Posted on Dec 7, 2021
Can a medical discharge/chapter be stopped once it has been started during basic training?
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The bar for initial entry separations is very low. You are probably unfamiliar with Army regulations and your son definitely is. He is not receiving a medical separation from a Medical Evaluation Board as AR 40-501 would dictate because he's still an Initial Entry Soldier. He will probably receive an uncharacterized Entry Level Separation.
The recommendation will be made by a PA or NP and reviewed by either a senior PA, NP or Doctor. Offering your unsolicited medical advice on a case you are removed from will not be helpful.
You can call a Congressionman if you like. They will contact the medical section and the provider will show that the Soldier is not medically fit to serve. The Soldier does not have to be diagnosed with anything to prove that they are simply not medically fit enough for service.
No doubt he is feeling defeated, but he's an adult and has to work through this on his own, and that will make him stronger in the future. Not everyone is meant to be a Soldier
The recommendation will be made by a PA or NP and reviewed by either a senior PA, NP or Doctor. Offering your unsolicited medical advice on a case you are removed from will not be helpful.
You can call a Congressionman if you like. They will contact the medical section and the provider will show that the Soldier is not medically fit to serve. The Soldier does not have to be diagnosed with anything to prove that they are simply not medically fit enough for service.
No doubt he is feeling defeated, but he's an adult and has to work through this on his own, and that will make him stronger in the future. Not everyone is meant to be a Soldier
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MAJ Ronnie Reams
In the military do PAs and NPs operate independently of an MD/DO? I see a lot of stuff on RP that suggests they make decisions much like an independent duty Corpsman. PAs were kinda new as I was leaving. Remember that they were WOs and worked under BN Surgeon at that time. Made them Os later, so they would be over ANC personnel.
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SFC (Join to see)
MAJ Ronnie Reams PAs have about the same scope of practice as an NP. They're pretty well established now, but not really recognized outside the US. Most Battalions will have a PA for their primary Care Manager, sometimes an RN. Then there's the Brigade Surgeon who will usually be an NP, senior PA, or doctor. They work under the Division Surgeon who is usually a doctor. The NPs and PAs still work under a doctor's license and they have full legal prescribing and diagnosing authority.
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CPT Lawrence Cable
MAJ Ronnie Reams - When were you in? I enlisted in 1982 and PA's ran the Battalion sick calls. They were still Warrants back then,
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First off, you have absolutely zero reasoning as a family member to be emailing or calling anyone in his chain of command. You are a family member and absolutely zero individuals within the armed forces has to engage with you. Also, although you are correct with referring to 40-503, they have likely spoken to MEDCOM and MEPCOM and are using DODI 6130.03 which states under disqualifying conditions:
Any abnormal findings on imaging or other examination of body structure, such as the lungs, diaphragm, or other thoracic or abdominal organs, unless the findings have been evaluated and further surveillance or treatment is not required.
b. Current abscess of the lung or mediastinum.
c. Infectious pneumonia within the last 3 months.
d. History of recurrent (2 or more episodes within an 18 month period) infectious pneumonia after the 13th birthday.
e. History of airway hyper responsiveness including asthma, reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, after the 13th birthday.
Symptoms suggestive of airway hyper responsiveness include but are not limited to cough, wheeze, chest tightness, dyspnea or functional exercise limitations after the 13th birthday.
(2) History of prescription or use of medication (including but not limited to inhaled or oral corticosteroids, leukotriene receptor antagonists, or any beta agonists) for airway hyper responsiveness after the 13th birthday.
f. Chronic obstructive pulmonary disease including but not limited to bullous or generalized pulmonary emphysema or chronic bronchitis.
g. Bronchiectasis (after the 1st birthday).
h. Bronchopleural fistula, unless resolved with no sequelae.
i. Current chest wall malformation, including but not limited to pectus excavatum or pectus carinatum which has been symptomatic, interfered with vigorous physical exertion, has been recommended for surgery, or may interfere with wearing military equipment.
j. History of empyema unless resolved with no sequelae.
k. Interstitial lung disease including pulmonary fibrosis.
l. Current foreign body in lung, trachea, or bronchus.
m. History of thoracic surgery including open and endoscopic procedures. n. Pleurisy or pleural effusion within the previous 3 months.
o. History of spontaneous pneumothorax occurring within the past 2 years, or pneumothorax due to trauma or surgery occurring within the past year.
p. Recurrent spontaneous pneumothorax.
q. History of chest wall surgery, including breast, during the preceding 6 months, or with persistent functional limitations.
From reading your post and reading 6130.03, your son has a disqualifying condition which should have prevented him from enlistment.
Legal isn’t going to help you, emailing his command isn’t going to help you. The discharge began at the doctors, got a legal review stating the discharge is justified, and the command has approved it. The discharge will continue and there isn’t anything you can honestly do about it.
Any abnormal findings on imaging or other examination of body structure, such as the lungs, diaphragm, or other thoracic or abdominal organs, unless the findings have been evaluated and further surveillance or treatment is not required.
b. Current abscess of the lung or mediastinum.
c. Infectious pneumonia within the last 3 months.
d. History of recurrent (2 or more episodes within an 18 month period) infectious pneumonia after the 13th birthday.
e. History of airway hyper responsiveness including asthma, reactive airway disease, exercise-induced bronchospasm or asthmatic bronchitis, after the 13th birthday.
Symptoms suggestive of airway hyper responsiveness include but are not limited to cough, wheeze, chest tightness, dyspnea or functional exercise limitations after the 13th birthday.
(2) History of prescription or use of medication (including but not limited to inhaled or oral corticosteroids, leukotriene receptor antagonists, or any beta agonists) for airway hyper responsiveness after the 13th birthday.
f. Chronic obstructive pulmonary disease including but not limited to bullous or generalized pulmonary emphysema or chronic bronchitis.
g. Bronchiectasis (after the 1st birthday).
h. Bronchopleural fistula, unless resolved with no sequelae.
i. Current chest wall malformation, including but not limited to pectus excavatum or pectus carinatum which has been symptomatic, interfered with vigorous physical exertion, has been recommended for surgery, or may interfere with wearing military equipment.
j. History of empyema unless resolved with no sequelae.
k. Interstitial lung disease including pulmonary fibrosis.
l. Current foreign body in lung, trachea, or bronchus.
m. History of thoracic surgery including open and endoscopic procedures. n. Pleurisy or pleural effusion within the previous 3 months.
o. History of spontaneous pneumothorax occurring within the past 2 years, or pneumothorax due to trauma or surgery occurring within the past year.
p. Recurrent spontaneous pneumothorax.
q. History of chest wall surgery, including breast, during the preceding 6 months, or with persistent functional limitations.
From reading your post and reading 6130.03, your son has a disqualifying condition which should have prevented him from enlistment.
Legal isn’t going to help you, emailing his command isn’t going to help you. The discharge began at the doctors, got a legal review stating the discharge is justified, and the command has approved it. The discharge will continue and there isn’t anything you can honestly do about it.
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Jennifer Lynn
Thank you for the medical and process feedback. As a medical professional, I would like to see the evidence that was presented by obviously that will never happen. However, I have one reason and purpose in my life, and that is my kids, and I would fight for them no matter what, under any circumstance. Shaming me, as if I'm some peasant that got dirt on your boots, for trying to save my kids future that has spent nearly 5 years of his life dedicated to, is in vain. This family fights for what they believe in and the people they care about. I'll never feel guilty for doing that.
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SSG (Join to see)
5 years of his life and has yet to get through basic? The military isn’t for everyone and unfortunately this may be the case for your son. If there was an EPTS meeting, the discharge wasn’t started until after that, meaning he acknowledged that this issue existed prior to service meaning her enlisted fraudulently. If I had a trainees parent emailing and calling me because they failed, it would not end well. I’m telling you there is absolutely nothing you or he can do.Jennifer Lynn
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Consider obtaining the services of an attorney who has experience with this type of issue. Keep a good eye on your son... maybe his God has a different plan for him.
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SSG (Join to see)
An opinion doesn’t override the fact that JAG reviews ALL chapter packetsSGT (Join to see)
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