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Possible medical change after passing MEPS
Last Post 09 Dec 2012 11:56 PM by captkyguy. 13 Replies.
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HopefulCGUser is Offline
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HopefulCG

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29 Nov 2012 09:30 PM
    I am new to the forum and have a few questions. I am looking to go active and have passed both the ASVAB and MEPS. A couple of weeks ago the company I work for brought in a company to do a "wellness check" which consisted of blood pressure and blood/ urine work. I've been prepping for bootcamp so all my blood pressure, pulse and all that came back great but the lady reviewing the results said my TSH (thyroid) was at .006. I have absolutely zero symptoms and have never had anything close to it before. I work out hard 4-5 days a week and am able to pass the published PT test mins. I scheduled a follow up where they will determine if I actually have an issue and if so, how to correct it (it is my understanding that these thyroid test can be fairly misleading/ "false positives" if you will). So here are my questions;
     1: Does MEPS not test thyroid? I passed that less than 2 months prior.
     2: Does anyone know what the specific min/ max lab results/ scores for
           thyroid are for enlistment?
     3: Since recruits can't ship on meds, if I do have an issue, how long would I 
           have to be "in range" of meds to ship?
     4: What literature could I bring to the doctor so we can make sure we figure
           this out so we are in the CG's standards?

    Thanks for any responses and sorry for the long post!  
    HopefulCGUser is Offline
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    HopefulCG

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    29 Nov 2012 09:33 PM
    Sorry for the formatting and spelling problems.... Sent from a phone.
    captkyguyUser is Offline
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    captkyguy

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    29 Nov 2012 10:11 PM
    Here are the medical enlistment standards for your review...thyroid starts on page 41

    http://www.dtic.mil/whs/directives/...13003p.pdf

    e. Current or history of hyperparathyroidism (252.0) or hypoparathyroidism (252.1).
    f. The following thyroid disorders:
    (1) Current goiter (240). Symmetrical simple goiter less than two times normal size with no nodules by ultrasound and normal thyroid function tests DOES meet the standard.
    (2) Thyroid nodule (241.0). A solitary thyroid nodule less than 5mm or less than 3cm with benign histology or cytology DOES meet the standard.
    (23) Current hypothyroidism (244) uncontrolled by medication. Individuals with two normal thyroid stimulating hormone tests within the preceding 6 months DOES meet the standard.
    (34) Current or history of hyperthyroidism (242.9). In remission off of anti-thyroidal medication with normal thyroid function tests for a minimum of 12 months and without evidence of thyroid associated ophthalmopathy DOES meet the standard.

    I want to finally set it free, So show me how to see what Your mercy sees, Help me now to give what You gave to me...Forgiveness, Forgiveness
    HopefulCGUser is Offline
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    HopefulCG

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    29 Nov 2012 11:13 PM
    Awesome, thanks for the quick response! Sorry to sound dense but how could you have current hyperthyroidism AND be in remission of meds? Does the standard mean that current or history of hyperthyroidism is disqualifying but acceptable only if stable for 12 months? Thanks again!
    captkyguyUser is Offline
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    captkyguy

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    30 Nov 2012 06:09 AM
    That would have to be explained by a doctor...and then only the MEPS doctors can make the final determination of your situation, they will need any and all documentation of a diagnosis of a factual problem. If the wellness check was a false positive and you do not have a problem, then you do not have a factual documented diagnosed problem...do not list something that is not medically documented by a doctor.

    Do a follow-up with your doctor and/or a specialist...if a problem is discovered, immediately contact your recruiter and go from there. If no problem is discovered, well then you do not have a thyroid problem.
    I want to finally set it free, So show me how to see what Your mercy sees, Help me now to give what You gave to me...Forgiveness, Forgiveness
    BahchicUser is Offline
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    Bahchic

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    30 Nov 2012 02:10 PM
    If they do discover that you are hyperthyroid you wont be able to ship. I have hyperthyroid and was asymptotic for a long time until it suddenly decided to show its nasty side. Its definitely something to be taking serious, wish u all the best.
    HopefulCGUser is Offline
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    HopefulCG

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    30 Nov 2012 04:44 PM
    Will do definitely! I would like to take the accession/ enlistment standards to the doctor with me so he knows what levels I need to be in. I read through the manual but wasn't able to find an actual lab result level or range. Does anyone know what the CG uses for an acceptable range? If the doctor says I'm fine and MEPS let's me ship do they do more blood work at cape may? Just curious if you can pass MEPS just fine and be sent home from Cape May for something MEPS was fine with?
    CoochUser is Offline
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    30 Nov 2012 04:50 PM
    Yes they will do more blood work at Cape May. MEPS and the Cape May medical staff are completely seperate entities, with Cape May having the final say in all situations. I've had applicants pass and ship to boot camp, only to get sent home for medical conditions that MEPS already knew about. The acceptable range is already stated above, when it says that you can't require medication for it:

    "Current hypothyroidism (244) uncontrolled by medication"

    So if your doctor says that either your thyroid levels are fine, or that they don't require meds, you should be able to ship to Cape May. However, the MEPS doctor will have the next approval, and the final approval will rest with Cape May.
    You can meet the standard, or you can set the standard. It's your choice.
    BahchicUser is Offline
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    Bahchic

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    30 Nov 2012 06:42 PM
    Your doctor will be able to tell you after bloodwork whether u are hyperthyroid or not aas it is also based on your levels. Please let your recruiter know the results as it is definitely not something you want to go to Cape May with because they would.definitely send you home.
    HopefulCGUser is Offline
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    HopefulCG

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    06 Dec 2012 06:28 PM
    One more question for anybody who can answer it. My labs came back and my Dr said my actual thyroid levels are absolutely normal. The way it was explained to me is this; the TSH is tested because it is easy to test for if you have fasted for 12 hrs and is indicative that there MAY be a thyroid problem. However to find an actual thyroid problem you must do subsequent test. My concern is whether Cape May will only test TSH, which would indicate a false problem in my case, or if they test something else. So in short, does anyone know, or know where to find what is actually tested in the bloodwork?  It would really suck to get to bootcamp and be sent home for something I don't have.... Thanks again for everyone's help!
    BahchicUser is Offline
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    Bahchic

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    06 Dec 2012 08:07 PM
    Cape May doesn't list what test they run, but they do test alot of things likes liver enzyme, proteins,TSH etc. You could always have your doctor run more testing to make sure you don't have a thyroid issue, makes more sense to know now than later.
    HopefulCGUser is Offline
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    HopefulCG

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    06 Dec 2012 09:03 PM
    Bahchic,

    I did have my doctor do additional testing and he said word for word that my thyroid is doing excellent.

    So my doctor says that even though the TSH score was off my thyroid is doing great. Is there anyway to get the opinion of the doctors at Cape May or as long as a civilian doctor says all is well do I just go to bootcamp and see what they say? PLEASE NOTE: Doctor says all is well and I have NOT been diagnosed as anything.
    BahchicUser is Offline
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    Bahchic

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    06 Dec 2012 09:45 PM
    Well if the doctor says you're all good then you're good. You havent been diagnoses with anything, just dont volunteer any of this information to MEPS.Don't stress yourself out, unfortunately no you wont be able to speak to the Cape May doctors. Have fun at bootcamp!!
    captkyguyUser is Offline
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    captkyguy

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    09 Dec 2012 11:56 PM
    Hopeful, you have worked yourself into a worry…you do not have a thyroid problem, check no on the prescreen and move forward in the process. No one here, not even if one of us was a past MEPS, or even Cape May medical doctor can tell you what the current MEPS and/or Cape May doctor will interpret from your blood work. Your doctor has explained how the test score was affected and that your thyroid is working excellent…no more worries.

    Finish the process and go to boot camp knowing you are healthy!

    MUM is the word at MEPS…do not over share anything, only give the details needed for things documented on you prescreen…no diarrhea mouth! 
    I want to finally set it free, So show me how to see what Your mercy sees, Help me now to give what You gave to me...Forgiveness, Forgiveness
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