LOOKING FOR SOME INSIGHT

H

hooyah050

PEB Forum Regular Member
Registered Member
good morning everyone!!!1
I was refered to this chat forum from another sailor that said this place will help with my questions

lets start from the beginning
I enlisted back in sep 2012
it is now oct 2015 so that means I got 3 years and a month in
I have 3 bca and prt waivers for the same thing which is for hypothyroidism

ive been diagnosed with:

hypothyroidism
hypogonadism
erectile dysfunction
hypoglycemic
insulin resistance
vitamin d deficient
low testosterone
eczema
kidney stones
gerd
sleep apnea: cpap machine I have currently
I have had nerve damage on my abdomen
acute Epiglottitis that was severe almost died was in the ICU for 5 days.

I started a package with my peblo back in September
it is now October and my command is doing up the NMA
my peblo called me and told me my vtc with the msc is on 21 oct
im kinda nervous I don't know how my outcome is going to be.
im just trying to find a peace of mind. im way out of navy regs that I have 3 pairs of dress blues and whites
just to try to make a fit and still no luck
im only an e4 I try my best to stay physically fit but my conditions have prevented me to meet the navys weight and prt requirements
before the navy I had no conditions and my family doesn't have any connected history of ever having those conditions.
even my wife is going through what im going through.
she has PCOS and now we cant have children due to our conditions.
im hopeing that the medboard takes consideration of my medical conditions and situation to see if I could get medically retired.
I tried to surf for info to find out if I was to be unfit that what my rating would be like I had no luck I don't understand va math.
if you could get assistance for some info I would really appreciate it.
im really just trying to find a piece of mind.
could some one help please and thank you.
 
Right now, its very hard to talk about ratings. There is some real questions about which conditions are unfit, or even if you are unfit at all.

What I imagine will happen, assuming your conditions are typical, is either a) the MEB says get his diabetes and hypothyroid a little better controlled or b) Those conditions are already controlled enough and the MEB says its not a medical cause for being below retention standards. Either scenario will result in them not doing BCA waivers for much longer. Once they stop doing BCA waivers then you start into weight control. As long as you make progress on losing the weight, they let you stay in, if you can't lose the weight despite the medical conditions being under control, its a BCA separation.

Its a laundry list you have there, so hard to say how accurate that is. Eczema can sometimes be a big deal, and no idea about abdominal nerves. Sometimes conditions are outside the norms too, or more complex than your simple description. Diabetes can certainly rise to that level. What you're saying though is the big issue is the weight. You certainly have some issues that make it a legitimate medical problem, not simple you're not dieting and exercising right. Usually they can fix them given time, and return you to working order. They shouldn't throw their hands up and say this is just too hard and kick you out.

Militarydisabilitymadeeasy.com provides a useful tool for looking up ratings. Of limited use for your immediate question, as its very hard to say what is unfit vs fit.
 
My hypothyroidism is causing me to gain weight and have muscle weakness
Iv been dealing with this for 2 years and I've dieted and exercise. Medical is aware of my medical condition I didn't request a peb I was referred to the peb. And I 3 bca waivers back to back for the same thing. I believe I'm unfit
 
Yea my long laundry list is accurate not to mention I'm getting treatment for depression
 
So your telling me that I'm going through this peb for nothing? Now I'm more confused than I was before thanks. I should of known better than to ask for help to find out
 
Untreated hypothyroidism can be incredibly rough. Yes, no amount of dieting and exercise can fix it. However it is believed to be fully treatable, they can artificially supply the same chemicals your thyroid produces. This makes hypothyroidism very unusual to be unfit. There may be some usual situation. Autoimmune disorders can sometimes make the thyroid act erratically. The usual response is to just remove the thyroid and have the pills take over the thyroid function, but maybe there is some other factor in play that makes that ill advised.

The VASRD does allow for higher ratings. If you cannot stand the cold, have muscle weakness, mental issues (depression, dementia, etc.), a slow heart rate (less than 60 beats per minute), drowsiness, and other problems with the heart, it is rated 100%. If there is muscle weakness, mental issues and weight gain, it is rated 60%. If you are easily tired, constipated, and your mind is slow and sluggish, then it is rated 30%. If you are easily tired or if you require constant medication, then it is rated 10%.

hooyah050 said:
Yea my long laundry list is accurate not to mention I'm getting treatment for depression
Click to expand...
To clarify, its not that I'm wondering if of the laundry lists is accurate, but rather the accuracy of saying hypothyroidism is really where the unfit determination will come from. As you mention, maybe the depression is also a separate cause for being unfit, its hard to determine based on what you posted. You really only talk about the weakness and weight gain as being your big issues, which indicates its hypothyroidism as the problem. Its quite possible other factors will be become part of an unfit rating.

hooyah050 said:
So your telling me that I'm going through this peb for nothing?
Click to expand...
Not sure I'd characterize it as for nothing. You had 3 BCA waivers, this indicates there is a problem. Generally your condition should be under control before then. Sometimes this means doctors are jerking you around. The auto MEB acts as a fail safe for that scenario, it puts your care under a higher level of scrutiny and can sometimes act as a catalyst for action. It may be that you have an unusual case. It may be that you are seeing the weight gain as your big issue, but the docs are seeing the diabetes or the depression or one of the other conditions as the big issue.
 
There are no crystal clear answers in your case unfortunately.

Since you have been assigned a PEBLO, the AF will be looking at your conditions to see if they meet the retention standards.

Most of the things that you have listed are complex in nature, primarily because the retention standard states that they are acceptable, unless they cannot be controlled with medication. This is where the MEB physicians will come into play. They will look at the conditions, the treatment for the conditions and the residual of the condition after treatment.

It will be up to the recommendation of the MEB Physician, to see if you will be submitted to the PEB. If you are submitted to the PEB, they will look at the reccomendation of the MEB, your C&P evaluations with the VA (which probably have not taken place yet) and your non medical assesment (Commanders Letter).

It is still a little early in the game to get a feel what your outcome will be.

Once you have had your C&P appointments, and have the results, it will be much easier to see what your ratings will potentially be.
 
I went through two different endocrinologist and no luck there is no cure I was told I gotta live with this for the rest of my life
 
I wish you the best for your meeting with your MSC tomorrow. He should get your schdeuled in for all of your C&P appointments. Make sure to list every single thing that has ailed you since you began basic training.
 
Based on what you posted in your other thread, if you match up to the 100% level, that should be a pretty clear indication of what your unfit rating should be. If you have a single condition at 100% the VA math doesn't really apply anymore, and military retirement maxes at 75%. There may be some question about where you lie on the SMC charts for VA compensation though.

One thing to watch for. When the rater decides on your level, they start at the bottom and work their way up. So it will be quite easy to establish your hypo is at a 10% level. Then they look at the 30% level, see if you match up well to that. Then they see if you match up well to the 60% level, etc. I have heard of examples where a rater says you don't have constipation, so you don't qualify for the 30% level, then they never get to the point where they compare you to the 60% or 100% level. Despite the fact you meet the criteria for a 100% level. The criteria lists are more of a guideline, you don't have to match every single facet, so a decision like that should likely be argued against. Likely things like your depression and weakness are your more severe and worrisome symptoms so are the best documented and are important for the 100% level. You may want to look at each rating level and make sure the less worrisome symptoms are documented. It can be hard to care about constipation when your muscles are wasting away, but for VA purposes, it may be meaningful to get it looked at.
 
Just got my va appts today
29 oct 15
31 oct 15
9 nov 15
And I'm at behavior health clinic php
Just got diagnosed with ptsd
 
It appears you are making progress. Best wishes for a positive outcome.
 
The next step is your command writes an impact letter your PCM writes there medical assessment on you. then you get a copy of your C&P exams and notes. your review them go back to your peblo sign if you agree with what your medical examiners said about you or challenge it. once your paperwork is in order you send it up to the IPEB and wait.
 
how long would I have to wait to receive my c&P exam info if I completed them nov 9th 2015
 
Not likely you will get a hold of a PEBLO this week due to the holiday. You can request copies of the examinations direct from the VA, by going through correspondence.
 
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