DEPARTMENT OF THE NAVY BOARD FOR CORRECTION OF NAVAL RECORDS 701 S. COURTHOUSE ROAD, SUITE 1001 ARLINGTON, VA 22204-2490 Docket No. 3188-17 AUG 2018 This is in reference to your application for correction of your naval record pursuant to the provisions ofTitle 10 United States Code §1552. After careful and conscientious consideration of the entire record, the Board found the evidence submitted was insufficient to establish the existence ofprobable material error or injustice. Consequently, your application has been denied. A three-member panel ofthe Board for Correction ofNaval Records, sitting in executive session, considered your application on 17 May 2018. The names and votes ofthe members of the panel will be furnished upon request. Your allegations oferror and injustice were reviewed in accordance with administrative regulations and procedures applicable to the proceedings of this Board. Documentary material considered by the Board consisted of your application, together with all material submitted in support thereof, relevant portions of your naval record and applicable statutes, regulations and policies. In addition, the Board considered the advisory opinion contained in HQMC letter 1770 TSGLI dtd 13 March 2018 and your response to the opinion. A review ofyour record shows that on 24 May 2012, you were injured in a parachute training accident and sustained injuries to your left femur and right shoulder. Specifically, you suffered from an open femoral fracture of the left leg and a right shoulder labral (SLAP) tear in addition to an axillary nerve palsy to the right shoulder. You were treated at the hospital and discharged on 28 May 2012. Your hospitalization wits followed by routine physical therapy and additional treatments, to include an arthroscopic procedure due to adhesions on 7 September 2012. You subsequently filed a TSGLI claim for loss of ADLs on 24 July 2012. Specifically, your claim addressed your inability to independently bathe, dress, toilet, and transfer without physical assistance for over 60 days. Your request was denied on 24 October 2012 and your reconsideration request was denied on 1 May 2013. On 29 October 2013, your appeal was denied by the TSGLI Appeals Board, which concluded that there was a lack ofmedical evidence that specified your inability to independently perform your AD Ls. After reviewing all ofthe medical records and material submitted by you in support of your claim, and after resolving all doubt in your favor, the Board concluded that the evidence still does not support your claim that you required assistance to perform at least two activities of daily living for a period over 120 days. In this connection, the Board substantially concurred with the comments contained in the advisory opinion. When reviewing your request, the Board considered all ofthe evidence in light of the TSGLI Guidelines. While there is evidence that you received assistance in performing ADLs from your spouse, the preponderance ofthe evidence signaled that you did not require that a5sistance, as defined by the TSGLI Guidelines. Based on this finding by the Board, they concluded, regrettably, that you do not qualify for TSGLI payments. Accordingly, the Board was unable to find an error or injustice warranting a correction to your record and denied your application. The Board carefully considered your argument that the previous review authorities ignored or unjustifiably discounted the statements you submitted in support of your claim. However, the Board did not concur with your contention. The Board felt that the most accurate and germane medical review was documented by the notes in the Armed Forces Health Longitudinal Technology Application (AHLTA), which included your treatment while hospitalized as well as your subsequent medical care during the weeks immediately following your injury. The Board highlighted that not only are these notes more proximate in time to the injury, but evaluated your capabilities to determine the level ofassistance that would be required while convalescing at home. · The. Board also considered the statements provided by you and your spouse, which state that your spouse assisted you with bathing, dressing, toileting, and transferring for over 120 days. Although these statements explain that you did receive assistance from your spouse, the Board was not convinced that such assistance was n;quired. The Board considered the statement provided by , MSC, USN, Marine Special Operations Battalion, US Marine Corps Forces, , which states that the combination of the nonweight bearing status ofyour left leg and the strength loss in your right shoulder created a functional defieit, resulting in an inability to perform ADLs without physical and standby assistance. The Board also considered the statements submitted by , US Marine Corps Forces, , and by MS OTR/L, Licensed Occupational Therapist. The Board thoroughly reviewed the medical notes entered into AHLTA which covered the treatment provided at the time of your injury and in the subsequent months. The AHL TA notes dated 7 June 2013 state that you were "able to sit with no assistance" and that you "transfer[ed] safely from chair to exam table and back." On 13 June 2013, noted that "there does not appear to be any other home assistive needs at this time." By 10 July 2013, you were authorized to "ween off the crutches at any time." After comparing the affidavits submitted in support of your claim with the notes captured by medical professionals more proximate in time to your injury, the Board decided to assign more weight to the treatment notes and subsequent medical reports issued within the weeks immediately following your trauma. Regarding your request for a personal appearance, the Board determined that a personal appearance with or without counsel will not materially add to their understanding ofthe issue(s) involved. Therefore, the Board determined that a personal appearance was not necessary and considered your case based on the evidence of record. It is regretted that the circumstances of your case are such that favorable action cannot be taken at this time. You are entitled to have the Board reconsider its decision upon the submission of new and material evidence. New evidence is evidence not previously considered by the Board. In this regard, it is important to keep in mind that a presumption of regularity attaches to all official records. Consequently, when applying for a correction of an official naval record, the burden is on the applicant to demonstrate the existence of probable material error or injustice. Sincerely, Executive Director