Adult Discharge Transfer: Fill & Download for Free

This was about a month ago. I live in a nursing home and was transferred to the hospital via ambulance (the nursing home and hospital are in the same building). Went straight to the SCU. My BP was too low to sustain life. Strangely I didn’t feel all that bad. After checking me out he told me it was time to call the family together and he recommended “tonight, not tomorrow”. I called the kids and while they were on the way the doctor said he couldn’t predict exactly when I was going to die but it would be sooner rather than later. He also scheduled a meeting for the next morning complete with social workers, palliative care nurses and others. I told him I was a fighter and not ready to go yet. He was very blunt and in the meeting he was even blunter! The message was very clear, prepare for death. I worried about my daughter, she was coming apart at the seams.We discussed all the necessary preparations. I was oddly calm, I’m comfortable with passing and my only regret is I’ll hurt my kids. They are adults and are raising their own kids. Over the next couple of days they experimented with various drugs and my BP came back up. I was good enough to be discharged back to the nursing home.Since that initial meeting at least ten doctors have told me my time is up. It’s not that I don’t believe them, but I feel fine. I honestly don’t think that I am going anywhere soon.And, if I do all necessary preparations and decisions have been made.Yeah, I could go tonight, but so could anyone.

Outside a med board and medical discharge or retirement, you would be hard pressed. There are very few valid reasons for early release with an honorable discharge. There are only three that I’m aware of and none of them are “because I don’t like the Guard.”Hardship - You Had better be very prepared if you take this route. One reason would be a move for a job out of state. It would be very hard to make it to your unit. But that could backfire with you simply being transferred to a unit in the new state. The only real hardship discharge would concern immediate family. You are caring for your parents or siblings and Guard service severely impacts your ability to earn enough to care for them. Yes, it’s narrowly tailored as it should be.Conscientious Objection - You will need to show that your views on service and war have dramatically changed during your service due to religious, ethical, or spiritual views. Again, the onus is on you to prove that you sincerely hold those views.Last Surviving Child - If you are an only child or the last of your line you could get an early release. Again, be prepared to prove it.That’s it. Those are the only ways I’m aware one can get an early honorable release.The alternative is to talk to your 1st Sergeant about it. Don’t expect to get much sympathy. You can run it up the chain of command from there. If willing, your command may release you early with a general discharge. Or you could be a fuck up. Not showing up for drill or doing your duty properly, showing up in the improper or filthy uniform, constantly failing the PT test, generally being a shitbag. That could net you a general discharge. But be warned it could also get you the Big Chicken Dinner depending on the unit. Some units will simply drop you from the roles and issue a general discharge. Be warned, any discharge other than honorable is usually the result of UCMJ action. Others will have you arrested - yes, you can be arrested for not showing for drill. I’ve seen it happen. It isn’t pleasant for the Soldier being brought in to his unit in handcuffs by the state police. I do not advise anyone to try any of those stupid tricks. It could easily bite you in the ass, leaving you with a bad record that limits your rights, hurts your chances for education and jobs, and generally leaves most people treating you like a shitbag. A BCD or Dishonorable Discharge disallows you from purchasing a firearm (18 USC 92(g), receiving federal education benefits, working in government service, loss of most VA benefits, and other restrictions your state may place on you.Or, you could simply suck it up, finish your contract, and receive that Honorable Discharge. That “fulfilling your contract BS” is at the very core of your question. You signed the contract, took the oath, and took advantage of the training and other benefits of military service. You made an obligation. Just because you suddenly discovered you don’t like it, it doesn’t mean you can pick up your ball and go home. It doesn’t work that way in the military and it doesn’t work that way in real life. While you may not like it, that’s what adults do. And years from now you’ll look back on it and know it was the right decision even if it wasn’t an entirely enjoyable thing. Or do you want to tell your children and grandchildren, should they ask, that you whined and cried and got yourself thrown out?

This happened in 1985 when I was a general surgeon in the Kilpauk Medical College Hospital, Madras. It was operation day for my unit and for another general surgeon’s unit of the hospital. In the other surgeon’s list, one of the cases posted was below knee amputation for filarial leg and foot. As this was an extremely rare indication for amputation I asked the assistant of that unit for the reason why they were amputating when there were other ways of dealing with the case. He said the patient wanted only amputation. He went in and spoke to his chief and he, who apparently was not too happy about amputating a filarial leg, most generously requested me to take over the case, but the patient would not budge. He wanted amputation and if we were not willing to do that to discharge him.A few words about filariasis and how it affects the leg. Filariasis is a parasitic disease. The adult worms are tiny, but visible to the naked eyes. They are like an inch and a half long thin white threads. They live in lymphatics (more of them presently) and discharge their eggs that reach the general circulation. Mosquitoes of the culex genus (not the ones that spread malaria) when sucking blood acquire the eggs which undergo further development in the mosquito and when the mosquito bites again transfer the now partly developed parasite into another human. On reaching the lymphatics the development proceeds to completion. The adult worms are now ready to lay eggs. The cycle is complete.Lymph is blood without red and white blood cells. Blood that is pumped by the arteries passes through smaller and still smaller vessels till they arrive at the capillaries. These arterial capillaries extend on and become venous capillaries and eventually veins that bring blood back to the heart. The capillary wall is thin but does not allow red and white corpuscles to escape but some fluid in the blood oozes through. The fluid is call lymph. Lymph has to get back to circulation and this they do by entering channels called lymphatics. This is where the filarial worm makes its home.When a large number of worms block the lymphatic channels lymph stagnates especially in dependent parts like the foot and lower part of the leg. These parts swell up and in the course of years lead to thickening of the skin and subcutaneous tissues. The leg and foot can become so large that the patient has to carry the foot at every step as if it a heavy load, which undoubtedly it is.The standard method of treating this condition is to cut out the skin and subcutaneous tissues and cover the leg and foot with skin grafts. The leg will not look good but the function will be close to normal. The patient has to stay in hospitals for a while and has to come for follow up for a year.Our patient was not willing to undergo the long treatment period. A relative of his who had lost a leg in an accident had an artificial leg fitted in. He had watched him use the prosthesis and wanted one for himself. His desire did not seem unreasonable. He had his amputation and one hopes he was happy with his artificial leg.