1st meeting with peblo_allready problems

So, after 4-5 months after beign referred to MEB I finally get my first appt with peblo.

Long story short My PCM only referred 1 condition-the right hip replacement. I know there is a reg around somewhere that says all conditions that are potentially unfitting should be referred especially if they are in the list. Shrug, tired of incompetance of medical staff.
 
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TSgt Twitch said:
So, after 4-5 months after beign referred to MEB I finally get my first appt with peblo.

Long story short My PCM only referred 1 condition-the right hip replacement. I know there is a reg around somewhere that says all conditions that are potentially unfitting should be referred especially if they are in the list. Shrug, tired of incompetance of medical staff.
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Wow - that's ridiculous!

Here are some regs to study up on:
AFI 48-123
DoDI 1332.38
AFI 10-203
AFI 36-3212

Please don't be discouraged. Even though you are being referred for only one condition, the IPEB will look at all your conditions. Plus, since you're in the beginning stages, you have a lot of appeals along the way. PM me if you need to vent and/or have any questions. Good luck!

- Kim
 
Kim76 said:
Wow - that's ridiculous!

Here are some regs to study up on:
AFI 48-123
DoDI 1332.38
AFI 10-203
AFI 36-3212

Please don't be discouraged. Even though you are being referred for only one condition, the IPEB will look at all your conditions. Plus, since you're in the beginning stages, you have a lot of appeals along the way. PM me if you need to vent and/or have any questions. Good luck!

- Kim
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Not worried in the slightest about things not being looked at, concerned about them being cat 1 and DoD rated, fairly certain my VA rating will be higher regardless, BUT makign sure the DoD is as high as possible is very important due to Possible VA fluctuations.
 
I definitely understand, that's why I fought so hard to get my PTSD added as a Cat I condition. I'm pretty sure the PEBLOs thought I was crazy for not accepting my initial rating but I was not about to settle. Did your PEBLO give you an example of a letter of exception/rebuttal to submit to the PEB?
 
Kim76 said:
I definitely understand, that's why I fought so hard to get my PTSD added as a Cat I condition. I'm pretty sure the PEBLOs thought I was crazy for not accepting my initial rating but I was not about to settle. Did your PEBLO give you an example of a letter of exception/rebuttal to submit to the PEB?
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Yup, I have philip, he is pretty good from what I have been told-hopefully I get billy for the MSC although i have not heard anything bad about lisa. Now im just going through my records with a fine tooth comb, and starting a headache log, I know you got headaches rated-do you happen to have an example of your log you used?

Now to play the guessing game of what they will find vs what I find-seeing my hip pain history go back 8+years and back pain go back 9+ years is really confusing to me, as now I know a lot more about the MEB/PEB I see that at several times I should/could have been referred and I will always have to ask myself, if they had referred/properly diagnosed/followed up at that time, would it have gotten to the point I am at now.
 
Nice! Phil was my PEBLO as well, although Bob helped me at my first appt. Billy was the only MSC when I went through. Going through your records is a wonderful idea. At this point, you can request an Impartial Review and you can write a letter of exception.

As for my headaches, I did not keep a headache log. At my QTC appts, I let the doctor know how many occurrences, severity, and how long the headaches last. For example, I get severe headaches about once a month that last approximately 2 days - I can barely function when I get them. I get less severe headaches maybe three times a week. My headaches could be attributed to cervicalgia and teeth grinding. Keeping a headache log is a great idea. Unfortunately, I didn't know to do that.

Yeah, you gotta love some of the Tinker docs. I'm sure you would've been much better off if they hadn't ignored your problems. I had one doc tell me that I just needed to get shoe inserts, turns out I needed surgery. Also, my med board started a year after it should have.

I'm just happy that you found this site well before your MEB started. If you ever need examples for rebuttals, just let me know.
 
Ok, after talking with my PCM, who is a wonderful lady i might add- She submitted everything as a condition-the secretary on that side changed it to the single condtion, My PCM told me to ask billy what needed to be done to make sure it was right and she would do it.
( let me add that she also willingly without question filled out my SSDI paperwork previously etc. I vent a lot and there is a lot wrong with all these processes, but sometimes we do have people doing it right even if slow and it gets fubared in the interest of time lines that have all ready been blown.)
 
So very true! I have to admit that I encountered more of the good people than bad. I hope everything is smooth sailing from here.
 
Kim76 said:
So very true! I have to admit that I encountered more of the good people than bad. I hope everything is smooth sailing from here.
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Woot, got billy for MSC first appointment wednesday at 8am, PMING you a question.
 
Can you help me understand how it works when a doctor refers you to the MEB for conditions? I am being referred to the MEB for my profile but I am concerned that it won't have ALL my conditions listed on it, only the one that is preventing me from doing PT. Now I am worried!
 
If a condition fails retention standards/interferes with duty performance, a MEB is initiated. Once a MEB is initiaited, all conditions are required to covered with full clinical data. A PEB can deem any condition as individually unfitting or collectively unfitting.

Mike
 
Magda,

In my case, only my replaced hip was "refered" But all of my conditions, even ones I did not know I had until they came up on X-rays at my VA physical have been listed. I am going to request an IMR (independent medical review) next week (got narsum today and new reg gives 5 days instead of 3 for review) to request that some of my other conditions be moved at this stage to the "referred" category. My Peblo said it probably will not happen, but I feel if I show the fight at this stage it will make it easier once/if I have to go to a formal board.
 
It looks to me that the problem of PCM's referring only one condition, even though a SM has additional conditions that don't meet retention standards/interfere with duty performance, is probably a service-wide problem. It seems to be done routinely to limit conditions that the MEB/PEB has to deal with and that the service has to compensate for in the future. The IDES system seems to take an overly conservative approach to referring conditions that clearly don't meet retention standards. It seems very biased in the direction of the government's interest rather than the SM's interest. The VA system, on the other hand, gives the SM the benefit of the doubt.

Even though there are IDES appeal options, it would be so much easier if all conditions that don't meet retention standards were referred at the beginning of the process rather than make the SM engage in an adversarial struggle with the IDES process.

It appears to me that referred conditions carry a greater weight throughout the IDES process and its very important that they therefore be correctly identified up front in the process for the sake of correct DOD ratings. I understand that "all conditions are required to covered with full clinical data" and that "A PEB can deem any condition as individually unfitting or collectively unfitting," but wouldn't the process run more smoothly, with less adversarial conflict and more correct DOD ratings if referred conditions were not unfairly restricted during the referral stage?
 
Very well said Gomez!! I have a 40% VA rating for fibro that DOD considered fitting. My PEBLO called me Wednesday (July 3rd) at 3:38 pm. (She was leaving at 4:00 and would not be back in the office until Tues!) I didn't get the call but she left a message that she wanted to counsel me on my 199 (thus the 10day "decision" time would have started., TICK....TOCK....over the weekend...I think...) Spending the weekend trying to figure out how to handle this next step....(would like fibro to be considered unfit as well....but didn't appeal the NARSUM back in Feb.)....
 
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