Hello everyone,
I sincerely look for advice if you have any FPEB strategies and potential self-advocating experience. I have reached out to as many parties as I could including PEBLO, PEBLO's supervisor, patient advocates, providers, PCMs, chain of command, BH, ombudsman, Whitehouse hotline, congressional representative and... but haven't made process yet. Any wisdom from you would be greatly appreciated. If you have advice to share, please notice me. I will send you a private message to elaborate more about my situation.
I have concerns to reveal every single detail about my situations in a large audience for safety reason. In brief, I joined as reservist in 2015 having a complicated service history for near 10 years. I got injured around October 2023 during active duty training. I was med boarded in April 2024 with one referred condition. At the same time, I was advocating for myself and asked to add potential unfitt conditions in every step in MEB process. The potential unfit conditions never been assessed. Now, the MEB system/people is trying to wrap up my MEB case so they could get the rid of me without well assessed and treated my injuries. I am still in the middle of treatments before the providers willing to admit they are exhausted all possible treatments. P.S. PCM and Providers have been circling me back and forth to extent treatment time. Also, my contract will end soon. After FPEB and PEB appeal, Do I have any chance to appeal before final disposition? I am in an extreme restricted training environment and I can't be seen by outpost providers even I want to get second opinion. This situations combined results I don't have a potential new unfit condition or permanent profile to show to FPEB, as well as factual medical notes from military providers. I was educated multiple times by multiple people who owns their social reputations that "they-the system" think I shouldn't challenge their decision. The main challenge is the mindset of our people who work within the MEB system that think "I don't deserve potential retirement as they think I didn't serve"...
(e.g., one potential unfitted Plantar Fasciitis (I also suspected it's posterior tibial tendon dysfunction based on my symptoms) condition that official don't want to refer to system that went from denied injury -> orderd to return to duty or myself chapter myself out -> went from provider in one military treatment facility to provider in another military treatment facility to ortho specialist in Military hospital -> ER referred back to ortho specialist in military hospital -> waiting almost 7 months to finally see actual specialist/provider that referred by Ortho -> less invasive treatments for about 6 months -> sent email inquiry to request future treatments plan but no response from the specialist/provider)
(e.g., another one potential unfitted condition that PCM1 denied to refer -> PCM1 referred to Ortho and Pain Management -> Pain Management referred back to PCM1 -> talked with patient advocates and patient advocates assigned me new PCM as PCM2 -> after two rounds of circling among physical therapy-Ortho-PCM leaded to trigger point injection -> PCM2 denied to refer
PCM1's notes "Neck pain x-year-old reserve female who has recently completed a medical board complete with NARSUM is requesting that a temporary profile be placed for her neck pain that may be added to her claim. She did reinitiate physical therapy a few days ago for her neck pain (no new MOI) & is no longer engaging in physical fitness or military related activities other than fire guard and attending her medical appointments. I am not sure the benefit of adding a neck pain profile given she currently is not engaging in any military training and has multiple profiles limiting her activity. She is also being seen by physical therapy so I would urge her to follow-up with physical therapy and if they felt a profile is required I would endorse those recommendations."
PCM2's notes "Cervical spondylosis Patient requesting that a P3 profile be placed regarding her neck pain. Discussed with patient that she already has a permanent profile in place regarding her lumbar spine and is currently in the process of the med board. I did speak with my supervisor who stated a P3 profile for her neck would be unnecessary at this time as she already has one in place for her back and she is in the process of a med board. I explained this to the patient and she was still requesting it. I am not sure if I am completely understanding which she is asking for. Advised patient to follow-up with orthospine this afternoon and see what they have to say and then let me know if anything specific needs to be done." Also, Ortho referred me to pain management and pain management referred me back to PCM...
I am trying to be as factual as I could to describe my situation here. I don't intent to target any specific individual. The goal is to look for wisdom to solve the issue rather than blame. After all, I believe respectful communications that may lead me to better outcomes. THANK YOU!
I sincerely look for advice if you have any FPEB strategies and potential self-advocating experience. I have reached out to as many parties as I could including PEBLO, PEBLO's supervisor, patient advocates, providers, PCMs, chain of command, BH, ombudsman, Whitehouse hotline, congressional representative and... but haven't made process yet. Any wisdom from you would be greatly appreciated. If you have advice to share, please notice me. I will send you a private message to elaborate more about my situation.
I have concerns to reveal every single detail about my situations in a large audience for safety reason. In brief, I joined as reservist in 2015 having a complicated service history for near 10 years. I got injured around October 2023 during active duty training. I was med boarded in April 2024 with one referred condition. At the same time, I was advocating for myself and asked to add potential unfitt conditions in every step in MEB process. The potential unfit conditions never been assessed. Now, the MEB system/people is trying to wrap up my MEB case so they could get the rid of me without well assessed and treated my injuries. I am still in the middle of treatments before the providers willing to admit they are exhausted all possible treatments. P.S. PCM and Providers have been circling me back and forth to extent treatment time. Also, my contract will end soon. After FPEB and PEB appeal, Do I have any chance to appeal before final disposition? I am in an extreme restricted training environment and I can't be seen by outpost providers even I want to get second opinion. This situations combined results I don't have a potential new unfit condition or permanent profile to show to FPEB, as well as factual medical notes from military providers. I was educated multiple times by multiple people who owns their social reputations that "they-the system" think I shouldn't challenge their decision. The main challenge is the mindset of our people who work within the MEB system that think "I don't deserve potential retirement as they think I didn't serve"...
(e.g., one potential unfitted Plantar Fasciitis (I also suspected it's posterior tibial tendon dysfunction based on my symptoms) condition that official don't want to refer to system that went from denied injury -> orderd to return to duty or myself chapter myself out -> went from provider in one military treatment facility to provider in another military treatment facility to ortho specialist in Military hospital -> ER referred back to ortho specialist in military hospital -> waiting almost 7 months to finally see actual specialist/provider that referred by Ortho -> less invasive treatments for about 6 months -> sent email inquiry to request future treatments plan but no response from the specialist/provider)
(e.g., another one potential unfitted condition that PCM1 denied to refer -> PCM1 referred to Ortho and Pain Management -> Pain Management referred back to PCM1 -> talked with patient advocates and patient advocates assigned me new PCM as PCM2 -> after two rounds of circling among physical therapy-Ortho-PCM leaded to trigger point injection -> PCM2 denied to refer
PCM1's notes "Neck pain x-year-old reserve female who has recently completed a medical board complete with NARSUM is requesting that a temporary profile be placed for her neck pain that may be added to her claim. She did reinitiate physical therapy a few days ago for her neck pain (no new MOI) & is no longer engaging in physical fitness or military related activities other than fire guard and attending her medical appointments. I am not sure the benefit of adding a neck pain profile given she currently is not engaging in any military training and has multiple profiles limiting her activity. She is also being seen by physical therapy so I would urge her to follow-up with physical therapy and if they felt a profile is required I would endorse those recommendations."
PCM2's notes "Cervical spondylosis Patient requesting that a P3 profile be placed regarding her neck pain. Discussed with patient that she already has a permanent profile in place regarding her lumbar spine and is currently in the process of the med board. I did speak with my supervisor who stated a P3 profile for her neck would be unnecessary at this time as she already has one in place for her back and she is in the process of a med board. I explained this to the patient and she was still requesting it. I am not sure if I am completely understanding which she is asking for. Advised patient to follow-up with orthospine this afternoon and see what they have to say and then let me know if anything specific needs to be done." Also, Ortho referred me to pain management and pain management referred me back to PCM...
I am trying to be as factual as I could to describe my situation here. I don't intent to target any specific individual. The goal is to look for wisdom to solve the issue rather than blame. After all, I believe respectful communications that may lead me to better outcomes. THANK YOU!
