IN THE CASE OF:
BOARD DATE: 3 June 2010
DOCKET NUMBER: AR20090013891
THE BOARD CONSIDERED THE FOLLOWING EVIDENCE:
1. Application for correction of military records (with supporting documents provided, if any).
2. Military Personnel Records and advisory opinions (if any).
THE APPLICANT'S REQUEST, STATEMENT, AND EVIDENCE:
1. The applicant requests, in effect, that his discharge be voided and that he be processed under the Physical Disability Evaluation System (PDES) for retirement by reason of physical disability.
2. The applicant states that all of his medical conditions are service connected and he should have been processed through the PDES instead of being discharged for medical reasons. He goes on to state that he believes that had he been processed through the PDES he would have been given a medical retirement instead of being medically chaptered out because he was given a 90% disability rating by the Department of Veterans Affairs (VA) based on his service connected medical conditions.
3. The applicant provides a copy of the response he received from the Physical Disability Board of Review, a copy of his VA Rating Decision, and copies of his medical records.
CONSIDERATION OF EVIDENCE:
1. The applicant was born on 6 October 1974 and enlisted in the Regular Army (RA) on 10 April 2002 for a period of 3 years and training as a Multiple Launch Rocket System Fire Direction Specialist.
2. He successfully completed his training and served a tour in Korea before being returned to Fort Sill, Oklahoma. He deployed to Iraq on 15 January 2005 and he reenlisted in the RA on 31 March 2005 for a period of 6 years and a Selective Reenlistment Bonus. He was promoted to the pay grade of E-5 on 1 December 2005 and departed Iraq on 15 January 2006.
3. A Report of Behavioral Health Evaluation, Reynolds Army Community Hospital, Fort Sill, OK, dated 13 December 2006, shows a psychologist at the community health service opined:
* the applicant had no psychiatric disease or defect that warranted disposition through medical channels
* the applicant had the mental capacity to understand and participate in chapter proceedings
* the applicant was mentally responsible
* he met the health retention requirements of Chapter 3, Army Regulation (AR) 40-501
* he had a psychiatric condition that requires treatment
* he was not motivated to continue in military service
* he met the psychiatric criteria for administrative separation under Chapter 5-17, AR 635-200.
4. The examining psychologist indicated the applicant had been treated more than 6 months for a mood disorder and sleep disturbance and he continued to experience sleep disturbance even after he had gone through sleep study and the use of Continuous Positive Airway Pressure (CPAP) equipment. His behavior had been negatively impacted by uncharacteristic anger which interfered with logical reasoning and judgment. Continued fatigue negatively impacted his work effectiveness. The applicant had deteriorated both medically and psychologically (even after having had surgical repair of the knee, pain continued). The chance that further treatment would assist him to regain previous levels of functioning was low.
5. The applicant underwent a medical/physical examination on 1 February 2007 and he was deemed qualified for service.
6. He underwent a Mental Status Evaluation on 1 March 2007 and was psychiatrically cleared for any administrative action deemed appropriate by the command. He was diagnosed as having:
* Axis I: Post-Traumatic Stress Disorder (PTSD), Chronic
* Axis II: none
* Axis III: hypertensive, high cholesterol, damaged knees, sleep apnea
* Axis IV: occupational, Axis I and Axis III
* Axis V: 62
7. On 2 April 2007, the applicants commander notified him that he was initiating action to separate him because of other designated physical or mental conditions under the provisions of AR 635-200, paragraph 5-17, based on the diagnosis contained in the Behavioral Health Evaluation. The applicant elected to seek counsel and declined the opportunity to submit a statement in his own behalf.
8. The appropriate authority approved the recommendation for discharge on 25 April 2007 and directed that he be furnished an Honorable Discharge Certificate.
9. On 3 May 2007, the applicant was honorably discharged under the provisions of AR 635-200, paragraph 5-17 for a condition, not a disability. He had served
5 years and 24 days of total active service.
10. A review of the applicant's Noncommissioned Officer Evaluation Reports (NCOERS) show he essentially received maximum reports and his last NCOER ending on 1 May 2007, as successful in performing his duties, and recommended that he be promoted ahead of his peers.
11. On 28 August 2007, the VA granted the applicant a combined disability rating of 90% for the following medical descriptions effective 4 May 2007:
* Sleep apnea 50%
* PTSD also claimed as adjustment disorder, disturbance of emotion and conduct 30%
* Chronic right shoulder strain claimed as right shoulder degenerative partial tear 10%
* Chronic left knee strain claimed as left knee patellar tendonitis 10%
* Chronic right knee strain and status post right knee surgery for a bone cyst with residuals 10%
* Chronic left ankle sprain 10%
* Chronic right ankle sprain 10%
* Tinnitus 10%
* Hypertension 10%
* Gastroesophageal reflux 10%
12. A review of the available records failed to show evidence to indicate the applicant was deemed unfit to perform his military duties. There is also no indication that a physician ever made a determination or a recommendation that he should be referred to a medical evaluation board (MEB) or a physical evaluation board (PEB).
13. Army Regulation 635-200 governs the separation of enlisted personnel. Paragraph 5-17 states a commander may approve separations under this paragraph on the basis of other physical or mental conditions not amounting to disability (under the provisions of Army Regulation 635-40) that potentially interfere with assignment to or performance of duty.
14. 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 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. It states commanders of medical treatment facilities (MTFs) who are treating Soldiers may initiate action to evaluate the Soldiers physical ability to perform the duties of his or her office, grade, rank, or rating. The commander will advise the Soldiers commanding officer of the results of the evaluation and the proposed disposition. If it appears the Soldier is not medically qualified to perform duty, the MTF commander will refer the Soldier to an MEB.
15. Army Regulation 635-40 states that MEBs are convened to document a Soldiers medical status and duty limitations insofar as duty is affected by the Soldiers status. A decision is made as to the Soldiers medical qualification for retention based on the criteria in Army Regulation 40-501, chapter 3. Additionally, the mere presence of an impairment does not, of itself, justify a finding of unfitness because of physical disability.
16. Army Regulation 635-40 states disability compensation is not an entitlement acquired by reason of service-incurred illness or injury; rather, it is provided to Soldiers whose service is interrupted and they can no longer continue to reasonably perform because of a physical disability incurred or aggravated in service. This regulation also provides, in pertinent part, that when a Soldier is being processed for separation or retirement for reasons other than physical disability, continued performance of assigned duty commensurate with his or her rank or grade until the Soldier is scheduled for separation or retirement, creates a presumption that the Soldier is fit.
17. There is a difference between VA and the Army disability systems. The Armys determination of a Soldiers physical fitness or unfitness is a factual finding based upon the individuals ability to perform the duties of his or her grade, rank or rating. If the Soldier is found to be physically unfit, a disability rating is awarded by the Army and is permanent in nature. The Army system requires that the Soldier only be rated as the condition(s) exist(s) at the time of the PEB hearing. The VA may find a Soldier unfit by reason of service-connected disability and may even initially assign a higher rating. The VAs ratings are based upon an individuals ability to gain employment as a civilian and may fluctuate within a period of time depending on the changes in the disability.
18. 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 individuals 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 AND CONCLUSIONS:
1. The applicant has failed to provide sufficient evidence which shows he had a medical condition which limited his duty performance to the extent that he warranted evaluation for physical disability under the PDES. His last NCOER shows he could perform his duties successfully. There simply is no evidence to show that he was unfit to perform his duties.
2. As previously mentioned, an award of a VA Rating Decision does not establish error or injustice in whether or not an Army rating is given, or in an Army rating that is given. An Army disability rating is intended to compensate an individual for interruption of a military career after it has been determined the individual suffers from an impairment that disqualifies him from further military service. The VA, which has neither the authority, nor the responsibility for determining physical fitness for military service, awards disability ratings to veterans for conditions that it determines were incurred during military service and subsequently affect the individuals civilian employability. Accordingly, it is not unusual for the two agencies of the Government, operating under different policies, to arrive at different positions.
3. The available evidence suggests the applicant was properly evaluated in accordance with the applicable laws and regulations in effect at the time with no indication of any violations of any of the applicant's rights.
BOARD VOTE:
________ ________ ________ GRANT FULL RELIEF
________ ________ ________ GRANT PARTIAL RELIEF
________ ________ ________ GRANT FORMAL HEARING
____X___ ____X___ ___X____ DENY APPLICATION
BOARD DETERMINATION/RECOMMENDATION:
1. The evidence presented does not demonstrate the existence of a probable error or injustice. Therefore, the Board determined that the overall merits of this case are insufficient as a basis for correction of the records of the individual concerned.
2. The Board wants the applicant and all others concerned to know that this action in no way diminishes the sacrifices made by the applicant in service to the United States during the Global War on Terrorism. The applicant and all Americans should be justifiably proud of his service in arms.
_______ _ __X_____ ___
CHAIRPERSON
I certify that herein is recorded the true and complete record of the proceedings of the Army Board for Correction of Military Records in this case.
ABCMR Record of Proceedings (cont) AR20090013891
3
ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
1
ABCMR Record of Proceedings (cont) AR20090013891
2
ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
1
ARMY | BCMR | CY2013 | 20130004253
On 21 December 2011, a medical evaluation board (MEB) convened and after consideration of clinical records, laboratory findings, and physical examinations, the MEB found the applicant was diagnosed with the below conditions. He was determined to be physically unfit for further military service. The PEB did so and rated him 20 percent disabled for his condition.
ARMY | BCMR | CY2012 | 20120017870
The applicant requests a review of the military disability evaluation of his mental health condition. The applicant reviewed the MEB findings and did not object to the findings relating to the mental health diagnosis or that it met medical retention standards. A PEB found the applicant unfit for his knee replacement and fit for all other conditions, to include his mental health condition.
ARMY | BCMR | CY2010 | 20100016388
Army Regulation 635-40 establishes the Army Physical Disability Evaluation System (PDES) and sets forth policies, responsibilities, and procedures that apply in determining whether a Soldier is unfit because of physical disability to reasonably perform the duties of his office, grade, rank, or rating. The Army must find that a service member is physically unfit to reasonably perform his/her duties and assign an appropriate disability rating before that service member can be medically...
ARMY | BCMR | CY2013 | 20130019034
The applicant requests a review of the military disability evaluation of his mental health condition. His MEB listed only two conditions - left knee patellofemoral syndrome and lumbar intervertebral disc syndrome - that failed retention standards and several other conditions, none of which was a behavioral health condition, that met retention standards. The applicant is entitled to correction of his records to show, in addition to left knee patellofemoral syndrome and lumbar intervertebral...
ARMY | BCMR | CY2008 | 20080008519
Army Regulation 635-40 establishes the Army Physical Disability Evaluation System (PDES) and sets forth policies, responsibilities, and procedures that apply in determining whether a Soldier is unfit because of physical disability to reasonably perform the duties of his or her office, grade, rank, or rating. The evidence of record confirms that a PEB, after examining all the medical evidence, determined the applicant was unfit for further service based on his back pain, chronic neck pain,...
ARMY | BCMR | CY2008 | 20080016168
The Agencys Legal Advisor notes that they were both rated under the USAPDAs pain policy, as there was no direct VA rating code for joint pain. The evidence of record shows that on 22 October 2007 an informal PEB found the applicants chronic pain, left knee and right shoulder, and bilateral plantar fasciitis as not meeting medical retention standards. Since there is no evidence of record to show that the applicant's medical conditions in question at the time were found medically...
ARMY | BCMR | CY2013 | 20130019039
The applicant states after he had been discharged, the Army changed his medical evaluation board (MEB) diagnosis to show post-traumatic stress disorder (PTSD). PTSD is a non-retainable medical condition. The MEB recommended the applicant's referral to a physical evaluation board (PEB).
ARMY | BCMR | CY2013 | 20130019015
The applicant submits a Medical Evaluation Board (MEB) Psychiatric Addendum. The MEB recommended the applicant's referral to a physical evaluation board (PEB). As a result, the Board recommends that all Department of the Army records of the individual concerned be corrected by: a. deletion of "Anxiety Disorder, meets retention standards" and adding "PTSD, chronic, fails retention standards"; b. showing, in addition to his right knee degenerative arthritis rated at 10%, a determination of...
ARMY | BCMR | CY2011 | 20110006083
Counsel states: * the applicant suffered from PTSD during his military service * the applicant's disability should have been referred to the Physical Disability Evaluation System (PDES) * a medical evaluation board (MEB)/physical evaluation board (PEB) would have found him unfit due to PTSD * he would have received a disability rating of 50 percent * the applicant fought as an infantryman in Afghanistan * on 10 September 2005, the applicant's platoon was attacked by rocket-propelled grenades...
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...