Mr. Carl W. S. Chun | Director | |
Mrs. Nancy Amos | Analyst |
Mr. Fred N. Eichorn | Chairperson | |
Ms. Shirley L. Powell | Member | |
Mr. Donald P. Hupman, Jr. | Member |
APPLICANT REQUESTS: That his discharge for physical disability be changed to a medical retirement.
APPLICANT STATES: That the depression he had and still suffers from was not considered by his physical evaluation board (PEB).
COUNSEL CONTENDS: Counsel makes no additional contention.
EVIDENCE OF RECORD: The applicant's military records show:
He enlisted in the Regular Army on 9 November 1988. He completed basic training and advanced individual training and was awarded military occupational specialty 63G (Fuel and Electrical Systems Repairer).
The applicant’s medical evaluation board (MEB) narrative summary indicated that he complained of left groin symptoms in September 1989. It was also noted at that time that he had a varicocele. He was treated but continued to have persistent pain and discomfort. Because the discomfort was attributed to the presence of the varicocele, a spermatic vein ligation was performed on 4 December 1989. Persistent pain and discomfort persisted and he was diagnosed with a left testicular infarct as the result of the left spermatic vein ligation. He then underwent an elective left orchiectomy with concomitant left testicular prosthesis placement. The pain persisted. He was treated with medications, direct injections as well as an ilio inguinal nerve block and referred to the Psychiatric Service for biofeedback. His symptoms were not resolved. He was placed on a permanent profile with assignment limitations of no heavy lifting and no physical training.
The MEB referred the applicant to a PEB for intractable left testicular and left lower quadrant pain as a result of his surgery. On 13 May 1991, the applicant agreed with the MEB’s findings and recommendation.
On 8 July 1991, an informal PEB found the applicant unfit for duty by reason of intractable left testicular and left lower quadrant pain, rated as mild. Pain prevented him from performing his duty. He was given a disability percentage rating of 10 percent. He was originally rated under VA Schedule of Rating Disabilities (VASRD) code 8530 (paralysis of the ilio-linguinal nerve) but the code was later corrected to 8730 (neuralgia). On 18 July 1991, the applicant nonconcurred in the findings and recommendations and demanded a formal hearing. On 3 September 1991, he withdrew his request for a formal hearing and concurred with the findings of the informal PEB.
On 1 October 1991, the applicant was discharged with severance pay by reason of physical disability.
On 10 March 2001, the VA awarded the applicant a 30 percent disability rating for depression effective 12 April 2000. The rating decision noted that his service medical records showed that he was diagnosed with moderate depression in September 1990. The VA’s impression was that the applicant suffered from a depressive disorder, mild. The VA physician noted that he seemed to be mildly depressed secondary to his surgery and his concern that the surgery affected his ability to have sons.
Army Regulation 635-40 governs the evaluation of physical fitness of soldiers who may be unfit to perform their military duties because of physical disability. The regulation defines “physically unfit” as unfitness due to physical disability. The unfitness is of such a degree that a soldier is unable to perform the duties of his office, grade, rank or rating in such a way as to reasonably fulfill the purposes of his employment on active duty.
The VASRD is the standard under which percentage rating decisions are to be made for disabled military personnel. The VASRD is primarily used as a guide for evaluating disabilities resulting from all types of diseases and injuries encountered as a result of, or incident to, military service. Unlike the VA, the Army must first determine whether or not a soldier is fit to reasonably perform the duties of his office, grade, rank or rating. Once a soldier is determined to be physically unfit for further military service, percentage ratings are applied to the unfitting conditions from the VASRD. These percentages are applied based on the severity of the condition.
Title 38, U. S. Code, sections 310 and 331, permits the VA to award compensation for a medical condition which was incurred in or aggravated by active military service. The VA, however, is not required by law to determine medical unfitness for further military service. The VA, in accordance with its own policies and regulations, awards compensation solely on the basis that a medical
condition exists and that said medical condition reduces or impairs the social or industrial adaptability of the individual concerned. Consequently, due to the two concepts involved, an individual’s medical condition, although not considered medically unfitting for military service at the time of processing for separation, discharge or retirement, may be sufficient to qualify the individual for VA benefits based on an evaluation by that agency.
DISCUSSION: Considering all the evidence, allegations, and information presented by the applicant, together with the evidence of record, applicable law and regulations, it is concluded:
1. In order to justify correction of a military record the applicant must show to the satisfaction of the Board, or it must otherwise satisfactorily appear, that the record is in error or unjust. The applicant has failed to submit evidence that would satisfy this requirement.
2. The rating action by the VA does not necessarily demonstrate an error or injustice in the Army rating. The VA, operating under its own policies and regulation, assigns disability ratings as it sees fit. The VA is not required by law to determine medical unfitness for further military service in awarding a disability rating, only that a medical condition reduces or impairs the social or industrial adaptability of the individual concerned. Consequently, due to the two concepts involved (i. e., the more stringent standard by which a soldier is determined not to be medically fit for duty versus the standard by which a civilian would be determined to be socially or industrially impaired), an individual’s medical condition may be rated by the Army at one level and by the VA at another level,
3. The MEB made no finding that the applicant was unfit for duty due to depression, only that he had intractable left testicular and left lower quadrant pain which rendered him unfit for duty with subsequent referral to a PEB. He concurred in the MEB’s findings. This fits with the VA’s later findings that his depressive disorder was mild and related to his belief that his surgery affected his ability to have sons. This would cause him to be (or cause him to perceive himself to be) socially impaired, which the VA may consider in awarding its disability ratings. Such a belief would have no bearing on his ability to perform his duties as a soldier, however, and so the Army properly did not find his depression to be unfitting. It was his pain alone that resulted in his being unfit to perform his military duties.
4. In view of the foregoing, there is no basis for granting the applicant's request.
DETERMINATION: The applicant has failed to submit sufficient relevant evidence to demonstrate the existence of probable error or injustice.
BOARD VOTE:
________ ________ ________ GRANT
________ ________ ________ GRANT FORMAL HEARING
__fne___ __slp___ __dph___ DENY APPLICATION
CASE ID | AR2001057512 |
SUFFIX | |
RECON | |
DATE BOARDED | 20010717 |
TYPE OF DISCHARGE | |
DATE OF DISCHARGE | |
DISCHARGE AUTHORITY | |
DISCHARGE REASON | |
BOARD DECISION | (DENY) |
REVIEW AUTHORITY | |
ISSUES 1. | 108.00 |
2. | |
3. | |
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AF | PDBR | CY2014 | PD-2014-01678
The left testicular condition was characterized as “severe left testalgia,” and “persistent varicocele,”was the only condition forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E. RATING COMPARISON : Service IPEB – Dated 20020128VA *ConditionCodeRatingConditionCodeRatingExam Severe Left Testalgia7599-873010%Chronic Testalgia (Specifying Surgical Residuals and Neuritis)7599-752510%*Persistent Varicocele“Related to [Above]”Other x 0 (Not in Scope)Other x 11 (Not in Scope)...
AF | PDBR | CY2012 | PD2012 00965
The Medical Evaluation Board (MEB) forwarded chronic left testicular pain status post (s/p) left varicocele and left cord stripping procedure; left knee pain; and history of toxoplasmosis of the eyes to the Physical Evaluation Board (PEB) IAW AR 40-501.The PEBadjudicatedchronic left testicular pain as unfitting, rated 0%, with application of the Veterans Affairs Schedule for Rating Disabilities (VASRD).The remaining conditions were determined to be not unfitting. Other x 620050124 Combined:...
AF | PDBR | CY2012 | PD2012 01345
He continued with post operative pain, right greater than the left. The CI reported no use of pain medications for the testicular pain. The Board directs attention to its rating recommendationbased on the above evidence.The PEB adjudicated the bilateral testalgia condition as unfitting and rated it analogous to neuralgia of the ilio-inguinal nerve, VASRD code 8730.
AF | PDBR | CY2012 | PD2012 01658
Left testalgia associated and varicocele, status post (s/p)varicocele ligation was forwarded to the Physical Evaluation Board (PEB) IAW SECNAVINST 1850.4E.No other conditions were submitted by the MEB.The Informal PEB (IPEB)adjudicated left testalgia associated as unfitting rated 10% withapplication of theVeteran’s Affairs Schedule for Rating Disabilities (VASRD).The remaining condition, varicocele, s/p varicocele ligation was adjudicated to by a Category II condition, a condition that...
AF | PDBR | CY2012 | PD2012-00720
The PEB and VA chose different coding options for the condition, but this did not bear on rating. The Board agreed the evidence supports likely a neuropathic etiology, but also clinically could support the 7525 code and considered evaluating the evidence for a higher rating under this code. 2 PD1200720 RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CI’s disability and separation determination, as follows: VASRD CODE...
AF | PDBR | CY2010 | PD2010-00039
The CI was placed on limited duty for the varicocele and underwent a Medical Evaluation Board (MEB). The PEB took into consideration that §4.124a does allow for a rating of severe to complete in this case, and the Board considered extra-scheduler rating as severe because of the degree and persistence of pain in evidence. In the matter of the varicocelectomy scar, groin; tinnitus; and PTSD conditions, or any other medical conditions eligible for Board consideration, the Board unanimously...
AF | PDBR | CY2013 | PD-2013-02470
It is limited to those conditions determined by the PEB to be unfitting for continued military service and those conditions identified but not determined to be unfitting by the PEB when specifically requested by the CI. Left Side Testicular Pain, s/p Epididymectomy and s/p Left Orchiectomy with Placement of Prosthesis Condition . Service Treatment Record Exhibit C. Department of Veterans’ Affairs Treatment Record
AF | PDBR | CY2012 | PD-2012-00401
The right common peroneal nerve condition was determined to have improved and rated at 10%. At the MEB examination on 11 October 2005, 8 months prior to TDRL entry, the CI reported persistent numbness and loss of motion for which he used an orthotic device. After due deliberation in consideration of the preponderance of the evidence, the Board concluded that there was insufficient cause to recommend a change in the PEB permanent disability rating for the abdominal pain condition...
AF | PDBR | CY2012 | PD2012 00903
ANALYSIS SUMMARY :The PEB rated chronic left testicular pain as unfitting and provided a disability rating. He continued with groin pain much greater on the left than the right.At the MEB exam 10 March 2002(approximately 5 months prior to separation)the CI reported chronic scrotal pain rated 2 out of 10 at baseline but increasing to 8 out of 10 with strenuous activity. The Board additionally reviewed coding IAW §4.115b as 7518 (urethral stricture) when rating the left testicular pain...
AF | PDBR | CY2011 | PD2011-00851
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