IRILO and early MEB Questions: NARSUM, CC Impact Statement, Legal

R

RobertSpace

Well-Known Member
Registered Member
BLUF: I was recently referred to an IRILO board and my CC just received the request for an impact statement. Please reference below for my primary questions and background information. I am in the Air Force.
- Does anyone have a well written CC Impact Statement I could reference? (given my conditions, I am hoping not to be retained)
- Does anyone have a good private attorney that they recommend to help with the process?
- Can the initial NARSUM be appealed if they miss conditions? (I have been tricare remote for two years so my military PCM doesn't have the best grasp on my situation)
- I've seen on the forum that it can be challenging to get a disability rating for joints. Given the below background, does anyone have a gut impression on how much might apply to me?

Background:
I am being referred to an IRILO for a bilateral hip condition. About 2 years about it was discovered that I have grade 3 chondromalacia, a laberal tear, and FAI on my right hip and grade 1/2 chondromalacia, laberal tear, and FAI on my left hip. In the last two years, I have had an FAI and laberal repair surgery on each hip. Either he didn't do a good job or it didn't take so I had to have a re-visitation surgery on the left hip where they did a laberal reconstruction (ligament graft). Long term prognosis is the doctor wants me to permanently stop all forms of running. It is highly likely that I'll need a hip replacement early in life and perhaps another surgery on the right hip. I've got residual nerve damage, glute tendonitis, and hip flexor tendonitis. Pain is aggravated by sitting/standing for long periods and cold weather.
Additionally, I've had an increasing amount of spine pain over the last two years. I've seen a Rheumatologist about it and have the blood marker but there are no signs on any imaging. I've had a number of other cronic pains in joints. I've been seeing a therapist to cope with all the surgeries.

Really appreciate the help!
 
RobertSpace said:
BLUF: I was recently referred to an IRILO board and my CC just received the request for an impact statement. Please reference below for my primary questions and background information. I am in the Air Force.
- Does anyone have a well written CC Impact Statement I could reference? (given my conditions, I am hoping not to be retained)
- Does anyone have a good private attorney that they recommend to help with the process?
- Can the initial NARSUM be appealed if they miss conditions? (I have been tricare remote for two years so my military PCM doesn't have the best grasp on my situation)
- I've seen on the forum that it can be challenging to get a disability rating for joints. Given the below background, does anyone have a gut impression on how much might apply to me?

Background:
I am being referred to an IRILO for a bilateral hip condition. About 2 years about it was discovered that I have grade 3 chondromalacia, a laberal tear, and FAI on my right hip and grade 1/2 chondromalacia, laberal tear, and FAI on my left hip. In the last two years, I have had an FAI and laberal repair surgery on each hip. Either he didn't do a good job or it didn't take so I had to have a re-visitation surgery on the left hip where they did a laberal reconstruction (ligament graft). Long term prognosis is the doctor wants me to permanently stop all forms of running. It is highly likely that I'll need a hip replacement early in life and perhaps another surgery on the right hip. I've got residual nerve damage, glute tendonitis, and hip flexor tendonitis. Pain is aggravated by sitting/standing for long periods and cold weather.
Additionally, I've had an increasing amount of spine pain over the last two years. I've seen a Rheumatologist about it and have the blood marker but there are no signs on any imaging. I've had a number of other cronic pains in joints. I've been seeing a therapist to cope with all the surgeries.

Really appreciate the help!
Click to expand...
- I do not but your private attorney can create one. That's what my wife's did. In fact, her commander let her fill it out and then he signed it. My wife't attorney wrote one out for her. If that's on the table with your commander its the most ideal as you can talk about non referred conditions in hopes of having them added later on in the process verse normally the CC impact statement only mentioning your referred condition.

- Yes! My wife hired one at the very start and not only did she get a much better result than she thought possible but she avoided a lot of worry and anxiety by having the peace of mind that her attorney was dealing with everything. Sending you references for private attorneys via direct message. There are only a handful who are specialized in this area of law and its important to hire one that will know the insides and outs of each part of the process to include knowing the PEB board members on a first name basis that will decide your fate.

-Yes. The NARSUM stage is the first stage you can appeal. However, your attorney can help you shape your case before that by coaching you up before C&P exams, gathering additional medical evidence to include letters from medical providers if needed, & influencing the commanders impact statement if possible.

-That's a good question to ask any private attorneys you are vetting. How they answer that question will give you some insight into their expertise. There are many ways to approach that but to add any condition you do need a diagnosis. Multiple joint issues could be individually added or they might be some of the symptoms attributed to a single condition such as Gulf War Syndrome, Fibromyalgia, MS etc. Whatever you are trying to add are going to need to be argued that they are unfitting which means they prevent you from doing your job. So a condition listed on how it impacts your CC impact statement would help a lot. A profile even a temporary one would help substantiate your claim. Appealing at each stage that a condition is unfitting is another way for the PEB board to see your contention for adding an additional unfitting condition(s).
 
You can request an IMR to contest your NARSUM. If the military doesn’t have all your medical records, ensure that happens ASAP. Always keep a copy of what you give the military. Make a MFR and have someone witness your dated signature.
 
Provis said:
- I do not but your private attorney can create one. That's what my wife's did. In fact, her commander let her fill it out and then he signed it. My wife't attorney wrote one out for her. If that's on the table with your commander its the most ideal as you can talk about non referred conditions in hopes of having them added later on in the process verse normally the CC impact statement only mentioning your referred condition.

- Yes! My wife hired one at the very start and not only did she get a much better result than she thought possible but she avoided a lot of worry and anxiety by having the peace of mind that her attorney was dealing with everything. Sending you references for private attorneys via direct message. There are only a handful who are specialized in this area of law and its important to hire one that will know the insides and outs of each part of the process to include knowing the PEB board members on a first name basis that will decide your fate.

-Yes. The NARSUM stage is the first stage you can appeal. However, your attorney can help you shape your case before that by coaching you up before C&P exams, gathering additional medical evidence to include letters from medical providers if needed, & influencing the commanders impact statement if possible.

-That's a good question to ask any private attorneys you are vetting. How they answer that question will give you some insight into their expertise. There are many ways to approach that but to add any condition you do need a diagnosis. Multiple joint issues could be individually added or they might be some of the symptoms attributed to a single condition such as Gulf War Syndrome, Fibromyalgia, MS etc. Whatever you are trying to add are going to need to be argued that they are unfitting which means they prevent you from doing your job. So a condition listed on how it impacts your CC impact statement would help a lot. A profile even a temporary one would help substantiate your claim. Appealing at each stage that a condition is unfitting is another way for the PEB board to see your contention for adding an additional unfitting condition(s).
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Hello - I'm in the beginning stages of an IRILO.

I've received a copy of my NARSUM and the impact statement is being worked now. I informed my PEBLO that there were several inaccuracies in my NARSUM and they stated that there was nothing I could do at this point. Since I am wanting to be retained I am worried the inaccuracies will work against me.

What are your thoughts?

Could you provide me the list of attorneys as well please?
 
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