Showing posts with label PTSD. Show all posts
Showing posts with label PTSD. Show all posts

Monday, November 28, 2011

Single Judge Appication, Mayhue, 24 Vet.App. at 279-80, 3.156(c)(2) Cannot be Used to Deny EED When Records Were Available to VA

In Mayhue, the Court recognized that § 3.156(c)(2) cannot be used to deny an earlier effective date in a newly acquired service records case where the information ultimately used to verify a purported stressor was available to VA at the time the PTSD claim was previously denied. 24 Vet.App. at 279-80. The Court observed that it was VA's failure to use the information that it always had available, rather than any inaction on the part of the claimant, that prevented the agency from corroborating the stressor at an earlier date. Id. =========================== Designated for electronic publication only UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS NO. 09-4735 SAMUEL E. TAYLOR, APPELLANT, V. ERIC K. SHINSEKI, SECRETARY OF VETERANS AFFAIRS, APPELLEE. Before FARLEY, Judge. MEMORANDUM DECISION Note: Pursuant to U.S. Vet. App. R. 30(a), this action may not be cited as precedent. FARLEY, Judge: The appellant, through counsel, appeals from the December 23, 2009, decision of the Board of Veterans' Appeals(Board) that denied entitlement to an effective date earlier than February4, 1998, for the grant of service connection for post-traumatic stress disorder (PTSD). This appeal is timely and the Court has jurisdiction to review the Board's decision pursuant to 38U.S.C. §§ 7252(a)and 7266. Single-judge disposition is appropriate when the issue is of "relative simplicity" and "the outcome is not reasonablydebatable." Frankel v. Derwinski, 1 Vet.App. 23, 25- 26 (1990). On March 28, 2011, the appellant filed a motion for oral argument pursuant to Rule 34 of the Court's Rules of Practice and Procedure. However, because oral argument would not "materially assist in the disposition of this appeal," the motion will be denied. Janssen v. Principi, 15 Vet.App. 370, 379 (2001) (per curiam). For the following reasons, the Court will vacate the Board's decision and remand the matter for further proceedings consistent with this opinion. I. FACTS The appellant served on active duty in the U.S. Army from September 1966 to September 1968, including service in Vietnam. Record (R.) at 461, 618-20. In May 1992, the regional office (RO) denied his claim for service connection for PTSD because a recent VA examination did not include a diagnosis of PTSD. R. at 570-71. The appellant did not file a timely appeal of that decision and it became final. R. at 494-95, 498-99, 550-59. The RO denied the appellant's application to reopen his claim in May 1994. R. at 489-90. He did not appeal this decision and it became final. On February 4, 1998, the appellant filed an application to reopen his claim for service connection for PTSD. R. at 482. The appellant was afforded a VA examination in March 1998. The examiner diagnosed the appellant's psychiatric disorder as major depression with psychotic features and concluded that the appellant did not meet the requirements for a PTSD diagnosis. R. at 468. In April 1998, the RO denied the appellant's claim as not well grounded due to the lack of a medical diagnosis of PTSD. R. at 464-66. The appellant perfected an appeal of the RO decision. R. at 427, 437-58. He also submitted additional evidence to support his claim, to include a statement in which he specificallystated, amongother things, that he was assigned to the 145th Aviation Battalion when a convoyhe was in was ambushed and the driver of the truck in front of his, named Washington, was shot. R. at 443. In October 2001, evidence received from the U.S. Armed Services Center for Unit Records Research (CURR) verified two of the appellant's stressors: (1) that he was exposed to rocket and mortar attacks at Ben Hoa in January 1968; and (2) that Specialist Four ( SP4) Washington was wounded in action on January 30, 1968, from small arms fire and was assigned to the same higher headquarters as the appellant. R. at 330. In February 2002, the RO granted service connection for PTSD and assigned a rating of 100%, effective April 13, 1999. R. at 313-23. The appellant perfected an appeal of the effective date and, in May 2007, the Board granted entitlement to an effective date of February4, 1998, but no earlier, for the grant of service connection for PTSD. R. at 78-85, 113-15, 278. In June 2007 the appellant filed a motion for revision of the May 2007 Board decision on the basis of clear and unmistakable error (CUE). R. at 73. While his motion for revision of the May 2007 Board decision was pending, the appellant appealed the Board's 2007 decision to the Court and, in July2009, the Court remanded the Board's 2007 decision pursuant to a joint motion for remand. R. at 38, 39-44. That same month, the Board dismissed the appellant's motion for revision of the Board's decision on the basis of CUE because the 2007 Board decision was not final. R. at 26-29. On December 23, 2009, the Board issued its decision on appeal in which it denied 2 entitlement to an effective date prior to February 4, 1998, for service connection for PTSD. R. at 3- 14. This appeal followed. The appellant argues for reversal or, in the alternative, for remand. Appellant's Brief (Br.) at 7-24. The Secretary argues for affirmance of the Board's decision. Secretary's Br. at 8-28. II. ANALYSIS The Board's determination of the proper effective date for an award of VA benefits is a finding of fact reviewed under the "clearly erroneous" standard of review set forth in 38 U.S.C. § 7261(a)(4). "'A finding is "clearly erroneous" when although there is evidence to support it, the reviewing court on the entire evidence is left with the definite and firm conviction that a mistake has been committed.'" Gilbert v. Derwinski, 1 Vet.App. 49, 52 (1990) (quoting United States v. U.S. Gypsum Co., 333 U.S. 364, 395 (1948)). The Court may not substitute its judgment for the factual determinations of the Board on issues of material fact merely because the Court would have decided those issues differently in the first instance. Id. The Board, in rendering its decision, is required to provide a written statement of the reasons or bases for its "findings and conclusions . . . on all material issues of fact and law presented on the record." 38 U.S.C. § 7104(d)(1). The statement must be adequate to enable a claimant to understand the precise basis for the Board's decision and to facilitate review in this Court. Gilbert, 1 Vet.App. at 56-57. The determination of the effective date for an original claim or a reopened claim is governed by38 U.S.C. § 5110(a), which provides: "Unless specificallyprovided otherwise in this chapter, the effective date of an award based on an original claim [or] a claim reopened after final adjudication . . . shall be fixed in accordance with the facts found, but shall not be earlier than the date of receipt of application therefor." The implementing regulation similarly states that the effective date shall be the date of receipt of the claim or the date entitlement arose, whichever is later, unless the claim is received within one year after separation from service. 38 C.F.R. § 3. 400 (2011). However, pursuant to 38 C.F.R. § 3.156(c)(1), "if VA receives or associates with the claims file relevant official service department records that existed and had not been associated with the claims file when VA first decided the claim, VA will reconsider the claim." 3 Pursuant to § 3.156(c)(3), "[a]n award made based all or in part on the records identified by paragraph (c)(1) . . . is effective on the date entitlement arose or the date VA received the previously decided claim, whichever is later." 38 C.F.R. § 3.156(c)(3) (2011). An exception to the foregoing is provided under 38 C.F.R. § 3.156(c)(2), which provides that paragraph ( c)(1) does not apply "to records that VA could not have obtained when it decided the claim . . . because the claimant failed to provide sufficient information for VA to identifyand obtain the records ." 38 C.F.R. § 3.156(c)(2). Prior to VA's 2006 amendment to 38 C.F.R. § 3.156(c), "'§ 3.400(q)(2) govern[ed] the effective date of benefits awarded when VA reconsider[ed] a claim based on newlydiscovered service department records.'" Mayhue v. Shinseki, 24 Vet.App. 273, 277 (2011) (quoting New and Material Evidence, 70 Fed. Reg. 35,388 (proposed June 20, 2005)). Read together, §§ 3.156(c) and 3.400(q)(2) provided that the effective date for an award of benefits based on newly discovered service department records that were previously unavailable "may relate back to the date of the original claim or date entitlement arose even though the decision on that claim may be final under [38 C.F.R.] § 3.104." Id. The appellant first argues that the Board impermissibly applied the current version of 38 C.F.R. § 3.156(c) rather than the earlier, more favorable, version of the regulation. Appellant's Br. at 10-14. He specifically objects to the Board's reliance on § 3.156( c)(2), which was added in 2006. Appellant's Br. at 12-13. The Secretary argues for affirmance of the Board's decision. Secretary's Br. at 8-28. He contends that there is a plausible basis for the Board's decision that an effective date prior to February4, 1998, is not warranted because the earliest effective date available in the instant case is the date of receipt of the appellant's claim to reopen, or February 4, 1998. Secretary's Br. at 9-13. He specifically argues that neither the 1998 version of § 3.156(c) nor the current version of that regulation would allow for an earlier effective date than that assigned because the appellant did not meet the criteria for PTSD since he lacked a diagnosis of PTSD until April 1999. Secretary's Br. at 17-18. In fact, the Secretary distinguishes the instant appeal from that in Vigil v. Peake, 22 Vet.App. 63 (2008), on that basis. Secretary's Br. at 19. The appellant provides no support for his contention that the earlier version of the regulation is more favorable than the current version of the regulation. Appellant's Br. at 11-14. As pointed out by the appellant, the Board focused on the current version of § 3.156( c) and did not address the 4 earlier version of the regulation, to include whether it was more favorable than the current version. Appellant's Br. at 21-22. The Board's failure to address this matter renders its reasons or bases inadequate for judicial review in the instant case. See Karnas v. Derwinski, 1 Vet.App. 308, 313 (1991) (holding "where the law or regulation changes after a claim has been filed or reopened but before the administrative or judicial appeal process has been concluded, the version most favorable to the appellant should . . . apply unless Congress provided otherwise or permitted the Secretary . . . to do otherwise and the Secretary did so.")), overruled in part by Kuzma v. Principi, 341 F.3d 1327, 1328-29 (Fed. Cir. 2003); Gilbert, supra; see also Baker v. West, 11 Vet. App. 163, 168-69 (1998) (remanding for the Board to determine in the first instance whether a revised version of a regulation was more favorable to an appellant than a previous version). Additionally, review of the Board's decision reveals that the Board's determination that the appellant did not provide sufficient stressor information to permit corroboration of his PTSD stressors prior to February 1998 is not supported by an adequate statement of reasons or bases. R. at 13-14; see Gilbert, supra. In Mayhue, the Court recognized that § 3.156(c)(2) cannot be used to deny an earlier effective date in a newly acquired service records case where the information ultimately used to verify a purported stressor was available to VA at the time the PTSD claim was previously denied. 24 Vet.App. at 279-80. The Court observed that it was VA's failure to use the information that it always had available, rather than any inaction on the part of the claimant, that prevented the agency from corroborating the stressor at an earlier date. Id. The Board in the instant case conceded that the RO granted service connection for PTSD, at least in part, based on CURR's verification of the appellant's contention that he was exposed to rocket fire and enemy attacks at Ben Hoa in January1968 and that he witnessed the injury of a fellow soldier who was wounded in action in January 1968. R. at 13. The Board also correctly noted that the reference to "official service department records" in § 3.156(c) " include[d] CURR reports such as the reports associated with the [appellant's] claims folder in October 2001." R. at 11; Vigil, supra. However, the Board further found that "the detailed stressor information upon which the CURR verification was based was not of record until the [appellant] filed his claim to reopen in February 1998. Inconjunctionwith his February1998claimto reopen,[he] essentially provided appropriately detailed information . . . which enabled the RO to make the CURR request in January 2001 which 5 led to stressor verification." R. at 13-14. The Board further found that prior to February 1998, the appellant's descriptions of in-service stressors were without sufficient detail to allow for verification and that § 3.156(c)(2) was therefore applicable. R. 13-14. The appellant correctly notes that service personnel records before the VA as early as August 1991 showed the dates that he was stationed at Ben Hoa. Appellant's Br. at 17; R. at 615-20. He further alleges that these records together with his April 1992 and February1993 stressor statements provided sufficient information to permit verification of his PTSD stressor concerning mortar and rocket attacks at Ben Hoa. Appellant's Br. at 7. Because the Board does not address this information in the context of the sufficiency of the appellant's stressor information prior to February 1998 or in the context of Mayhue, which was issued after the Board's decision in the instant case, remand is required. See Mayhue and Gilbert, both supra. Because it has been determined that remand is appropriate for the foregoing reasons, the Court will not address the appellant's other arguments for remand. See Dunn v. West, 11 Vet.App. 462, 467 (1998) (remand of the appellant's claim under one theory moots the remaining theories advanced on appeal). On remand, the appellant may present any additional evidence and argument in support of the matter remanded, and the Board must consider any evidence and argument so presented. See Kay v. Principi, 16 Vet.App. 529, 534 (2002). This matter is to be provided expeditious treatment on remand. See 38 U.S.C. § 7112. Although the appellant argues for reversal of the Board's decision, his argument is not persuasive. Appellant's Br. at 7-19. Reversal is the appropriate remedy only in cases in which the only permissible view of the evidence is contrary to the Board's decision. Gutierrez v. Principi, 19 Vet.App. 1, 10 (2004); Johnson v. Brown, 9 Vet.App. 7, 10 (1996). Generally, where the Board has incorrectly applied the law or failed to provide an adequate statement of reasons or bases for its determinations or where the record is otherwise inadequate, remand is the appropriate remedy. See Coburn v. Nicholson, 19 Vet.App. 427, 431 (2006) (holding that remand is appropriate when "the Court finds that the Board decision is defective in its reasons or bases thereby preventing proper review by the Court"); Tucker v. West, 11 Vet.App. 369, 374 (1998). Here, the Court is precluded from reviewing the Board's decision due to its inadequate reasons or bases. Thus, reversal is not the 6 proper remedy; the Court will vacate the decision and remand the matter on appeal for readjudication. III. CONCLUSION Upon consideration of the foregoing analysis, the record on appeal, and the parties' pleadings, the December 23, 2009, Board decision is VACATED and the matter is REMANDED to the Board for further proceedings consistent with this decision. DATED: November 10, 2011 Copies to: Sean A Ravin, Esq. VA General Counsel (027) 7

Wednesday, November 23, 2011

Meditation in Treating PTSD, Depression, TBI, and iPhone App

A couple of interesting research studies from Harvard look at factor affecting happiness and the effect of meditation. Since these have an applicability to PTSD, Depression, Anxiety, and TBI I am linking to the studies and the Track Your Happiness iPhone app. If you or someone you know suffers from Depression, PTSD, TBI, or Anxiety I hope that you will urge them to read these studies and consider using meditation as part of their treatment protocol. Study: Meditators Shut Down Daydreaming Part Of Brain Judson Brewer, an assistant professor of psychiatry Wandering mind not a happy mind Harvard psychologists Matthew A. Killingsworth and Daniel T. Gilbert

Monday, March 21, 2011

Single Judge Application, Boggs v. Peake, 520 F.3d, PTSD, Depression, Anxiety, Each Separate Diagnosis and Separate Claims

In Boggs v. Peake, 520 F.3d 1330, 1335 (Fed. Cir. 2008), the U.S. Court of Appeals for the Federal Circuit held that "the 'factual basis' of a claim for purposes of 38 U.S.C. § 7104(b) is the veteran's disease or injury rather than the symptoms of the veteran's disease or injury," that "a properly diagnosed disease or injury cannot be considered the same factual basis as [another] distinctly diagnosed disease or injury," and that "[i]t follows that because § 7104(b) distinguishes claims according to their factual bases, claims based upon distinctly and properly diagnosed diseases or injuries cannot be considered the same claim." As a result, the appellant's claims for service connection for depression and anxiety are separate claims from his claim to reopen his denied claim for entitlement to service connection for PTSD, as his anxiety and depression are distinctly and properly diagnosed diseases. See id.; cf. Clemons v. Shinseki, 23 Vet.App.
1, 7-8 (2009).

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Designated for electronic publication only
UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS
NO. 09-3210
JOHN A. MATICH, APPELLANT,
V.
ERIC K. SHINSEKI,
SECRETARY OF VETERANS AFFAIRS, APPELLEE.

Before LANCE, Judge.
MEMORANDUM DECISION
Note: Pursuant to U.S. Vet. App. R. 30(a),
this action may not be cited as precedent.

LANCE, Judge: The appellant, John A. Matich, through counsel, appeals an August 11, 2009, Board of Veterans' Appeals (Board) decision that denied a reopening of his claim for entitlement to service connection for post-traumatic stress disorder (PTSD). Record (R.) at 3. The appellant does not present any argument concerning the actual denial of his request to have his PTSD claim reopened. Accordingly, that claim is deemed abandoned. See Ford v. Gober, 10 Vet.App. 531, 535 (1997). Single-judge disposition is appropriate. See Frankel v. Derwinski, 1 Vet.App. 23, 25-26 (1990). This appeal is timely; however, the Court does not have jurisdiction over the issues raised by the appellant pursuant to 38 U.S.C. §§ 7252(a) and 7266. Accordingly, for the reasons that follow, the Court will dismiss the appellant's appeal.

I. BACKGROUND
The appellant served on active duty in the U.S. Marine Corps from January
1966 until December 1967. R. at 562. In May 1994, VA issued a rating decision that "denied reconsideration of service-connection for [a] nervous condition now claimed as post-traumatic stress disorder." R. at 842-43. At the time, VA denied service connection because the appellant did not have a PTSD diagnosis. R. at 848-51.
The appellant failed to submit a timely Notice of Disagreement (NOD) and the rating decision became final. R. at 767, 826-28. The appellant later attempted to reopen his PTSD claim; however, the Huntington, West Virginia, regional office (RO) denied a reopening because it found that the
appellant had not submitted new and material evidence. R. at 1146-48. The RO reasoned in part
that the medical evidence submitted by the appellant still did not contain a PTSD diagnosis. Id. The
appellant submitted an NOD; however, it appears that he never submitted a Substantive Appeal as
to that decision. R. at 541-44, 549.
In December 2005, the appellant once again attempted to reopen his claim for entitlement to PTSD. R. at 396. The record developed in the course of the appellant's attempt to reopen his PTSD claim included medical records showing a diagnosis of a depressive condition and a possible diagnosis of an anxiety disorder. R. at 71, 225, 230, 235, 242, 268, 357.
The Cleveland, Ohio, RO found that the appellant had still not submitted new and material evidence.
R. at 260-64. The RO noted that the evidence submitted by the appellant did not contain a PTSD
diagnosis. R. at 261. The appellant filed a timely NOD and Substantive Appeal. R. at 246, 175. In
the Board decision on appeal, the Board denied a reopening of the appellant's PTSD claim,
finding that the appellant had not submitted new and material evidence and that the record still
contained no evidence of a PTSD diagnosis. 11-12.

II. ANALYSIS
In his brief, the appellant does not challenge any of the Board's findings concerning his claim for entitlement to a reopening of his service-connection claim for PTSD. Appellant's Brief (Br.) at
1-16. Instead, the appellant argues that the Board erred by: (1) ignoring favorable evidence that
establishes that he suffers from companion diagnosed depression and anxiety; (2) failing to remand the companion depression and anxiety conditions for appropriate development and adjudication; and (3) failing to provide an adequate statement of reasons or bases for not addressing the aforementioned diagnoses. Appellant's Br. at 7-12. The Secretary counters that the Court does not have jurisdiction over the issues raised by the appellant. Secretary's Br. at 7-11. After reviewing the pleadings and record in this case, the Court agrees that the appellant raises issues over which it cannot exercise jurisdiction.
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In Boggs v. Peake, 520 F.3d 1330, 1335 (Fed. Cir. 2008), the U.S. Court of Appeals for the Federal Circuit held that "the 'factual basis' of a claim for purposes of 38 U.S.C. § 7104(b) is the veteran's disease or injury rather than the symptoms of the veteran's disease or injury," that "a properly diagnosed disease or injury cannot be considered the same factual basis as [another] distinctly diagnosed disease or injury," and that "[i]t follows that because § 7104(b) distinguishes claims according to their factual bases, claims based upon distinctly and properly diagnosed diseases or injuries cannot be considered the same claim." As a result, the appellant's claims for service connection for depression and anxiety are separate claims from his claim to reopen his denied claim for entitlement to service connection for PTSD, as his anxiety and depression are distinctly and properly diagnosed diseases. See id.; cf. Clemons v. Shinseki, 23 Vet.App.
1, 7-8 (2009). As there is no final Board decision concerning these new claims, the Court lacks
jurisdiction to consider them. See 38 U.S.C. §§ 7252(a), 7266(a); Jarrell v. Nicholson, 20 Vet.
App. 326, 330-32 (2006) (en_banc).
To be clear, the Court is not holding that these new claims have never been raised. In fact,
these claims may be pending below based upon the submissions of the appellant. However, Boggs
is factually on point and controlling in this case. Supra. The prior final decisions considering the
appellant's mental condition as PTSD must be considered as a separate claim from any new
diagnoses. Id. Accordingly, the Court lacks jurisdiction to consider such claims until presented with a properly appealed Board decision on those claims.1 See Jarrell, 20 Vet.App. at 330-32 (2006).
In this regard, the Court notes that the question of when such claims were
first raised may be considered when, and if, it ever becomes contested and appealed.
21_Vet.App. 232, 254 (2007). See Ingram v. Nicholson,

1. The Court notes that it cannot assume from the silence in the current
Board decision that a new claim under the alternative diagnoses has not been adjudicated. It is entirely possible that such a claim has been recognized by VA and may have been adjudicated in a separate proceeding. See Fagre v. Peake, 22 Vet.App. 188, 191 n. 4 (2008) (noting the Secretary is free to “issu[e] separate Board decisions with regard to each, some, or all disabilities claimed by a
veteran”).

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III. CONCLUSION
After consideration of the appellant's and the Secretary's briefs, and a
review of the record, the appellant's case is DISMISSED for lack of jurisdiction.
DATED: March 16, 2011
Copies to:
John S. Berry, Esq.
VA General Counsel (027)
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