It seems the further I travel the IDES process the more question arise. Before I go any further, thanks again for this site and the moderators that take time to try and assist us all navigate the murky waters. Ok, wasn't sure where to post but here is my question/ background info: The initiator (P3) for the IDES process for me was a shoulder condition but during this process I've developed a heart condition. Both conditions are annotated in my treatment records/ profile with condition/ meds/ surgeries. The MEB medical staff state that both conditions do not meet retention standards and will be annotated as such in the NARSUM but the VA MSC had only the shoulder condition listed during my initial VA MSC meeting. Will the DOD rate both conditions that do not meet retention standards or just the one that initiated the IDES process? Thanks.