VA Exam results, Narsum, and Cmdr's letter back! HELP!

Navy80

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I recently received my VA exam results, NARSUM, and Commander’s Letter!!

My VA exam and NARSUM are pretty much spot on! However, my Commander’s letter is completely inaccurate.

My Commander’s letter says “my back appears normal but I report pain”. It also says my years of service is approx. 8 years when it is actually almost 12 years. My commander says there are no work arounds for me and I am able to perform all my duties related to my AFSC (Intelligence Analyst). His recommendation for me is to “It is my understanding that the member intends to separate at ETS and is no longer interested in service in the ANG. The member has expressed dissatisfaction with his AFSC duties for several years. During a period in which he was precluded from performing his specific AFSC duties due to an unrelated matter, the member participated in flight activities and generally did not complain about job dissatisfaction.

NARRSUM: My base doctor states “His poor prognosis coupled with severe occupational restrictions and the inability to deploy make him unsuitable for military service. The inability to do any fit testing component except for waist measurement speaks to the degree of his disability that back pain has caused. Further, the inability to lift more than 30lbs makes him non-deployable asset. Finally, his requirement to alternate sitting and standing makes it nearly impossible for him to perform his intel duties that require prolonged time in a seated position.


VA Exam Results: I pretty much agree with all the doctor’s notes. Here are some highlights from the 76 pages!!

(Migraines) Does the veteran’s headache condition impact his ability to work? YES

If yes, describe the impact of veteran’s headache condition: Sedentary or physical labor would require prn time off for rest/sleep

(Wrist) Do conditions listed in diagnosis section impact ability to perform any type of occupational work? YES, Requires prn rest/stretch breaks with repetitive use of wright wrist

(BACK) Does the veteran’s central nervous system disorder impact his ability to work? YES, Thoracic back conditions/syringomyelia limits repetitive bending, lifting, and pushing with either physical activity or sedentary work.


QUESTIONS:

1.) My PEBLO said I could write a “Letter of Exception?” on an MFR…I asked what an MFR was and she said just to google it. Any help on this? This is due to me having a problem with the inaccuracies of my commander. I have problem with the narrsum or va exam results. What should I type in this letter of exception?


2.) Does the commander’s letter hold that much weight that I should be worried?

3.) It says I have Insomnia disorder that appears to correspond with the onset of the chronic pain related to syringomyelia. I can’t find much on insomnia….help?

4.) Thoughts on how to proceed? I emailed the airmen’s council and they the commander’ letter does hold a significant amount of weight…but I didn’t give them all this background info.
 
Commanders letter has more weight in retention than it does in getting a medical retirement or severance. What are you goals, do you want to be found fit for duty of do you want to be medically retired?
 
Some background info (in addition to other info requested, below) would be helpful. Your username suggests you might be a Sailor/Navy, but the ANG reference makes me think you are an Air National Guard member. What branch are you currently serving in? What is your grade/AFSC?

My VA exam and NARSUM are pretty much spot on! However, my Commander’s letter is completely inaccurate.

As it pertains to your MEB, you may want to fight any inaccuracies via IMR/IPR and rebuttal to the MEB.

My Commander’s letter says “my back appears normal but I report pain”. It also says my years of service is approx. 8 years when it is actually almost 12 years. My commander says there are no work arounds for me and I am able to perform all my duties related to my AFSC (Intelligence Analyst). His recommendation for me is to “It is my understanding that the member intends to separate at ETS and is no longer interested in service in the ANG. The member has expressed dissatisfaction with his AFSC duties for several years. During a period in which he was precluded from performing his specific AFSC duties due to an unrelated matter, the member participated in flight activities and generally did not complain about job dissatisfaction.

Sounds like your commander hates you and is trying to make sure you don't get your due.

NARRSUM: My base doctor states “His poor prognosis coupled with severe occupational restrictions and the inability to deploy make him unsuitable for military service. The inability to do any fit testing component except for waist measurement speaks to the degree of his disability that back pain has caused. Further, the inability to lift more than 30lbs makes him non-deployable asset. Finally, his requirement to alternate sitting and standing makes it nearly impossible for him to perform his intel duties that require prolonged time in a seated position.

This seems to only address your back condition. I would think that an unfit finding would issue based on this...however, that does not encompass, necessarily, accurate coverage of all of your conditions.

(Migraines) Does the veteran’s headache condition impact his ability to work? YES

If yes, describe the impact of veteran’s headache condition: Sedentary or physical labor would require prn time off for rest/sleep

(Wrist) Do conditions listed in diagnosis section impact ability to perform any type of occupational work? YES, Requires prn rest/stretch breaks with repetitive use of wright wrist

(BACK) Does the veteran’s central nervous system disorder impact his ability to work? YES, Thoracic back conditions/syringomyelia limits repetitive bending, lifting, and pushing with either physical activity or sedentary work.

All of the above seem to only reference/focus on your back condition. Sounds to me like you may have other unfitting conditions.

1.) My PEBLO said I could write a “Letter of Exception?” on an MFR…I asked what an MFR was and she said just to google it. Any help on this? This is due to me having a problem with the inaccuracies of my commander. I have problem with the narrsum or va exam results. What should I type in this letter of exception?

MFR= Memorandum for Record.

You likely want to have assistance in drafting your appeal/rebuttal to the MEB's findings.

2.) Does the commander’s letter hold that much weight that I should be worried?
Yes and Yes.

3.) It says I have Insomnia disorder that appears to correspond with the onset of the chronic pain related to syringomyelia. I can’t find much on insomnia….help?

4.) Thoughts on how to proceed? I emailed the airmen’s council and they the commander’ letter does hold a significant amount of weight…but I didn’t give them all this background info.

Give them the background info. They can't help you if you don't provide all relevant info.

Hope all goes well for you.
 
Thanks for the responses! I was 4 years active Navy and 7 years ANG with approx. 4 of that being AGR. I am a 1N471…Network Intelligence Analyst-SSgt

-My goal at this point is to get out of the military because I can no longer perform a PT test…

-My peblo said I can’t do an IMR in regards to my commander’s letter…? Is this true? She told me I can only argue a commander’s letter through the letter of exception on the MFR.

-The thing is, my commander has always liked me. He pulled me in his office and we spoke for a few minutes on this. He wants to retrain me and he said he doesn’t understand my condition.

-I was referred for my back- Syringomyelia. Once I started this process the MSC guided me into several other conditions.


THANK YOU!
 
Found unfit by the IPEB....

What should I expect next?
 
PEBLO should contact you with the Navy's rating, you can accept if you agree, or request a VARR or a formal PEB if you disagree.

You will be able to confer with the MEB counsel before having to sign.
 
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