Louis J. Stern v. Denis McDonough

CourtUnited States Court of Appeals for Veterans Claims
DecidedApril 20, 2021
Docket18-4425
StatusPublished

This text of Louis J. Stern v. Denis McDonough (Louis J. Stern v. Denis McDonough) 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
Louis J. Stern v. Denis McDonough, (Cal. 2021).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 18-4425

LOUIS J. STERN, APPELLANT,

V.

DENIS MCDONOUGH, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Decided April 20, 2021)

Thomas E. Sullivan, of Washington, D.C., was on the brief for the appellant.

James M. Byrne, General Counsel; Mary Ann Flynn, Chief Counsel; Anna Whited, Deputy Chief Counsel; and Amanda Radke, all of Washington, D.C., were on the brief for the appellee.

Before BARTLEY, Chief Judge, and PIETSCH and MEREDITH, Judges.

MEREDITH, Judge: The appellant, Louis J. Stern, through counsel appeals an April 25, 2018, Board of Veterans' Appeals (Board) decision that found that the reductions in disability ratings for right arm polyneuropathy from 30% to 10%, left arm polyneuropathy from 20% to 10%, right leg polyneuropathy from 20% to 10%, and left leg polyneuropathy from 20% to 10% were proper, and denied entitlement to disability compensation for a seizure disorder as secondary to a service-connected disability. Record (R.) at 1-18. The appellant does not raise any argument concerning the Board's denial of disability compensation for a seizure disorder. The Court therefore finds that he has abandoned his appeal of that issue and will dismiss the appeal as to that issue. See Pederson v. McDonald, 27 Vet.App. 276, 285 (2015) (en banc). This appeal is timely, and the Court has jurisdiction to review the Board's decision pursuant to 38 U.S.C. §§ 7252(a) and 7266(a). On November 12, 2019, the Court issued a memorandum decision holding that the Board provided inadequate reasons or bases for finding the rating reductions proper and vacating and remanding the matters. On December 10, 2019, the appellant filed a motion for reconsideration or, in the alternative, for panel review, arguing that reversal is the proper legal remedy when the Board's analysis is incomplete in a rating reduction case. 1 The Court withdrew its previous memorandum decision and granted the motion for panel review to address the appropriate remedy when the Board, in reducing a non-protected rating, fails to conduct the second part of the analysis required by Brown v. Brown, 5 Vet.App. 413, 421 (1993)—namely, whether an improvement in the disability reflects an actual improvement in the ability to function under the ordinary conditions of life and work. The Court holds that, here, the proper remedy is reversal of the Board's decision and reinstatement of the disability ratings. Accordingly, the Court will reverse the Board's decision finding that the reductions in disability ratings were proper for bilateral arm and leg polyneuropathy; reinstate the appellant's 30% disability rating for right arm polyneuropathy, and 20% disability ratings each for polyneuropathy of the left arm, and right and left legs; and remand the matters for further proceedings consistent with this decision.

I. BACKGROUND The appellant served on active duty in the U.S. Army from August 1988 to March 1989. R. at 169. In July 2007, a VA regional office (RO) granted him disability compensation for right and left arm polyneuropathy rated at 30% and 20% disabling, respectively, under Diagnostic Code (DC) 8515 for moderate paralysis of the median nerve based on impaired finger to nose movement2; and bilateral leg polyneuropathy rated at 20% each under DC 8520 for moderate incomplete paralysis of the sciatic nerve based on abnormal gait and imbalance. R. at 516-21. All evaluations were effective March 29, 2007. Id. A February 2008 neurology treatment record shows that the appellant reported increasing numbness in his hands, as well as difficulty dressing himself. R. at 448. He also reported that he was not able to do carpenter work. Id. The appellant filed a claim for increased ratings for his polyneuropathy disabilities in March 2008, R. at 508, and underwent a VA examination the following month, R. at 482-85. At that time, the appellant reported numbness from his elbows down to his hands and balance difficulty due to numbness from his knees down to his feet. R. at 482. Clinical evaluation revealed normal muscle strength, tone, and deep tendon reflexes in all

1 The Court granted the appellant's December 3, 2019, motion for an extension of time to file his motion for reconsideration or panel review. 2 DC 8515 provides for a 30% disability rating for moderate incomplete paralysis of the median nerve for the major extremity, and a 20% disability rating for moderate incomplete paralysis of the median nerve for the minor extremity. 38 C.F.R. § 4.124a, DC 8515 (2007).

2 extremities, and normal gait. R. at 484. There was no evidence of upper extremity drift or muscular atrophy. Id. Sensory examination indicated "decreased touch, pin prick, vibration and temperature [sensation] in [a] stocking-like distribution involving [all] extremities." Id. Nerve conduction studies were within normal limits for all extremities; however, the examiner noted that nerve conduction studies performed at the John Cochran VA Medical Center reflected abnormal electrophysiological studies consistent with generalized sensory motor neuropathy. R. at 484-85. The examiner opined that "there d[id] not appear to be any significant change on today's examination compared to his examination performed . . . in 2007." R. at 485. The RO continued the disability ratings in a September 2008 rating decision. R. at 428-34. The appellant underwent another VA examination in April 2010, R. at 389-98, pursuant to the RO's request to reevaluate his service-connected disabilities, R. at 410-12. He reported constant numbness from his elbows to his hands and from his knees to his feet, as well as "[d]ifficulty grasping hand tools and maintaining grip." R. at 389, 391. The examiner documented neuralgia in all extremities. R. at 390. There was no evidence of muscle wasting or atrophy or loss of fine motor control. Id. Deep reflex tests and sensory examination were normal. R. at 390-91. The examiner concluded that the polyneuropathies were "mild." R. at 391. Based on the examination findings showing that his conditions were mild in nature, the RO proposed reducing the appellant's polyneuropathy disability ratings to 10% for each extremity in a July 2010 rating decision. R. at 379-82. The appellant submitted a statement in August 2010 that he did not believe that his conditions had improved and requested another examination, R. at 365, which he underwent in June 2011, R. at 340-42. At that time, he stated that he had "almost constant numbness and tingling of his hands and feet." R. at 340. Clinical evaluation indicated that he had: Normal strength and tone; no upper extremity drift or muscular atrophy; normal deep tendon reflexes; normal gait; and "slightly reduced pin prick, temperature, and vibration [sensation] in [a] stocking[-]glove[-]like distribution in [all] extremities." R. at 341. The examiner noted that nerve conduction studies performed the previous month "did not show any evidence of polyneuropathy[;] however[,] he possibly has a small fiber neuropathy, which cannot be determined by nerve conduction studies." Id. In an October 2011 rating decision, the RO reduced his polyneuropathy ratings to 10% each, effective January 1, 2012. R. at 306-11. The appellant filed a Notice of Disagreement, R. at 287-90, and perfected his appeal to the Board, R. at 188, 189-212.

3 In April 2018, the Board found that the rating reductions were proper. R. at 2-16. This appeal followed.

II. ANALYSIS A.

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