MEB found unfit for duty but NARSUM is missing critical information...

C

Chay

PEB Forum Regular Member
My husband has a meeting with his PEBLO today to agree/disagree with MEB findings. We agree my husband is unfit for duty, but the NARSUM leaves out the fact that my husband has homicidal ideations. In fact, it states that he is not a threat to himself or others. No where in the NARSUM does it mention why he was hospitalized (homicidal ideation) or that he has these thoughts every day. I don't want my husband to sound like a homicidal maniac, but he DOES have these thoughts on a daily basis - even though he's able to better handle them now and push them out of his mind - he says due to the therapy and medication.

So my question is this??? Should we fight for the NARSUM to be corrected?? It seems like a pretty big omission to me. The PEBLO keeps downplaying it, but I've heard this type of statement can also impact percentages??? If we decide to fight, what should we do? Will we have to go through MEB again???

Thanks for your help!
Chay - Army Wife
 
Request an impartial medical review to address the missing information. Appeal the MEB if the impartial medical review does not resolve the issue.

Mike
 
Chay-

You want to make sure that all paperwork is accurate. If the NARSUM states "member is not a threat to himself or others," then that is what the Board sees. If that is an inaccurate statement, I would insist on a second opinion/impartial review. If your husband does not agree with the NARSUM, don't sign off on it!

Bottom line- make sure everything is accurate and truthful so that you don't have problems later on.

Best,
Green
 
Just went through something similar. My NARSUM was actually missing one of my unfitting conditions. My main unfit condition was poorly written and a lot of information was missing all together. When my PEBLO presented my NARSUM, I immediately submitted an appeal. Within two weeks the NARSUM was corrected along with a memo from the doctor with responses to each issue I had with the original. I noticed at least ten errors or missing pieces of information on my unfit conditions, and the doctor corrected all of them. I also received a memo from the O-6 overall in charge explaining he would not sign off on the NARSUM until this doctor corrected his errors and provided me with the mentioned explanation memo.
 
Folks are right, submit an appeal to your peblo to forward to the does not have to be real fancy but make sure you reference the specific info in NARSUM you dispute. That is what i did and the DOC corrected it in his response. Also, you can request an impartial medical review from a 3rd party doctor but if you elect to do that, there is time frame for it, like 5 days for a response. Dont let your case manager or uniformed acting tell you that you have to pay it for yourself like my tried to. Thanks to Jason, he let me know i was entitled to an imr.

Adam
 
Who do we contact to get an LOD added on to a report; ??? At FT LEWIS PEB ?? Do it during and Appeal; I hear there are difernt stages of appeals - and you do not have to travel - just PHONE and added in and e-mail the LOD any advice anyone?
 
I just received my NARSUM and it has numerous omissions and mistakes. How do you correct these? By an impartial review? Do I just tell the PEBLO about this? Acutally my NARSUM looks like it was taken directly from my 2010 Lewis Psych eval (PTSD) and doesnt add anything from the 2012 VA eval. Actually says one of my diagnosis is in remission when I just got the diagnosis from the VA this year. Very interesting!!!! Doesnt even mention my 2008 VA psych eval. For PROGNOSIS, it says it will "take approx 5 years for the sm to totally recover from PTSD symptomolgy." ALSO very interesting since I was first diagnosed by a civ in 2007, VA in 2008, Army 2010 and VA again in 2012. Seems to already be 5 years. Must be the way to put us on TDRL. Incredible!!!!

Thank for your help!!!
 
When you are shown you meet with your PEBLO to review the written NARSUM, you can have an impartial review and/or appeal. I appealed mine by submitting a letter explaining all of my issues and my PEBLO then sent that back to my MEB doctor. There is time limit that they are given to respond to your appeal. In my case, all issues I had with my NASUM were corrected along with a letter with details on how each issue I had was remedied. But these are steps that your PEBLO should be aware of and counsel you on when you view your NARSUM.
 
Thank you. We're going over it this week and I will ask about correcting these mistakes.
 
Chay brings up a great question--and Mike a great answer. I have similar questions.

Can you explain what options are there once you rcv the NARSUM? I am being told to report ot the MEB gurus "to sign off the NARSUM." I've not seen it before. I am considering writing a Letter of Evaluation to freeze the Board to diagnose and treat a severe, life-altering problem, the result of a failed surgery at a military hospital. Of the 3 options I have read about in the AFIs: rebut, impartial review, or Letter--which takes the longest? Can I pick my own impartial reviewer?

Also, is this "Letter," a "Letter of Evaluation" that could have been written anytime since MEB began, and now only has 5 days to be written once NARSUM is presented to me? My Board has been drawn out as this failed surgery caused signficant issue--and each of them have put me in the ICU for weeks, and in the Hospital for months. The MD writing my NARSUM did not wait for the VA evals, and literally told me he did not have time to go through my records only a month ago. I am actually still going through VA evals! But he is a contracteed MD, and is contract was not renewed and he has been told to rush this. I know that's not how the IDES was designed to work (we've gone from 2 evals, to 1 eval, to no evals?!?), and I had a 15 minute appt with the NARSUM author, where he just asked me questions "to fill in the holes of the NARSUM." If I try to freeze the Board given this behavior, can the Medical Wing Commander have me re-assigned to his base, to direct my MEB participation?
 
The "impartial reviewer" is assigned by the MTF...the regulations suggest that it can be your PCM if s/he has not been involved in your MEB. Best practice to extend cases is to first request impartial review and then rebut.

Trying to "freeze" the board is a separate issue than re-assignment. The regulations are less than clear on authority to re-assign (HQ/AFPC, the MTF, and your local command all appear to have "dogs in the fight). See AFI 41-210. I suspect that much turns on who has "rank" and who wants to fight for a particular outcome. However it resolves, I see little substantive "rights" that could fight any assignment. (Also, outside of official "rank," likely informal participants in the process may impact the outcome of a situation such as this...some of the decision points may be driven by a "little old lady in tennis shoes," a TSgt somewhere, or some other "lower ranked" person in the process).
 
Has anyone ever had all of the dates on the da3947 incorrect for the meets army standard diagnoses???? One of many errors on mine!!
 
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