Change to the Change

Strangert said:
So update to this story. I was told they will MEB me for congestive heart failure. I asked about my migraines since I receive Botox injections and also Ménière’s disease because I have episodes at least once a week. She said that those weren’t unfitting conditions which I’m not sure I believe.

I have to make it to 14 Dec to reach 20. Right now I have 40 days of leave saved up. Do they have to let meuse those? Or will they try to rush this and pay me for the unused leave balance. Also, how many days of permissive leave do I get? Finally, how many days do they have to give you for Outproccesing? I’m trying to figure out a timeline of how long I can drag this out for and still make it to 20.

Thanks for the help!
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I have seen migraines be unfitting at 30% in the AF (one of my airmen). At this point is doesn't much matter what they board you for. Once you claim everything with the VA, the board will consider all contentions. If you are medically retired by the IPEB and believe that an unfitting condition was not found as such, you can appeal to the FPEB.
 
@Strangert I am just finishing up kinda your situation except for USMC but my timeline might give you an idea. My Medboard was started in Oct 2019. I had to make it to April 2020 to make it to 20. Mine was kinda slow in the beginning by a month due to holidays. Even so, my EAS is 30 Aug 2020, so 10 months after it was started and I didn't appeal or take my time at any decision point. I had 63 days of leave, but ended up taking 20 days PTAD and 60 days terminal. I had to sell 3 days back as our admin needed a week to process the DD 214 once my EAS was official. If you have any questions let me know, a little bit more detail about the steps for my timeline are in my signature.

Long story short, you will have no problem making it to 20.
 
Copy, thanks! I wasn’t sure if you still had
The opportunity to take terminal.
 
My PEBLO told me once my findings come back and I accept them they would add 3 months to the date to give time for transition stuff and terminal leave so if your MEB hasn't even started yet you should have no problem at all making it to December. And even if your case moves super quickly you can always appeal to drag it out. My findings came back towards the end of May and I appealed only the TDRL portion accepting the ratings and I still haven't heard back yet.
 
That’s good to hear. I haven’t even been to TAPS yet. I’m gonna hold off on it to add some time since it’s required.
 
Strangert said:
So update to this story. I was told they will MEB me for congestive heart failure. I asked about my migraines since I receive Botox injections and also Ménière’s disease because I have episodes at least once a week. She said that those weren’t unfitting conditions which I’m not sure I believe.

I have to make it to 14 Dec to reach 20. Right now I have 40 days of leave saved up. Do they have to let meuse those? Or will they try to rush this and pay me for the unused leave balance. Also, how many days of permissive leave do I get? Finally, how many days do they have to give you for Outproccesing? I’m trying to figure out a timeline of how long I can drag this out for and still make it to 20.

Thanks for the help!
Click to expand...

I was found unfit for migraines for, and I quote my AF356 "Migraines require medication needing frequent or special handling that cannot be assured in austere locations (Botox); and limit the SM from performing the duties of his AFSC, deploying"

My migraines was rated at 30% by VA and agreed upon by DoD (plus many other conditions).
 
AF356 :
FINDINGS AND RECOMMENDED DISPOSITION OF
USAF PHYSICAL EVALUATION BOARD
 
So I was asked to bring a copy of my SURF and come in today or tomorrow to fill out my NARSUM. What stage of the process is this?
 
That's considered pre-DES phase. Is that your PCM asking you to come in?
 
That's good that they are working with you on it, my PCM just filled it out on her own and it has alot of mistakes in it.

Once that is complete they will send it to the PEBLO who will in turn send your CC the AF Form 1185, Commanders Impact Statement to complete. You will get an opputunity to add comments on this as well. Then the whole package goes up to AFPC, Medical Retention Standards Branch. There they determine if you require a full MEB, or get retturned to duty with or without an assignment limitation code, commonly called a C-code.
 
Even if they go full MEB do you think there’s any issues with making to you 14 Dec? I’ll have 50 days of leave, permissive TDY and I still haven’t been to TAPSz
 
You will get approximately a 90 day window to be out after your AF Form 356 comes back. So as long as you reach 14 September before you get to that stage you are good.

Plus it will take a while for you to get to that stage, you have to first get the nod for the full MEB, schedule and complete all your C/P EXAMS, have your package get sent to the PEB, then VA and finally receive your unfit notification via the 356.
Also depending on where you are stationed the VA may not even be conducting C/P exams, they are not doing any in my area.
 
Then of course you can appeal to a formal board as well after that, plus a SECAF appeal if warranted. There is no way you wont make 20, you might even have to stay past it till your case is fully adjudicated.
 
Take as much time as you can. I asked for ten calendar days to allow me to consult legal council, they had no problem with that.
 
So I’m basically still at step 1. The NARSUM has been completed but this past week I was diagnosed with muscular dystrophy which is believed to be causing my cardiomyopathy. They not want me to do genetic testing to see which form I have. I was told by the PEBLO that they would have to rewrite/update my NARSUM. She asked me if she should contact AFPC since I can and want to retire 1 Feb. I told her to ask the question but I think it’s my best interest to go ahead with the MEB. Thoughts?

She said if anything the MEB will help me get my VA rating sooner as I can be fast tracked a little through appointments. I know I’ll be found unfit and I’m fine with that, I haven’t worked since March due to COVID and the recommendations from my cardiologist and rheumatologist.
 
Had an appointment with the cardiologist and she’s leaning towards putting a defibrillator in because some forms of MD can cause sudden heart stop.
 
Should the MEB be to the point of where it is if they haven’t finished the diagnosis? I’m still seeing specialist to get to the bottom of my issues and the cardiologist doesn’t believe my synocope issues are related to my heart. She also wants to wait on the result of the genetic testing to decide if I need a defibrillator.
 
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