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Are all military medical records on file at the VA?
RichardZ posted a topic in How to's on filing a Claim,
I met with a VSO today at my VA Hospital who was very knowledgeable and very helpful. We decided I should submit a few new claims which we did. He told me that he didn't need copies of my military records that showed my sick call notations related to any of the claims. He said that the VA now has entire military medical record on file and would find the record(s) in their own file. It seemed odd to me as my service dates back to 1981 and spans 34 years through my retirement in 2015. It sure seemed to make more sense for me to give him copies of my military medical record pages that document the injuries as I'd already had them with me. He didn't want my copies. Anyone have any information on this. Much thanks in advance.-
- 2 replies
Picked By
RichardZ, -
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Caluza Triangle defines what is necessary for service connection
Tbird posted a record in VA Claims and Benefits Information,
Caluza Triangle – Caluza vs Brown defined what is necessary for service connection. See COVA– CALUZA V. BROWN–TOTAL RECALL
This has to be MEDICALLY Documented in your records:
Current Diagnosis. (No diagnosis, no Service Connection.)
In-Service Event or Aggravation.
Nexus (link- cause and effect- connection) or Doctor’s Statement close to: “The Veteran’s (current diagnosis) is at least as likely due to x Event in military service”-
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Tbird, -
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Post in ICD Codes and SCT CODES?WHAT THEY MEAN?
Timothy cawthorn posted an answer to a question,
Do the sct codes help or hurt my disability ratingPicked By
yellowrose, -
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Post in Chevron Deference overruled by Supreme Court
broncovet posted a post in a topic,
VA has gotten away with (mis) interpreting their ambigious, , vague regulations, then enforcing them willy nilly never in Veterans favor.
They justify all this to congress by calling themselves a "pro claimant Veteran friendly organization" who grants the benefit of the doubt to Veterans.
This is not true,
Proof:
About 80-90 percent of Veterans are initially denied by VA, pushing us into a massive backlog of appeals, or worse, sending impoverished Veterans "to the homeless streets" because when they cant work, they can not keep their home. I was one of those Veterans who they denied for a bogus reason: "Its been too long since military service". This is bogus because its not one of the criteria for service connection, but simply made up by VA. And, I was a homeless Vet, albeit a short time, mostly due to the kindness of strangers and friends.
Hadit would not be necessary if, indeed, VA gave Veterans the benefit of the doubt, and processed our claims efficiently and paid us promptly. The VA is broken.
A huge percentage (nearly 100 percent) of Veterans who do get 100 percent, do so only after lengthy appeals. I have answered questions for thousands of Veterans, and can only name ONE person who got their benefits correct on the first Regional Office decision. All of the rest of us pretty much had lengthy frustrating appeals, mostly having to appeal multiple multiple times like I did.
I wish I know how VA gets away with lying to congress about how "VA is a claimant friendly system, where the Veteran is given the benefit of the doubt". Then how come so many Veterans are homeless, and how come 22 Veterans take their life each day? Va likes to blame the Veterans, not their system.Picked By
Lemuel, -
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Post in Re-embursement for non VA Medical care.
broncovet posted an answer to a question,
Welcome to hadit!
There are certain rules about community care reimbursement, and I have no idea if you met them or not. Try reading this:
https://www.va.gov/resources/getting-emergency-care-at-non-va-facilities/
However, (and I have no idea of knowing whether or not you would likely succeed) Im unsure of why you seem to be so adamant against getting an increase in disability compensation.
When I buy stuff, say at Kroger, or pay bills, I have never had anyone say, "Wait! Is this money from disability compensation, or did you earn it working at a regular job?" Not once. Thus, if you did get an increase, likely you would have no trouble paying this with the increase compensation.
However, there are many false rumors out there that suggest if you apply for an increase, the VA will reduce your benefits instead.
That rumor is false but I do hear people tell Veterans that a lot. There are strict rules VA has to reduce you and, NOT ONE of those rules have anything to do with applying for an increase.
Yes, the VA can reduce your benefits, but generally only when your condition has "actually improved" under ordinary conditions of life.
Unless you contacted the VA within 72 hours of your medical treatment, you may not be eligible for reimbursement, or at least that is how I read the link, I posted above. Here are SOME of the rules the VA must comply with in order to reduce your compensation benefits:
https://www.law.cornell.edu/cfr/text/38/3.344
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Lemuel, -
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Question
allan
02-0592
Holley.John.02-0592.wpd
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Search Terms: CHRONIC PAIN
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Designated for electronic publication only
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS
No. 02-0592
John T. Holley, Appellant,
v.
Anthony J. Principi,
Secretary of Veterans Affairs, Appellee.
Before GREENE, Judge.
MEMORANDUM DECISION
Note: Pursuant to U.S. Vet. App. R. 30(a),
this action may not be cited as precedent.
GREENE, Judge: Veteran John T. Holley appeals, pro se, an April 15,
2002, Board of Veterans' Appeals decision (Board) that found no clear and
unmistakable error (CUE) in a 1983 Board's denial of a disability rating
greater than 20% for his service-connected back condition. Record (R.) at
1-14. He also appeals the Board's determination that there was CUE in a
November 1983 Board decision and concluded that the effective date for an
increased rating for his service- connected back disorder was January 29,
1981. Id. The appeal is timely, and the Court has jurisdiction pursuant
to 38 U.S.C. 7252(a) and 7266(a). Single-judge disposition is
appropriate when, as here, the issue is of relative simplicity and the
outcome is not reasonably debatable. See Frankel v. Derwinski, 1 Vet.App.
23, 25-26 (1990). For the reasons that follow, the Court will remand the
matter for further adjudication.
I. FACTS
Mr. Holley served on active duty in the U.S. Air Force from January
1974 to January 1977. R. at 16-17. In July 1977, a VA regional office (
RO) awarded VA service connection for his low- back condition and assigned
a 10% disability rating. R. at 60-61. He appealed that rating
determination and on October 19, 1979, the Board reduced Mr. Holley's
disability rating to
noncompensable after x-rays taken during a VA medical examination
revealed no significant abnormalities. R. at 74, 105-09. In August 1980,
Mr. Holley asserted that his back condition should be rated 100% disabling
. R. at 111, 114-19. He also requested service connection for a nervous
condition and his inability to work, alleging both were secondary to his
service-connected back condition (R. at 116, 132-33, 137, 151), and for
left-sided paralysis and sciatic nerve pain (neuritis) (R. at 125, 128-29,
138). In November 1980, a VA medical report diagnosed Mr. Holley as
having "chronic back pain;" an orthopedic consultation revealed an
impression of "chronic lumbosacral strain;" and a radiology report
concluded: "Examination is compared with previous exam of 6-18-77 and
shows no change. There is slight narrowing of the L4-5 disc space. Minor
sacralization of the lateral elements of L5 on the right[,] otherwise
bones and joints are normal." R. at 144. The diagnosis rendered by the
radiologist was "questionable degenerative disc disease L4-5 otherwise
negative. Unchanged." Id. A December 22, 1980, VA disability evaluation
documented "chronic recurrent low back problem," and an x-ray report
showed "L4-5 degenerative disc disease with minimal reversed
spondylolisthesis." R. at 148, 150.
In January 1981, the RO determined that the December 22, 1980, VA
medical examination revealed no evidence of recurrent back strain and that "
reverse spondylolisthesis L4 on L5 is a [congenital disease] and not a
disability under the law" and, thus, continued a noncompensable rating for
Mr. Holley's back condition. R. at 156-57. The RO also denied numerous
additional claims, including, inter alia, claims for a rating of total
disability based on individual unemployability (TDIU) and service
connection for left-sided paralysis and for a nervous condition. Id. Mr.
Holley timely appealed that RO decision; he contended that he was entitled
to a rating of TDIU and should also be awarded service connection for
left-sided paralysis, sciatic neuritis, and a nervous condition associated
with his back problem (R. at 159, 162, 223-28). With his appeal, he
submitted VA clinical records dated August 12, 1980, that diagnosed him as
having "recurrent lumbosacral strain" with spasms, tenderness in the left
sciatic notch, inability to heel-and-toe walk, and pain radiating down his
left leg and hip. R. at 213. A VA treatment record dated January 29,
1981, revealed a diagnosis of "chronic recurrent mechanical back problem"
and "left sciatic pain and muscle spasm." R. at 171. In February 1981,
Mr. Holley was treated at a VA medical center for chronic sciatic pain and
reported anxiety and depression problems secondary to his back problems.
R. at 169-70. The
examiner stated in the report: "[P]atient should be referred back to [sic]
for pain management, after [workup] for etiology of pain is completed." R.
at 169. Mr. Holley was also treated at a VA orthopedic clinic that same
month and was prescribed Clinoril and referred to the "Brace Shop" for a "
low Holt corset." R. at 188.
In March 1981, the RO issued a Statement of the Case (SOC) and under
38 C.F.R. 4.71(a), Diagnostic Code (DC) 5295 (1980) continued the
noncompensable rating for Mr. Holley's service- connected back strain. R.
at 166. The RO found that he did not have "low back strain with
characteristic pain on motion." Id. The SOC did not address his claims
for a rating of TDIU and service connection for left-sided paralysis and a
nervous condition. R. at 165-67. Mr. Holley filed a Substantive Appeal
in March 1981. R. at 181. He contended that he could not work, was
partially paralyzed secondary to his back problem, and suffered chronic,
sciatic nerve pain and muscle spasms daily. Id. A Supplemental SOC (SSOC)
was issued in April 1981 that addressed the medical records from November
6, 1980, to January 6, 1981, and found no change in Mr. Holley's condition
and only "one complaint of chronic low back pain" during that time. R. at
195. In response to the SSOC, Mr. Holley submitted another Substantive
Appeal contending that he had been totally disabled since August 12, 1980,
because of his back condition and chronic, sciatic pain and that his
condition should be evaluated under DC 5293 (intervertebral disc syndrome
). R. at 198. He argued that the medical records dated November 4,
1980, December 1, 1980, January 29, 1981, and February 1981 substantiated
his claim. Id. In his appeal to the Board, Mr. Holley asserted that his
back condition should also be rated under DC 8520 (severe sciatic
involvement) and DC 8619 (neuritis). R. at 209-12. He argued that VA
medical treatment reports dated from August 12, 1980, to February 23, 1981,
documented that he suffered from chronic severe left sciatic pain, muscle
spasms, chronic neuritis, and a tender sciatic notch. R. at 209-12, 227.
In June 1981, a VA treatment record revealed "recurrent left sciatic pain"
with a decreased left-knee jerk and Mr. Holley was prescribed bed rest,
heat, Robaxin, and Tylenol #3 for pain. R. at 217. In July 1981, Mr.
Holley again requested that VA evaluate his conditions under DCs 8520 and
8619; consider his claim for a TDIU rating; and notify him of what
evidence was missing from his file to "secure my benefits if my claim is
below 60%." R. at 223, 233-34. He also submitted a statement dated July
22, 1981, from Dr. Reiner, a private physician. In that statement, Dr.
Reiner described Mr. Holley's treatment
in November 1980 for chronic pain in his left leg and treatment in June
1981 that revealed continuing problems with pain in his back and left leg
and a weight loss of 40 pounds. R. at 230. On August 18, 1981, a VA
treatment record included a diagnosis of Mr. Holley as having "recurrent
sciatic pain," and Mr. Holley submitted another letter to VA that stated
that he had "severe sciatic neuritis back problem, mechanical back problem,
strain (severe), [range of motion] down, long[-] standing chronic
intermittently severe left sciatic pain, muscle spasms (chronic), down
reflexes in left knee" and he requested a rating of at least 60% for these
conditions under DCs 5293, 8619, and 8520. R. at 216, 224-26. On
December 21, 1981, a VA treatment record reported "chronic intermittent
low back and left sciatic pain" and diagnosed Mr. Holley as having a "
chronic mechanical back problem [with] sciatica." R. at 237. A VA
treatment record in March 1982 reported "chronic recurrent left sciatica."
R. at 237, 248.
In March 1982, the Board defined the issue as "Entitlement to an
increased (compensable) rating for low[-]back strain" and remanded the
claim to the RO for an orthopedic and neurological examination to
ascertain the severity of Mr. Holley's back condition. R. at 244-46. The
Boar d decision stated: "[T]he claim should be reviewed by the originating
agency. If the benefit sought on appeal is not granted, the veteran and
his representative should be furnished an [sSOC]. The claims folders
should then be returned to the Board for further appellate consideration,
if in order." R. at 246. The Board remand did not refer to Mr. Holley's
other claims on appeal for a rating of TDIU, and service connection for
left-side paralysis, sciatic pain, and a nervous condition. R. at 244-46.
A March 22, 1982, VA medical report revealed that Mr. Holley had "chronic
recurrent left sciatica" and that his prescriptions for Robaxin and
Tylenol #3 had been refilled. R. at 248. In May 1982, a VA neurological
examination was conducted that diagnosed Mr. Holley as having "chronic
lumbar herniated disc, which extends back into the active military duty
most likely, with numerous visits to orthopedic and neurological
specialists in 1975 and 1976." R. at 253. The examiner opined that Mr.
Holley's condition was compatible with an L5-S1 disc with a compression of
the S1 root causing the sensory disturbance which was found on examination
in the lateral aspect of the left foot." R. at 252-53.
In June 1982, the RO assigned Mr. Holley a 20% disability rating for
his service-connected back condition under 38 C.F.R. 4.71a, DC 5293,
effective January 21, 1981, and denied, inter alia,
his claims for a rating of TDIU, and service connection for degenerative
disc disease, reverse spondylolthesis, left-sided paralysis and a nervous
condition. R. at 258-60. The RO did not furnish Mr. Holley an SSOC as
directed by the Board's 1982 remand order for the claims that were denied.
R. at 263-64. Mr. Holley appealed that RO decision on the basis that he
believed that his back condition should be rated as 40% disabling under DC
5293. R. at 266.
In August 1982, the RO issued an SSOC that stated: "To warrant an
assignment of 40[%], it must be shown there be [sic] persistent symptoms,
compatible to sciatic neuropathy with characteristic pain and demonstrable
muscle spasm, absence of ankle jerk, or other neurologic findings
appropriate to the cite of the diseased disc and it must be shown that
there are recurrent attacks with only intermittent relief." R. at 271-73.
The RO concluded in the SSOC that Mr. Holley's condition did not warrant a
rating greater than 20% for his back condition. Id. Mr. Holley submitted
a Substantive Appeal for "low back strain[,] now diagnosed [as] herniated
disc L5-S1." R. at 277. In March 1983, the Board denied entitlement to a
rating greater than 20% and to an effective date earlier than January 29,
1981. R. at 282-89. The Board stated:
The recent examination showed that the veteran has a decreased pinprick
sensation on the lateral aspect of the left foot which is in the
distribution of the S1 root. Station and Gait are unremarkable. The
veteran does not have further disc symptomatology as described in the
rating criteria and the findings are otherwise compatible with a moderate
intervertebral disc syndrome.
R. at 288. Mr. Holley did not appeal that decision. R. at 1-432. In
1999, Mr. Holley filed a motion alleging CUE in the March 1983 Board
decision. He asserted that he was entitled to a rating greater than 20%
for his back condition under DC 5293 because the 1983 Board had (1) failed
to consider all the evidence of record; (2) erred by not awarding him
special monthly compensation for "loss of major joints;" (3) failed to
consider 38 C.F.R. 4.40, 4.45, and 3.321(b)(1); and (4) failed to
acknowledge in its decision that he was diagnosed in February 1981 as
having severe recurring sciatic pain attacks. R. at 306-07, 309, 392-404.
In February 2001, the Board denied Mr. Holley's CUE motion concluding that
the 1983 Board did not err in assigning a 20% rating and an effective date
of January 29, 1981. R. at 319-30. Mr. Holley appealed to the Court, and
in April 2001, the Court vacated the Board's decision and remanded the
matter for readjudication in light of the newly
enacted Veterans Claims Assistance Act of 2000 (VCAA), Pub. L. No. 106-
475, 114 Stat. 2096, now codified in part at 38 U.S.C. 5102, 5103, and
5103A. R. at 390. After further adjudication, the Board in the decision
here on appeal determined that the March 1983 Board had committed CUE when
assigning Mr. Holley an effective date of January 1981 for his increased
rating because the effective date should have been December 1, 1980. The
Board concluded:
In the March 1983 Board decision, the Board determined that an
earlier effective date prior to January 29, 1981, for the
assignment of a compensable evaluation for the veteran's
service-connected back disability was not warranted on the
basis that January 29, 1981, was the earliest date on which it
was ascertainable that an increase in disability has occurred.
However, as pointed out by the veteran's representative, a VA
clinical record dated December 1, 1980, noted that "[patient]
has chronic recurrent low back problem [and] has been taking
Robaxin [and] Tylenol #3. He is service connected for this [
and] wants refill which he takes on PRN basis. Refill Robaxin [
and] Tylenol #3." The representative is quite correct in that
the two findings are essentially identical, and no sound reason
existed to choose the later [sic]. The Board now finds that
the VA clinical record of December 1, 1980, made it
ascertainable that an increase in disability warranting a
compensable evaluation for a herniated lumbar disc, L5-S1, with
compression to the S1 nerve root of the left lower extremity,
had occurred as of that date and it was error for the Board not
to so find at the time of the Board's March 1983 decision.
R. at 11. Concerning any CUE in the 1983 Board decision that denied a
rating greater than 20% for Mr. Holley's back condition, the Board stated:
In this case, the record fails to provide a basis on which to conclude
that the March 1983 Board decision was clearly erroneous on the increased
evaluation issue. The March 1983 Board decision noted the veteran's
service medical history and subsequent medical history in detail and
concluded that an evaluation in excess of 20[%] was not warranted. . . . [
I]n regard to the Board's March 1983 decision denying entitlement to an
evaluation in excess of 20[%] for a herniated lumbar disc, L5-S1, with
compression of the S1 nerve root of the left lower extremity, a review of
the record reflects no error in the Board's adjudication of the veteran's
appeal which, had it not been made, would have manifestly changed the
outcome when it was made.
R. at 10. This appeal followed.
Mr. Holley argues that the Board decision here on appeal erred
by not finding CUE in the 1983 Board decision that denied a rating greater
than 20% because the 1983 Board assertedly (1) failed to consider all
evidence of record, specifically medical reports dated August 1980 (
Appellant's Brief (Br.) at 13-15); (2) failed to consider 38 C.F.R. 3.
459, 4.40, 4.45, 4.66, 4.71, 4.120, 4.123, 4.124 (Id. at 15); (3) failed
to evaluate his claim under DC 8520 for paralysis of the sciatic nerve (Id.
at 15-16); and (4) failed to consider his claim for nervousness,
depression, and anxiety secondary to his service-connected back pain (Id.
at 16). Mr. Holley also contends that the Board decision here on appeal
erred by not determining that the 1983 Board should have assigned an
effective date in August 1980 for his increased rating and failed to
provide an adequate statement of reasons or bases because it failed to
address all his CUE arguments in its decision. Further, he argues that
his claims for a nervous condition and a rating of TDIU remain
unadjudicated. Id. at 19-20.
The Secretary counters that the Board decision here on appeal should
be affirmed. He contends that Mr. Holley's argument that the Board erred
in finding that the 1983 Board had considered all evidence of record is
without merit. Secretary's Br. at 21-22. He maintains that the August
1980 x-ray reports do not reveal findings that would result in a different
outcome if the 1983 Board or the Board decision here on appeal had further
discussed the x-rays in its decision. The Secretary contends that Mr.
Holley is asking that the Court re-weigh the evidence before the March
1983 Board, which is not a basis for CUE. Id. at 22. Further, the
Secretary argues that under Andre v. Principi, 301 F.3d 1354, (Fed. Cir.
2002), the Court lacks jurisdiction to consider Mr. Holley's additional
arguments that there was CUE in the 1983 Board decision because he did not
first raise them to the Board. He requests that the Court affirm the
April 2002 decision on appeal. Id. at 24.
II. APPLICABLE LAW AND ANALYSIS
A previous Board decision must be reversed or revised where
evidence establishes CUE. 38 U.S.C. 7111; 38 C.F.R. 20.1400-20.1411 (
2004). For CUE to exist either (1) the correct facts in the record were
not before the adjudicator or (2) the statutory or regulatory provisions
extant at the time were incorrectly applied. See Damrel v. Brown, 6 Vet.
App. 242, 245 (1994); 38 C.F.R. 20.1403, 20.1404. In addition, "the
error must be 'undebatable' and of the sort 'which, had it not been made,
would have manifestly changed the outcome at the time it was made.'" Id. (
quoting
Russell v. Principi, 3 Vet.App. 310, 313-14 (1992) (en banc)); see also
Bustos v. West, 179 F.3d 1378, 1380 (Fed. Cir. 1999) (expressly adopting "
manifestly changed the outcome" language of Russell, supra). "In order
for there to be a valid claim of [CUE], . . . [t]he claimant, in short,
must assert more than a disagreement as to how the facts were weighed or
evaluated." Russell, 3 Vet.App. at 313; see 38 C.F.R. 20.1404. That is
because, "even where the premise of error is accepted, if it is not
absolutely clear that a different result would have ensued, the error
complained of cannot be, ipso facto, clear and unmistakable." Fugo v.
Brown, 6 Vet.App. 40, 43-44 (1993); see 38 C.F.R. 20.1403. On appeal of
a Board determination that there was no CUE in a prior final Board
decision, the Court's review is limited to determining whether the Board's
conclusion was "arbitrary, capricious, an abuse of discretion, or not
otherwise in accordance with law" (38 U.S.C. 7261(a)(3)(A)) and whether
the decision is supported by an adequate statement of reasons or bases (38
U.S.C. 7104(d)(1)). See Russell, 3 Vet.App. at 315.
The Court has held that "the Board [must] articulate with reasonable
clarity its reasons or bases for decisions, and in order to facilitate
judicial review, the Board must identify those findings it deems crucial
to its decision and account for the evidence which it finds to be
persuasive or unpersuasive." Gilbert v. Derwinski, 1 Vet.App. 49, 57 (
1990). Generally, when the Board does not provide an adequate statement
of reasons or bases, the decision will be vacated and the matter remanded
for further action. See Hicks v. West, 12 Vet.App. 86 (1998); Meeks v.
Brown, 5 Vet.App. 284, 288 (1993).
A. Earlier Effective Date
To the extent that Mr. Holley argues for an earlier effective date,
the Board decision here on appeal lacks an adequate statement of reasons
or bases for its finding that December 1, 1980, was the proper effective
date. See Gilbert, supra. The Board determined that there was CUE in the
1983 Board decision because a VA medical record dated December 1, 1980 (R.
at 172) provided the same findings as the January 29, 1981, medical record (
R. at 171) that was used by the 1983 Board to determine the proper
effective date. R. at 11. A review of the record on appeal reveals that
VA medical records dated August 12, 1980, provided essentially the same
findings (recurrent low back with prescriptions of Robaxin, Tylenol #3,
and bed rest). Compare R. at 172 with R. at 213. However, there is no
discussion of this medical evidence in the 1983 Board decision. See R. at
282-
90. Although the 1983 Board was not required to summarize the evidence
reviewed in making its decision, the 2002 Board was required to discuss
adequately all material issues of fact and law in its decision. Eddy v.
Brown, 9 Vet.App. 52 (1996). Accordingly, the 2002 Board erred by not
considering the August 12, 1980, VA medical report, when it found CUE in
the 1983 Board decision and awarded an effective date of December 1, 1980,
for Mr. Holley's 20% disability rating. Therefore, remand is required for
the Board to consider all the medical evidence of record and to provide an
adequate statement of reasons or bases for its conclusion that December 1,
1980, was the proper effective date in light of the August 12, 1980,
medical records. See 38 C.F.R. 3.400 (1982).
B. Increased Rating
At the time of the 1983 Board's decision, DC 5293 (intervertebral
disc syndrome) provided that a veteran is entitled to a 10% disability
rating for mild symptomatology; a 20% disability rating for moderate
disability consisting of "recurrent attacks"; a 40% disability rating for
severe disability consisting of "recurrent attacks, with intermittent
relief"; and a 60% disability rating for pronounced disability consisting
of "persistent symptoms compatible with sciatic neuropathy with
characteristic pain and demonstrable muscle spasm, absent ankle jerk, or
other neurological findings. . . .with little intermittent relief." 38 C.
F.R. 4.71(a), DC 5293 (1982); See also R. at 10. According to the
evidence of record, the 1983 Board evaluated Mr. Holley's low-back
disability under DC 5293. The evidence of record reveals numerous VA
medical reports dated from 1980 through 1983 that document that Mr. Holley
had a consistent diagnosis of chronic recurrent lower back problems that
required him to take Robaxin and Tylenol #3, and to undertake bed rest.
See R. at 142-44 (chronic back pain, narrowing of the L4-5 disc space),
148-150 (L4-L5 degenerative disc disease), 169 (chronic sciatic pain), 171 (
chronic recurrent lower back and left sciatic pain and muscle spasm), 172 (
chronic recurrent lower back problem), 173 (acute episode of low-back and
left-leg pain), 188 (chronic lumbosacral strain, sent to "Brace Shop for a
low Holt corset"), 213 (acute low-back pain radiating down leg and hip,
some spasm, tenderness left sciatic notch), 214 ("long[-]standing chronic
intermittently severe left-sciatic pain"), 216 (recurrent episodes of
sciatic pain), 217 (chronic low- back pain, recurrent left-sciatic pain),
230 (chronic back ache with pain down left leg), 237 (chronic mechanical
back problem, left sciatic pain), 248 (chronic recurrent pain, left
sciatic). The most recent medical evidence before the 1983 Board was a VA
neurological examination conducted in
May 1982 that revealed a "chronic lumbar herniated disc" that caused "
sensory disturbance" in Mr. Holley's left foot. R. at 252.
However, the Board decision here on appeal failed to discuss how that
medical evidence before the Board in 1983 did not meet the DC 5293
criteria for a disability rating of 40%, which required "severe; recurring
attacks, with intermittent relief," especially in light of the voluminous
medical records reporting that Mr. Holley was having chronic recurrent
back problems with sciatic pain. Further, the Board decision failed to
discuss whether the 1983 Board committed CUE by not evaluating Mr.
Holley's condition under DCs 8520 and 8619. R. at 209-12, 233-34. The
Board's failure to consider and discuss these issues in its decision
prevents the Court from conducting a meaningful review of the Board
decision or Mr. Holley to understand its rationale, and, thus, its
statement of the reasons or bases for its decision is inadequate. See 38
U.S.C. 7104(d)(1). As the Court held in Gilbert, "a bare conclusory
statement, without both supporting analysis and explanation, is neither
helpful to the veteran, nor 'clear enough to permit effective judicial
review,' nor in compliance with statutory requirements." Gilbert, 1 Vet.
App. at 57 (quoting International Longshoreman's Ass'n v. National
Mediation Bd., 870 F.2d 733, 735 (D.C. Cir. 1989). Accordingly, the
Board decision here on appeal that found no CUE in the 1983 Board's
decision that denied a disability rating greater than 20% was not
supported by an adequate statement of reasons or bases and will be
remanded.
C. Pending Claims
In 1982, Mr. Holley presented to the RO and the Board claims for
entitlement to service connection for sciatic neuritis, left-sided
paralysis, a nervous disorder/depression, and a rating of TDIU. See R. at
159, 162, 181, 198, 209-12, 216, 223-28. Apparently, he now argues that
the RO or the Board committed CUE by failing to adjudicate those claims.
Although the Court has jurisdiction to decide whether claims remain
pending for adjudication, such jurisdiction is not invoked by raising a
CUE motion. See Livesay v. Principi, 15 Vet.App. 165, 179 (2001) (en banc
) ("CUE provides a procedural device that allows for a final RO or Board
decision to be reversed or revised."). In this case, however, there is no
evidence in the record that the Board has rendered a final adverse
decision on Mr. Holley's claims for service connection for left-sided
paralysis, sciatic neuritis, a nervous disorder, and a rating of TDIU.
See Roberson v. Principi, 17 Vet.App. 135, 138
(2003) (per curiam order) (concluding that Court has jurisdiction over
issue of pendency of unadjudicated TDIU rating claim because issue was
presented to RO and Board); see also Fenderson v. West, 12 Vet.App. 119 (
1999) (vacating Board decision and remanding to Board for appropriate
procedural compliance, specifically the issuance of a SOC); see also
Norris v. West, 12 Vet.App. 413, 422 (1999) (rejecting contention that
RO's failure to adjudicate informally raised TDIU claim constitutes final
disallowance of the claim and concluding that when VA has failed to comply
during adjudication process with certain procedural requirements mandated
by law or regulation, claim remains pending in that VA adjudication
process, and, therefore, there is no final adverse RO decision that can be
subject to CUE attack). Although the 1983 Board decision may be a final
decision as to the rating and effective date assigned for Mr. Holley's
service-connected back disorder, that decision is not a final decision on
his claims for service connection for his left-sided paralysis, sciatic
neuritis, a nervous disorder, and a rating of TDIU, because that decision
never addressed those claims. The June 1982 RO decision did deny those
claims after they were remanded by the Board in March 1982. See R. at 244-
46, 258-60. However, it appears from the evidence of record that the RO
failed to comply with the Board's March 1982 remand order to issue an SOC
for any denied claims. See 38 U.S.C. 7105(a), (d)(1); Hanson v. Brown,
9 Vet.App. 29, 31-32 (1996) (concluding that unadjudicated claim normally
remains open and pending until final action is taken by RO unless claim is
withdrawn); 38 C.F.R. 3.160© (2004) (defining "[p]ending claim" as
application that "has not been finally adjudicated"); see also Stegall v.
West, 11 Vet.App. 268, 271 (1998). Accordingly, there are neither
sufficient findings of fact by the Board nor a sufficiently detailed
record for the Court to determine whether there are pending unadjudicated
claims. The Court trusts that VA will examine the matter and promptly
take whatever action is required. Further, the Board has not addressed Mr.
Holley's additional allegations of CUE. Therefore, they are not properly
before the Court. See 38 U.S.C. 7252(a); Andre, 301 F.3d at 1361-62 ("
each 'specific' assertion of CUE constitutes a claim that must be the
subject of a decision by the Board before [this] Court can exercise
jurisdiction over it"); Russell, 3 Vet.App. at 315 (Board decision on
specific issue of CUE is necessary for this Court to exercise its
jurisdiction); see also 38 U.S.C. 7111(e) (claim of CUE in Board
decision shall be raised to Board in first instance and decided by Board
on merits).
However, on remand VA shall address all Mr. Holley's CUE arguments and
provide an adequate statement of reasons or bases for its decision.
Upon consideration of the foregoing analysis, the record on appeal,
and the parties' pleadings, and having "take[n] due account of the rule of
prejudicial error" under 38 U.S.C. 7261(b)(2), the Board decision will
be vacated and the CUE matters remanded for issuance of a readjudicated
decision supported by an adequate statement of reasons or bases. See 38 U.
S.C. 5109A, 7104(a), (d)(1); 38 C.F.R. 3.105; Fletcher v. Derwinski,
1 Vet.App. 394, 397 (1991). On remand, Mr. Holley is free to submit
additional evidence and argument on the remanded claim, including the
arguments raised here on appeal, and the Board must consider any such
evidence or argument submitted. See Kay v. Principi, 16 Vet.App. 529, 534 (
2002) (stating, in case where Court remanded and declined to address
appellant's arguments and evidence concerning Board error, that, on remand,
appellant is free to raise such arguments and evidence to the Board and
the Board must address them).
III. CONCLUSION
Upon consideration of the foregoing, the April 15, 2002, Board
decision is VACATED and the matter is REMANDED for action consistent with
this decision.
DATED: January 14, 2005
Copies to:
John T. Holley
PO Box 90842
Los Angeles, CA 90009
General Counsel (027)
Department of Veterans Affairs
810 Vermont Avenue, NW
Washington, DC 20420
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