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Recent Blog Posts
When the Diagnosis Is Wrong: How a Missed EEG Changed Everything
A case study in why TDRL reviews require more than a rubber stamp — and why diagnostic errors are the first thing I look for. About 15 years ago, a service member came to me to appeal his findings after a Temporary Disability Retirement List reevaluation. He had originally been placed on the TDRL through […]
Mount Sinai Study: AI Repeats Medical Falsehoods in 1 Out of 3 Cases
A new study from Mount Sinai found something important. Large language models, like AI chat tools, can still believe and repeat false medical information. This happens most often when the false information sounds professional and confident, as if a doctor wrote it. In the study, the AI models were tested with 158,000 prompts. In 50,108 […]
Navy PFA Resets and the New ADSEP Risk: What Sailors Need to Know
Beginning January 1, 2026, the Navy reset all prior PFA failures to zero — but introduced a strict rule allowing Administrative Separation after three failures within four years. For Sailors in the IDES MEB/PEB process, a third PFA failure can trigger ADSEP and potentially override a pending disability case unless the same medical condition caused […]
“The Silent Crisis No One Talks About: How Navy PEB Delays Are Driving Sailors Into Debt, Divorce, and Desperation”
A Bureaucratic Delay With Human Consequences Most discussions about Navy PEB delays focus on the administrative side- staffing shortages, IT failures, training gaps, and backlogs. All true. All real. All quite insufficient to describe the actual impact on Sailors. The real story — the one nobody wants to talk about — is that PEB delays […]
“When the VA Says One Thing and the Navy Says Another — The Financial Gaslighting Built Into IDES”
Introduction: Two Agencies, One Record, Two Totally Different Realities One of the most shocking moments in the IDES process is when a Sailor sees their proposed VA rating and their Navy PEB decision side by side. On one page, the VA says:“You have significant functional impairment.” On the next, the Navy says:“You’re fit for continued […]
“The Hidden Casualty of Military ‘Wellness Culture’: Your IDES Outcome”
When ‘Resilience’ Turns Into a Liability The military has spent the past decade promoting resilience, wellness initiatives, mindfulness, sleep hygiene, and a dozen other well-intentioned programs. On paper, these programs exist to support service members. In practice, they sometimes do the opposite. Because inside the Navy PEB, these cultural messages collide with the unspoken suspicion […]
“The Post-Retention Navy: Why PEB Decisions Are Increasingly About Manning Shortages, Not Medical Truth”
Introduction: When Readiness Pressures Quietly Shape ‘Medical’ Decisions If you’re a Sailor heading into the Navy PEB, you’ve been told the process is purely medical and that the only question is whether your diagnoses prevent you from reasonably performing the duties of your office, grade, rank, or rating. That’s the promise. But, the reality is […]
“The Navy PEB Is Quietly Becoming a Data-Driven Gatekeeper — And Nobody Told the Sailors”
The System Has Evolved — But Nobody Announced It If you’re a Sailor working your way through the Joint DoD/VA Integrated Disability Evaluation System (IDES), you probably believe your case will rise or fall based on the quality of your medical evidence, your functional impairments, and the judgment of a panel of trained professionals. Once […]
Important Update re Navy IDES Case Processing
Reason for Delay: As many of you are aware, the Navy PEB experienced a software glitch with its new case management system- the Naval Disability Integrated Tracking System (“NDITS”)- on September 11, 2025, which has effectively prevented it from adjudicating cases since that time. The term NDITS is likely not new to some of you, […]
Important Update- Delays in Processing Navy PEB Cases
For those of you whose cases have recently completed the Medical Evaluation Board (MEB) stage and have been forwarded to the Navy Physical Evaluation Board (PEB) for processing, please be aware that there are ongoing significant delays impacting case decisions. The Navy PEB is currently facing challenges in implementing a new information management system. As […]
