VA BONUSES IN THE NEWS AGAIN

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Mother always said you should never appear more than three times in print. Once when born. Once when married and lastly, once when put to rest. The one possible exception would be your Confirmation. It appears the former director of the Dayton, Ohio VMC didn’t get the brochure on that one.

Here’s a new, innovative way to get ahead. Since our government and Congress are becoming so penurious, it behooves employees in the hierarchy of VA to become more proactive in how they obtain their bonuses. Being in a position of authority gives these Captains of Industry a leg up in attaining pecuniary ascendancy. As with any conspiracy, it is imperative that as few as possible are cognizant of the scam. Apparently this one had one too many.

The former director of the Cleveland VA Medical Center was indicted on 36 counts, accused of accepting bribes in return for influencing development projects and decisions involving the U.S. Department of Veterans Affairs, law enforcement officials said.

William D. Montague, 61, of Brecksville, was charged with conspiracy to commit honest services mail fraud, bribery, money laundering, multiple counts of wire fraud, mail fraud, disclosing public contract information and other charges.

I suppose I can understand his predicament. In a down economy, you have to be adroit in how you fund your retirement. If you are going to step on your necktie, it’s advisable not to do it on government time. They take a rather dim view of public servants double-dipping at the trough. Mr. Montague is in for some rough sledding. The sad part is that it was for financial peanuts. He probably netted about $200K doing this and his legal bills will wipe all that out and more. What’s more, he’s going to be estranged from family and friends for a while. When defrauding the government, it’s best to do it on a grand scale like Halliburton. This way, when caught with your hands in the till, a small fine won’t leave you penniless.

We seem to see a lot of this at the Veterans Administration. Is it a character flaw or does the agency just attract the wrong element? Were this simply an isolated anomaly, I suppose it wouldn’t warrant more than a mention in passing . The fact that it is just one more in a continuing litany of misfeasance and malfeasance at our august institution gives cause for alarm. What’s next? Will they soon resort to destroying our claims in a misguided attempt to reduce the backlog? Oh, nevermind. We’re talking Ohio here. Dayton dental clinic spreading HCV. Dayton VARO shredding scandal. There must be something in the water in Dayton.

 EMPLOYEES MAKING MONEY THE

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THE OLD-FASHIONED WAY-GRAFT

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BVA–SPAGHETTI FILING

FROM THE EMERALD CITY

VARO IN OZ, KANSAS

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i don’t understand. I won, right?

If you throw enough flavors of Hep at the VA wall, something’s gotta stick, right?  Dorothy and Toto make the pilgrimage to DC in pursuit of this one.  She has hurled them all at one time or another in the past and lost without appealing them. This time she won. Or did she? The Acting Veterans Law Judge,  Demetrios G. Orfanoudis, has artfully granted her service connection for acute Hepatitis A. She had it in service and he is more than willing to grant that she did. File this one under Be Careful What You Wish For.

One small problem. As Hepatitis A is an acute illness and has resolved, Dorothy is in for a rude surprise. She is destined to win the empty ice creme cone. This won’t occur until it is returned to the Wichita, Kansas Regional Office for a rating. The moaning and the caterwauling will then ensue. This is what happens when you have the DAV driving your claim. They are enamoured of the win. What you actually win in terms of a ratings percentage is immaterial in their mind. A win is a win. It improves the bottom line and the fund drives when you have a higher success rate to brag about.

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FAST LETTER 13-13– REGARDING TDIU–READ AND HEED

I'm gonna go with the Hep.

I’m gonna go with the Hep.

Great. Now we are to be expected to don our Ben Casey outfits and decide which, of our numerous medical ailments, is the salient one that makes us TDIU. Huh? Twenty one years ago in 1992 Jovita Espiritu got the bitchslap from the CAVC and the VA. Are we  now granted that self-same right to do what has been previously forbidden?

Somebody tell me what’s going on. Here’s the convoluted FAST letter that explains it all. I like the flow chart where it says ” If Vet fails to pick a disease/ injury as the premiere one for his disability, then deny administratively. What. pray tell, have they been doing for the last two hundred years? Helloooooooooooooooo?

FAST Letter 13-013-001

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BVA– TIME TO SHOOT THE EXAMINERS AND GRANT THE CLAIM

FROM THE HEAVENLY RO

IN SAINT  PETER’S BURG

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Over the course of five years, I have made it a point to read every HCV decision from either the Court or the BVA- pro or con. In addition, I have been privy to many an RO rating for or against a claim for HCV provided by those who come here willing to share their experiences. This one is a thirteen year nightmare of “speculation”.

One thing that is endemic to all these decisions is the proclivity of the VA examiner, or someone drafted to write an IMO, to obfuscate and digress to the point of never addressing the request. The ploy most often used is  the “Woe is me. I cannot speculate with this paltry information.” Speculation, apparently, is in short supply at the VA when required. Since this technique is not a decision but merely a diversionary tactic to wear down the claimant, VA can use this for years to put off any meaningful denial that can be appealed from. Beware of this.

Here, we have an interesting contretemps. The claimant in question is an Army corpswoman-one intimately acquainted with the human body and capable of opining on matters medical. VA would have her believe she is a dunderhead and incapable of diagnosing a bruise.  Layno v. Brown (1994) taught us that we can look at our arm and say with some degree of certitude that if it bends the wrong way and is extremely floppy that it may be broken. If the pain is enough to make you go into shock, that too is admissible as a lay observation. When your eyes turn yellow,your pee is the color of apple cider and you have lost 20 lbs. without signing up for Jenny Craig, I think it’s safe to say there is something amiss in the liver box. VA says that is speculative.

Tampa’s latest winner reported (and her STRs backed her up) that she had multi-symptom problems indicative of hepatitis while in service. Somewhere in my memory’s chords I recall the Groves v. Peake (2008) decision that said mental problems in service are the same mental problems now, absent a nuanced discussion rebutting the premise. Substitute Hepatitis for mental and you have the legal gist of this argument.

Nevertheless, the VA was unable to “see” it. The very first examiner did in a 2002 C&P but VA buried that report and subsequently ignored it.

The service medical records show that right sided abdominal tenderness was noted in March 1981, and there is a February 1982 notation regarding possible hepatitis based on July 1981 symptomatology of weight loss, jaundice, and dark brown urine.

The first VA diagnosis of hepatitis C is found in a record dated in April 2002, at which time it was noted that the Veteran’s risk factors included multiple exposures as a paramedic and firefighter for the past 20 years. It was also noted that the Veteran had multiple exposures as a hemapheresis tech and had received “needle sticks.” In her assessment, the reporting VA registered nurse opined that the Veteran had hepatitis C virus that was “likely due to exposure from line of work.”

Score? Miz Tampa 1, VA 0. This kind of thing doesn’t faze the VA. It merely means they get to ignore it and find a more willing accomplice in the denial crime.  Five years after this positive nexus , in 2007, VA sent out for the Chinese nexus- the speculative variety. Apparently this is perfectly acceptable to everyone except the claimant. Limbo is what it feels like. You cannot provoke a decision when this happens. You have to wait for medical knowledge to progress to a point where they can decisively determine it. Don’t hold your breath. Miz Tampa couldn’t appeal because she had no denial all this time. Recite after me: Justice delayed is not justice denied.

Feeling that perhaps the 2002 examiner had the vapors, VA elected to blow the dust off and revisit it.

In June 2007, the Veteran’s claims file was forwarded to a VA examiner (C&P #2) for an opinion as to whether it was as likely as not that the Veteran contracted her hepatitis in active service. The examiner to whom the Veteran’s claims file was forwarded did not offer an opinion, stating that she was unable to provide an opinion as to the most likely etiology of the Veteran’s hepatitis C without resorting to speculation. The examiner did not explain why she was unable to provide an opinion without resorting to speculation.

From the tenor of the this written decision, you can almost see the smoke coming out of the  VLJ’s ears. What, exactly, do we pay VA examiners to do? If he/she is incapable of making an informed decision, does that not imply they are ill-qualified for the job they were hired to do?

In July 2009, a medical opinion (C&P #3) was submitted by the Medical Director of Compensation and Pension Service of the North Florida/South Georgia Health Service. However, that physician concluded that she could not provide an opinion on the etiology of the Veteran’s hepatitis C without resorting to mere speculation. The physician noted that there was not a scientific or laboratory mechanism by which to discover which of the Veteran’s risk factors caused her hepatitis C. The physician further stated that there was no objective evidence that the Veteran’s hepatitis C was due to active duty.

So, in summary, the physician refused to do her job but nevertheless stated there was no objective evidence of SC. So, is this a speculative assessment that there was no objective evidence or merely a personal opinion purchased with thirty pieces of silver? Now Miz Tampa is in to this eight years-still no closer to VA providing a meaningful nexus pro or con (and hence a decision from which to appeal). Well, if you discount the first one in 2002, that’s true. Nota bene the word above describing this rocket gal as a “physician”.

Here’s the icing on the cake. After some prodding from the RVSR, the same VA examiner decided to get more “speculatively specific”. I’d call this the “lighter shade of pale” speculative theory. Envelope # 4, please?

In November 2010 (C&P #4), the same examiner provided an additional written opinion that she could not resolve the issue without resorting to mere speculation. The examiner noted a review of medical literal (sic), medical records and clinical experience. The VA examiner noted that there was no objective evidence of a needle stick or any other blood-blood contact during service, that there was no objective evidence of a diagnosis of hepatitis C during service, and that it was the Veteran’s unsubstantiated statement that she was exposed to infected blood associated with her duties as a hospital corpswoman. The VA examiner then discussed how hepatitis C is transmitted. The examiner stated that the Veteran was potentially at risk prior to, during, and after military service. The VA examiner concluded that determination of when or how the Veteran was infected could not be resolved without resorting to mere speculation.

Hmm. Anybody think about a liver biopsy to determine the age of the infection? The Metavir Grading scale of Fibrosis? What stage of cirrhosis? Liver function tests showing SGOT/SGPT? Lay testimony being credible? Benefit of the doubt? Gee- how about those STRs describing hepatitis (not otherwise specified as A,B or C). VA must not teach these facets of gastroenterology in Proctology classes. A plaque stating “Ignorance is Bliss”  must hang above every VA examiner’s desk in ROs. Either that or “We refuse to speculate unless ordered to do so”. Back to the drawing board for C&P #5.

Finding that the November 2010 opinion was still deficient in not providing an adequate rationale, including not considering the Veteran’s lay statements concerning her exposure to certain risk factors for hepatitis C as a corpswoman and paramedic, an additional opinion was obtained in July 2012. After recognizing that the Veteran had been exposed to multiple post-service risk factors such as tattoos and blood transfusions, and the Veteran’s report of in-service exposures, based on the lack of “objective evidence of diagnosis, or treatment for hepatitis C during service,” the examiner concluded that the Veteran’s hepatitis C was less likely as not caused or incurred in service. Although this examiner provided an opinion, the Board finds it just as deficient as the previous opinions since it did not consider the Veteran’s in-service exposure to risk factors associated with hepatitis C and relied on the lack of objective evidence in the service medical records. That is not a proper basis to support an etiological opinion. Dalton v. Nicholson, 21 Vet. App. 23 (2007) (examination inadequate where the examiner did not comment on Veteran’s report of in-service injury and relied on lack of evidence in service medical records to provide negative opinion).

Dalton, I might add, was decided during the pendancy of Miz Tampa’s claim. I guess VA can be excused for not updating the M-21 for 3 years. These things unfortunately happen. What isn’t explained is how (or why) VA would ever resort to the “no evidence is negative evidence” in the first place. Do we or do we not inhabit a nonadversarial environment in which to adjudicate our claims where the benefit of the doubt is accorded the Veteran in every instance and his/her lay testimony is accepted at face value and assumed to be credible? I disremember. Let’s do a standard VA fact check and weigh the evidence.

FOR:

>Hep in service or something damn similar to it supported by contemporary STRs.  √

> Lay testimony of same. √

> Current disease. √

> Positive  C&P nexus from VA nurse.  √

These are the three Clauza elements required for a claim to be granted. Or used to be in the pre-speculative era.

AGAINST:

Nothing.  √

Speculation.  √

Negative evidence  √

Decision? Denied based on not being able (capable ?) of making a decision. Twelve years and appeal to come to what was unarguably the correct decision arrived at in 2002. VA would have you believe this is perfectly normal with nothing untoward. I call it Idiot’s delight. Miz Tampa might have a polysyllabic word slightly more abrasive beginning with the consonant “B” in mind. The only thing I see as an anomaly is her choice of the Disabled American Veterans but that is probably why it languished for thirteen years in Limbo. More’s the pity. Too bad she didn’t find us in 2008.

Depending on a VSO to produce and submit probative evidence to support your contentions is paramount in this business. Sadly, you will never receive it. You have to carry your own water if you expect to win. Simply relying on the STRs did not avail Miz Tampa either. VA ignored them.  Having what most would call a “viable” nexus (provided by the VA, no less) certainly was not the panacea she expected. For the DAV to let this fester for so long speaks volumes to their commitment (or lack thereof) to Vets. I can’t say I’ve seen a better example than this to illustrate what’s wrong with the VA.

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Kudos to VLJ Harvey P. Roberts for his insightful assessment of this miscarriage of justice. It more than explains what is wrong with the system and why the backlog continues to accrue.

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NEW 2ND QUARTER BVA DECISIONS OUT

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The new decisions (2nd dump) of BVA adjudications are out today. That’s the good news. The bad is that they are only 45,000 claims behind @ 117 days per claim currently. The reason it takes several years is the ROs are currently playing keep away and failing to send them to DC. This causes a digital pile up at the RO rather than the BVA.

Thus, if VA tells you your claim(s) have been certified and forwarded to DC and the sweet lady who answers there says they haven’t seen hide nor hair of it, you know it still sitting at the RO. Currently they have been playing sticky fingers for eighteen months or more with them. I guess it’s an utter bitch to certify these things, fill out the Form 8 and get them into a FEDEX envelope. Oh yeah. VBMS. All they have to do now is push send. 

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BVA–PCT RATINGS YOU NEED TO KNOW ABOUT

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Here’s a little primer to acquaint Veterans with one of the diseases associated with both Agent Orange and HCV. I have it and from what I gather, several of you that I have helped do too. PCT stands for Porphyria Cutanea Tarda.

The following BVA rating is important for what it illustrates in various ratings codes and why they can be separately rated without being classified as pyramiding. Pyramiding, to those unfamiliar with the term, is VA’s habit of looking at anything you file for and denying it if it duplicates (in their eyes) any rating you already have. Thus you can see the unique difference of having PCT scars on your head, face and neck versus the scarring damage on your arms or legs.

The Veteran has argued that his skin disability affects his face, and consideration for facial scarring is warranted. Under Diagnostic Code 7800, disfigurement of the head, face, or neck with one characteristic of disfigurement warrants a 10 percent evaluation. Disfigurement of the head, face, or neck with visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement warrants a 30 percent evaluation. 38 C.F.R. § 4.118, Diagnostic Code 7800 (2008).

I have extensive hypopigmentation, also referred to as Vitiligo. Some know it as Michael Jackson disease. It’s all the white areas that occur in former scarred areas. Few know that PCT also makes the skin very fragile and susceptible to mechanical trauma. Simply smacking  a hand against a sharp board will open it up like a knife slice. The scars are often permanent as we get older. I look like Frankenstein I’ve cut myself so frequently. VA examiners can’t seem to “see” it during a C&P exam.

When I finally received my rating for it in 2008, they gave me 10% for scarring. I complained and said my monthly phlebotomies entitled me to 40% for it as described in Diagnostic Code 7704 (http://www.law.cornell.edu/cfr/text/38/4.117).  VA begrudgingly agreed, gave me the 40% and promptly withdrew the 10% for scarring. This is now in contention as a Clear and Unmistakable Error claim. Any time VA assays to take away one of your ratings, they have to have about 2 or 3 C&Ps to make sure they aren’t jumping the gun and doing something illegal. I didn’t get even one. This isn’t pyramiding. You can have a rating for the scarring and one for the phlebotomies as well. This is akin to having peripheral neuropathy secondary to DM2 secondary to HCV. VA usually takes these away and waits to see if you file a Notice of Disagreement. After five years of appeals, they give it back (if you’re still alive, of course).

While this decision is not precedential, it gives you valuable cites that are. Keep it close at hand when filing PCT claims. Make sure you don’t let VA roll you on this. Remember, if you believe everything the VA bozos tell you, you might want to start putting your teeth under your pillow when they fall out. You could be rich beyond your wildest dreams. I’ve been told the Tooth Fairy is far more munificent the bigger your teeth are anyway.

18149-tooth_fairy

Posted in BvA Decisions, Porphyria Cutanea Tarda, Tips and Tricks, Vietnam Disease Issues | Tagged , , , , , , , , , , , , , , , , , , , | 1 Comment

HUGFEST PHOTOS

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The reason for this journey became obvious when I was filing for my VA claim. I had hoped to get a pilot I flew with to give me a Buddy statement attesting to my GSW and   transfusion up in Laos. I subsequently ended up in a hospital 89 days later. Lt. Engle (Chuck) augered in 2 days before I was discharged and I never found him again. Cupcake suggested googling his name in early 2008. I found him on the Wall. The need to pay my last respects became apparent immediately but getting there became impossible after I got sick. Following my escape from the Seattle VAMC hospital vacation in 2010, we planned this for when my health returned. The discovery of Hugfest made it a natural twofer.

Wheels up over Mt. Rainier

Hugfest 2013 Indiana 006

Summer of 1970

Ravens September, 1970 LS 20A Long Tieng, Laos

Chuck with white hat in hand under prop hub. Long Tieng, Laos (LS 20 A)

Reunited forty two years later in Winchester, Indiana

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Hugfest 2013 Indiana 001

A beer for Chuck

Chuck preferred Chivas Regal but Thailand doesn’t make any.

Hugfest 2013 Indiana 026 With that Frag Order completed, it was off to the fest. For those of you who couldn’t attend, I attach a few of the great moments of the event. This was a first for Cupcake and me. I hope my health will permit  many more.

Rick Townsend of Stardust Radio fame and me.

Rick Townsend of Stardust Radio fame and me.

More cheese, please!

More cheese, please!

Too much cheese. I think everyone must have driven there through Wisconsin.

Too much cheese. I think everyone must have driven there through Wisconsin.

Hugfest 2013 Indiana 084

Cheeseheads

There seems to have been a slight misunderstanding about who was going to bring cheese this year. I think more communication would be in order to avoid the deleterious effects of constipation next year. Rick is free to bring his Jalapeno cheese bread and construct it on site. Whoever brought that red hot cheese that made things dicey on the pot is strictly forbidden from bringing more than a pound of it again. As for the myriad Monterey Jacks, extra sharps and the other fifty flavors, perhaps a few pounds less of each would be in order. And contrary to popular belief, cheese does not compliment French toast, Dave.

Hugfest 2013 Indiana 037

Veteran hugfesters ensconced nearby

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C & P Hearing Loss and Tinnitus Exam

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Those Vets have driven us bonkers…

My DH had his first C & P Exam last week in a VA-contracted independent audiologist.  The exam was cursory at best.  We’ll be writing for our one free copy of the exam since the VA has a duty to assist him.  I’m sure this was an “insufficient exam.”  For example, the examiner didn’t ask any questions about the functional effects of his hearing loss and tinnitus.  In fact, she didn’t ask about tinnitus at all. 

However, the evening before the exam, I did a little poking around in Google and found some slides by VA employee, Kyle C. Denis, Ph.d. to review.  Whoa!  I told my DH that he needed to proactively report to the examiner that he had tinnitus because if he didn’t speak up, the VA instructs examiners to say the veteran denied tinnitus!

The VA’s tinnitus instructions of “don’t ask, don’t tell” is far from what one would expect from an institution that deals with veterans’ health.  

Reporting Tinnitus

  •  VBA worksheet was changed because almost all people have a history of  tinnitus. The pertinent question is whether or not there is current complaint of tinnitus. 
  •  The appropriate way to inquire about tinnitus is to ask about the current complaints without asking specifically about tinnitus or ringing in the ears.
  •  Audiologists should not use history forms or questionnaires that prompt for a history of tinnitus, ringing in the ears, or head noises.
  •  VBA feels that if a Veteran has tinnitus that is disabling they will report it when asked about his/her current complaints. However, if tinnitus is a claimed condition or VBA specifically asks for information regarding tinnitus, then you MUST respond to the issues. Otherwise, the exam may be returned as incomplete or inadequate.

And, “If the Veteran does not report tinnitus as a current complaint during the history, then indicate that the veteran denied tinnitus as a current complaint in the medical history.”  Shady, shady, shady…

The slides were presented to other Joint Defense and VA (JDVA) audiologists at lovely   vacation spots.   They offer useful summaries about topics like “conceding noise exposures,”  Fast Letters, case studies, speculation, medical opinion templates and much much more!  There’s something for everyone so save to your Google Drive, dropbox or other cloud storage while their available online. (For Nod, the 2013 slides contain summaries about a few relevant BVA docket numbers, legal cases which are important for audiologists to know about:  Ledford v Derwinski, Dalton v. Nicholson Hensley v. Brown, and Martinak v. Nicholson.)

2010 C & P Conference Slides (long link required):

http://myavaa.org/documents/conferences/AVAA-March-2010-Conference/PDF-Presentations/Dennis%20C&P%20Wed%201000%20JDVAC%202010.pdf

2011 C & P Conference Slides:

http://www.myavaa.org/documents/JDVAC-2011-Presentations/Dennis_JDVAC2011.pdf

2012 Slides “Navigating the DBQ Audiology Questionnaire”: http://www.myavaa.org/documents/conferences/JDVAC-2012/JDVAC2012-April2012/Dennis%20AVAA%20DBQ.pdf

C & P Updates for 2013 Conference: 

http://www.myavaa.org/documents/JDVAC_2013/Dennis%20JDVAC%202013%20DBQ.pdf

Don’t worry–they’re not stressing themselves with depressing veteran hearing problems at these educational events. What the heck are our military audiologists were up to at a recent conference?  Recognize your VA audiologist in these photos?  If so, I’m not sure if you should rely on him/her for medical opinions. 

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We met our 2011 quota denying service-connected hearing disabilities.
Yay!

We’re on vacation! Yay!

We just like to have fun….

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PIRKL V. SHINSEKI–CUE COMPOUNDED WITH INTEREST

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CUE (Clear and Unmistakable Error) claims intrigue me and always have. They are an example of a rare win-usually much later after a failure to appeal. CUE is one of two ways to overturn a prior decision and rarely succeeds. The reason is simple. The VA successfully argued in 1992 in Russell v. Derwinski that if (and a big, big “if”) a decision was indeed wrong, then two things must ensue. The error had to manifestly alter history and actually change the eventual outcome. Secondly, and perhaps of more import, benefit of the doubt could not seep in after a determination that CUE might be present. In other words, either the prior decision was completely correct- or it was not. Simply discovering CUE occurred requires another step to determine just how egregious the faceplant was. If it could be determined that another outcome would have resulted  in a favorable resolution for the Vet, then he would prevail. This is the “manifestly changed the outcome” language. It is also why Vets rarely win in this 3-card  VA Monte game. For some inexplicable reason, VA never seems to find that the manifestly different outcome would occur. Go figure. Or don’t. Such are the vagaries of ex parte justice.

Mr. Pirkl was outfitted with gill slits  in 1947. By 1949 it was determined he was a paranoid schizophrenic. Shit happens. The Navy decided they no longer needed his services and he was discharged and given a whopping 10% for the malady. The VA revisited their original decision three years later and gave him 100%. Feeling they had been too munificent, they promptly revoked it eleven months and twenty seven days later, substituting a 70% rating in its stead. Contrary to popular belief, this was not the birth of bait and switch. VA has been doing this for over two hundred years. In VA’s demented view, the 100% award was probably CUE.

Mr. Pirkl, in what was to literally prove  a fatal mistake fifty years later, failed to appeal. Sensing a financial windfall, VA returned  three years later in December 1956 and yet again gave him a ratings haircut downward to 50%. Again, Mr. Pirkl failed to appeal and this, too, became final.

Lastly, ten years later in 1966, they descended yet again and whacked him back to 30%. Perhaps they were testing his mettle or thought his mental illness left him open to these unsupported reductions. They were wrong. This time he appealed to the Board of Veterans Appeals. His appeal was fruitless. As there was no higher authority at the time, his denial was final with no legal avenue to go further. Things remained in stasis until the advent of the Veterans Judicial Reform Act of 1989 dragged the DVA into the real world and out of its splendid isolation.

In 1991, Mr. Pirkl filed for an increase based on a few changes in his employment status and mental picture. The VJRA probably had something to do with it, too. By now he was sixty two. VA (virtually) immediately granted 100% and made it retroactive to 1988. The lightbulb went on most assuredly. Ten years went by while old man Pirkl sat and stewed over those old, earlier haircuts from 100 down to 30%. He must have done some investigating because he filed for CUE on the 1953, 1956 and 1966 reductions in December 2001.

VA segregated this into two camps and took the 1966 Board of Veteran Appeals (BVA) decision to the BVA where it originated. They, in turn, predictably decided they had not erred in 1966 and told him to go piss on a flat rock. He did so and failed to appeal yet again. Bingo. Done. Things sat like this while the Regional Office mulled their 1953 and 1956 unappealed reductions.  In 2005 they, too, took the flat rock posture and told him as much. Mr. Pirkl must have been developing an inferiority complex in addition to the schizophrenic issues and finally started objecting in no uncertain terms. He filed his NOD and proceeded to dig in. He hired a rainmaker who wasn’t as adroit as he should have been. The law dog only filed CUE on the 1953 decision rather than all three (1953, 1956 and 1966.) VA sent out the flat rock SOC and continued to deny. Again, in the Form 9, Mr. Pirkl’s counsel failed to encompass the later two decisions and the Board thus only addressed the 1953 reduction. Being slippery little so-and-sos, they granted a CUE on the 1953 knowing full well that it would be whacked back down by the subsequent 1956 reduction to 50%- which, of course, it was. In fact, the BVA incorporated that right into their decision.

[The Board] decision dated August 14, 2006, found
that [the] rating decision dated September 3,
1953, had improperly reduced your evaluation
from 100[%] to 70[%]. This rating decision puts
the [Board] decision into effect. It is noted that
the [Board] decision only address[ed] the issue of
the evaluation assigned by the September 3, 1953,
rating decision, and does not [a]ffect any of the
rating decision[s] made subsequent to that date.

So, a recap of this looks like:

1949 –10%

1952–100%

1953– 70%

1956– 50%

1966–30%

1991 ( retro to 1988)– 100%

2002– no CUE in 1966 (BVA)

2005– no CUE in 1953 and 1956 (VARO)

2006–BVA finds CUE in 1953 decision and restores 100% to 1957  whereupon it reverts back to 50% (and subsequently 30% in 1966).

2006– claim returns to VARO and is rated  as above. Mr. Pirkl climbs back on NOD hamster wheel and begins anew.

2007-2013– Hamster wheel of denials all the way to the Fed. Circus with the unfortunate demise of Mr. Pirkl in the interim.  CAVC allows Mrs. Pirkl to be substituted in his stead.

The final argument boils down to something elementary. If you have a 100% rating in 1953 reduced to 70% and it is restored fifty years later via CUE to 100%, can it be said that follow-on ratings were also the product of CUE? Or, more appropriately, would not a reduction that has been restored make any further reductions void ab initio or at least provoke a dialogue to determine their validity?

By reducing a rating to 70% , thence to 50% and again to 30% followed by a restoration to 100%, you have created a ratings non sequitur. You are also reducing a former 70% (now 100%) to 50% from 100%.  This was not what occurred in 1956 and it was never discussed by any trier of fact. Therein lies the contretemps that provoked this long, drawn out study in jurisprudence.

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Oddly enough, if you had handed this to a bunch of 5th graders and asked them what was fair, they would have no trouble sorting it out equitably. Given the general legal parameters and dodge ball rules, I’m sure they’d have said a long discussion about 1956 and 1966 was paramount, not to mention part and parcel, to any restoration of the full meal deal in 1953.  You cannot tamper with time and not have downstream repercussions in spite of what the government and the CAVC insist.  To illustrate my point, watch Back to the Future– Part II.

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The Fed. Circus got this one right. It took a few trees and twelve pages to sound out the consonants, excise the double negatives and avoid dangling participles. Why Mr. and Mrs. Pirkl had to fritter away their final, golden years together on this incongruity and fight so long to obtain the obvious may forever remain an enigma. Judges Dyk, Mayer and Reyna are to be commended for their command of law and as far thinkers. CUE is an enormously complex theorem with untold twists and folds that still to this day are being explored and unraveled. They have added another chapter to the VA saga of “We’re correct, unless or until, the Fed. Circus says we’re not.”

The story would not be complete without a few attaboys for Kenbo “the  woodbutcher” Carpenter of Kansas fame. He’s notched his Colt Single Six with a new win on this that, while not setting precedence per se, will certainly give pause to the VA before they start shooting off their mouth about what constitutes CUE and what doesn’t. Considering this is his specialty (along with bent brain syndrome), VA was ill-advised to lock horns with him over it. The BVA will now attempt to craft a more durable and lasting hangman’s noose that won’t slip or come undone. It will have to pass the Fed. Circus’ muster this time out as well. Or… VA may decide pissing on flat rocks is infinitely more preferable (and profitable) for them. As well they should.

P.S. And here we are after the CAVC dissed the Fed. Circus and defied the remand with  yet another flawed decision. The final repair order is here dated 10/17/2018 and it unequivocally and clearly and concisely instructs the CAVC on how they will readjudicate this so as to avoid any more confusion. It will give us greater rewards as it shows the compound effect of what one CUE domino does to topple ensuing decision dominoes in the future.

http://www.cafc.uscourts.gov/sites/default/files/opinions-orders/17-1916.Opinion.10-17-2018.pdf

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PROPER DIET FOR GOOD HEALTH

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Member and brown water Navy maniac (Mekong- not whiskey) Jimbo sends us this informative “gotta have it”. Jim, by the way, is married.

~~A Doctor was addressing a large audience:

“The material we put into our stomachs is enough to have killed most of us sitting here years ago. Red meat is awful. Soft drinks corrode your stomach lining. Chinese food is loaded with MSG. High fat diets can be disastrous, and none of us realizes the long- term harm caused by the germs in our drinking water. But there is one thing that is the most dangerous of all and we all have, or will, eat it. Can anyone here tell me what food it is that causes the most grief and suffering for years after eating it?”

After several seconds of quiet, a 75-year-old Veteran in the front row raised his hand, and softly said, “Wedding Cake?”~~

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