Advice on Rebuttal

I was sent to MEB for Low Back Pain as result of a fusion. They have recommended me for a IPEB. But I have also had a fusion in my neck and the doctor mentioned it in the NARSUM but it isn't listed as a condition for consideration. I am wanting the board to consider my radiculopathy for the fit/unfit.

I am thinking of submitting the following. What do you guys think? Is this enough for the IPEB?


Encl: (1) NARSUM 6 JAN 2016

(2) AIC Lab 10 DEC 2015

(3) Fasting Lab Results from QTC 21 MAR 2016

(4) Neck (Cervical Spine)DBQ 21 MAR 2016

(5) Back (Thoracolumbar Spine) DBQ 21 MAR 2016


In addition to low back pain listed in NARSUM, I would like the following conditions included for Fit/Unfit consideration by the IPEB.

Diabetes Type II
. As per lab work completed on 10 DEC 2015, the AIC reading was 9.3%. Fasting Glucose of 209 noted on 21 MAR 2016. Currently taking oral medication and two injections of Byetta per day.

Cervical Spine Pain. As noted in Dr. XXXX's evaluation on 21 MAR 2016 and in numerous accounts in my medical record, range of motion of my neck is outside normal range and is accompanied with pain.

Cervical Radiculopathy. As noted in Dr. XXXX’s evaluation on 21 MAR 2016 and in numerous accounts in my medical record, severe radiculopathy of the right arm indicated by numbness, pain and loss of full use and is consistent with fusion at C6/C7 level.

Lumbar Radiculopathy. As noted in Dr. XXXX’s evaluation on 21 MAR 2016 and in numerous accounts in my medical record, mild radiculopathy of the left leg indicated by numbness and pain. Moderate radiculopathy of the right leg indicated by numbness and pain and is consistent with fusion at L3/L4 level.

My back, neck, leg, and arm pain have progressively gotten worse and it is becoming more difficult to perform my daily duties/tasks. I am currently taking Neurontin, Celebrex, and Skelaxin for discomfort and pain.

My Diabetes is still moving up and down and I am having trouble keeping consistent Glucose numbers. Currently taking Metformin, Glipizide XL, and 2 injections of Byetta per day to try to control the numbers.

Thank you for your time and consideration.
 
I recommend that you find your conditions in AR 40-501 Chapter 3 and include what it says about your conditions being unfitting/reason for referral. This regulation is how they deem if unfitting can apply.

You will need to expand upon the reason that your condition should be deemed "unfitting" and provide all of the supporting documentation. If you can get legal counsel that knows this process it will really help.

Best Wishes,

-lance
 
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