Hello everyone! I am a new member and I have a potentially weird question. I apologize upfront for the lengthy post
. I am AD Army, currently in the IDES process and just entered the PEB stage. I only have 1 P3 disqualifying (DQ) condition (my referring condition) out of 30+ conditions. I won't gripe too much about that, all I will say is that at least 3 more of my other conditions should have also been found to be DQ. I'm not being biased but these conditions prevent me from performing not only my daily MOS duties, but also basic soldiering tasks. See example below.
The third condition is for my migraines. Per AR 40-501 (Standards of Medical Fitness): ". Migraine, tension, or cluster headaches. When manifested by incapacitating attacks that interfere with duty or social activities three or more days per month. All such Soldiers will be referred to a neurologist, who will ascertain the cause of the headaches. The neurologist will determine whether prophylactic therapy (up to 6 months) or referral to the DES is warranted. If the headaches are not adequately controlled at the end of the 6 months, the Soldier will be referred to the DES. If the neurologist feels the Soldier is unlikely to respond to therapy, the Soldier can be referred directly to the DES." The red highlight is what applies to my situation. I was initially seen by Neuro after having chronic daily migraines for 6 months after suffering a mTBI and Neuro referred me to the TBI clinic for evaluation and treatment. As stated in my visit summaries from the TBI clinic, after a year of treatment there with various medications (prophylactic therapy) and Botox injections, I am still having 15 migraines per month. Some of which are prostrating attacks. Additionally, I have been on a temporary profile for migraines for the majority of the last 14 months, though admittedly, it has not been continuously. My profiles have always annotated that my migraines prevent me from firing my weapon, wearing my ACH, wearing body armor, riding in a military vehicle (the noise is too loud), wearing my pro mask, no airborne operations, etc.
I did not request an IMR or submit a rebuttal for the MEB because I was told to instead see what the PEB comes back with since they are in fact the final determination authority of what is and isn't a DQ condition. If the PEB does not come back with the additional DQ conditions that we are hoping for, then we will submit an appeal. My question is, is it possible for me to have my specialty doctors, or Neuro for the above condition, amend my permanent profile to upgrade applicable PULHES categories from 1 to P3 while I am in the PEB stage? I am currently on 3 different temporary profiles, 1 being for my migraines.
Any advice is welcomed and appreciated.
- Dory214
. I am AD Army, currently in the IDES process and just entered the PEB stage. I only have 1 P3 disqualifying (DQ) condition (my referring condition) out of 30+ conditions. I won't gripe too much about that, all I will say is that at least 3 more of my other conditions should have also been found to be DQ. I'm not being biased but these conditions prevent me from performing not only my daily MOS duties, but also basic soldiering tasks. See example below.The third condition is for my migraines. Per AR 40-501 (Standards of Medical Fitness): ". Migraine, tension, or cluster headaches. When manifested by incapacitating attacks that interfere with duty or social activities three or more days per month. All such Soldiers will be referred to a neurologist, who will ascertain the cause of the headaches. The neurologist will determine whether prophylactic therapy (up to 6 months) or referral to the DES is warranted. If the headaches are not adequately controlled at the end of the 6 months, the Soldier will be referred to the DES. If the neurologist feels the Soldier is unlikely to respond to therapy, the Soldier can be referred directly to the DES." The red highlight is what applies to my situation. I was initially seen by Neuro after having chronic daily migraines for 6 months after suffering a mTBI and Neuro referred me to the TBI clinic for evaluation and treatment. As stated in my visit summaries from the TBI clinic, after a year of treatment there with various medications (prophylactic therapy) and Botox injections, I am still having 15 migraines per month. Some of which are prostrating attacks. Additionally, I have been on a temporary profile for migraines for the majority of the last 14 months, though admittedly, it has not been continuously. My profiles have always annotated that my migraines prevent me from firing my weapon, wearing my ACH, wearing body armor, riding in a military vehicle (the noise is too loud), wearing my pro mask, no airborne operations, etc.
I did not request an IMR or submit a rebuttal for the MEB because I was told to instead see what the PEB comes back with since they are in fact the final determination authority of what is and isn't a DQ condition. If the PEB does not come back with the additional DQ conditions that we are hoping for, then we will submit an appeal. My question is, is it possible for me to have my specialty doctors, or Neuro for the above condition, amend my permanent profile to upgrade applicable PULHES categories from 1 to P3 while I am in the PEB stage? I am currently on 3 different temporary profiles, 1 being for my migraines.
Any advice is welcomed and appreciated.
- Dory214
