questions please help

I recently started my Med board last week (Friday). But I have a sleep test I'm waiting to schedule and I need an MRI on my shoulder is it too late to get it in my records before my NARSUM? How do I stall? Any advice??

Welcome to the PEB Forum! :)

After assignment of a PEBLO to develop the MEB case file for MEB phase of the IDES, the PEBLO will complete Part I of VA Claim Form 21-0819, VA/DoD Joint Disability Evaluation Board Claim, which lists the potentially military unfitting medical conditions. Your PEBLO will counsel you on the process and identify others who can help. You will then be referred to a DoVA representative known as a Military Service Coordinator (MSC).

The MSC will counsel you on the DoVA portion of the IDES process and help you to complete your claim for consideration of medical conditions (other than those referred by the military physician) that may have been incurred or aggravated during service (VA Form 21-0819, Parts II-IV). The MSC PEBLO will request all necessary specialty and physical examinations.

A combination of military, VA or civilian medical providers will perform the examinations. The tests and results will be summarized in a Narrative Summary (NARSUM). The DoD MTF is responsible to produce the NARSUM. Your PEBLO will make sure all the necessary information is added to your IDES case file; therefore, it's vital to have copies of your sleep apnea study results and MRI final report if available.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!
 
Welcome to the PEB Forum! :)

After assignment of a PEBLO to develop the MEB case file for MEB phase of the IDES, the PEBLO will complete Part I of VA Claim Form 21-0819, VA/DoD Joint Disability Evaluation Board Claim, which lists the potentially military unfitting medical conditions. Your PEBLO will counsel you on the process and identify others who can help. You will then be referred to a DoVA representative known as a Military Service Coordinator (MSC).

The MSC will counsel you on the DoVA portion of the IDES process and help you to complete your claim for consideration of medical conditions (other than those referred by the military physician) that may have been incurred or aggravated during service (VA Form 21-0819, Parts II-IV). The MSC PEBLO will request all necessary specialty and physical examinations.

A combination of military, VA or civilian medical providers will perform the examinations. The tests and results will be summarized in a Narrative Summary (NARSUM). The DoD MTF is responsible to produce the NARSUM. Your PEBLO will make sure all the necessary information is added to your IDES case file; therefore, it's vital to have copies of your sleep apnea study results and MRI final report if available.

Thus, I quite often comment that "possessing well-informed knowledge is truly a powerful equalizer."

Best Wishes!

What happens if I cant get the sleep study or the MRI final report yet, and it's time to send my NARSUM?
 
Get copies of your medical results onthe Sleep study and the MRI(you should have a nurse case manager that can assist with this) and take these to your VA rep. She/he will be able to upload these documents for evaluation even after the Narsum has gone up.
 
Do your conditions impact your duty performance? If you disagree that your MEB and NARSUM has fully covered your conditions, you should rebut their contents.
 
My MRI will either show I have a bad shoulder or a pinched nerve in my neck. The sleep study I guess will only count for VA right?

If none of the conditions impact duty performance (either individually, or collectively) then they will all only matter for VA purposes. I would not necessarily cede the point that the conditions don't impact (at least collectively) your duty performance and are, therefore, unfitting. (However, rest assured that the PEB won't rate them unless there is evidence that there is significant functional limitation due to each condition; I think this limited standard that they apply is legal error, but that is what they will do). All service connected disabilities should be rated by the VA.
 
If none of the conditions impact duty performance (either individually, or collectively) then they will all only matter for VA purposes. I would not necessarily cede the point that the conditions don't impact (at least collectively) your duty performance and are, therefore, unfitting. (However, rest assured that the PEB won't rate them unless there is evidence that there is significant functional limitation due to each condition; I think this limited standard that they apply is legal error, but that is what they will do). All service connected disabilities should be rated by the VA.

Will an MRI and sleep study not be enough evidence? I mean how in dept does the evidence need to be if a Dr. diagnoses a pinched nerve after only being seen twice is that not sufficien
 
Will an MRI and sleep study not be enough evidence? I mean how in dept does the evidence need to be if a Dr. diagnoses a pinched nerve after only being seen twice is that not sufficien

I think you are missing the distinction between diagnosis of a disability and impact on duty performance sufficient to warrant an unfit finding. Take a look at the regulations and posts on this forum on fitness....the distinctions are important.
 
I think you are missing the distinction between diagnosis of a disability and impact on duty performance sufficient to warrant an unfit finding. Take a look at the regulations and posts on this forum on fitness....the distinctions are important.

Your right I am kinda missing it. I get it and I don't get it. For instance I know my most major injury is my back which is what started my med board. But I was on a P2 profile for so long and my profile protected me against doing things I couldn't do. So, I didnt get my other things checked out. Mainly I was seen for my back and I know I have other unfitting injuries I just am not sure if I have the evidence to show. So, I just need to know what I need to do to make sure that the stupidity of not wanting the negative stigma of going to sick call all the time doesnt come back to bite me.
 
Served 13yrs AD USAF and have served 3 yrs ANG and have now I need Hip Replacement Surgery. My 1st Sgt tells me they may have to kick me loose due to my surgery. He said the Army will consider me unfit for duty and will probably have to meet a MED board. I've never failed a PT before but this last 2 mile run sent me to the clinic for xrays...that's when they told me I needed surgery. Any ideas?
 
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