NARSUM Rebuttal

rodge234

Well-Known Member
Registered Member
Long story, E8, 19 years total, 16 cumulative active (10 years active duty, 6 years active guard, 2 years regular NG) multiple TBI's from deployments (purple heart from being hit twice with RPG's within a 2-hour period a few years ago), and training events (over 30 total) as well as plenty of other "normal" neck, back, knee injuries from jumps, etc. I returned from my last deployment in 2020 and was placed directly in treatment at the TBI clinic at Ft Carson after suffering back-to-back concussive events downrange and having weekly (2-3 times a week) migraines as well severe visual, verbal, and balance/cognitive issues. I entered the SRU in January 2021 and started the MEB process at the end of March.

Only migraines were deemed as not meeting retention in my NARSUM. I have them, but my job is to shoot, move and communicate (15 of my years have been in SOF). I had a command letter (DA 7652) submitted from the SRU that was a clear cop-out and stated under Section 3 G as to if my conditions affect my MOS, and I quote: "SM is a Soldier in Recovery. Performance of Solder (yes the commander could not spell Soldier) and MOS specific activities are not observed". Essentially saying that I make my appointments so I must be fine!

Within my NARSUM the Dr's referred back to this command letter multiple times as to how my conditions do not affect my job. My legal counsel, SOCOM Care Coalition and all of the Dr's I have seen at the TBI clinic and the nurse case manager at the SRU disagreed with the findings and had me gather witness statements clearly stating that the TBI, PTSD, and residuals in total keep me from doing my job. I also submitted a new command letter highlighting how the TBI and residuals make me a danger to myself and other soldiers if they come on at the wrong time (vison keeping me from acquiring my optics, memory for conducting JMPI for airborne operations, etc). The migraines keep me from missing a few days of work a month so I agree they should also be found unfitting, but the TBI stuff really affects my day-to-day.

Currently, I am in the NARSUM Rebuttal phase and just had it returned today with no changes (still only finding migraines as unfit for duty). After submitting a new Command letter and witness statements from a neurologist, TBI Occupational therapy, and BH specialists. The findings only slightly referred to all the supplemental witness statements and left out the new command letter altogether.

I did receive a preliminary VA finding stating that I would be receiving 100% but not an informal 199 with the exact percentages.

At the end of the day, myself, my command, and all the caregivers I've actually encountered believe that yes, the migraines are keeping me from doing my job, but more so the TBI and residuals and that they should be checked as Not Meet Retention. I am waiting to hear back from my assigned legal counsel, but I am wondering if I should continue to push for that these to be reconsidered, or if the VA findings should outweigh this. I am under the impression that the prostrating migraines 2-3 times a week documented should get me over the 30%, but I'm trying to look out for myself. Thank you for any advice!!

-rodge234
 
I'd fight it all day long Man....you may have a better chance at the PEB with Higher level review...

I waiting for my NARSUM and getting ready for the fight ahead of me.

Best of luck
 
ask for an IMR, (independent medical review), this step is designed Specifically for this reason.
 
I was just reading about the IMR Tony. Does this request go through my PEBLO? Also, what is the DA Form 3947 used for?
 
Long story, E8, 19 years total, 16 cumulative active (10 years active duty, 6 years active guard, 2 years regular NG) multiple TBI's from deployments (purple heart from being hit twice with RPG's within a 2-hour period a few years ago), and training events (over 30 total) as well as plenty of other "normal" neck, back, knee injuries from jumps, etc. I returned from my last deployment in 2020 and was placed directly in treatment at the TBI clinic at Ft Carson after suffering back-to-back concussive events downrange and having weekly (2-3 times a week) migraines as well severe visual, verbal, and balance/cognitive issues. I entered the SRU in January 2021 and started the MEB process at the end of March.

Only migraines were deemed as not meeting retention in my NARSUM. I have them, but my job is to shoot, move and communicate (15 of my years have been in SOF). I had a command letter (DA 7652) submitted from the SRU that was a clear cop-out and stated under Section 3 G as to if my conditions affect my MOS, and I quote: "SM is a Soldier in Recovery. Performance of Solder (yes the commander could not spell Soldier) and MOS specific activities are not observed". Essentially saying that I make my appointments so I must be fine!

Within my NARSUM the Dr's referred back to this command letter multiple times as to how my conditions do not affect my job. My legal counsel, SOCOM Care Coalition and all of the Dr's I have seen at the TBI clinic and the nurse case manager at the SRU disagreed with the findings and had me gather witness statements clearly stating that the TBI, PTSD, and residuals in total keep me from doing my job. I also submitted a new command letter highlighting how the TBI and residuals make me a danger to myself and other soldiers if they come on at the wrong time (vison keeping me from acquiring my optics, memory for conducting JMPI for airborne operations, etc). The migraines keep me from missing a few days of work a month so I agree they should also be found unfitting, but the TBI stuff really affects my day-to-day.

Currently, I am in the NARSUM Rebuttal phase and just had it returned today with no changes (still only finding migraines as unfit for duty). After submitting a new Command letter and witness statements from a neurologist, TBI Occupational therapy, and BH specialists. The findings only slightly referred to all the supplemental witness statements and left out the new command letter altogether.

I did receive a preliminary VA finding stating that I would be receiving 100% but not an informal 199 with the exact percentages.

At the end of the day, myself, my command, and all the caregivers I've actually encountered believe that yes, the migraines are keeping me from doing my job, but more so the TBI and residuals and that they should be checked as Not Meet Retention. I am waiting to hear back from my assigned legal counsel, but I am wondering if I should continue to push for that these to be reconsidered, or if the VA findings should outweigh this. I am under the impression that the prostrating migraines 2-3 times a week documented should get me over the 30%, but I'm trying to look out for myself. Thank you for any advice!!

-rodge234
The IDES providers at Fort Carson are rather narrow-minded and look for ways to find that a condition meets retention standards. From what you have written your MEB Counsel has enough evidence to draft an IPEB reconsideration request after you receive your DA 199. If your headaches were deemed prostrating in nature (Question 4a in Sec IV of the Migraine DBQ form ) and productive of economic inadaptability (Question 4b in Sec IV of the Migraine DBQ form ), you are likely to receive 50% rating for the migraines that will be binding on the Army. Thus, your focus should be on the other conditions and why they fail retention standards. Your MEB Counsel will likely tell you that the IPEB has been overruling MEB providers and finding conditions as failing retention standards on a regular basis.
 
I agree with @tony292 , ask for an IMR. Also stay in contact with service provided counsel or private counsel through the entire process. Know what you deserve and settle for nothing less.
 
Yes the IMR goes through the PEBLO. The 3497 documents the decisions of the MEB.
 
In the Army system, a member asks for an IMR first and then files a rebuttal if he or she does not like the response. You cannot ask for an IMR after submitting a rebuttal. By checking the DA-3947, one may see whether you chose a rebuttal or an IMR. The IMR has to occur before the rebuttal. If you are at the rebuttal stage and the surrebuttal by the MEB Appeal Authority denied relief, then the next step is to continue to build evidence while awaiting the DA199- you may be pleasantly surprised, but it never hurts to be prepared for an FPEB by having an IPEB Reconsideration Request prepared by your MEB Counsel at Fort Carson.
 
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