Bilateral total knee replacements

[LCDR Greg]

I'm an pharmacy officer stationed with the Bureau of Prisons and have a couple questions. A little background, I'm 49 and in good health, and have always passed the APFT in the higher range. The last couple years my knees have started to hurt after a long day, or after exercising. I was injured responding to a fight at work, blew out my knee running down some stairs, and subsequently had left total knee replacement. The strain on my right knee aggravated it to the point where I'm having total replacement of it next week. I have flown under the radar as far as medical affairs is concerned, but after my next surgery, I will have used over 120 days in a 12 month period. That will initiate a referral for fitness evaluation. Until this last year, I have never had any health issues with the exception of a lap chole 6 years ago. Now, I will have 2 total knee replacements with prosthesis, nerve pain and restless leg syndrome from my first knee surgery, sciatica starting after my first knee surgery, depression/anxiety, and tinnitus/vertigo/hearing loss (possibly Meniere's disease?). 49 has not been good to me.

Does anyone have any advice before I start the process? I know that a knee replacement with prosthesis is grounds for discharge from the other services, but what about PHS? What about 2 knee replacements? Will they consider my knees as separate issues, both unfitting? The policy seems vague. I am attaching the current disability retirement policy. Thank you in advance for your help!!

 

[LCDR Greg]

Surgery has been completed. Starting the MRB process now. Anyone have any suggestions? My biggest concern is that I've used civilian providers for all of my medical care and I want to make sure they write up their reports properly. Neither provider has any military experience.

 

[LCDR Greg]

Just wanted to post an update. I was put on TDRL with 100% knees and 10% benign peripheral vertigo. Knees are always 100% for one year after surgery, then drop to 60% minimum after stable (with the bilateral factor). Even though my vertigo symptoms met the criteria for Meneire's Disease at 100%, I didn't have the official diagnosis. I am currently scheduled to see an ENT so I will have the diagnosis in my records at the end of my TDRL for final evaluations. Currently, I'm just working to rehab my knees as much as possible. The PHS process has been easier than I imagined. My regular physician filled out the DBQ's and we submitted them as the board uses them during their evaluation. I'll just continue to collect my medical records until I am finally through the entire process and continue updating this post as things progress.

 

[ynks96]

Just wanted to post an update. I was put on TDRL with 100% knees and 10% benign peripheral vertigo. Knees are always 100% for one year after surgery, then drop to 60% minimum after stable (with the bilateral factor). Even though my vertigo symptoms met the criteria for Meneire's Disease at 100%, I didn't have the official diagnosis. I am currently scheduled to see an ENT so I will have the diagnosis in my records at the end of my TDRL for final evaluations. Currently, I'm just working to rehab my knees as much as possible. The PHS process has been easier than I imagined. My regular physician filled out the DBQ's and we submitted them as the board uses them during their evaluation. I'll just continue to collect my medical records until I am finally through the entire process and continue updating this post as things progress.

Do you have a template to request a fit ess for duty evealuation? I am not sure exactly what to write.

 

[Grenhep]

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