Yagjian v. Marsh

571 F. Supp. 698, 1982 DNH 164, 1983 U.S. Dist. LEXIS 15320
CourtDistrict Court, D. New Hampshire
DecidedJuly 20, 1983
Docket1:07-adr-00010
StatusPublished
Cited by8 cases

This text of 571 F. Supp. 698 (Yagjian v. Marsh) is published on Counsel Stack Legal Research, covering District Court, D. New Hampshire primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Yagjian v. Marsh, 571 F. Supp. 698, 1982 DNH 164, 1983 U.S. Dist. LEXIS 15320 (D.N.H. 1983).

Opinion

OPINION

FRANCIS J. BOYLE, Chief Judge.

This is an action for judicial review of a decision of the Army Board for Correction of Military Records. Jurisdiction is asserted under 5 U.S.C. § 702 (1976) and 28 U.S.C. § 1361 (1976). See generally Ashe v. McNamara, 355 F.2d 277, 280-81 (1st Cir. 1965). The Defendants, Secretary of the Army, and Executive Secretary of the Army Board for Correction of Military Records, have moved to dismiss the action, or, in the alternative, for summary judgment.

Plaintiff John A. Yagjian is sixty-nine years old. He suffers from a rare, malignant form of T-cell lymphoma called mycosis fungoides, which has totally and permanently disabled him. Mycosis fungoides is an insidious disease, which usually progresses slowly, but relentlessly, through three stages, the first of which being the premycotic or non-specific stage. This stage may last for years, decades, or even a lifetime, during which time the disease manifests itself in the form of an inflammatory, pruritic (itchy) rash. In this early stage, it is commonly misdiagnosed as eczema, psoriasis, or chronic dermatitis. In fact, a biopsy diagnosis at this stage would not reveal abnormal cells.

The disease can remain in this first stage, but a certain percentage of cases progress to the plaque stage, in which the rash spreads and the skin lesions become red, thickened and scaly. Severe itching and burning persist, and the lesions can gradually become larger and possibly ulcerate, causing the skin to blister. Mr. Yagjian presently exhibits the symptoms of this second stage. The rash has covered most of his body.

The third stage of mycosis fungoides is known as the tumor stage, during which the disease causes the development of mushroom-like nodules on the body. These tumors tend to break down and cause ulcers, and they have the capacity to spread to lymph glands and other internal organs. The disease can prove fatal if it reaches this point. It is impossible to predict whether, or when, Mr. Yagjian’s condition will progress to this stage. Thus far, he has undergone numerous skin biopsies, and been treated with countless creams, soaps and salves, topical nitrogen mustard, topical chemotherapy, and total body electron beam. There is no known cure for mycosis fungoides.

On July 22, 1976, John Yagjian was examined at the Veteran’s Administration Hospital in Manchester, New Hampshire in order to be evaluated for disability benefits based on mycosis fungoides. When he was examined, he told the doctor that he was first troubled by the red, itchy rash which started in his groin area two months after entering the service in 1944. He explained that the rash had worsened over the years, but mostly in the previous three years, and that the itching and burning had now become almost intolerable. Dr. Seymour J. White, a dermatologist, examined Mr. Yagjian, and noted that the rash now covered most of his skin surface. In spite of a skin biopsy done at that time, reportedly indicating parapsoriasis, Dr. White noted, “[c]inically my impression would be ... that this is an early mycosis fungoides.”

On November 30,1976, Mr. Yagjian’s disability compensation claim was denied because the Adjudication Officer at the V.A. Regional Office in Manchester found that his skin condition was not service connected. In a Supplemental Statement of the Case dated December 1, 1976, the reason given for this determination was: “Service records are entirely negative for complaint of, observation of, or treatment for any skin *700 condition.” Plaintiff then took his case to the Board of Veteran’s Appeals.

Plaintiff had consistently stated that: 1) his skin rash first appeared in 1944 after he was in the service for two months; 2) that he sought medical attention for the problem approximately eighteen to twenty times while in the service at various Army bases; and 3) that he described the rash to the doctor who examined him upon his discharge from the service, but the doctor assured him that it was of no consequence and would soon disappear. In a Herculean effort to prove to the Board these contentions regarding the onset and progression of his disease, Mr. Yagjian tried to obtain appropriate and convincing evidence for his appeal. He searched for past acquaintances who would remember him, and who had knowledge of his skin problem during the service and thereafter. He found many of these individuals, and obtained affidavits and statements from them. He provided opinions from several dermatologists, including a recognized expert in the study of mycosis fungoides, all of whom had treated him. Without exception, the evidence from lay persons strongly supported Mr. Yagjian’s contention that he first became afflicted with the rash in 1944, several months after entering the service, that he repeatedly went for medical attention while in the service, and that he had suffered from the rash continuously from that time to the present. The dermatologists were unanimous in their expert opinions that the disease is one which often takes decades to reach its various stages, and that the rash Mr. Yagjian had in the service was most probably the precursor of his present condition.

For additional support for his claim, Mr. Yagjian wrote to the National Personnel Records Center in St. Louis, Missouri on August 22, 1978 in order to obtain his military medical records. On August 28th, the Center informed him that his record had not been found, but that “[w]e are trying to obtain the required information from alternate record sources in order to reconstruct the military service data.” Efforts to reconstruct his military record resulted in only a report of his induction physical, a report of his discharge physical, and his 1945 application for disability compensation based on a back injury suffered while on active duty. Unfortunately, these three records were silent with regard to any skin rash. Furthermore, there were no reports of any of Mr. Yagjian’s alleged eighteen to twenty visits to Army doctors seeking treatment for the rash. On September 28, 1978, the National Personnel Records Center informed Mr. Yagjian that his service medical records were not in its files, and further, “If the record was here on July 12, 1973, it would have been in the area that suffered the most damage in the fire on that date and may have been destroyed.” It thus became impossible for him to provide a complete military medical record to the Board.

On October 20, 1978, the Board of Veteran’s Appeals held a hearing on this matter in Manchester, New Hampshire. The Board heard testimony from Mr. Yagjian, and Drs. Seymour White and Robert Gordon (two of the dermatologists who had most recently been treating Mr. Yagjian). Ultimately, however, in spite of the evidence presented by Mr. Yagjian, and in spite of the fact that his service medical records were probably destroyed in a fire while in the custody of the United States Government, the Board denied his appeal based on the lack of any mention of a skin problem in his service records. Mr. Yagjian’s incomplete service record was clearly the major obstacle preventing him from proving that his mycosis fungoides. was service connected, and thereby also preventing him from obtaining disability benefits.

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Bluebook (online)
571 F. Supp. 698, 1982 DNH 164, 1983 U.S. Dist. LEXIS 15320, Counsel Stack Legal Research, https://law.counselstack.com/opinion/yagjian-v-marsh-nhd-1983.