Pritchett v. Derwinski

2 Vet. App. 116, 1992 U.S. Vet. App. LEXIS 26, 1992 WL 13807
CourtUnited States Court of Appeals for Veterans Claims
DecidedJanuary 31, 1992
DocketNo. 90-1060
StatusPublished
Cited by10 cases

This text of 2 Vet. App. 116 (Pritchett v. Derwinski) 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
Pritchett v. Derwinski, 2 Vet. App. 116, 1992 U.S. Vet. App. LEXIS 26, 1992 WL 13807 (Cal. 1992).

Opinions

IVERS, Associate Judge, filed the opinion of the Court, in which HOLDAWAY, Associate Judge, concurred. STEINBERG, Associate Judge, concurring in part and dissenting in part, filed separately. .

IVERS, Associate Judge:

Appellant, Richard G. Pritchett, seeks service connection for schizophrenia and non-service-connected pension. Additionally, appellant has moved to seal portions of the record. The Secretary of Veterans Affairs (Secretary) has made a motion for summary affirmance. For reasons stated herein, appellee’s motion for summary af-firmance is denied and appellant’s motion to seal is granted in part and denied in part. The case is remanded to the Board of Veterans’ Appeals (BVA) for further action consistent with this opinion.

I. BACKGROUND

Appellant served in the Army from July 10, 1967, to April 19, 1970. R. at 1. In June, 1968, he was diagnosed as having bradycardia (slow heartbeat). R. at 9. While hospitalized for treatment, appellant presented symptoms of ' schizophrenia. Service medical records indicate that “he showed marked religiosity and felt that there was some connection between God and his vagus nerve”. Id. (The vagus nerve is one of many nerves located in the back of the head. It “is the longest of the cranial nerves and has the most extensive distribution, passing through the neck and thorax into the abdomen.” Henry Gray, Anatomy of the Human Body 1181 (C. Clemente 30th ed. 1985)). Appellant was “rapidly evacuated” to a local hospital for further treatment. After evaluation, the initial diagnosis of schizophrenia was changed to “situational maladjustment, acute, moderate, manifested by hyper-religiosity and over-concern with his physical well being.” R. at 7. The diagnosis further indicated that the condition occurred in the line of duty. Id. There are no further references to an in-service psychiatric disorder in the record.

Appellant was admitted to a local hospital in April, 1980 for weight loss, due to fasting, and prolonged periods of silence. He did not respond to treatment and subsequently was transferred to another hospital. Appellant made a brief improvement in that hospital but after his discharge, he refused to follow up with outpatient therapy, stopped taking his medication, resumed his fast and became progressively more mute. R. at 47. In June, 1980, he was readmitted at the request of his family. He was diagnosed as having catatonic schizophrenia. Although a conservator was appointed for a brief period of time (R. at 46-50), appellant was later released, but was hospitalized again in August, 1980, and conservatorship proceedings were reinsti-tuted. He was released one month later, but the conservatorship remained in effect until June, 1981. At that time, appellant had been working steadily for eight months, had continued his therapy, and was not taking any medication. R. at 55-58.

Appellant managed to continue working for approximately two more years, but had refused to continue to attend therapy sessions. Private medical records reflect that certain of appellant’s symptoms became more pronounced. Appellant left his job in approximately 1983. He became more reclusive and delusional. His wife and mother commenced conservatorship proceedings in September 1984 (R. at 59-69) and caused appellant to be hospitalized for one month.

In 1986, appellant began receiving treatment from a private physician. That physician recommended that appellant’s conser-vatorship be continued to ensure that he take his medication and continue with treatment. R. at 68-69. He also concurred in the diagnosis of chronic paranoid schizophrenia.

In October, 1988, appellant filed a claim for service-connected disability benefits for his psychiatric condition and for bradycar-dia with the Veterans’ Administration (now Department of Veterans Affairs) (VA). R. at 27. In his statement in support of his claim, appellant stated that he thought that [118]*118he had previously removed some of his service medical records from his file. He also requested that the VA obtain medical records from Letterman Hospital where he was hospitalized for psychiatric evaluation and treatment while in service. The VA denied appellant’s claim on the grounds that appellant was diagnosed as suffering from acute situational maladjustment and bradycardia (without heart disease) while in service, neither of which are compensable. The rating board considered only appellant’s service medical records. R. at 27, 28, 32. A Notice of Disagreement was filed on appellant’s behalf providing the VA with the name and address of appellant’s treating psychiatrist. R. at 29.

Appellant’s substantive appeal set forth, in elaborate detail, the series of events which occurred while appellant was in the service, allegedly causing his psychiatric condition. The VA obtained medical records from private hospitals and conducted its own psychiatric exam. Attached to the psychiatric report were appellant’s written responses to questions on the VA form regarding history of illness and present complaints. The report does not refer to or attempt to reconcile appellant’s written statements regarding the onset of his illness. Although the VA physician concluded that appellant suffered from chronic paranoid schizophrenia, he did not offer an opinion as to whether the illness was present while appellant was in the service.

In July 1989, appellant submitted documents pertaining to his three conservator-ship proceedings. R. at 46-69. These documents contain a letter from one of appellant’s private physicians to the judge presiding over the conservatorship proceedings which states that appellant’s “psychiatric history dates back 12 years when the veteran was briefly hospitalized psychiat-rically.” R. at 47. The rating board denied appellant’s reopened claim, stating that “in absence of evidence of a psychiatric disorder during the ten-year period following service separation, it would be speculative to conclude that the situational maladjustment diagnosed in service was the onset of the currently diagnosed schizophrenia.” R. at 70-71.

Appellant then submitted a “second appeal statement” with various correspondence attached thereto. However, the supplemental statement of the case does not reflect that this evidence was received or reviewed by the Regional Office. R. at 75-77. Appellant then submitted an eight page reply, with attachments, to the supplemental statement of the case which delineated each and every point with which appellant disagreed. Appellant’s representative also submitted a statement which alleged that bradycardia was a symptom of schizophrenia and that appellant should be given the benefit of the doubt on the issue of service connection. R. at 78-81.

On June 11, 1990, the BVA denied appellant’s claim on the grounds that 1) “a chronic psychiatric disorder was not demonstrated in service and a psychosis was not demonstrated within one year of separation from service”; and 2) “a chronic pathological process manifested by brady-cardia was not shown in service or within the first post service year.” Richard G. Pritchett, BVA 90-18990, at 4 (Jun. 11, 1990).

Appellant has appealed that decision to this Court. This Court has jurisdiction to hear the appeal pursuant to 38 U.S.C. § 7252 (formerly § 4052).

II. ANALYSIS

A. Motion to Seal Portions of the Record

Appellant has moved to seal portions of the record.

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Bluebook (online)
2 Vet. App. 116, 1992 U.S. Vet. App. LEXIS 26, 1992 WL 13807, Counsel Stack Legal Research, https://law.counselstack.com/opinion/pritchett-v-derwinski-cavc-1992.