Randolph Wilson v. Denis McDonough

CourtUnited States Court of Appeals for Veterans Claims
DecidedJanuary 26, 2022
Docket19-3791
StatusPublished

This text of Randolph Wilson v. Denis McDonough (Randolph Wilson 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
Randolph Wilson v. Denis McDonough, (Cal. 2022).

Opinion

UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

No. 19-3791

RANDOLPH WILSON, APPELLANT,

V.

DENIS MCDONOUGH, SECRETARY OF VETERANS AFFAIRS, APPELLEE.

On Appeal from the Board of Veterans' Appeals

(Argued November 17, 2021 Decided January 26, 2022)

Javier A. Centonzio and Victoria R. Tamayo, both of Largo, Florida, with whom Kevin M. Clark, of Sunnyvale, Texas, was on the pleading, for the appellant.

Abhinav Goel, with whom William A. Hudson, Jr., Principal Deputy General Counsel; Mary Ann Flynn, Chief Counsel; and Megan C. Kral, Deputy Chief Counsel, were on the brief, all of Washington, D.C., for the appellee.

Before PIETSCH, GREENBERG, and JAQUITH, Judges.

PIETSCH, GREENBERG, AND JAQUITH, Judge: Air Force veteran Randolph Wilson appeals a November 27, 2018, decision by the Board of Veterans' Appeals (Board) that denied his request for an increased disability rating for bilateral hearing loss. Record (R.) at 407-12. Because the Board erred by failing to address the veteran's claim that VA conducted minimal testing of his hearing loss, including no testing for peripheral vestibular disorders (PVD) that caused him to have dizziness and occasional staggering, R. at 446, the Court vacates the decision and remands the matter for initial consideration by the Board.

I. BACKGROUND After a May 2016 VA audiological examination, VA granted Mr. Wilson a noncompensable (0%) rating for bilateral hearing loss and a 10% rating for tinnitus. R. at 544. In February 2017, Mr. Wilson filed a VA Form 9, Appeal to Board of Veterans' Appeals, and appealed the hearing loss rating to the Board, stating that his examination did not include testing for PVD,1 "which [causes him] to have dizziness and occasional staggering." R. at 446.

1 "The peripheral vestibular system includes the organs of the inner ear, also known as the labyrinth, which VA noted the veteran's reference to "peripheral vestibular disorder with dizziness and staggering" and directed that "a letter and application for his claim" be sent to him. R. at 443. The letter, sent in April 2017, explained that VA regulations required claims to be submitted on a standardized form. R. at 433-36. Instructions were included. Id. However, the letter appears to be a form letter; it says nothing about whether the veteran's PVD would be included in his appeal, and it does not indicate that a separate claim for that disorder was required or that PVD would not be considered based on what he had already submitted. The veteran acknowledged the correspondence and, having "no further claims to submit," asked "that the appeal process continue." R. at 430. In November 2018, the Board considered and denied a higher rating for hearing loss. Utilizing the tables and rating instructions found in 38 C.F.R. § 4.85 (2018), the Board found that the veteran's hearing loss, measured through audiometric testing during the May 2016 examination, warranted a noncompensable rating. R. at 410. The Board did not discuss PVD, dizziness, or staggering. 2

II. ARGUMENTS The veteran's arguments do not challenge how the Board applied § 4.85 in any respect but rather revolve around the Board's failure to obtain a new medical examination. A new examination, he contends, would have helped the Board determine whether his PVD and associated dizziness and staggering were related to his service-connected ear conditions. See Appellant's Brief (Br.) at 6–8 (discussing McLendon v. Nicholson, 20 Vet.App. 79, 81 (2006), and the various considerations that trigger the need for a new medical opinion). The veteran argues that a new examination also would have helped the Board assess whether his hearing loss had worsened since his last examination in May 2016. See id. at 9–11 (first quoting 38 C.F.R. § 3.327(a) (2014), which instructs the Board to obtain a new medical examination "if evidence indicates there has been a material change in a disability or that the current rating may be incorrect"; and then citing Palczewski v. Nicholson, 21 Vet.App. 174, 180 (2007)). And the failure to provide a medical

contains two primary structures: the cochlea, responsible for hearing, and the vestibular apparatus, responsible for maintaining balance, stability and spatial orientation." Peripheral Vestibular System, VESTIBULAR DISORDERS ASS 'N, https://vestibular.org/article/what-is-vestibular/the-human-balance-system/peripheral-vestibular-system-inner-ear/. 2 The Board remanded a claim for service connection for lung disease. The Court does not have jurisdiction over remanded, "nonfinal matters." See Martinez v. Wilkie, 31 Vet.App. 170, 173 n.2 (2019).

2 examination, he asserts, prevented the Board from considering whether an extraschedular rating was appropriate under 38 C.F.R. § 3.321(b)(1) (2021). See Appellant's Br. at 11–12.3 Each of these arguments should die on the vine, according to the Secretary. His position is that, although the veteran's comments in his Form 9 "indicated an informal intent to seek benefits for PVD, dizziness, or staggering, either as related to his service-connected hearing loss or tinnitus, or as due to service," the Board was under no obligation to discuss any of these issues because the veteran never filed a formal claim, as instructed. Secretary's Br. at 8. The Secretary's arguments are based generally on the 2015 amendments to 38 C.F.R § 3.155, the regulation that governs how to file a claim for benefits. The amendments to § 3.155 (and a sister regulation, 38 C.F.R. § 3.160 (2021), which defines a complete claim) did away with informal claims and instituted a requirement that veterans submit claims on a n application form prescribed by the Secretary. Bailey v. Wilkie, 33 Vet.App. 188, 199 (2021). As the Secretary notes, if a complete claim is not filed within 1 year of the receipt of the intent to file a claim, "VA will not take further action unless a new claim is received." 38 C.F.R. § 3.155(b)(4) (2021). Here, he says, the veteran's intent to file a claim was noted by VA, and the Agency acted accordingly by sending him the appropriate paperwork to bring that claim to life. Moreover, the Secretary contends, the veteran expressly disclaimed any intent to add new claims. Based on the veteran's inaction, the Secretary argues that the Board was neither obligated nor permitted to give the matter any attention.

III. ANALYSIS A. Bailey and VA's "Logically Related" Standard The Secretary made similar arguments in Bailey, which held that, notwithstanding the newly minted application process, "VA is obligated to develop and adjudicate claims for secondary service connection that are reasonably raised during the processing of a properly initiated claim as to the primary service-connected disability's evaluation level." Bailey, 33 Vet.App. at 201. That understanding derived from § 3.155(d)(2), which provides that, once a complete claim is received, VA will also consider all lay and medical evidence of record in order to adjudicate entitlement to benefits for the claimed condition as well as entitlement to any additional benefits for complications of the claimed condition , including those

3 His remaining arguments need not be reached for purposes of this appeal.

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Randolph Wilson v. Denis McDonough, Counsel Stack Legal Research, https://law.counselstack.com/opinion/randolph-wilson-v-denis-mcdonough-cavc-2022.