I have been on a temporary profile for over a year for my ankle and lower back. I"m having surgery on my foot next month and were supposed to be receiving a permanent. I check my medpros and none of my profiles are posted and my pulse haven't change. My pcm is outprocessing, she didn't keep copies. Also because she is air force she didn't updated my pulse. I tried getting my pulse updated by army but no one is helping because I don't have copies. I have ulcer colitis and ibs as well. I been hospitalizes and dealing with the issue for over a year. I"m HIV positive and been diagnose with ptsd at my last duty station. My new PCM recommended me for a meb but it was denied due to my pulse. She told me to talk to behavior health to see if they can change an pulse and recommend it. I spoke with behavior health today and the doctor said she can't diagnose me with 2 visits. Although I was referral offpost because she went on paternity leave. I was diagnose with ptsd at my last duty station and off post at my new duty station. She said she will have to talk to my PCM and her commander. My question, is there any thing I can do or any one I can talk with to get my pulse updated? Is there any way I can get the meb started. Is there anyone higher I can take it to? Last but not least,How can I still be on an temporary profile over an year and after surgery?