DEPARTMENT OF HOMELAND SECURITY
BOARD FOR CORRECTION OF MILITARY RECORDS
Application for the Correction of
the Coast Guard Record of:
BCMR Docket No. 2007-117
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FINAL DECISION
This is a proceeding under the provisions of section 1552 of title 10 and section 425 of
title 14 of the United States Code. The Chair docketed the case on March 23, 2007, upon receipt
of the completed application, and assigned it to staff member J. Andrews to prepare the decision
for the Board as required by 33 C.F.R. § 52.61(c).
appointed members who were designated to serve as the Board in this case.
This final decision, dated December 19, 2007, is approved and signed by the three duly
APPLICANT’S REQUEST AND ALLEGATIONS
The applicant, who retired from the Coast Guard on December 31, 1983, as a senior chief
petty officer, asked the Board to correct his Coast Guard military record to show that his cervical
arthritis and tinnitus are combat related, which would entitle him to Combat Related Special
Compensation (CRSC).1 The applicant alleged that he incurred a back injury while serving as a
flight mechanic in the Air Force in Vietnam from 1965 to 1969 and that the back injury was the
cause of his current cervical arthritis at C-6/7. He further alleged that his tinnitus was caused by
the excessive noise he endured while performing in-flight and ground duties around combat vehi-
cles in Vietnam. The Department of Veterans’ Affairs (DVA) has found both conditions to be ser-
vice connected.
In support of his allegations, the applicant submitted a copy of his CRSC application
form, on which he wrote that in September 1968 “[w]hile performing pre-flight of C-130 Aircraft
[for the Air Force in Vietnam, he] slipped and fell on wet surface from top of aircraft into the
flight deck, catching [him]self with [his] right arm resulting in injury to C-6/7 vertebrae.” He
also wrote that from 1965 to 1969, “[n]umerous hours of flying as flight mechanic on C-130 air-
1 CRSC allows military retirees to receive both retired pay and disability compensation if they are in receipt of
retired pay based on at least 20 years of service and have a compensable service-connected, “combat-related”
disability. Under 10 U.S.C. § 1413a(f), a “combat-related” disability “(1) is attributable to an injury for which the
member was awarded the Purple Heart; or (2) was incurred (as determined under the criteria prescribed by the
Secretary of Defense)--(A) as a direct result of armed conflict; (B) while engaged in hazardous service; (C) in the
performance of duty under conditions simulating war; or (D) through an instrumentality of war.”
craft and related flight excess noise led to the onset of tinnitus.” In addition, the applicant
applied for CRSC based upon his diabetes mellitus, which he alleged was caused by exposure to
Agent Orange in Vietnam; and upon diabetes-related peripheral neuropathy in his arms and legs.
VIEWS OF THE COAST GUARD
On August 23, 2007, the Board received an advisory opinion on the case from the Judge
Advocate General (JAG). He stated that the Coast Guard Personnel Command (CGPC) has
determined that the applicant’s diabetes, peripheral neuropathy, and tinnitus are combat related
and has already granted the requested relief with respect to those disabilities. He recommended
that the Board grant no further relief because there is no evidence in the record before the Board
that the applicant’s cervical arthritis is combat related. The JAG adopted the findings and analy-
sis of the case provided in a memorandum prepared by CGPC.
CGPC stated that after serving in the Air Force from March 22, 1963, to May 24, 1971,
the applicant served in the Coast Guard from June 28, 1971, until his retirement on January 1,
1984. Regarding the applicant’s claim that his cervical arthritis is combat related, CGPC stated
that the applicant’s alleged mishap in September 1968 is not documented in sufficient detail in
his Coast Guard medical records and that
[t]here is no objective medical evidence (i.e. entry in the medical record, etc.) in [the applicant’s]
record that shows this disability occurred as a direct result of a combat related circumstance. We
recommend [that the applicant] submit documentation that clearly shows the injuries happened as a
result of combat-related activity. In particular, [he] should request reports (i.e., injury, medical,
mishap, etc.) from the Air Force during which the incident may have occurred.
CGPC attached to its memorandum a copy of a letter to the applicant dated April 18,
2007, which states that his diabetes, peripheral neuropathies, and tinnitus are combat related and
that he is eligible for CRSC because at least 10%2 of his combined DVA disability rating (60%)
has been determined to be combat related.
APPLICANT’S RESPONSE TO THE VIEWS OF THE COAST GUARD
and invited him to respond within thirty days. No response was received.
On August 24, 2007, the Chair sent the applicant a copy of the views of the Coast Guard
SUMMARY OF THE RECORD
A Statement of Creditable Service in the applicant’s Coast Guard records shows that he
served in the Air Force from March 22, 1963, through May 24, 1971. On April 17, 1967, the
applicant underwent an Initial Flight Physical Examination at an Air Force hospital in Japan. He
was found qualified for Flying Class III, and the only significant prior medical conditions noted
were a tonsillectomy and hernia.
2 Under 10 U.S.C. § 1413a, only “compensable” disability ratings qualify a veteran for CRSC. Therefore, the rating
applied by the DVA to the service-connected, combat-related disability must be 10% or higher to qualify a veteran
for CRSC.
On July 8, 1967, the applicant sought treatment for a laceration on his right thumb, which
required two “deep tight” stitches. No cause of the laceration is stated on the medical report.
On August 21, 1967, the applicant sought treatment for a sprained left ankle. The doctor
noted that the applicant said he had twisted his ankle when jumping off a pallet in an aircraft.
On December 19, 1967, the applicant underwent an annual flight examination at the Air
Force hospital in Japan. Aside from the laceration of his right thumb, the applicant denied “any
other significant medical or surgical history” since his prior examination.
From July 30 to August 8, 1968, the applicant received injections at the hospital in Japan
to treat “acromioclavicular bursitis” (inflammation in his shoulder).3 A doctor reported his
condition as “spasm of trapezius muscle, left, cause undetermined.”
On the Report of Medical Examination for his October 30, 1968, annual flight examina-
tion, the doctor noted that the applicant “denies all significant medical or surgical history since
last examination” and found him qualified for Flying Class III.
On March 9, 1971, the applicant underwent a pre-discharge physical examination. On his
Report of Medical History, he denied having “back trouble of any kind,” nerve pain, or any prob-
lems with his neck, arms, or hands. The past medical conditions he reported included a child-
hood tonsillectomy, a 1957 herniography, and a trauma to his right knee in 1969. A doctor noted
on March 12, 1971, that the applicant reported “trauma to [left] knee 2 [years] ago in airplane.
Still complains of pain.” On the Report of Medical Examination, the doctor wrote that the
“[p]atient denies all other medical and surgical history” and found him fit for duty or separation.
On May 11, 1971, the applicant underwent a physical examination pursuant to his appli-
cation to enlist in the Coast Guard. On his Report of Medical History, the applicant denied hav-
ing “back trouble of any kind,” nerve pain, or any problems with his neck, arms, or hands.
According to a doctor’s note, the applicant admitted that he had been injured on an aircraft at an
air base in Japan in 1969 but stated that “medical attention [was] not required.” The physician
noted that there had been “[n]o significant medical history since last physical examination.”
On June 28, 1971, the applicant enlisted in the Coast Guard. On September 3, 1971, the
applicant sought treatment for weakness and numbness in his right hand. The doctor reported
that his decrease in sensation suggested a problem at his C-6/7 disk. According to the doctor, the
applicant stated that he had undergone traction after injuring his right shoulder three years earlier
when he grasped onto the edge of a hatch as he was falling through. He had throbbing pain in
shoulder for 1 month but no pain, weakness [unreadable] of the arm or hand. He then felt well
until 5 weeks ago when he again noted dull throbbing pain in [his right] shoulder, which has per-
sisted to the present time. The pain radiates down the lateral [unreadable] of the arm to the elbow
and to the [unreadable] area. In past few days his palm and all five fingers have felt “half asleep.”
No record [of] shoulder or neck injury. … Imp[ression]: C6-7 radiculopathy—most likely due to
cervical spondylosis or soft disc. …
3 DORLAND’S ILLUSTRATED MEDICAL DICTIONARY, 25TH ED. (1974), pp. 21, 257.
From September 21 to October 12, 1971, the applicant was hospitalized at the Portsmouth
Naval Hospital because of pain and weakness in his right arm and shoulder. The doctor noted
that the applicant attributed his condition to “a fall in an airplane three years previously, but there
were no neurologic signs at that time.” The doctor reported that his
On March 25, 1975, the applicant was treated for back pain after he rolled his snow
On the Report of Medical History for his annual flight examination on December 7, 1976,
[r]eview of cervical spine films taken locally showed these also to be normal. … The patient failed
to respond to bed side cervical traction. Accordingly on 29 September 1971 a myelogram was per-
formed and this revealed a minimal defect at C6-7 which might have represented a tiny spondylitic
spur. The patient was started on vertical traction with which he improved markedly. Symptoms
disappeared, triceps strength returned and numbness abated. …
On September 1, 1972, the applicant sought issuance of various Air Force medals, includ-
ing a Vietnam Service Medal with eight bronze stars and a Republic of Vietnam Campaign
Medal. He did not request a Purple Heart. His commanding officer recommended that the
requested medals be issued because, he wrote, the applicant’s “Air Force discharge certificate
confirms that the listed medals were earned.” The applicant’s request was granted.
mobile.
the applicant reported that he had injured his neck in 1971.
On January 30, 1978, the applicant sought medical treatment for pain in his right elbow,
which radiated down to his right hand. The doctor diagnosed him with chronic tendonitis and
noted that the applicant reported having broken his neck in 1971.
In July 1980, the applicant had an x-ray of his cervical spine. The results were normal.
On September 17, 1980, a neurologist for the Coast Guard reported that the applicant had been
hospitalized in 1971 for cervical radiculopathy at C-7 following a neck injury and that occur-
rences of pain and numbness had gradually increased.
On July 14, 1983, the applicant underwent a physical examination in anticipation of his
retirement. On the Report of Medical History, the applicant noted, inter alia, that he had been
hospitalized in 1971 when he temporarily lost the use of his right arm due to branchial neuropa-
thy, which was resolved through physical therapy; that he suffered from chronic tendonitis in his
elbow; and that he had suffered hearing loss, although his audiogram was within normal limits.
On the Report of the Medical Examination prepared for the applicant’s retirement physical
examination on July 14, 1983, the doctor found that he had no disqualifying disabilities and was
fit for retirement. The applicant retired from the Coast Guard on January 1, 1984.
A DVA report dated February 24, 1986, states that the applicant attributed his “neck prob-
lem and right arm and left hand problem” to a 1968 fall inside an aircraft when he caught his
weight on his right arm.
A DVA report dated August 24, 1999, states that the applicant attributed his cervical
arthritis to a fall of “four or five feet from an airplane,” when he “caught himself with his right
hand. This was in 1967 while he was in the Air Force in Vietnam.”
A DVA report of examination dated April 27, 2002, states that the applicant claimed that
“he injured his cervical spine in 1967 when he fell into an aircraft during a pre-flight routine dur-
ing a monsoon. The patient states that he had instantaneous pain in his neck radiating to his left
arm, especially the medial aspect of the arm, including the third, fourth, and fifth digits. He was
treated with traction. He stated a myelogram done shortly after the injury showed a herniated
disk and he has some numbness and pain in his arm ever since.” The DVA examiner found that
the applicant “likely suffered a herniated C6-7 disk as the result of a fall in 1967. Over the years,
the patient’s herniated disk has likely degenerated and he has developed sponylitic changes in the
C6-7.”
DOD GUIDANCE
The Department of Defense’s “Combat-Related Special Compensation Revised Program
Guidance,” issued in January 2004, states the following regarding combat-related determinations
under the CRSC program:
Direct Result of Armed Conflict - The disability is a disease or injury incurred in the line of duty as
a result of armed conflict. The fact that a member incurred the disability during a period of war or
an area of armed conflict or while participating in combat operations is not sufficient to support a
combat-related determination. There must be a definite causal relationship between the armed
conflict and the resulting disability.
Armed conflict includes a war, expedition, occupation of an area or territory, battle skirmish, raid
invasion, rebellion, insurrection, guerilla action, riot, or any other action in which Service members
are engaged with a hostile or belligerent nation, faction, force, or terrorists.
Armed conflict may also include such situations as incidents involving a member while interned as
a prisoner of war or while detained against his or her will in custody of a hostile or belligerent
force while escaping or attempting to escape from such confinement, prisoner of war, or detained
status.
While Engaged in Hazardous Service - Such service includes, but is not limited to aerial flight,
parachute duty, demolition duty, experimental stress duty, and diving duty. A finding that a disabil-
ity is the result of such hazardous service required that the injury or disease be the direct result of
actions taken in the performance of such service. Travel to and from such service, or actions
incidental to a normal duty status not considered hazardous are not included.
In the Performance of Duty Under Conditions Simulating War - In general this covers disabilities
resulting from military training, such as war games, practice alerts, tactical exercises, airborne
operations, leadership reaction courses, grenade and live fire weapons practice, bayonet training,
hand-to-hand combat training, repelling and negotiation of combat confidence and obstacle
courses. It does not include physical training activities such as calisthenics and jogging or forma-
tion running and supervised sport activities.
Instrumentality of War - Incurrence during an actual period of war is not required. However, there
must be a direct causal relationship between the instrumentality of war and the disability. The dis-
ability must be incurred incident to a hazard or risk of the service.
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 10 U.S.C. § 1552.
As Congress enacted CRSC in 2002 and the Coast Guard only recently denied the applicant’s
request to have his cervical arthritis determined to be combat related, the application was timely.
As the Coast Guard has granted the applicant’s request that his tinnitus be found
to be combat related and denied his request for a combat-related determination only for his cervi-
cal arthritis, the latter is the only issue remaining for consideration by the Board.
Although the DVA has found the applicant’s cervical arthritis to be service-
connected given his hospitalization in September 1971, to be “combat related,” a medical condi-
tion must be “attributable to an injury for which the member was awarded the Purple Heart” or
incurred “as a direct result of armed conflict”; “while engaged in hazardous service”; “in the per-
formance of duty under conditions simulating war”; or “through an instrumentality of war.”
10 U.S.C. § 1413a(f). To prevail on his claim, the applicant must prove by a preponderance of
the evidence that his cervical arthritis is “combat related” under 10 U.S.C. § 1413a and the
guidance of the Secretary of Defense. 33 C.F.R. § 52.24(b).
2.
3.
4.
5.
6.
The applicant alleged that his cervical arthritis is the result of a fall in an aircraft
while he was performing a pre-flight check on an aircraft during the Vietnam War in the 1960s.
However, his Air Force medical records fail to support his allegation that his cervical arthritis is
combat related, as he alleged. Although the record before the Board contains many medical
records from the Air Force hospital in Japan, none of them indicate that the applicant injured his
neck during a fall in or from an aircraft. His Air Force records show that, apart from various
colds, flus, etc., the applicant was treated for a lacerated thumb on July 8, 1967; for a sprained
ankle on August 21, 1967, when he jumped off a pallet in an aircraft; and for inflammation in his
shoulder—“cause undetermined”—in late July and early August 1968.
The Board notes that after joining the Coast Guard, the applicant suffered signifi-
cant weakness and numbness in his right hand while stationed in Virginia in September 1971.
When discussing his condition, the applicant told the doctor that he had injured his shoulder fal-
ling through a hatch on an aircraft three years earlier, in 1968. The possibility of an injury to the
applicant’s cervical spine was first reported in his medical records in September 1971, when a
myelogram showed a “minimal defect at C6-7 which might have represented a tiny spondylitic
spur.” Medical reports dated December 7, 1976; January 30, 1978; and September 17, 1980,
show that the applicant reported having broken or injured his neck in 1971. However, following
his retirement, the applicant told his doctors that his problems with his right hand and arm
stemmed from a fall in an aircraft in 1967 or 1968.
In light of all the evidence of record, the Board finds that the applicant has not
proved by a preponderance of the evidence that the Coast Guard erred in finding that his cervical
arthritis is not combat related. Although his Air Force medical records are numerous and
detailed, none show that he injured his neck during a fall in an aircraft during a pre-flight check.
The first medical report of a neck injury in the record is dated September 1971, when the appli-
cant was serving in the Coast Guard in Virginia, and there is no evidence that this neck injury
was combat related. While it is possible that the applicant injured his neck while serving in the
war in 1967 or 1968, there is insufficient evidence in the record to support the allegation.
7.
Accordingly, the application should be denied because the applicant has failed to
prove by a preponderance of the evidence that he is entitled to that part of the requested relief
that the Coast Guard has denied.
[ORDER AND SIGNATURES APPEAR ON NEXT PAGE]
The application of xxxxxxxxxxxxxxxxxxxxxxxxxxxxx, USCG (retired), for correction
ORDER
Steven J. Pecinovsky
J. Carter Robertson
Richard Walter
of his military record is denied.
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