Willie E. Tatum v. Eric K. Shinseki

26 Vet. App. 443, 2014 U.S. Vet. App. LEXIS 317, 2014 WL 718468
CourtUnited States Court of Appeals for Veterans Claims
DecidedFebruary 26, 2014
Docket12-1682
StatusPublished
Cited by2 cases

This text of 26 Vet. App. 443 (Willie E. Tatum v. Eric K. Shinseki) 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
Willie E. Tatum v. Eric K. Shinseki, 26 Vet. App. 443, 2014 U.S. Vet. App. LEXIS 317, 2014 WL 718468 (Cal. 2014).

Opinion

KASOLD, Chief Judge:

Veteran Willie E. Tatum appeals through counsel a January 31, 2012, Board of Veterans’ Appeals (Board) decision that denied a total disability rating for prostate cancer beyond April 30, 2002. Mr. Tatum argues that the Board misapplied 38 C.F.R. § 4.115b, Diagnostic Code (DC) 7528, when it found, inter alia, that (1) the cessation of surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure to treat Mr. Tatum’s prostate cancer occurred in November 2001, and (2) the regulatory, minimum, six-month period for assignment of a 100% disability rating under DC 7528 ended on April 30, 2002. Because this appeal presents an issue of first impression regarding the interpretation of DC 7528, a panel decision is warranted. See Frankel v. Derwinski, 1 Vet.App. 23, 25-26 (1990); Internal Operating Procedure (IOP) 1(b)(2) and (4).

I. BACKGROUND AND FACTS

Mr. Tatum served in the U.S. Marine Corps from May 1958 until March 1980. It is undisputed that he (1) was diagnosed with prostate cancer and underwent a radical prostatectomy on October 19, 2001, (2) underwent a second surgery on October 27, 2001, for incision and drainage of he-matoma 1 with homeostasis and cysto-gram 2 and a third surgery on November 2, 2001, to aspirate and evacuate a hemato-ma, and (3) underwent several procedures from December 2 to 6, 2002, to insert and drain a Foley catheter.

Mr. Tatum filed for VA benefits for prostate cancer on February 28, 2002. In a March 2004 rating decision, 3 pursuant to DC 7528, he was granted a 100% disability rating from February 28, 2002, through April 30, 2002, and a 10% disability rating based on residuals of his prostatectomy beginning May 1, 2002. A 2008 Board affirmed the February 28 through April 30, 2002, effective dates for a 100% disability rating, as well as the 10% disability rating from May 1, 2002, based on residuals. On appeal of that Board decision, Mr. Tatum argued, inter alia, that the Board erred in approving the reduction of his 100% disability rating on May 1, 2002, because he had not been provided the notice required by 38 C.F.R. § 3.105(e) (Revision of Decisions). The Court rejected *445 Mr. Tatum’s argument for the reasons stated in Tatum v. Shinseki, 24 Vet.App. 1B9 (2010) [hereinafter Tatum I ]. However, the Court also noted sua sponte that the Board failed to determine (1) the date of cessation of treatment for malignant neoplasms, 4 which triggers the regulatory, minimum, six-month period for assignment of a 100% disability rating provided in DC 7528, and (2) whether Mr. Tatum suffered a local reoccurrence or metastasis, which would warrant a continued 100% disability rating. Id. at 144-45. Those matters were remanded for further Board adjudication. Id. at 146.

In the decision on appeal, the Board found, inter alia, that (1) “[t]he cessation of surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure” to treat Mr. Tatum’s prostate cancer “occurred in November 2001,” (2) the December 2002 hospitalization did not constitute metastasis or local reoccurrence of Mr. Tatum’s prostate cancer, and (3) the regulatory, minimum, six-month period for assignment of a 100% disability rating ended on April 30, 2002. Record (R.) at 4-5. In support of its findings, the Board noted that an August 2002 VA medical examination report states that since Mr. Tatum’s surgery in November 2001, Mr. Tatum had not experienced any problems with hematuria and he had not required any hospitalizations or additional surgery. The Board also explained that Mr. Tatum had not identified, and his record did not include, “any evidence that shows any surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure after November 2001.” R. at 9. Additionally, the Board distinguished between treatment for cancer, which the Board stated warrants a 100% disability rating for a minimum of six months, and treatment for the residuals of the cancer treatment, which the Board stated is rated based on the type and degree of residual. The Board again affirmed April 30, 2002, as the end date for a 100% disability rating.

II. PARTY’S ARGUMENTS

Appellant

Mr. Tatum argues that the Board inadequately explained how it arrived at November 2001 as the correct date for calculating the “cessation of surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure” (hereinafter “treatment”) as provided in DC 7528. He notes that his November 2001 and December 2002 hospitalization reports both reflect that his preoperative and postoperative diagnoses were cancer of the prostate, but he acknowledges that only his October 19, 2001, radical prostatectomy involved surgery to remove his cancer; each of the subsequent surgeries involved treatment for residuals of his prostatectomy. He further notes, however, that the Board explicitly found that no surgical procedures for the treatment of cancer occurred after November 2001 and, based on that finding, the Board determined that the date of cessation of treatment occurred in November 2001. Mr. Tatum therefore reasons that the Board implicitly found that his November 2001 surgery to aspirate and evacuate a hematoma constituted a therapeutic procedure, i.e., treatment, *446 under DC 7528. Thus, Mr. Tatum further reasons that because the November 2001 and December 2002 surgeries each treated residuals of his radical prostatectomy, the Board’s finding — that his November 2001 surgery represents the date of cessation of treatment within the meaning of DC 7528 while the December 2002 surgery does not — is internally inconsistent and therefore not supported by adequate reasons or bases.

In support of his argument, Mr. Tatum also notes that “X-rays” — one of the procedures cited in DC 7528 — are commonly used to diagnose a problem and are not necessarily intended to eradicate or halt the progress of cancer. He therefore reasons that the cessation of treatment under DC 7528 is not limited to treatment for cancer; rather, it also includes treatment for residuals of cancer. Similarly, he argues that “other therapeutic procedure,” as used in DC 7528, necessarily refers to something other than chemotherapy or surgery for the treatment of cancer, and thus, he asserts it refers to subsequent treatment for the residuals of cancer or residuals of the cancer treatment.

Additionally, Mr. Tatum argues that he notified the Board that his records appeared incomplete and he contends that the Secretary only requested records for 2001 from Mr. Tatum’s physician. He contends that all of his records were necessary in order to determine the date treatment ceased. He further argues that the August 2002 and May 2006 VA examination reports relied on by the Board were inadequate because the examiners did not review his medical records.

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26 Vet. App. 443, 2014 U.S. Vet. App. LEXIS 317, 2014 WL 718468, Counsel Stack Legal Research, https://law.counselstack.com/opinion/willie-e-tatum-v-eric-k-shinseki-cavc-2014.