Mason v. Brown

8 Vet. App. 44, 1995 U.S. Vet. App. LEXIS 487, 1995 WL 380128
CourtUnited States Court of Appeals for Veterans Claims
DecidedJune 26, 1995
DocketNo. 93-1111
StatusPublished
Cited by47 cases

This text of 8 Vet. App. 44 (Mason v. Brown) 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
Mason v. Brown, 8 Vet. App. 44, 1995 U.S. Vet. App. LEXIS 487, 1995 WL 380128 (Cal. 1995).

Opinion

STEINBERG, Judge:

The appellant, veteran Sangernetta Mason, appeals a September 10, 1993, Board of Veterans’ Appeals (BVA or Board) decision denying entitlement to an effective date, prior to February 1, 1989, for an award of service connection for schizophrenia, paranoid type. Both parties have filed briefs, and the appellant has pending a December 8, 1994, motion for oral argument. For the reasons that follow, the Court will affirm the BVA decision in part, vacate the decision in part, and remand a matter to the Board for readjudication. The Court will also deny the appellant’s motion for oral argument.

[46]*46I. Background

The veteran served on active duty with the United States Air Force (USAF) from January 1977 to October 1978. Record (R.) at 24. An October 1976 service medical record (SMR) prepared for USAF enlistment showed no history of any problems, including depression, excessive worry, or “[n]ervous trouble of any sort”. R. at 26. The veteran noted that she had never been treated for a mental condition. R. at 27. A clinical evaluation at induction showed no abnormalities. R. at 28-29.

A September 1977 SMR from the Mental Health Service at a USAF Hospital reported that the veteran had experienced problems with coworkers, depression, some sleep disturbance, loss of appetite, and emotional problems concerning her family. R. at 30. Her mood was described as labile. Ibid. When she was seen a week later, the impression was “Depression, moderate, associated with strong emotional turmoil about family.” R. at 31. The report also noted that her “[a]ffect was labile and at times seemed inappropriate”. Ibid. A day later she was evaluated again on referral, and it was reported that she “appeared oriented[,] manifesting no symptomatology of mental or emotional dysfunction of a significant nature such as to interfere with job performance” and that she had experienced difficulty with her family and with relationships. Ibid.

A December 1977 SMR reported that the veteran had complained of severe headache, being irritable and nervous, and crying. R. at 33. The impression was “[ajnxiety reaction” and “[hjysterical reaction (?)”; she was given Valium and afterward had “laugh[edj and cheered up”. R. at 34. An April 1978 SMR noted that she had experienced periodic depression which reportedly related to difficulties with a boyfriend, and that her mood and affect were “inappropriate given concerns noted”. R. at 35. On the same day, psychological testing was administered (ibid.), and the results, contained in a July 1978 SMR report, revealed that she had “some passive-aggressive tendencies ... with some difficulty in dealing constructively with normal feelings of anger and hostility evolving out of interaction with others”. R. at 38. It also reported that “there was no evidence of significant and diagnosable mental or emotional dysfunction”; “no indications overtly of cognitive process dysfunction or impairment of logic, memory, abstraction or judgment”; and “no indication of significant pathology”. Ibid. The behavior by the veteran was attributed to continued frustration in her job situation and personality difficulties with her supervisors. Ibid. The psychiatrist stated that he could not rule out “the existence of ... realistic external pressures as a contributing factor.” Ibid. The report noted uncertainty as to the cause of the veteran’s difficulties, and recommended that she be monitored by her unit. R. at 39.

In July 1978, USAF physicians examined the veteran at the request of her squadron “in order to ascertain the role of mental/emotional factors in recent sporadic behavior”. R. at 37-38. An SMR report noted no “overt symptoms of severe emotional or psychiatric disorder”. R. at 37. An August 1978 separation medical history report prepared by the veteran identified many problems, including headaches, depression, and excessive worry. R. at 40. A September 1978 separation medical examination report showed normal psychiatric findings as part of its clinical evaluation. R. at 42.

A November 1979 Department of Veterans Affairs (VA) record prepared by a school official from the Miami Skill Center reported that the veteran’s enrollment there had been terminated because of excessive absenteeism since August 1979 and “unacceptable behavior by a trainee”. R. at 70, 72. On December 15, 1982, the veteran filed a claim with a VA regional office (RO) for VA disability compensation for mental disorder and depression. R. at 75. The application noted that she had been receiving medical care at the VA Medical Center (MC) in Miami, Florida, since December 9, 1982. R. at 76. That same month, she submitted to VA a statement noting that she was then hospitalized for depression and a nervous disorder. R. at 80.

In May 1983, VA received a December 1982 medical report from the Miami VAMC which showed a diagnosis of “[sjchizophrenia chronic paranoid type manifested by auditory [47]*47hallucinations, decreased affect, persecutory delusions with paranoia ideas of reference, neologisms, and bizarre posturing.” R. at 82. (Neologism is “[a] new word or phrase, or an existing word used in a new sense; in psychiatry, such usages may have meaning only to the patient or be indicative of his condition”, Stedman’s Medical DictionaRY 1029 (25th ed. 1990).) She was prescribed lithium carbonate, Loxitane, and Cogentin and was released to her father in Mississippi. Discharge plans included followup treatment in Mississippi. R. at 84.

A February 1983 statement from the veteran informed VA that she had been admitted to a VAMC in Alabama in January 1983; that she was claiming service connection for, inter alia, her “nerves”; and that she was requesting that her claims file be transferred to, and established at, the Montgomery VARO. Supplemental (Suppl.) R. at 1. She gave her address as 1319 Lawrence St., Selma, Alabama 36701. Ibid. A March 1983 letter from the veteran to VA stated that while she was in the USAF she had held six jobs in the span of one year and eleven months, and that she could not keep a steady job after she had received an abortion in October 1977. Suppl.R. at 4. She stated that she could not get along with her peers, could not remember things, and could not obey her supervisor; that she “was mentally ill at the time”; and that since her discharge in November 1978 she had been through nine jobs and not held any for longer than two months. Ibid.

A May 1983 RO decision denied entitlement to service connection for nervous condition, “schizophrenia, paranoid type, competent”, and concluded: “Psychiatric evaluations while in service failed to reveal any evidence of a psychiatric disorder. There is no reasonable basis to conclude that schizophrenia, paranoid type, diagnosed more than 4 years after discharge had its inception in military service.” R. at 87, 88, 90. The decision noted that the veteran had been admitted to the VAMC in Tuskegee, Alabama, in January 1983, but that a report had not yet been received. A June 1983 VA letter, notifying the veteran of the decision, was sent to her at the Selma address. R. at 90.

In June 1983, the RO received the January 1983 hospital summary report from the Tuskegee VAMC. It revealed a diagnosis of schizophrenia, schizo-affective type, and stated that the veteran had been admitted because of auditory hallucinations, mood fluctuations, difficulty sleeping, and irritability. R. at 93. When discharged in May 1983, she “was well stabilized” and “free from psychotic symptoms” but had a guarded prognosis and “moderate social and industrial impairment”.

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Bluebook (online)
8 Vet. App. 44, 1995 U.S. Vet. App. LEXIS 487, 1995 WL 380128, Counsel Stack Legal Research, https://law.counselstack.com/opinion/mason-v-brown-cavc-1995.