Greetings,
I am wondering if I should request an IMR or let this thing ride out to the PEB. I WANT to be found unfit for duty. I have 20 yrs in so I am less concerned with the DOD rating, I just want to be found unfit. My assumption is if unfit even at a 0% DOD rating, I will receive the standard 50% for 20 yrs and get concurrent with VA. I have an Aortic Root Aneurysm, The NARSUM states it "appears" that it does not meet Retention standards and refer to PEB. All my other conditions meet medical retention standards, which I am fine with. But the doc (Online reviews for this doc were hilarious) that wrote my NARSUM seemed to tear apart the inconsistencies of the MTF and the VA, highlighting everything I haven't been seen with or profiled for. Is it standard for the NARSUM narrative to be written in a manner of minimizing your health issues? I am going to post some of the language here and hope someone that has experienced this can tell me if they think the PEB will find me unfit or fit. Also if you were in this position would you request an IMR etc. Thanks for your time God Bless.
1. Soldier Identification. MSG is a 37 year old 25U/ Signal Support Systems Specialist in US Army referred into IDES for Aortic root dilatation.
4. DA 3947 Block 11 a diagnoses. The following diagnoses do NOT meet medical retention standards per AR 40-501:
1. Aortic root dilatation (VA DX: Aortic aneurysm, ascending, thoracic or abdominal). Origin November 2023. EPTS: No. Permanent Service Aggravation: N/A. IAW 3-15c.
5. Medical Retention Determination Point (MRDP) Statement. The soldier is within one year of being diagnosed with aortic root dilatation and it
appears to not meet AR 40-501, 3-15c. He has reached MRDP.
I will Omit the profile review and discussion for brevity.
e. Prognosis Statement. His condition is not likely to improve enough to permit return to full duty within the next 12 months. SM will require long-term treatment and monitoring beyond the next 12 months. It is unlikely that his condition would improve significantly within the next 3 years to allow SM to be able to successfully perform job duties. f. Impact on Duty Performance. MSG Cruz has deployment limitations due to this condition and requires monitoring every 6-12 months. He also has limitations on certain aspects of ACFT per cardiologist. He passed ACFT in February 2023. The VA exam states condition does not impact his ability to work. Commander's statement dated 11 March _2024 states: SM is unable to endure any added stress and currently has an Aortic root dilatation ... The SM is working a limited duty to prevent any undue stress to his he, also the medical professionals have requested that the SM does not work no more than 8 hours during the duty day and is not allowed be in an austere environment until cleared by unit medical Officer ... The SM is unable to conduct physical fitness and most limit his stress levels to due to Aortic root dilatation ... MSG Cruz currently has a Aortic Root Dilatation and has multiple limitation that would provide him to deploy. g. Selection of Applicable AR 40-501, Chapter 3 provision. This does not meet medical retention standards IAW AR 40-501 3-15c.
8. Mental Competency Statement, when applicable. The Soldier is deemed mentally competent for pay purposes, is capable of understanding the nature of, and cooperating in, PEB proceedings, and is not considered dangerous to himself or others.
10. Quality Assurance Check.
a. Apparent Inconsistencies. Inconsistencies between Veterans Administration and Medical Treatment Facility: -The VA exam made multiple new diagnoses that are not found in the military treatment record.
Also for the sake of brevity I will end it here. But the doc digs in on how the VA diagnoses basically all of my claims without a MTF history.
I am wondering if I should request an IMR or let this thing ride out to the PEB. I WANT to be found unfit for duty. I have 20 yrs in so I am less concerned with the DOD rating, I just want to be found unfit. My assumption is if unfit even at a 0% DOD rating, I will receive the standard 50% for 20 yrs and get concurrent with VA. I have an Aortic Root Aneurysm, The NARSUM states it "appears" that it does not meet Retention standards and refer to PEB. All my other conditions meet medical retention standards, which I am fine with. But the doc (Online reviews for this doc were hilarious) that wrote my NARSUM seemed to tear apart the inconsistencies of the MTF and the VA, highlighting everything I haven't been seen with or profiled for. Is it standard for the NARSUM narrative to be written in a manner of minimizing your health issues? I am going to post some of the language here and hope someone that has experienced this can tell me if they think the PEB will find me unfit or fit. Also if you were in this position would you request an IMR etc. Thanks for your time God Bless.
1. Soldier Identification. MSG is a 37 year old 25U/ Signal Support Systems Specialist in US Army referred into IDES for Aortic root dilatation.
4. DA 3947 Block 11 a diagnoses. The following diagnoses do NOT meet medical retention standards per AR 40-501:
1. Aortic root dilatation (VA DX: Aortic aneurysm, ascending, thoracic or abdominal). Origin November 2023. EPTS: No. Permanent Service Aggravation: N/A. IAW 3-15c.
5. Medical Retention Determination Point (MRDP) Statement. The soldier is within one year of being diagnosed with aortic root dilatation and it
appears to not meet AR 40-501, 3-15c. He has reached MRDP.
I will Omit the profile review and discussion for brevity.
e. Prognosis Statement. His condition is not likely to improve enough to permit return to full duty within the next 12 months. SM will require long-term treatment and monitoring beyond the next 12 months. It is unlikely that his condition would improve significantly within the next 3 years to allow SM to be able to successfully perform job duties. f. Impact on Duty Performance. MSG Cruz has deployment limitations due to this condition and requires monitoring every 6-12 months. He also has limitations on certain aspects of ACFT per cardiologist. He passed ACFT in February 2023. The VA exam states condition does not impact his ability to work. Commander's statement dated 11 March _2024 states: SM is unable to endure any added stress and currently has an Aortic root dilatation ... The SM is working a limited duty to prevent any undue stress to his he, also the medical professionals have requested that the SM does not work no more than 8 hours during the duty day and is not allowed be in an austere environment until cleared by unit medical Officer ... The SM is unable to conduct physical fitness and most limit his stress levels to due to Aortic root dilatation ... MSG Cruz currently has a Aortic Root Dilatation and has multiple limitation that would provide him to deploy. g. Selection of Applicable AR 40-501, Chapter 3 provision. This does not meet medical retention standards IAW AR 40-501 3-15c.
8. Mental Competency Statement, when applicable. The Soldier is deemed mentally competent for pay purposes, is capable of understanding the nature of, and cooperating in, PEB proceedings, and is not considered dangerous to himself or others.
10. Quality Assurance Check.
a. Apparent Inconsistencies. Inconsistencies between Veterans Administration and Medical Treatment Facility: -The VA exam made multiple new diagnoses that are not found in the military treatment record.
Also for the sake of brevity I will end it here. But the doc digs in on how the VA diagnoses basically all of my claims without a MTF history.