Maria R. Rodriguez v. R. James Nicholson

19 Vet. App. 275, 2005 U.S. Vet. App. LEXIS 523, 2005 WL 1865315
CourtUnited States Court of Appeals for Veterans Claims
DecidedAugust 5, 2005
Docket03-1276
StatusPublished
Cited by7 cases

This text of 19 Vet. App. 275 (Maria R. Rodriguez v. R. James Nicholson) 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
Maria R. Rodriguez v. R. James Nicholson, 19 Vet. App. 275, 2005 U.S. Vet. App. LEXIS 523, 2005 WL 1865315 (Cal. 2005).

Opinion

STEINBERG, Chief Judge:

Appellant Maria R. Rodriguez, the surviving spouse of veteran Feliz Estremera-Acevedo, through counsel, seeks review of a June 10, 2003, decision of the Board of Veterans’ Appeals (Board or BVA) that denied her claim for dependency and indemnity compensation (DIC) under 38 U.S.C. § 1318. Both parties filed briefs, and the appellant filed a reply brief. The issue on appeal is whether a January 2000 amendment to regulation 38 C.F.R. § 3.22 to bar a “hypothetical” entitlement theory for section 1318 DIC claims, which amendment occurred while the appellant’s section 1318 DIC claim was pending at the Department of Veterans Affairs (VA), may be applied to her claim so as to preclude adjudication under that theory. The Court heard oral argument on January 27, 2005. Pursuant to a bench order, the appellant and the Secretary filed on February 2 and 7, 2005, respectively, supplemental briefs addressing the impact, if any, of Cole v. West, 13 Vet.App. 268, 278 (1999), on this appeal. For the reasons set forth below, the Court will reverse in part and vacate in part the June 2003 Board decision and remand the matter for readjudi-cation.

I. Relevant Background

The veteran, Feliz Estremremera-Acev-edo, served honorably on active duty in the U.S. Army from August 1954 to December 1974. Record (R.) at 2, 17-23. He also had Army National Guard service from October 1948 to October 1951. Ibid. He died in August 1996 of cardiorespiratory failure resulting from hepatic encephalopathy resulting from liver cancer. R. at 2, 268. At the time of his death, VA service connection was in effect for various conditions, which were rated together as 100% disabling from April 22, 1991. R. at 263. In September 1996, the month after his death, the appellant, as his surviving spouse, filed a claim for DIC. R. at 270-73.

The veteran’s service medical records (SMRs) included an October 1974 medical examination report for purposes of retirement that showed a diagnosis of diabetes mellitus and “[ejlevated SGOT [ (serum glutamic-oxaloacetic transaminase) ] — ... [flatty infiltration of liver”. R. at 116; see R. at 120. (Serum glutamic-oxaloacetic transaminase is “frequently elevated in a variety of disorders causing tissue damage (e.g., myocardial infarction).” Dor-land’s Illustrated Medical Dictionary 148, 1514 (28th ed.1994) (defining SGOT with reference to “aspartate transami-nase”, id. at 148).) In January 1975, he apparently filed his first claim for service connection for diabetes, removal of gall bladder, and hemorrhoidectomy. See R. at 138, 150, 153-54. (The application for disability compensation benefits is not in the record on appeal. See 1-424.) A May 1975 VA medical examination report noted, among other things, an enlarged liver, and the reported diagnosis was diabetes mellitus, fatty infiltration of the liver, postoperative cholecystectomy, and postoperative hemorrhoidectomy. R. at 141. A June 1975 VA regional office (RO) decision granted service connection for the following conditions, effective from January 1, 1975: Diabetes mellitus, rated as 10% disabling; removal of gall bladder, rated as 0% disabling; and hemorrhoidec-tomy, rated as 0% disabling. R. at 154.

VA medical records showed that the veteran was admitted to a VA facility on April 22, 1991, in connection with a tran-smetatarsal amputation of his left foot. R. at 164-72. A September 1991 VA meta *278 bolic evaluation report contained a diagnosis of the following conditions, in addition to the diabetes mellitus: Diabetic prolifer-ative retinopathy and diabetic peripheral vascular disease, status post below-the-knee amputation of the left leg. R. at 160. A July 1992 VARO decision increased the veteran’s rating to a combined disability .rating of 100%, effective from April 22, 1991, for the following conditions: Diabetes mellitus, type II; diabetic proliferative retinopathy; diabetic peripheral vascular disease, status post below-the-knee amputation of the left leg; arterial hypertension. R. at 178. The RO also awarded special monthly compensation on account of the anatomical loss of one foot, effective from May 7, 1991. Ibid. The RO deferred, pending receipt of additional VA records and receipt of information from the veteran, consideration of (1) an increased rating for service-connected residuals of the gallbladder and hemorrhoids conditions, (2) an earlier effective date for the 100% disability rating assigned to the service-connected diabetes condition, and (3) service connection for post-traumatic stress disorder (PTSD). R. at 179.

In October 1992, the RO received VA medical records for the period covering July 1989 to September 1992, which included records showing treatment in August 1989 for cellulitis of the right foot, among other things. R. at 181-251. A February 1993 VA mental-disorders examination report included a diagnosis of dysthymia, secondary to below-the-knee amputation. R. at 254, 259. On May 12, 1993, the RO denied the three deferred claims noted above and granted service connection for dysthymia, rated as 30% disabling, effective from February 9, 1993. R. at 261-64.

The veteran died on August 27, 1996, as a result of cardiorespiratory failure, which was due to hepatic encephalopathy and liver carcinoma. R. at 268. After the appellant filed her DIC claim in September 1996 (R. at 270-73), the RO received additional VA medical records (R. at 276-333); those records noted, among other things, that the veteran was admitted to a VA facility on August 6, 1996, for treatment of leg edema and abdominal distention and that during subsequent examinations a diagnosis of multicentric hepatoma was made. R. at 326. He remained at the VA facility until his death, and during part of such time he was transferred to a hospice unit because of his terminal condition.

In November 1996, the RO denied the appellant’s claim for service connection for the cause of the veteran’s death under 38 U.S.C. § 1310 and denied DIC under 38 U.S.C. § 1318. R. at 335-39. Regarding the service-connection claim for the cause of the veteran’s death, the RO found that there was no evidence linking the veteran’s death to service. R. at 337. The RO noted that SMRs were silent as to complaints or treatment for any liver condition, that the veteran’s service-connected condition did not contribute to his death, and that, although his diabetes mellitus was rated as 100% disabling, the liver carcinoma “was overwhelming and was the unique cause of his death”. R. at 337. Regarding section 1318 DIC benefits, the RO found that neither of the statutory requirements had been met in that the veteran had not been rated totally disabled either for a period of at least ten years immediately prior to his death or for a period of at least five years from the date of discharge from service until his death. R. at 338. The appellant filed a timely appeal to the Board as to both claims. R. at 341, 359-62.

A July 1998 BVA decision remanded the appellant’s claims for additional development and readjudication. R. at 372-77.

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19 Vet. App. 275, 2005 U.S. Vet. App. LEXIS 523, 2005 WL 1865315, Counsel Stack Legal Research, https://law.counselstack.com/opinion/maria-r-rodriguez-v-r-james-nicholson-cavc-2005.