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This seems crazy to me that the Army would keep you with being on lifetime anticoagulants. I’ve had one DVT (lower leg), with one recurrence of severe pain and swelling after a two week break from three months of anticoagulant treatment. I am currently in another trial period of being off the anticoagulant meds to see if I can function without any recurrence. My hematology doctor told me that if I have any additional issues (severe pain, swelling, another DVT), or if my upcoming blood tests come back with any kind of genetic issues that they will start the MEB process. He said I will be considered high risk of recurrence, non-deployable and put on anticoagulant meds for life. I’m curious if this same thing will happen to me, referring to the P2 profile. Does anyone else have any experience or information they can share on this issue?I was given a P2 profile and returned to duty. Anticoagulation therapy doesn’t preclude you from service in the Army apparently. I was told this is relatively new guidance. Since the new oral anticoagulants don’t require INR testing, they don’t pose a risk. I’ll require waivers to deploy in the future. That’s all.
@Marks thanks for they info. If you don’t mind me asking - what were your particular circumstances that lead to you being medically retired?Please be advised, I too was place on a profile and returned to duty initially however, if a determination is made for life long anticoagulants the MEB is re-initiated and you will be found unfit.
Ahhh gotcha. I am wondering what determines if they are found FIT or not. Residual symptoms probably play a role. It would seem odd to keep someone that is nondeployable.Some folks from the Army and Airforce spoke about being found FIT and returned to duty while on anticoagulants.
I’m actually encouraged by this. My P3 was signed off on the very same day. My PEBLO, MSC and NARSUM doc all say unequivocally that I will be found UNFIT. I tried to obtain a waiver to deploy to Kosovo and no one would touch it.I am going to have another crack with a different physician at seeking a MEB. I have a PHA scheduled for tomorrow at 10. We'll see what they say. I was found fit by a profile reviewing physician. I was initially written a P3 but upon review was changed to a P2 without referral to the MEB. I feel this was done with a poor understanding of AR 40-501 that explicitly states "Thromboembolic Disease. When response to therapy is unsatisfactory, or requiring prolonged/indefinite systemic anticoagulation. If found fit for duty by a PEB, Soldiers will be restricted to assignment locations where adequate medical care is available and will not deploy to an environment where there is a high risk for traumatic injury (for example, combat zone)." The justification used to downgrade my profile to a P2 was that my condition was responding to therapy. However, I am prescribed anticoagulants indefinitely and thereby meet the requirement for referral to the MEB. My original hematologist also wrote in her notes that lifelong anticoagulants are recommended for first occurrence unprovoked PE but not required and that I opted to take them lifelong. I'm not sure of the reasoning behind this strange phrasing but it may explain the P2 profile. If it is necessary, I will seek a second opinion from another hematologist.
I’m glad they’re taking a second look. I had a legal brief today and the lawyer said that it would be nearly impossible to find someone fit for indefinite anticoagulation. He said this especially true since the non deployable memo came out last year. I would be super surprised if you were found fit as well. I’ll be sure to continue to update.After my PHA I was written a P4 profile and referred once again to the IDES process. My new provider conferred with the IDES director on whether this case would constitute referral to the IDES. It would appear that this time around I will be given a fair assessment. Truthfully, I would be surprised if found fit by the PEB but stranger things have happened. It seems like the majority of people are found unfit if the case makes it that far.
Please be advised, I too was place on a profile and returned to duty initially however, if a determination is made for life long anticoagulants the MEB is re-initiated and you will be found unfit.
I’m worried about the portion in the reg that states: “if found fit for duty by a PEB, then the SM will not be deployed to a combat zone.”I'm curious, were you prescribed oral anticoagulants? There was a write up in my first MEB referral regarding a "changing of opinion" regarding the safety of the new oral anticoagulants. It basically read that I was able to deploy with a waiver. However, "with a waiver suggests that," until a waiver is granted, I am non-deployable. Also, I was evaluated under the previous edition of AR 40-501. The new one removes some of the ambiguity by stating indefinite anticoagulants are automatic referral to MEB. I tried reviewing the DODIs and DODD's as well as the Army policy published 11/8/18 and it seems like they may classify me in the special category of "Deployable with limitations." That is literally my nightmare. An inability to deploy is an inability to progress in my career and will guarantee I am passed over for my next promotion.