Jones v. West

12 Vet. App. 383, 1999 U.S. Vet. App. LEXIS 311, 1999 WL 292658
CourtUnited States Court of Appeals for Veterans Claims
DecidedMay 11, 1999
DocketNo. 96-1253
StatusPublished
Cited by13 cases

This text of 12 Vet. App. 383 (Jones v. West) 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
Jones v. West, 12 Vet. App. 383, 1999 U.S. Vet. App. LEXIS 311, 1999 WL 292658 (Cal. 1999).

Opinions

HOLDAWAY, Judge, filed the opinion of the Court. KRAMER, Judge, filed a dissenting opinion.

HOLDAWAY, Judge:

The appellant, Stephen B. Jones, appeals the May 1996 decision of the Board of Veterans’ Appeals (BVA or Board) which determined, inter alia, that his claim for secondary service connection of residuals of a fracture of the tibia and the fibula of his left leg was not well grounded. This appeal is timely, and the Court has jurisdiction of the case under 38 U.S.C. § 7252(a). For the following reasons, the Court will affirm the decision of the Board.

I. FACTS

The appellant served on active duty in the U.S. Army from June 1968 to June 1970. In 1971, he was in a motorcycle accident wherein he suffered several injuries including a fractured left tibia and fibula. The appellant underwent several surgeries on his left leg which did not completely repair the nonunion of his left tibia and fibula. The surgeries also resulted in shortening his left leg by over four inches.

In January 1986, the appellant was granted service connection for post-traumatic stress disorder (PTSD) and subsequently assigned a 50% disability rating. In April 1990, his disability rating was increased to 70% disabling. In January 1991, the appellant filed a claim for service connection of his left leg condition. W.D. Gammon, Ph.D., a VA clinical psychologist, submitted a letter to the VA regional office (VARO) in support of the appellant’s claim for service connection of his left leg condition. He stated that after service the appellant had exhibited many behavioral indicia of PTSD, including thrill-seeking behavior. Dr. Gammon concluded that the appellant’s motorcycle accident in 1971 was the result of the appellant’s thrill-seeking behavior. In March 1991, the appellant submitted a Substantive Appeal with regard to the VARO’s decision denying an increased disability rating for PTSD, service connection for his right knee, and a clothing allowance. As part of his Substantive Appeal, the appellant stated: “My left leg condition is a result of thrill seeking in persuit [sic] of the constant adrenal [sic] rush reward Vietnam had given me after becoming a survivor.” At a June 1991 VA personal hearing, the appellant testified that Dr. Gammon felt that the appellant’s leg injury was caused by his thrill-seeking behavior. At an October 1991 hearing before the BVA, the appellant described the events leading up to his 1971 accident as follows:

Some people sent me on a mission to go to the liquor store to get some few more beers and I was driving back to this place and there was a car in front of me, just going slow and I looked out around him and saw it was safe to pass and I got beside him and he downshifted his car. When I got beside him and his car turned sideways and I served [sic] to avoid him and the center stand of my motorcycle hit the pavement at which time, the rear wheel was picked up off the pavement and I lost control and I went off the road.

Subsequently, Dr. Gammon submitted another statement pointing out that there was an increasing body of evidence “to support the notion that ‘thrill-seeking’ behavior is regularly seen in PTSD combat vet[erans].” The [385]*385appellant also submitted an April 1993 statement that reiterated his belief that his motorcycle accident was precipitated by PTSD-indueed thrill seeking.

In February 1993, the VARO denied secondary service connection for the appellant’s left leg disability because the evidence of record did not demonstrate that the accident was caused by his thrill-seeking behavior. On appeal to the BVA, the Board determined that there was no reasonable basis in the evidence of record to show that the accident was caused by the appellant’s thrill-seeking behavior. The Board recognized that Dr. Gammon had opined that the accident was caused by thrill-seeking behavior, but stated that the doctor was not an eyewitness and “that the factual record does not support such a conclusion.”

II. ANALYSIS

A claim for secondary service connection must be granted when a disability “is proximately due to or the result of a service-connected disease or injury.” 38 C.F.R. § 3.310(a) (1998). Like all claims, a claim for secondary service connection must be supported by “evidence sufficient to justify a belief by a fair and impartial individual that the claim is well grounded.” 38 U.S.C. § 5107(a); Buckley v. West, 12 Vet.App. 76, 84 (1998). A well-grounded claim is “a plausible claim, one which is meritorious on its own or capable of substantiation. Such a claim need not be conclusive but only possible to satisfy the initial burden of [section 5107(a) ].” Murphy v. Derwinski, 1 Vet.App., 78, 81 (1990). Generally, for a claim to be well grounded, a claimant must submit each of the following: (1) a medical diagnosis of a current disability; (2) medical evidence, or in certain circumstances lay evidence, of in-service incurrence or aggravation of a disease or injury; and (3) medical evidence of a nexus between the in-service injury or disease and the current disability. See Caluza v. Brown, 7 Vet.App. 498, 506 (1995), aff'd. per curiam, 78 F.3d 604 (Fed.Cir.1996) (table). With regard to a claim for secondary service connection, a claimant must provide competent evidence that the secondary condition was caused by the service-connected condition. See Wallin v. West, 11 Vet.App. 509, 512 (1998); Reiber v. Brown, 7 Vet.App. 513, 516-17 (1995). A BVA decision on whether a claim is well grounded is a matter of law which this Court reviews de novo. See Caluza, 7 Vet.App. at 505. The credibility of the evidence is presumed when determining whether a claim is well grounded. See Robi-nette v. Brown, 8 Vet.App. 69, 75-76 (1995); King v. Brown, 5 Vet.App. 19, 21 (1993). However, the presumption of credibility does not apply where a fact asserted is beyond a person’s competency or where the evidence is inherently false. See id.

There is no dispute that the appellant suffers from a current disability of the left leg or that he is service connected for PTSD. The question before the Court is whether there is competent evidence to demonstrate a reasonable possibility that the motorcycle accident was proximately caused by PTSDinduced thrill-seeking behavior of the appellant. Based on de novo review of the evidence, the Court finds that there is not such evidence and that the claim is not well grounded. See Wallin, Reiber, and Caluza, all supra.

In Reiber, the Court held that a veteran’s contention, that his lower back disorder was caused as a result of a fall precipitated by his service-connected left ankle condition, required a two-step analysis to determine if the evidence was sufficient to establish proximate cause. 7 Vet.App. at 516. First, the Court determined that the appellant’s testimony was competent to establish that his service-connected ankle condition had caused his fall. See id. Second, the Court found that the appellant had submitted medical evidence that the fall had indeed caused his back injury. See id. Based on that analysis, the Court found the claim for secondary service connection for the lower back disorder well grounded. See id. at 517.

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Cite This Page — Counsel Stack

Bluebook (online)
12 Vet. App. 383, 1999 U.S. Vet. App. LEXIS 311, 1999 WL 292658, Counsel Stack Legal Research, https://law.counselstack.com/opinion/jones-v-west-cavc-1999.