initiated. The applicant
deserves an MEB as the acute events which rendered him unfit for
duty occurred while he was on active duty.
The counsel’s complete rebuttal is at Exhibit D.
THE BOARD CONCLUDES THAT:
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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 an injustice. After a
thorough review of the evidence of record, we see no evidence of
error or impropriety in the LOD process and are not persuaded by
the applicant’s contentions, that he has been the victim of an
injustice. It appears the applicant’s medical case was properly
evaluated under the appropriate Air Force regulations, which
implement the law. Therefore, we agree with the opinion and
recommendation of the Air Force office of primary responsibility
and adopt its rationale as the basis for our conclusion the
applicant has not been the victim of an error or injustice.
While we note counsel asserts the applicant is entitled to an
MEB, the preponderance of evidence of record suggests the
applicant’s predisposition for strokes and his military service
were unrelated and the mere fact that at least one stroke
resulted in his disqualification for continued service was likely
considered insufficient to establish a casual or aggravating
relationship with military service. We are not unsympathetic
toward the applicant; however, evidence has not been presented
which would lead us to believe that the determination of EPTS-LOD
not applicable for recurrent CVA was erroneous or unjust.
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 issues 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.
3
, Panel Chair
, Member
, Member
The following documentary evidence was considered for AFBCMR
Docket Number BC-2012-02176:
Exhibit A. DD Form 149, dated 19 Apr 12, w/atchs.
Exhibit B. Letter, AFRC/SG, dated 25 Jun 12.
Exhibit C. Letter, SAF/MRBR, dated 2 Jul 12.
Exhibit D. Letter, Counsel, dated 30 Jul 12.
The following members of the Board considered AFBCMR Docket
Number BC-2012-02176 in Executive Session on 23 January 2013,
under the provisions of AFI 36-2603:
Panel Chair
4
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