RECORD OF PROCEEDINGS AIR FORCE BOARD FOR CORRECTION OF MILITARY RECORDS IN THE MATTER OF: DOCKET NUMBER: BC-2010-01939 COUNSEL: NONE HEARING DESIRED: NO _________________________________________________________________ APPLICANT REQUESTS THAT: 1. His SF 88, Report of Medical Examination, dated 24 November 1987, be amended to reflect the following: A. Item 24, Eyes – Abnormal rather than Normal. Add the following notes regarding Item 24: 24a. Defective distant vision acuity diagnosis 13 June 1967. 24b. 17 vision examinations and prescription eye glasses issued due to changes and corrections to member’s vision acuity. 24c. Defective distant visual acuity OU corrected 24 November 1987. 24d. Defective near visual acuity OD inadequately corrected 24 November 1987. B. Item 35, Upper Extremities – Abnormal rather than Normal. Add the following notes regarding Item 35: Left hand: fracture/crush injury 30 August 1978; injury/inflammation 3 November 1979; assessment-decreased strength, periodic Medical Examination 24 January 1980; injury to wrist/forearm 29 May 1981. Right hand: fracture right hand 26 June 1978 and injury right wrist 23 April 1980. C. Item 36, Feet – Abnormal rather than Normal. Add the following notes regarding Item 36: Left foot: 30 June 1981 blunt trauma, painful mass. D. Item 38, Spine – Abnormal rather than Normal. Add the following notes regarding Item 38: Other musculosketal: low back injury 15 July 1976, 24 March 1986 loss of 7 duty days; upper back injury 20 November 1983, loss of 4 duty days; mid back strain injury 4 April 1985, loss of 3 duty days. E. Item 44, Dental – upper right 1, 2, 3, 4, 5, 6, 7, 8 Upper left 9, 10, 11, 12, 13, 14, 15, 16 extracted whole upper denture placed September 1982; lower 17, 31, 32 extracted. 2. His SF93, Report of Medical History, dated 24 November 1987, be amended in Item 25, Physician’s summary and elaboration of all pertinent data to reflect the notes from the SF 88, Report of Medical Examination. _________________________________________________________________ APPLICANT CONTENDS THAT: He believes he was not properly processed for retirement by the medical department. The medical personnel at the USAF Regional Hospital gave him instructions and information that was contrary to what was required of SF 88, Report of Medical Examination and SF 93, Report of Medical History because when he declared his active duty injuries and his problems to them he was told that he did not have to worry about them because he would have continued medical care as a retiree by the military health care system and the Veteran’s Administration. In support of his request, the applicant provides a personal statement and medical documentation. The applicant’s complete submission, with attachments, is at Exhibit A. _________________________________________________________________ STATEMENT OF FACTS: On 31 July 1988, the applicant was relieved from active duty and retired on 1 August 1988, in the grade of master sergeant. He served 20 years, 8 months and 26 days on active duty. _________________________________________________________________ AIR FORCE EVALUATION: AFMOA/SGAT recommends partial approval of the applicant’s request. SGAT states that due to the lack of dental clinic documentation, SGAT cannot recommend amending the SF 88 and SF 93 to reflect any dental procedures performed. The complete SGAT evaluation is at Exhibit C. _________________________________________________________________ APPLICANT'S REVIEW OF AIR FORCE EVALUATION: On 27 November 2010, a copy of the Air Force evaluation was forwarded to the applicant for review and comment within 30 days (Exhibit D). As of this date, this office has received no response. _________________________________________________________________ AIR FORCE EVALUATION: AFMOA/SGAT states that it appears the applicant’s vision was diagnosed as defective at some point and is noted as such in the 24 November 1987 visit in section 74 on page 2. However, if this diagnosis cannot be found in the current record, then SGAT recommends adding it to the 24 November 1987 visit to give validation to the doctor’s notes. The AFMOA/SGAT email communiqué is at Exhibit E. _________________________________________________________________ THE BOARD CONCLUDES THAT: 1. The applicant has exhausted all remedies provided by existing law or regulations. 2. The application was not timely filed; however, it is in the interest of justice to excuse the failure to timely file. 3. Sufficient relevant evidence has been presented to demonstrate the existence of an error or injustice warranting partial relief. We note that AFMOA/SGAT recommends approval of the applicant’s request with the exception of the dental portion due to lack of dental clinic documentation. We agree with their assessment and recommend his records be corrected to the extent indicated below. ________________________________________________________________ THE BOARD RECOMMENDS THAT: The pertinent military records of the Department of the Air Force relating to APPLICANT, be corrected to show that: 1. His Standard Form 88, Report of Medical Examination, dated 24 November 1987, be amended to reflect the following: A. Item 24, Eyes – Abnormal rather than Normal. Add the following notes regarding Item 24: 24a. Defective distant vision acuity diagnosis 13 June 1967. 24b. 17 vision examinations and prescription eye glasses issued due to changes and corrections to member’s vision acuity. 24c. Defective distant visual acuity OU corrected 24 November 1987. 24d. Defective near visual acuity OD inadequately corrected 24 November 1987. B. Item 35, Upper Extremities – Abnormal rather than Normal. Add the following notes regarding Item 35: Left hand: fracture/crush injury 30 August 1978; injury/inflammation 3 November 1979; assessment-decreased strength, periodic Medical Examination 24 January 1980; injury to wrist/forearm 29 May 1981. Right hand: fracture right hand 26 June 1978 and injury right wrist 23 April 1980. C. Item 36, Feet – Abnormal rather than Normal. Add the following notes regarding Item 36: Left foot: 30 June 1981 blunt trauma, painful mass. D. Item 38, Spine – Abnormal rather than Normal. Add the following notes regarding Item 38: Other musculosketal: low back injury 15 July 1976, 24 March 1986 loss of 7 duty days; upper back injury 20 November 1983, loss of 4 duty days; mid back strain injury 4 April 1985, loss of 3 duty days. 2. His Standard Form 93, Report of Medical History, dated 24 November 1987, be amended in Item 25, Physician’s summary and elaboration of all pertinent data to reflect the following notes: Defective distant vision acuity diagnosis 13 June 1967. 17 vision examinations and prescription eye glasses issued due to changes and corrections to member’s vision acuity. Defective distant visual acuity OU corrected 24 November 1987. Defective near visual acuity OD inadequately corrected 24 November 1987. Left hand: fracture/crush injury 30 August 1978; injury/inflammation 3 November 1979; assessment-decreased strength, periodic Medical Examination 24 January 1980; injury to wrist/forearm 29 May 1981. Right hand: fracture right hand 26 June 1978 and injury right wrist 23 April 1980. Left foot: 30 June 1981 blunt trauma, painful mass. Other musculosketal: low back injury 15 July 1976, 24 March 1986 loss of 7 duty days; upper back injury 20 November 1983, loss of 4 duty days; mid back strain injury 4 April 1985, loss of 3 duty days. ________________________________________________________________ The following members of the Board considered AFBCMR Docket Number BC-2010-01939 in Executive Session on 3 March 2011, under the provisions of AFI 36-2603: All members voted to correct the records, as recommended. The following documentary evidence pertaining to AFBCMR Docket Number BC-2010-01939 was considered: Exhibit A. DD Form 149, dated 1 May 2010, w/atchs. Exhibit B. Applicant's Master Personnel Record. Exhibit C. Letter, AFMOA/SGAT, dated 16 November 2010. Exhibit D. Letter, SAF/MRBR, dated 27 November 2010. Exhibit E. E-Mail communiqué, AFMOA/SGAT, dated 2 March 2011. Panel Chair