DEPARTMENT OF HOMELAND SECURITY
BOARD FOR CORRECTION OF MILITARY RECORDS
Application for the Correction of
the Coast Guard Record of:
BCMR Docket No. 2004-088
FINAL DECISION
Author: Ulmer, D.
This proceeding was conducted according to the provisions of section 1552 of
title 10 and section 425 of title 14 of the United States Code. The application was
docketed on April 1, 2004, upon receipt of the applicant’s completed application and
military records.
members who were designated to serve as the Board in this case.
This final decision, dated June 30, 2005, is signed by the three duly appointed
APPLICANT’S REQUEST AND ALLEGATIONS
The applicant initially asked the Board to correct his military record by
upgrading his RE-4 (not eligible to reenlist) reenlistment code to an RE-3 (eligible to
reenlist except for disqualifying factor: physical disability) so that he could reenter the
service. The applicant's most recent reenlistment occurred on January 13, 2001, for a
four-year term. He was discharged from the Coast Guard on January 14, 2003, by
reason of physical disability due to Crohn's disease rated as 10 percent disabling, for
which he received severance pay. He was given a JFL (physical disability) separation
code and an RE-4 reenlistment code. At the time of his discharge he had served a total
of five years, eleven months, and twenty days on active duty.
The applicant alleged that he was erroneously diagnosed and separated from the
Coast Guard for having Crohn's disease, which was later determined by the
Department of Veterans Affairs (DVA) to be a bacterial infection. In support of his
contention, he submitted an August 21, 2003, letter from a DVA gastroenterologist who
wrote that based upon his examination and diagnostic testing, the applicant did not
suffer from Crohn's disease. The letter reads as follows:
[The applicant] was seen in our GI Clinic for evaluation of a previous
diagnosis of Crohn's disease.
A colonoscopy with ileoscopy was
performed with random biopsies taken throughout the colon. The
examination and biopsies were all normal without evidence of Crohn's.
An extensive laboratory evaluation was also normal. A small bowel
follow through was also normal. His complete absence of symptoms is
also not characteristic of Crohn's. I can find no evidence at this time that
he has Crohn's disease. His initial symptoms may well have been due to a
self-limited infectious colitis that resolved. Unless symptoms recur, I
would not recommend any further diagnostic evaluation and feel the
patient can return to full, unrestricted duties.
SUMMARY OF PHYSICAL DISABILIY EVALUATION SYSTEM (PDES)
PROCEEDINGS
On November 21, 2001, while on active duty, the applicant was evaluated by
gastroenterology medical personnel and diagnosed as having Crohn's disease, an
inflammatory disease of the gastrointestinal tract. The medical report described the
applicant's condition as mild with minimal interference of his daily activities. The
report stated that it was not possible to predict how the disease would affect the
applicant in the future, but it would be beneficial to the applicant if he were assigned to
shore-based commands to be near specialized medical care should the need arise. The
report stated that the cause of Crohn's disease is unknown and that the clinical course is
different for every patient. "Some patients have very mild disease while others have
disease that is so severe that surgery is required. Other patients experience alternating
periods of remission and active disease."
On July 10, 2002, a medical board1 (MB) was convened to evaluate the applicant's
physical condition. The MB diagnosed the applicant as suffering from "Inflammatory
Bowel (Crohn's) Disease, Inflammatory Proctitis, and Intermittent Anemia." The MB
report stated that the applicant was well until approximately January 2000 when he
began to complain regularly of recurrent bloating, cramping and diarrhea. The MB
stated that the applicant's symptoms ranged from incapacitating to minimal over a
period of one to two years, with the applicant reporting that he had three to eight stools
per day.
1 The purpose of a Medical Board is to evaluate and report upon the present state of health of any ember
who may be referred tot he medical board by an authorized convening authority and provide a
recommendation as to whether the member is medically fit for the duties of his or her office, grade, rank,
or rating. See Chapter 3.A. of the Physical Disability Evaluation System Manual (COMDTINST
M1850.2C).
The MB noted that the x-ray studies were normal, but the diagnosis was
confirmed by UGI showing mild nodularity of the terminal ileum and ileocecal junction
and colonoscopic biopsies by local and military treatment facility gastroenterologists.
The applicant was treated with medication over a one-year period with a moderate to
good response (with stools less than three per day). The MB offered the following
prognosis:
The prognosis for this patient is guarded but his response to therapy is
encouraging. It is unlikely that this member will soon be fit for
worldwide deployments as a member of a ship's crew, but sea
duty/training close to a tertiary care center would be appropriate. The
patient may completely respond to therapy over the next one-two years,
but will be at risk for symptom recurrence indefinitely and must remain
near (within 1-2 hr) [of] a tertiary care MTF [medical treatment facility]
during this period.
It is the opinion of the board that the aforementioned diagnoses and
present objective findings are correct and that the patient has recovered
his ability to function as a BM1 petty officer. The member does not have a
physical impairment that precludes performing the duties of his grade
and rate.
The prognosis for this patient remains guarded while he resumes full
activity afloat and remains on maintenance medication. The patient
should respond to therapy over the next months-years.
The applicant was notified that the MB had recommended a finding of fit for
limited duty for a continuous period with the limitation that he "must remain near
(within 1-2hr) [of] a tertiary care MTF."
On August 1, 2002, in separate letters the applicant requested to be retained on
active duty and he rebutted the medical board. In his rebuttal, the applicant stated that
he had five years and six months of service. He further stated the following with
respect to the MB:
The [MB] narrative states that I remain within 1-2 hours of a tertiary care
medical treatment facility, but then goes on to say that I have recovered
my ability to function as a BM1 Petty Officer. It then goes on to say that I
will resume full activity afloat. This is contradicting because in order for
me to stay within 1-2 hours of a medical treatment facility I cannot resume
full activity afloat. I plan to retire from the Coast guard and want to
advance to the highest rank possible. In order to do that and broaden my
career I need sea time. I was diagnosed with Crohn's disease over l year
ago. I have responded well to the medication. I ask that the
recommendation to stay within 1-2 hours of a medical treatment facility
be changed to 8-10 hours so that I will be able to get under way on a
cutter.
In commenting on the applicant's rebuttal, the applicant's officer-in-charge noted
that the applicant's performance had been superb since the Crohn's disease diagnosis.
He agreed that the applicant was not fit for worldwide assignment or assignment to
larger cutters, but recommended that the applicant be assigned to moderate sized
cutters because they operated closer to shore. He also recommended that the MFT
arrival time be increased to 8-10 hours rather than the 1-2 hours recommended by the
MB.
The commanding officer (CO) for the group to which the applicant's unit
belonged stated in a letter dated October 1, 2002, that the applicant was performing his
duties at a high level with no loss of productivity. He concurred with the findings of
the IMB and requested the Central Physical Evaluation Board2 (CPEB) review the
applicant's case.
The CPEB met on October 22, 2002, and determined that the applicant was unfit
to perform "regular or customary assigned duties." The CPEB recommended that the
applicant be separated from the Coast Guard with severance pay, due to a 10%
disability rating for "Crohn's Disease Analogous[3 ] to Colitis, Ulcerative: Moderate."
recommended disposition and waived his right to a formal hearing.
On November 20, 2002, the proceedings were reviewed by the Chief Counsel
(now known as the JAG) and found to be correct and supported by the evidence of
record.
On November 18, 2002, the applicant accepted the CPEB's tentative findings and
2 The Central Physical Evaluation Board is a permanently established administrative body convened to
evaluated on a records basis the fitness for duty of active and reserve members and the fitness for duty of
members on the temporary disability retired list. See Chapter 4.A.1. of the Physical Disability Evaluation
System Manual (COMDTINST M1850.2C).
3 Rating by analogy is the process in which a disability that is not listed on the Veterans Affairs Schedule
for Rating Disabilities (VASRD) is rated using a disability from the VASRD with similar functional
impairments. See Chapter 9.A.7. of the Physical Disability Evaluation System Manual (COMDTINST
M1850.2C).
On November 22, 2002, the Deputy Commander (for the Commandant) ordered
the applicant to be separated from the Coast Guard with severance pay due to a
physical disability.
VIEWS OF THE COAST GUARD
The Judge Advocate General (JAG) in an advisory opinion dated April 29, 2004,
stated that it had administratively corrected the applicant's DD Form 214, through the
issuance of a DD Form 215, to show his reenlistment code as RE-3P (physical disability).
The Judge Advocate General (known then as the Chief Counsel) recommended that the
Board administratively close the applicant's case because the Coast Guard had
administratively granted the relief requested by the applicant.
APPLICANT RESPONSE TO THE VIEWS OF THE COAST GUARD
On May 3, 2004, the Chair sent the Coast Guard's advisory opinion to the
applicant for his review and response. On June 18, 2004, the Board received the
applicant's response to the advisory opinion. He stated the following:
I feel that the Coast Guard has misunderstood my request to change my
reenlistment code. After 6 years of service I was forced to leave due to
Crohn's Disease. After my discharge, the VA determined that I did not
have this disease. The Coast Guard misdiagnosed my case and my DD-
214 should reflect this. I request that my RE code be changed to an RE-1
and that the reason for my separation be that my time in service was
completed.
On July 12, 2004, the applicant informed the Board that he was attempting to
obtain a waiver for enlistment from the Navy with his RE-3P reenlistment code. He
requested that his application be placed on hold until the outcome of his waiver
request.
On October 29, 2004, the applicant advised the Board that the Navy had denied
his request for a waiver and that he wanted to continue with the processing of his
request to have his RE-3P reenlistment code changed to an RE-1 (eligible for
reenlistment).
On November 4, 2004, the Board requested that the Coast Guard issue a
supplemental advisory opinion on the applicant's request to change his reenlistment
code from RE-3P to RE-1.
SUPPLEMENATAL VIEWS OF THE COAST GUARD
On January 3, 2005, the Judge Advocate General (JAG) of the Coast Guard
submitted a supplemental advisory opinion recommending that the Board deny the
applicant’s request to have the RE-3P reenlistment code changed to RE-1 and the reason
for his discharge changed to expiration of enlistment.
The JAG stated that the Coast Guard had changed the applicant's reenlistment
code to RE-3P as he requested in his initial application. With respect to the applicant's
subsequent request to have the RE-3P changed to RE-1, the JAG stated that the
applicant was properly processed through the PDES and that he was afforded his full
due process rights before his separation with severance pay. He further stated the
following:
The evidence submitted by Applicant consists of a single one-paragraph
letter signed by a gastroenterologist employed by the VA. In essence, that
letter states that applicant currently shows no evidence of having Crohn's
disease and that Applicant's complete absence of symptoms is not
characteristic of Crohn's disease. The letter goes on to theorize about what
might have been happening at the time of Applicant's separation and
offers an opinion that Applicant could return to unrestricted duty.
Although this evidence should assist Applicant in convincing a recruiter
that the medical condition flagged by his current RE-3 code has been
resolved, it is simply not persuasive evidence that the Coast Guard erred
in separating Applicant, with Applicant's concurrence, at the time it did
so. There are alternate explanations regarding Applicant's current lack of
symptoms, including an uncharacteristic case of Crohn's disease. It is also
beyond debate that Applicant's medical condition at the time of his
separation rendered him unfit for continued service.
The JAG argued that the applicant has failed to carry his burden of production
and persuasion and should have his claim denied for lack of proof and merit. The JAG
further stated that the relief already granted by the Coast Guard affords the applicant
the opportunity to demonstrate that his medical issues are sufficiently resolved to allow
him to resume his service in the armed forces and is the only relief warranted in this
case.
APPLICANT’S RESPONSE TO THE SUPPLEMENATAL VIEWS OF THE
COAST GUARD
On January 4, 2004, the BCMR sent the applicant a copy of the supplemental
views of the Coast Guard and invited him to respond. The Board did not receive a
response from the applicant to the supplemental views of the Coast Guard.
APPLICABLE LAW
Disability Statutes
Title 10 U.S.C. § 1201 provides that a member who is found to be “unfit to per-
form the duties of the member’s office, grade, rank, or rating because of physical dis-
ability incurred while entitled to basic pay” may be retired if the disability is (1) perma-
nent and stable, (2) not a result of misconduct, and (3) for members with less than 20
years of service, “at least 30 percent under the standard schedule of rating disabilities in
use by the Department of Veterans Affairs at the time of the determination.” Title 10
U.S.C. § 1203 provides that such a member whose disability is rated at only 10 or 20
percent under the VASRD shall be discharged with severance pay. Title 10 U.S.C.
§ 1214 states that “[n]o member of the armed forces may be retired or separated for
physical disability without a full and fair hearing if he demands it.”
Physical Disability Evaluation System (PDES) Manual (COMDTINST M1850.2C)
Article 2.B.c.2. states that the sole standard in making determinations of physical
disability as a basis for retirement or separation shall be unfitness to perform the duties
of office, grade, rank or rating because of disease or injury incurred or aggravated
through military service. Each case is to be considered by relating the nature and
degree of physical disability of the evaluee concerned to the requirements and duties
that a member may reasonably be expected to perform in his or her office, grade, rank
or rating.
Article 3.F.9.(13) of the Medical Manual lists ulcerative colitis as a disqualifying
Medical Manual (COMDTINST M6000.1B)
condition for retention.
Separation Program Designator Handbook
The Separation Program Designator Handbook authorizes the assignment of an
RE-3P reenlistment code with the JFL separation code for an involuntary discharge
resulting from physical disability with entitlement to severance pay.
FINDINGS AND CONCLUSIONS
The Board makes the following findings and conclusions on the basis of the
applicant's military record and submissions, the Coast Guard's submissions, and
applicable law:
1.The Board has jurisdiction concerning this matter pursuant to section 1552 of
title 10 of the United States Code. The application was timely.
2. The applicant first asked the Board to upgrade his RE-4 reenlistment code to
an RE-3. The Coast Guard, in the advisory opinion, acknowledged that the RE-4
reenlistment code was erroneous and stated that it had administratively corrected the
applicant's record to show RE-3P as the applicant's reenlistment code. After receiving
the advisory opinion and the DD Form 215 correcting the reenlistment code, the
applicant amended his application to request an upgrade in the RE-3P reenlistment
code and a change in the reason for his discharge. Therefore, the issue before the Board
is whether the applicant's RE-3P reenlistment code should be upgraded to RE-1 and
whether the reason for his discharge should be changed from physical disability to
expiration of enlistment.
3. This relief can be granted only if the applicant proves by a preponderance of
the evidence that he did not suffer from a physical disability at the time of his
separation from the Coast Guard. The evidence submitted by the applicant is
insufficient to persuade the Board that the RE-3P reenlistment code and the discharge
by reason of physical disability are in error or unjust. The letter from the DVA
gastroenterologist is the only evidence offered by the applicant to prove his contention
that he did not suffer with Crohn's disease at the time of his discharge. The DVA doctor
offered his opinion that based upon his examination of the applicant and the negative
colonoscopy and ileoscopy test results he could find no evidence that the applicant
suffered from Crohn's disease. Although he suggested another reason for the
applicant's symptoms while on active duty, he never expressly stated that the Coast
Guard's diagnosis of Crohn's disease was wrong.
4. The DVA doctor's letter at first glance appears to favor the applicant's
contention, but upon closer review the Board finds it to be consistent with the 2001
medical report from the Coast Guard gastroenterologist and 2002 MB. Approximately
two years earlier (2001), the Coast Guard gastroenterologist noted that the symptoms of
Crohn's disease range from mild to severe and for some individuals there could be
alternating periods of remission and active disease. He further noted that he could not
predict how the disease would affect the applicant in the future. Accordingly, the Coast
Guard physician was aware of the possibility that the applicant could have periods
when he would be free of Crohn's disease symptoms, but still recommended that the
applicant receive only shore assignments so that he would always be near a medical
treatment facility should he have a recurrence of symptoms.
5. In addition, the 2002 MB acknowledged in its findings that the applicant had
gotten good results with medication therapy and stated that "[t]he [applicant] may
completely respond to therapy over the next one-two years, but will be at risk for
symptom recurrence indefinitely and must remain near . . . a . . . MTF during this
period." Coast Guard medical personnel considered the possibility that the applicant
could experience the absence of symptoms going forward but noted that he would
always be subject to a recurrence of symptoms and therefore could only be assigned to
commands within one to two hours of a medical treatment facility. The DVA doctor's
letter is consistent with the findings and prognosis of Coast Guard personnel and it
establishes only that in 2003, the applicant was free of Crohn's disease symptoms.
Therefore, the Board finds insufficient evidence in the record to prove that the Coast
Guard committed an error by diagnosing the applicant with Crohn's disease.
6. Neither does the Board find an error or injustice with respect to the PDES
proceedings. The MB determined that the applicant was not fit for worldwide
deployments and placed him on continuous limited duty with the requirement that he
be within one to two hours of a medical treatment facility. The applicant's officer-in-
charge agreed that the applicant was not fit for assignments to large cutters and the
applicant acknowledged in his rebuttal that in order to advance in rank he needed to be
able to perform sea duty. Therefore, the CPEB determination that the applicant was
not fit to perform the duties of his office, grade, or rate was appropriate. The applicant
accepted the CPEB findings and waived his right to a Formal Disability Evaluation
Board, where he could have had a hearing, if he believed his diagnosis was erroneous.
7. Accordingly, the applicant has failed to establish an error or injustice with
respect to his RE-3P reenlistment code or the reason for his discharge. The Coast Guard
administratively corrected the applicant's record to grant the RE-3P reenlistment code
after the applicant filed his request for a correction to his record. He has not proven
that he is entitled to anything more.
[ORDER AND SIGNATURES ON FOLLOWING PAGE]
The application of _______________ USCG, for correction of his military record
ORDER
is hereby denied.
Bruce D. Burkley
Raghav Kotval
Kevin M. Walker
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