POTS - Will I get Med Boarded?

TL;DR Battalion Doc willing to give me LOD for POTS caused by heat strokes. NCOs telling me I’ll get medboarded and screwed on benefits.

Apologies for the beginner questions – I’m very much lost with how this works.

I’m an M-Day in the Army Guard. I joined in July 2022 for a six year contract. I got a late start in the military, at age 36. In basic, I was briefly on profile for a low-grade stress injury, but otherwise I was fine. While my ACFT scores weren’t stunning (490ish) they weren’t horrible.

In late spring 2024, I was on an ODT in west Africa. During a 2hr LFX on a 240B in 110-degree heat, I had a heatstroke. I wasn’t sent back to our FOB and just treated with IV & OTC meds by our battalion medical officer (O-4) who happened to be there. This was my first heat injury ever.

I didn’t think anything of it until my next ACFT (mid-day, summer, in the south) where I passed out after the SDC. It was the first day of drill and I wasn’t allowed to leave to seek medical treatment during drill. By Sunday evening I felt more or less ok and didn’t go to an ER.

At my make up ACFT a month later, the exact same thing happened, except I the dizziness and headache lasted two weeks. I did go to the ER Sunday night this time and have had a ton of diagnostic testing and seen multiple specialists.

After many months, I am about to be formally diagnosed with pots by my civilian cardiologist, and I have ongoing issues with tachycardia, dizziness, headaches, concentration – all of which are worse during even light exercise. Under ideal circumstances, I think I could make it thru an ACFT if its very early in the morning and I have a profile authorizing extended breaks.

My battalion doc says he will give me an LOD for POTS related to the heatstrokes, but I have some friendly NCOs who are telling me not to get this if I want to stay in.

POTS is listed as a potential basis for discharge according DoDI 6130.03-V2, 5-11(m), and my time in is so brief that they say the VA will screw me on disability benefits. Apparently I can get separated for POTS but then have the VA either say it's not POTS or not LOD. I’d also apparently be ineligible for a VA loan, which I was really hoping for. I’m advised to just get a diagnosis just for heat stroke/heat sensitivity, and ask that the LOD make no mention of POTs or tachycardia. On the other hand, I’m worried if I do this, in the future I will be unable to get disability for the conditions, diagnoses that I leave out.

My hope is that I can stay in at a desk job at battalion while documenting my conditions for VA disability once I ETS (either once the remaining 3.5 years of my contract is up or longer). Is that too much to hope for? Or do I need to pick between preserving my disability claim or staying in?
 
Hi! Idk if you ever figured anything out. I’m Air Force and was an enlisted aviator, went to Wrightt-Patt for syncope, fainted during the tilt table and was then diagnosed for POTS. I was granted a retention waiver but not a flying waiver. However, I would still recommend not getting it into your records until you’re ready to leave. Just for peace of mind.
 
TL;DR Battalion Doc willing to give me LOD for POTS caused by heat strokes. NCOs telling me I’ll get medboarded and screwed on benefits.

Apologies for the beginner questions – I’m very much lost with how this works.

I’m an M-Day in the Army Guard. I joined in July 2022 for a six year contract. I got a late start in the military, at age 36. In basic, I was briefly on profile for a low-grade stress injury, but otherwise I was fine. While my ACFT scores weren’t stunning (490ish) they weren’t horrible.

In late spring 2024, I was on an ODT in west Africa. During a 2hr LFX on a 240B in 110-degree heat, I had a heatstroke. I wasn’t sent back to our FOB and just treated with IV & OTC meds by our battalion medical officer (O-4) who happened to be there. This was my first heat injury ever.

I didn’t think anything of it until my next ACFT (mid-day, summer, in the south) where I passed out after the SDC. It was the first day of drill and I wasn’t allowed to leave to seek medical treatment during drill. By Sunday evening I felt more or less ok and didn’t go to an ER.

At my make up ACFT a month later, the exact same thing happened, except I the dizziness and headache lasted two weeks. I did go to the ER Sunday night this time and have had a ton of diagnostic testing and seen multiple specialists.

After many months, I am about to be formally diagnosed with pots by my civilian cardiologist, and I have ongoing issues with tachycardia, dizziness, headaches, concentration – all of which are worse during even light exercise. Under ideal circumstances, I think I could make it thru an ACFT if its very early in the morning and I have a profile authorizing extended breaks.

My battalion doc says he will give me an LOD for POTS related to the heatstrokes, but I have some friendly NCOs who are telling me not to get this if I want to stay in.

POTS is listed as a potential basis for discharge according DoDI 6130.03-V2, 5-11(m), and my time in is so brief that they say the VA will screw me on disability benefits. Apparently I can get separated for POTS but then have the VA either say it's not POTS or not LOD. I’d also apparently be ineligible for a VA loan, which I was really hoping for. I’m advised to just get a diagnosis just for heat stroke/heat sensitivity, and ask that the LOD make no mention of POTs or tachycardia. On the other hand, I’m worried if I do this, in the future I will be unable to get disability for the conditions, diagnoses that I leave out.

My hope is that I can stay in at a desk job at battalion while documenting my conditions for VA disability once I ETS (either once the remaining 3.5 years of my contract is up or longer). Is that too much to hope for? Or do I need to pick between preserving my disability claim or staying in?
Get the LOD for POTS if you got POTS while serving. Medical should not dictate on where you want to stay in or not. ALWAYS GET A LOD if you had a medical condition while serving on orders. That's additional proof to the VA that the condition was service connected. Also, if later on they find you unfit you could qualify for medical retirement. Its hard to get the benefits you deserve as a Reservist or Guardsman. Always do things by the book. Don't wait or base it on staying in or not. If no LOD then you could get kicked out with any retirement or tricare.

I can't make this any more clear. Never eke out to ETS just because you are afraid of the consequences of a medical diagnosis. Take care of yourself and report everything in a timely manner. If you were on orders and are hurt as a result its your duty to get a LOD. I have never seen someone here regret doing that. On the other side, I see lots of people on here that are hurt and upset with their branch of service because they didn't get the benefits they had hoped to get.
 
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