I had my packet sent to Texas on 2 Feb 2012. I recieved the notification that my packet had been finalized on 4 June 2012 and reviewed the AF decision of 20% and the VA at 60%. During the time between 2 feb and 4 June 2012 I have had two back surgeries (29 Mar and May 22) back problem is still not resolved and my right knee that I've also had two surgeries on and that still has an existing tear on it has been giving in on me since my back surgeries. How do I get the AF to consider these new surgeries and worsening symptoms on my current MEB? They told me I have until June 15th to sign the AF form 356, but I do not agree with the decision. The PEBLO told me I can only appeal if I am fit for duty. I know I am broken. Any sustained impact on my knee severly disables me for a day or two. My back is just all jacked up sending shooting nerve pain down my butt and leg. I have 4 AFPT failures which led to my MEB. So I don't think I can win a fit for duty appeal. I just don't believe my back is only a 10% disabilty. The nerve pain is unbearable to the point where I can't even concentrate on anything else but the pain. How do I fight to get the new information submitted in my review?