Smoking while on permanent profile for asthma

I have a Soldier who recently got a P2 profile for asthma. This Soldier was doing good on their run until they got this profile. I mean, of course with asthma, it was a struggle. But now, they have lost all drive to even put forth the effort because it is easier to walk and they think they can get away with it because their last NCO let them.

Is there a regulation stating that if a Soldier has a profile for asthma, they are not allowed to smoke? I know that this is one of those that should be common sense, but Soldiers don't adhere to common sense these days.

I have tried finding answers to this in Army Regulation 40-501, Standards of Medical Fitness, and many other regulations.
Original Post
I doubt if there is a regulation that covers this specifically but then again who knows. I worked with some one who was diabetic. He would sit around drinking Mountain Dew all the time then wind up at the ER later on that day. No one ever hit him with a regulation saying he could not drink Soda. Like you said Soldiers don't adhere to common sense.
since smoke opens the lungs up for a while after having a coffin nail. most asthmatics seem to like smoking. saves the inhaler some hits. what about fat soldiers who eat at burger king and skinny soldiers who only eat once a day? then theres the soldier with zits! maybe he needs to wash his face 4 times a day. stick with the NCO business it makes you job more simple.
For the record, your soldier isn't really "getting away with it". They have a profile for a medically identified issue. Perhaps they should not have been admitted to the military with it in the first place, but now that they are here, it is an issue, and as you said they struggled before. So your soldier isn't 'getting over', they are simply doing what the doctor ordered.

If your doctor told you that you had a bad knee and not to do airborne operations for instance, and you didn't do airborne operations, the other airborne soldiers wouldn't tell you that you were getting over.
Re Read AR 40-501 Asthma is only allow for retention if the soldier can perform all military functions including and I quote "2 mile APFT RUN" ergo if he is walking that profile is very invalid. Remember in order to take an alternative event one must have a profile for longer then 90 days, Ironicly temp profiles are allowed only for 90 days thus not allowing alternative events. Some one needs to call the TMC and talk about the AR and the profile. Maybe the soldier went to an MMRB and/or MEB and got there blessing for a the walk, I don't know but look at AR 40-501 3-27 (d) and 3-27.2(c)
AR 40-501 pg 30

3–27. Miscellaneous respiratory disorders

The causes for referral to an MEB are as follows:
a. Asthma. This includes reactive airway disease, exercise-induced bronchospasm, asthmatic bronchospasm, or
asthmatic bronchitis within the criteria outlined in paragraphs (1) through (4) below.
(1) Definitions/diagnostic criteria are as follows.
(a) Asthma is a clinical syndrome characterized by cough, wheeze, or dyspnea and physiologic evidence of
reversible airflow obstruction or airway hyperactivity that persists over a prolonged period of time (generally more than
6 to 12 months).
(b) Reversible airflow obstruction is defined as more than 15 percent increase in forced expiratory volume in 1
second (FEVI) following the administration of an inhaled bronchodilator or prolonged corticosteroid therapy.
(c) Increased bronchial responsiveness is the presence of an exaggerated decrease in airflow induced by a standard
bronchoprovocation challenge such as methacholine inhalation (PD20 FEV1 less than or equal to 4mg/ml). Demonstration
of exercise induced bronchospasm (15 percent decline in FEV1) is also diagnostic of increased bronchial
responsiveness; however, failure to induce bronchospasm with exercise does not rule out the diagnosis of asthma.
Bronchoprovacation or exercise testing should be performed by a credentialed provider privileged to perform the
procedures.
(d) If at the end of that period, the Soldier is unable to perform all military training and duty as cited below, the
Soldier will be referred to MEB.
(e) Acute, self limited, reversible airflow obstruction and airway hyperactivity can be caused by upper respiratory
infections and inhalation of irritant gases or pollutants. This should not be permanently diagnosed as asthma unless
significant symptoms or airflow abnormalities persist for more than 12 months.
(2) Chronic asthma is cause for a permanent P-3 or P-4 profile and MEB referral if it—
(a) Results in repetitive hospitalizations, repetitive emergency room visits or excessive time lost from duty.
(b) Requires repetitive use of oral corticosteroids to enable the Soldier to perform all military training and duties.
(c) Results in inability to run outdoors at a pace that meets the standards for the timed 2-mile run despite
medications. (The P–3 for the inability to perform the run refers to the inability due to asthma and should not be
confused with giving an L2 or L3 based on an underlying orthopedic condition that requires an alternate Army Physical
Fitness Test (APFT).)
(d) Prevents the Soldier from wearing a protective mask.
(3) All Soldiers meeting an MEB for asthma should receive a consultation from an internist, pulmonologist, or
allergist.
(4) Chronic asthma meets retention standards, but is a cause for a permanent P–2 profile if it—
(a) Requires regular medications including low dose inhaled corticosteroids and/or oral or inhaled bronchodilators;
but
(b) Does not prevent the Soldier from otherwise performing all military training and duties including the 2 mile run
within time standards.
(5) Soldiers with a diagnosis of asthma who require no medications or activity limitations require no profiling
action.
Hey RedLeg81,

I was in Nam with a Permmanet L2
...Stated in part No Lifting, No Carrying, No
Prolonged Standing or Walking .... I was a 17C20
( Field Artillery Target Acquisition Specialist )

I guess the CO ( F/26th Artillery was a bit like YOU ! With in days I was assigned to the Northern Most OP A-2 just below the DMZ.
Dose incomming mean anything to you.
I also was assigned to repair hidden acoustic sensor buried east and west of A-2(Gio Linh( Called Doc Mieu bt the NVA and VC.
...repairing these accousticv sensors carrying heavy loads of ammo...sometimes 36 loaded mags for the 16, and 99rds for the M 1911 A1....

.....I ended up spending about 17 months on
OPs and in the bush.... out of 18mo& 18da in
Nam.....
Are you a CO???? if not it is not your problem.

...Note: I Had a Heart Attack Sep 6th 2008...
I gave up smoking that day...WO patches or any other assistance. ...but....you should consider not all people have that self control.

Maybe the man should be discharged....
...Don't be like my old CO....I am 62 this comming July 1st, my left leg is off above the knee, the right leg...is the L2 ...a SC GSW
I can hardly walk on it now...and "they" still
only want to pay at 20% !

He should be out of the Military, and you should start the paper work???????

Song Ben Hai Ma( River Ben Hai Ghost )
VN DMZ GHOST,

First I would like to thank you for your service and your sacrifice.

Next I would like to say you are a little out of your sector on the statements you gave to the OP as far as "Are you a CO???? if not it is not your problem." He said it is his Soldier, so it is his problem.

As an NCO he is doing the right thing in seeking out counsil here and trying to rehabilitate the Soldier. NCO's have seen it too often where a Soldier goes to get a PROFILE to get out of PT. Not saying this Soldier is doing that, but if he was aware enough to get a PROFILE against running due to his asthma, he should be aware enough to go to smoking cessation classes or back to the doc to get patches.


And by the way, this post is 6 months old.

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