There is a category of conscripts who have absolutely no desire to give back to their homeland and openly want to avoid service. But there are also those whose state of health really leaves much to be desired, for example, a young man received a head injury with a concussion, and it is this category of conscripts that doctors need to deal with.
How is recruitment into the army carried out?
It is worth saying that there are several categories of admission to service in the Russian Armed Forces. Categories “A”, “B”, “C”, “D”, “D” determine the degree of suitability of the conscript. The wording could be:
- “A” – fit for service and subject to conscription;
- “B” – fit with some restrictions and subject to conscription;
- “B” – limited availability, and is not called up in peacetime;
- “G” – temporarily unfit and temporarily not subject to conscription;
- “D” – not fit for military service and will not be drafted even in wartime.
To conscript or not to conscript? Only the military medical commission has the competence to resolve such issues, using the results of the examination of the conscript, medical history, if any, certificates and other documents for its conclusions. The commission makes its verdict after studying all the documentation and deciding on the diagnoses. The young man is assigned a category of fitness for service, one of those described above.
With the category “temporarily unfit”, military registration and enlistment offices continue their work. For example, if a conscript is underweight, he comes to the military registration and enlistment office every month, where the dynamics of weight gain are monitored.
As soon as body weight reaches the norm, the conscript is drafted into the army.
Illnesses that provide a deferment or medical exemption from military service
In fact, there are not many diseases due to which a conscript will either not go into the army at all or will go later for an indefinite period. The most common of them are:
- scoliosis 2nd degree. At this stage, the shape of the spine is disrupted;
- flat feet 3rd degree. U young man Difficulties may arise when moving in standard army shoes;
- sore joints of both legs of the 2nd or 3rd degree;
- poor vision or blindness;
- hypertension;
- deafness, deaf-muteness;
- problems with the duodenum and stomach;
- pancreatitis;
- hernias of various types.
There are other additional contraindications, such as diabetes, stones in organs, enuresis, mental problems, vegetative-vascular dystonia, asthma, tuberculosis, drug addiction, AIDS and others.
Do they take you into the army with a concussion?
Another reason why problems sometimes arise with fitness for military service can be a concussion.
There are a number of complications that occur after childhood brain injuries that can affect the delay in serving. The conscript is obliged, in order for the diagnosis to confirm the presence of a brain disorder, to be examined by a therapist, surgeon, psychiatrist, neurologist, ophthalmologist, ENT specialist and dentist. If doctors have confirmed that a conscript is unable to serve in the army in this moment time, a deferment of 6 months is granted. After this period of time, the conscript must again appear to the same doctors. If his health improves, the conscript joins the army.
There are cases when the military registration and enlistment office itself cannot decide on the suitability of a conscript, and then a decision is made to further examine the conscript in a medical institution.
Brain damage and its consequences are considered separately from other diseases. If the concussion occurred shortly before conscription or during the period of conscription, then military service is impossible.
The conscript is given a deferment, that is, leave for treatment and restoration of health. At the end of this period, the young man can be called up if there are no consequences and the person is healthy.
Do they take you into the army with a concussion?
To answer this question, you need to refer to the schedule of diseases, Article 25. Concussion occurs due to traumatic brain injury. According to this article, exemption from the army is issued if there is a violation of the function of an organ or the entire organism as a whole.
Even if the complaints are minor, it is necessary to consult a doctor for a diagnosis. If the outpatient card contains a record of injury no later than four years, there are minor organic symptoms, and mild asthenic syndrome, then the conscript is eligible.
- The examination is carried out on the suitability of B4, that is, service in the direction of a certain number of wax. If the conscript has not made any complaints during this entire time and no complications have been identified, then there is no reason for a deferment. Conscripts become completely unfit if there are obvious violations after injury and concussion.
- Seizures similar to epileptic seizures;
- Violations of communication functions with the outside world;
- Cortical function disorder, such as speech disorder.
If a person is recovering for a long time, then doctors undergo an examination based on the outpatient card data and visually. According to the list of diseases, in case of a concussion with minor impairments, fitness category B is issued - exemption from the army for health reasons.
Average severity means:
- Incomplete paralysis of the upper and lower extremities;
- Unsteady walking;
- Twitching of eyeballs;
- Asthenoneurotic and vegetative-vascular symptoms;
- Decreased sensitivity of individual limbs.
All symptom manifestations are individual.
The commission releases you from the army if the effect was not achieved with proper treatment.
In case of severe injuries after a concussion, the following are present:
- Paralysis.
- Epileptic seizures.
- Memory impairment.
- Personality change.
- Depression.
As a result, several months of treatment are necessary. A person may be incapacitated for three to four months, and then will need to undergo a rehabilitation course. Complications may appear a year later in the form of deterioration of vision and memory. According to Article 28 of the list of diseases for conscripts who have suffered an acute form of brain injury, provide deferments for completion of treatment.
Indications for deferment
If a young man suffers a serious injury before or during conscription, he is given a deferment to restore his health for up to six months. During this period, the young man needs to eliminate all the consequences of the injury, as cerebral edema is possible.
A concussion can be recognized by the following symptoms:
- Severe headaches.
- Nausea.
- Vomit.
- Unrelated speech.
- Disorientation in space.
- Loss of coordination.
The issuance of a deferment depends on the general opinion of specialists in the medical commission.
The procedure for conducting the examination
Before sending a young man to the army, the commission must conduct an examination. You cannot serve those who have any health problems. Doctors will never risk their health and treat a patient in an army hospital.
The commission is represented by a therapist, psychiatrist, ENT specialist, dentist and surgeon. All doctors are very specialists high level. For any illness that would interfere with service, a deferment or exemption from the army is issued.
If the case is particularly complex, the young man is sent for additional examination. Full exemption includes categories B and D. However, the disease can be temporary, so category G is assigned and a deferment of six months is granted.
What awaits the conscript after the examination?
A concussion is a mild traumatic brain injury with a short-term loss of consciousness. After the patient regains consciousness, he complains of severe headache. As a rule, such patients are sent for X-rays to the hospital to determine the diagnosis. Young men who have suffered a closed brain injury are considered temporarily unfit. To obtain a deferment, you must provide a neurologist's report.
- Temporary disorders of the central and peripheral nervous system
- Chronic diseases have worsened
- Surgical treatment is required.
Passing a medical examination is a mandatory step for a conscript before he goes to serve.
Doctors of seven people check the diagnosis with the list of the disease and assign a fitness category based on it. All doctors conduct an examination, and only after the general results a category is assigned.
The commission checks symptoms, diagnosis, stage, concomitant pathologies, etc. If necessary, the conscript is sent for additional examination. During the examination, he is assigned a category; some are given a deferment of six months to a year. If category G is assigned, then after the end of the deferment period the young man must undergo a medical examination again.
Do they call after
2x
If a concussion occurs, then a deferment is issued for six months or a year. A deferment can be granted once for a year or twice for six months. A deferment is always issued at the discretion of the doctor. Each case is considered individually.
3x
A concussion is not a disease; what matters is the consequences after it. The neurologist carefully conducts an examination, establishes a diagnosis, and only after that can you focus on setting the category. If complications arise, this also affects the deferment in the army. The conscript is examined by a therapist, surgeon, ophthalmologist, ENT specialist, psychiatrist, neurologist and dentist. If the commission cannot decide on a category, then the young man is sent for additional examination to another medical institution.
4x or more
If after concussions there are no consequences associated with the diagnosis that are contraindicated for service, then the young man is subject to conscription. For a delay, changes in the central nervous system, complications of the central nervous system, as well as an increase in intracranial pressure are necessary, at which organic sounds appear in the neurological status.
Service in the army, although honorable, is still a duty that not every conscript strives to fulfill. Moreover, if this conscript is not in good health. Fortunately, there is an official document called “Schedule of Diseases,” which is a list of diagnoses. Based on this paper, the conscript is either given a deferment from the army from 6 to 12 months, or certain restrictions on service are prescribed, or the young man is completely exempted from it.
This list is regularly edited by senior military officials, but the main sections remain unchanged. Do they take into the army from? Neurological diseases are one of them. The list of diseases that give the right to evaluate a conscript from the point of view of suitability or unfitness for military service includes:
- diseases of the central nervous system that are inherited (for example);
- epilepsy;
- traumatic arachnoiditis;
- paralysis of varying severity;
- multiple sclerosis;
- encephalitis;
- other diseases that affect the nervous system.
However, if the diagnosis is present in medical card conscript, this is not a guarantee that he will be exempt from military service. It is not without reason that the draft commission operates with several categories of potential soldiers and sailors: from “fit for military service” and “limitedly fit” to “temporarily unfit” and “not fit at all.” Its conclusion depends on several factors: what caused the disease, how severe it is, and whether it has complications.
Multiple sclerosis and the army
Whether people with multiple sclerosis are accepted into the army is one of the questions to which members of the draft commission can give an unequivocal negative answer. Young people with such diagnoses are immediately assigned category D, which means they are not fit for military service. And this is quite logical, considering that this disease is incurable and progressive, with symptoms dangerous for the ranks of the armed forces, which indicate disorders in the nervous system:
- numbness and paralysis of the limbs;
- blurred vision;
- trembling of hands and feet;
- urinary incontinence.
If we take into account the fact that these symptoms can appear suddenly, then it is basically impossible to imagine their carrier with a weapon in his hands, because the destruction of his nervous system is irreversible. Yes, a period of long-term remission is possible, but no doctor can predict when it will begin and end.
Vegetovascular dystonia and the army
The VSD and the army - the relationship in this pair of concepts is not at all unambiguous. Note that it is rare that a draft board doctor will regard this disease as a reason to refuse military service. Moreover, for many military doctors the phrase “vegetative-vascular dystonia” is not even the name of the disease. Often, for a conscript with such a diagnosis, it will be open to the army. Exceptions are made only for those young people in whom VSD is severe with obvious symptoms:
- extremely low level of hemoglobin in the blood;
- high pressure with an upper limit of about 150 mm. rt. Art. and bottom – about 110 mm. rt. Art.;
- regular attacks of acute headache;
- rapid pulse of about 100 beats per minute.
Also, the doctor should be alert to periodic incoordination and vascular obstruction. Only in such cases is the conscript considered unfit for military service, because in a different situation, army loads can aggravate the course of the disease, and then the conscript will be discharged.
With vegetative-vascular dystonia in a mild form, a young man is drafted into the armed forces without restrictions, but he must inform the military doctor about his diagnosis so that in the event of an exacerbation of the disease, he can navigate in terms of medical care.
Army and encephalopathy
Whether they take into the army with (a disease of the brain caused by a deficiency of oxygen supplied to it) - there is also no clear answer to this question, because each case is considered individually. It doesn’t matter whether encephalopathy is caused by pathologies of intrauterine development or is the result of other diseases that lead to the death of brain cells - the verdict of experts from military medicine depends on how the conscript feels at the present time.
If there are health complaints, they should be listened to. Doctors also need to determine the degree of dysfunction of brain cells and find out how they affected the functioning of the entire body.
The Army and Concussion
Do they take you into the army with a concussion? In the vast majority of cases, yes. The only thing that should be offered to a conscript after any traumatic brain injury is a deferment for a period of six months to six months. That is, such young people are considered temporarily unfit for the army. But even a reprieve is not always given, but only if we are talking about the so-called post-concussion syndrome - a post-traumatic state of a person that persists for a long time. It can be identified by a set of signs:
- increased light and sound sensitivity;
- nausea;
- double vision;
- dizziness;
- regular headaches.
These symptoms after a closed head injury can bother a person for several months or even longer. The syndrome is not specifically treated, but goes away on its own over time. In this case, we will be talking about a deferment from military service.
As for repeated concussions, this also does not guarantee exemption from honorable military service. It all depends on the patient's condition. He may be considered partially fit for military service (that is, exempt from conscription) if his brain dysfunction after a head injury is pathologically irreversible.
So, if you intend to claim your rights from the point of view of an unfit or partially fit conscript, worry in advance about the relevant documents that you will need to present at the medical examination. As outside experience shows, it is quite difficult to avoid military service for implicit neurological indications. On the other hand, serious diagnoses can subsequently impose restrictions on the rest of your life.
Nikolay Eliseev, Hello. The fact is that according to the schedule of illnesses, I am not fit for service. But the doctor at the regional medical commission categorized him as “fit with restrictions.”
A-fit without restrictions
B-fit with restrictions
B-not fit (for reserve)
G-delay
D-unfit
Article 25 of the disease schedule:
The article provides for the immediate and long-term (a year or more from the moment of injury) consequences of injuries to the brain or spinal cord, complications of traumatic injuries to the central nervous system, as well as the consequences of injuries from an air blast wave and exposure to other external factors.
Point "a" includes:
Consequences of traumatic injuries with severe disorders of the functions of the brain or spinal cord (bruises and compression of the brain, leading to persistent paralysis or deep paresis, dysfunction of the pelvic organs, etc.);
Consequences of traumatic damage to the brain with a disorder of cortical functions (aphasia, agnosia, apraxia, etc.);
Post-traumatic arachnoiditis, hydrocephalus, leading to a sharp increase in intracranial pressure or frequent (3 or more times a year) epileptic seizures.
Point “b” includes the consequences of injuries to the brain or spinal cord, in which focal symptoms and functional disorders do not reach the degree of severity provided for in point “a”: paresis that moderately limits the function of the limb; moderate cerebellar disorders in the form of instability when walking, nystagmus, sensory disorders; traumatic arachnoiditis, hydrocephalus with a moderate or slight increase in intracranial pressure, rare (less than 3 times a year) epileptic seizures.
Point “c” includes the consequences of traumatic injury to the brain or spinal cord, traumatic arachnoiditis without signs of increased intracranial pressure, in which the neurological status reveals scattered organic signs (asymmetry of cranial innervation and anisoreflexia, mild sensitivity disorders, etc.), combined with persistent asthenos - neurotic manifestations and vegetative-vascular instability, as well as old depressed skull fractures without signs of organic damage and dysfunction. Citizens upon initial military registration, conscription for military service and military personnel undergoing military service upon conscription are examined under point “c” only in the absence of positive dynamics of painful manifestations as a result of the treatment, as well as in case of prolonged or repeated decompensations. With improvement of condition, compensation of painful manifestations, restoration of the ability to perform duties military service the examination is carried out according to point "d".