BOARD DATE: 22 January 2015
DOCKET NUMBER: AR20140010020
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 his honorable discharge be changed to a medical disability discharge.
2. The applicant states he had a heart condition before entering the Army. The Army failed to show he had a pre-existing condition upon his entry into the Army through no fault of his own. He advised the Army of the problem. In effect, it was not recorded in his records.
3. The applicant provides copies of the following:
* DD Form 214 (Report of Separation from Active Duty)
* excerpts of Army Regulation 635-40 (Physical Evaluation for Retention, Retirement, and Separation), chapter 4, dated 25 February 1975
CONSIDERATION OF EVIDENCE:
1. Title 10, U.S. Code, section 1552(b), provides that applications for correction of military records must be filed within 3 years after discovery of the alleged error or injustice. This provision of law also allows the Army Board for Correction of Military Records (ABCMR) to excuse an applicant's failure to timely file within the 3-year statute of limitations if the ABCMR determines it would be in the interest of justice to do so. While it appears the applicant did not file within the time frame provide in the statute of limitations, the ABCMR has elected to conduct a substantive review of the cases and, only to the extent relief, if any, is granted, has determined it is in the interest of justice to excuse the applicant's failure to timely file. In all other respects, there are sufficient bases to waive the statute of limitations.
2. The applicant's military records contain Standard Form (SF) 93 (Report of Medical History) and SF 88 (Report of Medical Examination), dated 25 August 1974, which show he underwent an examination for purpose of enlistment. The SF 93 indicated he had scarlet fever and tuberculosis. The SF 88 indicated he had been diagnosed with pes planus (flat foot) and he was found qualified for enlistment.
3. He enlisted in the Regular Army on 28 August 1975 for 3 years. He completed basic combat training (BCT) and advanced individual training (AIT) and was awarded military occupational specialty (MOS) 13B (field artillery crewman). He served in Korea from 19 February 1975 through 6 December 1976.
4. His records also contain the following:
a. A SF 502 (Clinical Record Narrative Summary), dated 18 November 1976, which stated he entered active duty on 28 August 1975, completed BCT without recycling and served in an Artillery unit in Korea for 9 months until he was referred to the Brooke Army Medical Center (BAMC) at Fort Sam Houston, TX, for an evaluation of a heart murmur, abnormal electrocardiogram, and episode of palpitations. He was diagnosed with a ventricular pre-excitation with recurrent supraventricular tachyarrhythmia, symptomatic, unresponsive to medical therapy, without clinical or historical evidence of organic myocardial disease. The examining doctor assessed that the applicant's heart murmur required no further follow-up, therapy, or limitation of activity. He stated that the applicant had paroxysms of supraventricular tachycardia since 15 years of age, not adequately controlled by medication. That condition existed prior to entry into the service and had not been aggravated by military service. He was unfit for further military duty under the provisions of Army Regulation 40-501 (Standards of Medical Fitness), paragraph 3-21g. His case should be referred to a Physical Evaluation Board (PEB) for disposition.
b. A SF 88, dated 15 December 1976, which shows he underwent an examination for the purpose of chronic illness ventricular pre-excitation and was found to be medically disqualified.
c. A Medical Evaluation Board (MEB) Proceedings, dated 15 December 1976, which shows an MEB convened and considered his condition of ventricular pre-excitation, existing prior to service (EPTS). The MEB found he was medically unfit and referred him to a PEB. The applicant stated he did not desire to continue on active duty. The MEB was approved on 3 January 1977.
d. An Appeal to MEB Proceedings, dated 3 January 1977, wherein he elected to appeal the MEB based on the following:
(1) Prior to entering into the service he worked as a bus boy in various cafeterias, packed groceries for stores, drove a truck, and operated a forklift without suffering chest pain, dizziness, or any type of exertion. He considered those jobs as strenuous physical labor.
(2) He underwent his induction physical and passed that examination without any difficulty and was not advised by the doctor that he had a heart murmur. He completed BCT and AIT without any medical problems and was not seen in a dispensary for chest pain, shortness of breath, or fatigue while completing those courses.
(3) He first noticed chest pain while stationed in Korea where they had a mandatory physical fitness program which required him to run 3 miles a day. After a month of that strenuous physical fitness program he began to notice fatigue, chest pain, and dizziness. He felt his condition was becoming worse as he had 3 very fast heart beats, experienced dizziness, and felt very weak while relaxing at home during the holidays. He requested consideration of the service aggravation.
e. A DA Form 199 (PEB Proceedings) which shows:
(1) An informal PEB convened on 5 January 1977 and considered his medical condition of ventricular pre-excitation. The PEB determined that the applicant had a disorder of heart rhythm which precluded continued, heavy exertion and, therefore, rendered him unfit. The condition was present since age 15 and there was no evidence for service aggravation. Any worsening of his condition was attributable to natural progression of the disease. The PEB recommended his separation from military service without entitlement to disability benefits.
(2) On 6 January 1977, he stated he did not concur with the findings and recommendations of the PEB and requested a formal hearing.
f. A DA Form 199, dated 3 February 1977, which shows after consideration of all testimony offered by counsel and the applicant and the medical evidence presented the PEB found that the applicant was physically unfit to perform the duties of his grade by reason of physical disability which was EPTS and which had not been permanently aggravated by service. The PEB reaffirmed its original findings and recommended he be separated without entitlement to disability benefits therefrom.
g. A Proceedings of Formal PEB memorandum, dated 3 February 1977, which shows:
(1) The applicant was provided a copy of the proceedings and his reply was requested within 3 days.
(2) On 3 February 1977, he stated that he did not agree with the recommendation and requested his counsel to submit a rebuttal letter.
(3) On 9 February 1977, the applicant's counsel acknowledged the applicant's request and stated that he did not have any additional evidence to present to the board, but requested the board again review his argument submitted in the transcript.
h. A Separation for Physical Disability letter, dated 3 March 1977, wherein the Chief, Disability Section, Retirement Branch, U.S. Army Military Personnel Center, directed the applicant's separation.
i. Orders Number 44-14, issued by the BAMC on 4 March 1977, honorably discharging him effective 9 March 1977, under the provisions of Army Regulation 635-200, paragraph 4-19e(4), by reason of physical disability without severance pay. He was credited with completing 1 year, 6 months, and 12 days of active service.
5. Army Regulation 635-40, in effect at the time, set forth policies, responsibilities, and procedures that apply in determining whether a Soldier was unfit because of physical disability to reasonably perform the duties of his or her office, grade, rank, or rating. Paragraph 4-19e(4) of the regulation stated that based upon review and finding of the PEB final action would be taken to direct separation for physical disability without severance pay.
DISCUSSION AND CONCLUSIONS:
1. The evidence shows the applicant enlisted in the Regular Army on 28 August 1975. There is no mention of a heart condition on his SF 93. He completed BCT and AIT for MOS 13B.
2. While serving in Korea he was referred to the BAMC for an evaluation of a heart murmur, abnormal electrocardiogram, and episode of palpitations. He was diagnosed with a ventricular pre-excitation with recurrent supraventricular tachyarrhythmia, symptomatic, unresponsive to medical therapy, without clinical or historical evidence of organic myocardial disease. The examining doctor stated that the applicant had the condition since 15 years of age and it was not adequately controlled by medication. That condition existed prior to entry into the service and had not been aggravated by military service. He referred the applicant to a PEB for disposition.
3. He underwent an MEB and informal PEB and was found medically unfit. The PEB determined that any worsening of his condition was attributable to natural progression of the disease. He did not concur with the PEB's findings and recommendations and elected a formal hearing. On 3 February 1977, a formal PEB reaffirmed its original findings and recommended he be separated without entitlement to disability benefits therefrom. He was discharged accordingly on 9 March 1977.
4. There is no evidence of record and he provided none showing his medical condition was aggravated by military service. Unfortunately, the natural progression of a disease he had since 15 years of age disqualified him from further military service. His records were clearly documented with the onset of his condition during his period of service and shows he received appropriate medical treatment and evaluations.
5. Without evidence to the contrary, his administrative separation was accomplished in compliance with applicable regulations with no procedural errors, which would tend to jeopardize his rights. He was properly discharged in accordance with pertinent regulations with due process. Therefore, he is not entitled to a medical disability discharge.
BOARD VOTE:
________ ________ ________ GRANT FULL RELIEF
________ ________ ________ GRANT PARTIAL RELIEF
________ ________ ________ GRANT FORMAL HEARING
___x_____ __x______ __x___ DENY APPLICATION
BOARD DETERMINATION/RECOMMENDATION:
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.
_______ _ 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) AR20140010020
3
ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
1
ABCMR Record of Proceedings (cont) AR20140010020
2
ARMY BOARD FOR CORRECTION OF MILITARY RECORDS
RECORD OF PROCEEDINGS
1
AF | PDBR | CY2009 | PD2009-00624
It was the opinion of the MEB that the CI, because of his physical limitations, would be unable to fulfill his duties as an active duty Marine and his case was referred to the PEB for final disposition. The VA C&P examination on 8 April 2009, one month after separation, noted that he was taking medication with no episodes of atrial fibrillation since separation; however, he had not performed any heavy exertional activities due to the order from his Cardiologists to not exercise due to the...
AF | PDBR | CY2012 | PD2012 00613
SEPARATION DATE: 20030522 The aortic insufficiency (AS) with chest pain syndromewas forwarded to the Physical Evaluation Board (PEB) IAW AR 40-501 and no other conditions were submitted by the MEB.The PEB adjudicated the heart condition as unfitting, rated 10%, with application of the VASRD.The CI made no appeals, and was medically separatedwith thatdisability rating. Providing orders showing that the individual was retired with permanent disability effective the date of the original...
AF | PDBR | CY2012 | PD2012 01663
Her condition was determined to be stable and heart function was within normal limits. There was no cardiac hypertrophy by direct measurement on the last echocardiogram prior to separation and the ejection fraction was within normal limits. SUBJECT: Department of Defense Physical Disability Board of Review Recommendation for AR20130010959 (PD201201663)I have reviewed the enclosed Department of Defense Physical Disability Board of Review (DoD PDBR) recommendation and record of proceedings...
AF | PDBR | CY2009 | PD2009-00057
CI CONTENTIONS : The CI contends that neither the PEB nor the VA rating is fair. All Holter rhythm recordings and multiple EKG’s in evidence were reviewed, and it was concluded that no additional undocumented arrhythmias are demonstrable. Specifically investigated was an ER encounter during the MEB period which resulted from exertional symptoms that may have been caused by an additional episode of SVT.
AF | PDBR | CY2009 | PD2009-00383
Despite normal tests, the CI continued to have symptoms and the Cardiologist opined his chest pain and palpitations were not cardiac conditions. The CI’s symptoms of chest pain and palpitations did not result from a cardiac condition. No VASRD code for non-cardiac chest pain and palpitations exists and the CI’s disability must be rated analogously.
AF | PDBR | CY2011 | PD2011-00927
The PEB adjudicated the history of chest pain with EKG evidence of a septal infarct and sinus arrhythmia condition and the asthma condition as unfitting, rated 0% and 0% respectively, with likely application of DoDI 1332.39 and the Veterans Administration Schedule for Rating Disabilities (VASRD). The VA coded the CI’s combined respiratory conditions (asthma and OSA) as 6602-6847 at 50% IAW VASRD §4.96 (a) and stated “The law requires when certain respiratory conditions coexist, a single...
AF | PDBR | CY2012 | PD 2012 00400
The contended conditions adjudicated as not unfitting by the PEB were hyperlipidemia, hypertension, sleep apnea and anxiety NOS (PTSD). The Board noted that the anxiety NOS (PTSD) condition continued to improve by evidence of better sleep with treatment from May 2008 until separation according to the record. RECOMMENDATION: The Board, therefore, recommends that there be no recharacterization of the CIs disability and separation determination, as follows: UNFITTING CONDITION VASRD...
AF | PDBR | CY2012 | PD2012 00861
RATING COMPARISON : Army PEB – dated 20020123VA* – (4 yearsPost-Separation)ConditionCodeRatingConditionCodeRatingExam Symptomatic Palpitations7099-70100%W-P-W Syndrome70100%20060915HypertensionNot UnfittingHypertension710110%20060915DeconditioningNot UnfittingNo VA Entry20060915No Additional MEB/PEB EntriesOther x 620060915 Combined: 0%Combined: 10% * Derived from VA Rating Decision (VARD)dated 20060929(the original VARD was not in evidence) ANALYSIS SUMMARY :IAW DoDI 6040.44, the Board’s...
AF | PDBR | CY2010 | PD2010-00979
BAV and chest pain (exertion related) were the only conditions on the MEB’s submission to the Physical Evaluation Board (PEB). The CI made no appeals and was medically separated with a 10% disability rating. I have reviewed the subject case pursuant to reference (a) and, for the reasons set forth in reference (b), approve the recommendation of the Physical Disability Board of Review Mr. XXXX’s records not be corrected to reflect a change in either his characterization of separation or in...
ARMY | BCMR | CY2009 | 20090017820
The applicant requests that his records be changed to show he was discharged for a service-incurred medical condition. The applicant states he was diagnosed as having a heart condition while in AIT but none of his preinduction physicals had found any medical problems. In order to be granted a medical retirement the condition has to be shown to have had its onset on active duty and as a result of his military service.