Barry C. Withers v. Robert L. Wilkie

CourtUnited States Court of Appeals for Veterans Claims
DecidedAugust 10, 2018
Docket16-1543
StatusPublished

This text of Barry C. Withers v. Robert L. Wilkie (Barry C. Withers v. Robert L. Wilkie) is published on Counsel Stack Legal Research, covering United States Court of Appeals for Veterans Claims primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Barry C. Withers v. Robert L. Wilkie, (Cal. 2018).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 16-1543

BARRY C. WITHERS, APPELLANT,

V.

ROBERT L. WILKIE, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued December 4, 2017 Decided August 10, 2018)

Barbara J. Cook, of Cincinnati, Ohio, with whom Olayiwola O. Oduyingbo, of Providence, Rhode Island, was on the brief, for the appellant.

Shannon E. Leahy, with whom Meghan Flanz, Interim General Counsel; Mary Ann Flynn, Chief Counsel; Carolyn F. Washington, Deputy Chief Counsel; and Jelani A. Freeman, Appellate Attorney, were on the brief, all of Washington, D.C., for the appellee.

Before DAVIS, Chief Judge, and MEREDITH and TOTH, Judges.

TOTH, Judge: Under VA regulations, a veteran may receive a total disability rating based on individual unemployability (TDIU) when "unable to secure or follow a substantially gainful occupation as a result of service-connected disabilities." 38 C.F.R. § 4.16(a) (2018). Although the regulation specifies many factors to be considered as part of a TDIU analysis, whether a veteran can perform "sedentary work" or "sedentary employment" is not among them. In fact, neither term nor any similar phrase is mentioned, much less defined, in any relevant VA statute or regulation. Yet, when a veteran undergoes a VA examination and TDIU is at issue, it is not uncommon for the Court to see cases in which a VA examiner opines on whether that veteran is capable of sedentary work and the Board singles out the examiner's comments about sedentary employment as decisive on whether to award TDIU. This is what happened to Barry C. Withers, whose appeal of a March 2016 Board decision denying TDIU is currently before the Court. The Board didn't explain what it thought the phrase sedentary work meant, and the parties dispute its meaning and import in the TDIU context. VA has not proposed, and this Court has never adopted an interpretation of § 4.16, that a veteran's ability "to secure or follow a substantially gainful occupation" is determined solely or primarily by the veteran's ability to perform sedentary work. Given sufficient reasoning, the ability to perform various forms of work can be a relevant consideration, but it's up to the Board to explain how such a conclusion coheres with § 4.16—that is, how an examiner's description of a veteran's specific functional limitations supports the Board's conclusion that the veteran is not unable to secure or follow a substantially gainful occupation consistent with his education, training, and work history. Here, the Board relied on the examiners' determinations that Mr. Withers was capable of sedentary employment but never explained the connection between these conclusions and the medical and vocational evidence of record. This is not sufficient and so we remand for the Board to provide adequate reasons and bases for its decision. In so ruling, we decline invitations from both sides to define the term "sedentary employment" because, at present, the term has no independent legal significance but, as used in this case, was merely the conclusion of an expert medical witness based on particular facts of the case.

I. BACKGROUND Mr. Withers served in the Marine Corps between 1968 and 1969 and was wounded in combat in Vietnam. He currently receives disability compensation for several service-connected conditions, including gunshot wound residuals to the right arm and leg, lower back problems, and post-traumatic stress disorder (PTSD). In 2005, he applied for TDIU. For more than two decades he had operated a franchise of a financial services and investment firm. He managed an office of more than 30 people and oversaw everything from exterior maintenance and ordering supplies to training and educating employees. Starting in 2004, however, he began missing work because of physical complications arising from his service-connected disabilities and PTSD-related problems. He remained in his management position for a while but stopped working in August 2004 and officially ended his employment in December of that year. The veteran underwent VA examinations in connection with his TDIU claim. His PTSD evaluation—together with a private examination report he submitted—reflected complaints of depression and fatigue, as well as difficulty interacting with people and handling stress. With respect to his back disability, Mr. Withers reported that he could walk slowly for only 10 to 15 minutes and avoided heavy lifting; the examiner found objective evidence of pain and limitation of motion of the lumbosacral spine but no additional loss of motion, fatigue, incoordination, or

2 lack of endurance upon repetitive use. The veteran endorsed similar limitations with respect to his right leg disabilities, and that same examiner found evidence of residual pain and some limitation of motion in the right knee, as well as limited right ankle motion. The regional office denied TDIU, and Mr. Withers appealed. Meanwhile, in 2008, the Social Security Administration (SSA) determined that the veteran suffered from severe physical and mental impairments as a result of his service-connected osteomyelitis and PTSD, and awarded Mr. Withers disability insurance benefits, effective June 2004. The SSA determined that he had "the residual functional capacity to perform sedentary work as defined in 20 [C.F.R. §] 404.1567(a) except that the claimant is unable to perform competitive work on a full-time basis." R. at 1248. In 2010, the Board remanded the TDIU claim for an opinion as to whether service- connected disability or disabilities precluded gainful employment. In the first of a series of VA opinions, an examiner found decreased range of motion in the right ankle, some right wrist disability, and degenerative changes of the lumbosacral spine, and noted that records showed no significant psychiatric symptoms. The examiner concluded that the veteran was "unable to do any kind of strenuous or sustained work" but should "be able to do light work or sedentary work." R. at 713. He adhered to that conclusion the following year but advised that he couldn't offer an opinion on the effects of PTSD. A year later, another VA examiner observed decreased coordination, weakness, and fatigability in the veteran's right leg, with loss of sensation in the inner thigh and around the ankle and foot. R. at 656-71 (full exam). Significant occupational effects were denoted, such as decreased mobility, problems lifting and carrying, and difficulty with prolonged standing or walking. Specifically, standing was limited to 15 to 30 minutes and walking was limited to between ¼ to 1 mile. In the examiner's judgment, right leg disabilities prevented strenuous work but permitted the veteran to perform "sedentary work" consistent with his job history of sales and management. The examiner also noted that the veteran was able to spend "several hours a day refinishing and buil[d]ing furniture." R. at 658. Regarding PTSD, a 2012 examiner opined that Mr. Withers experienced depression, anxiety, difficulty concentrating, and other mild or transient symptoms that led to occupational and social impairment that decreased work efficiency and ability to perform occupational tasks only during periods of significant stress. Overall, the examiner thought that some PTSD symptoms

3 "could be associated with decreased work efficiency in an occupational setting, regardless of whether the work involves physical or sedentary tasks." R. at 654.

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Barry C. Withers v. Robert L. Wilkie, Counsel Stack Legal Research, https://law.counselstack.com/opinion/barry-c-withers-v-robert-l-wilkie-cavc-2018.