Anderson v. West

12 Vet. App. 491, 1999 U.S. Vet. App. LEXIS 742, 1999 WL 543303
United States Court of Appeals for Veterans Claims·Decided July 27, 1999·No. No. 98-821·Published·Cited by 7 cases

Opinion

STEINBERG, Judge:

The appellant, veteran Hersey Anderson, appeals through counsel a February 27,1998, decision of the Board of Veterans’ Appeals (BVA or Board) that, inter alia, denied as not well grounded a claim for Department of Veterans Affairs (VA) service connection for arthritis of the left hip as secondary to his service-connected left-knee disability. Record (R.) at 2. The appellant has filed a brief, and the Secretary has filed a motion for single-judge affirmance. For the reasons that follow, the Court will deny the Secretary’s motion (because the case does not meet the criteria for single-judge disposition set forth in Frankel v. Derwinski, 1 Vet.App. 23, 26-26 (1990)) but will affirm the BVA decision.

I. Background

The veteran served in the U.S. Army from January 1951 to December 1952. R. at 11. His service medical records showed treatment for various problems related to his left knee (R. at 22, 27, 34-40, 45), but were silent as to any hip-related conditions (see R. at 13-57). In December 1954, a VA regional office (RO) awarded the veteran service connection for a left-knee condition characterized as traumatic arthritis of the left knee, and assigned a 10% rating, effective October 1954. R. at 75. In the years following that award, VA physicians examined and/or treated the veteran for additional complaints related to his left knee, and he filed several increased-rating claims as to that condition. See generally R. at 77, 80-82, 91-95, 98, 100-04, 106-07. In July 1961, the VARO increased the rating for his service-connected left-knee disability to 30%. R. at 98. (That 30% rating continued, unchanged, at least as of the January 1997 Supplemental Statement of the Case (SSOC) issued in connection with the instant appeal (R. at 470).)

In January 1985, a VA physician diagnosed the veteran as having, inter alia, arthritis secondary to chondrocaleinosis. (Chondro-calcinosis is “the presence of calcium salts, especially calcium pyrophosphate, in the cartilaginous structures of one or more joints.” DorlaNd’s Illustrated Medical Dictionary 321 (28th ed.1994).) The examiner noted “acute” problems with the veteran’s “right knee, ankle, and wrist”, but made no finding or comment as to either of the veteran’s hips. R. at 131; see R. at 131-33. In April 1985, the RO awarded the veteran, inter alia, an evaluation of 30% for degenerative multiple-joint arthritis for purposes of VA non-service-eonnected pension benefits. R. at 137. From 1985 to 1995, the veteran was treated at VA medical facilities for multiple-joint arthritis. See generally R. at 139-59, 171-81, 189-99, 209-17, 221-30, 238-53, 259-343. Also during that time period, he filed several unsuccessful claims for, inter alia, service connection for multiple-joint arthritis and an increased rating above 30% for his service-connected left-knee condition. See generally R. at 160-67, 187, 201-07, 219, 232-36, 255-58. In September 1995, the RO denied as not well grounded a claim submitted by the veteran in November 1994 (R. at 236) for service connection for multiple-joint arthritis (R. at 345-48).

In December 1995, the veteran filed with the RO a statement asserting problems with his “entire left leg, from [his] hip to [his] foot”; he stated that he had been seen at a VA medical center on November 18, 1995, where “[t]hey took x-rays of my left knee”. R. at 350. The veteran also stated: “The doctor ... said that my left hip had severe [493]*493arthritis in it which I feel is related to the problems with my knee.” Ibid, (emphasis added). In March 1996, the RO advised the veteran that in order to submit a well-grounded claim for secondary service connection, he needed to do as follows: “[S]ubmit the following evidence: l.[M]edical evidence that the condition exists; and 2. medical treatises suggesting a causal relationship between the two conditions; or 3. medical evidence from a medical professional asserting medical causation.” R. at 366. The RO obtained additional medical records (R. at 368-403), including a November 18, 1995, VA medical record indicating that the veteran’s chief complaint was that “for 3 days” he had had pain in his left knee “radiating up to” his left hip (R. at 372). The RO in May 1996 denied as not well grounded the left-hip secondary-service-connection claim. R. at 406— 07. The veteran filed a Notice of Disagreement (NOD) in July 1996 (R. at 411), and in August 1996 the RO issued a Statement of the Case (SOC) (R. at 415-20).

In December 1996, the veteran underwent a VA examination. R. at 460-64. The examiner noted impressions of a “[h]istory of trauma to the left knee”, severe degenerative arthritic process secondary to left-knee trauma, “multiple skeletal changes” compatible with degenerative arthritis, and “multiple findings of degenerative disease of the axial skeleton”. R. at 464. Regarding secondary causation, the examiner opined as follows:

The question is raised as to whether altered gait from the patient’s left knee is producing the multiple joint complaints that the patient reports and demonstrates on physical examination and x-ray. I do not believe that these findings can be attributed to the knee injury, but rather represent a natural course of events in this patient’s health profile.

Ibid, (emphasis added).

In January 1997, the RO issued an SSOC that continued to deny service connection for the left hip and that discussed briefly the December 1996 medical examination, as follows: “The VA examination shows level pelvis and shoulders!,] and the examiner opined that the current arthritis process of multiple joints, including the left hip[,] is not a result of altered gait due to the left knee but is rather a natural course of events.” R. at 471. In February 1997, James Stanley, counsel for the appellant, sent the RO a letter that stated that he had “not been furnished a copy of’ the December 1996 VA examination record and therefore he had “not responded to the contents” of the examination. Supplemental (Suppl.) R. at 1.

In the February 1998 BVA decision here on appeal, the Board denied as not well grounded the veteran’s left-hip secondary-serviee-conneetion claim because he “ha[d] failed to show ... medical evidence which states that the current left hip disability -is proximately due to ... a service-connected disability.” R. at 4.

II. Analysis

The appellant seems to raise explicitly only one issue, as follows: ‘Whether the appellant’s due process rights were violated by the ... failure [of VA] to furnish him with a copy of a [December 1996] medical report [that] it contended [sic] to rely upon in the adjudication of his claim”. Brief (Br.) at 3; see also Br. at 4 (appellant “ra[is]es only one point of contention on appeal[; t]hat is of due process”). However, the appellant’s contention also implicates statutory and regulatory provisions, in the context of which any constitutional challenge must be examined, and “fan-process” considerations under this Court’s caselaw dating from Thurber v. Brown, 5 Vet.App. 119 (1993).

In order for us to determine whether the veteran was afforded due process or fair process in this case, we must examine whether VA had in fact been under any obligation to furnish to the appellant a copy of the December 1996 medical report. The right to gain access to documents contained in VA claims files is limited by 38 U.S.C. § 5701

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Anderson v. West, 12 Vet. App. 491, 1999 U.S. Vet. App. LEXIS 742, 1999 WL 543303 (Cal. 1999).

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