BVA– How not to appeal

From the Paul Revere VA Regional Office:

Open mouth, insert foot. Repeat as necessary to obtain maximum effect. Assuming this Vet was of sound mind, why did the Massachusetts Department of Veterans Services let him off the Reservation without proper supervision? I assume the SO was with him and assisted in the preparation of this claim. That being said, why would anyone claim SC for willful misconduct? If you are shot in the course of a bank robbery you instigated, you can’t sue the Police for it. And you wonder why it takes sooooo long to get a docket in DC. There oughta be a law, but everyone is entitled to his day in court. This is still America, for better or worse. Never forget that. Never regret that.

http://www.va.gov/vetapp08/Files5/0838767.txt

Only in America, Gentlemen. The land of the Free-free to shoot yourself in the foot as many times as you desire.

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BVA– Dr. VET “OPINES”

Here is a Vet that is so sure of his claim that he doesn’t even show up for his C&P exam. This means VA can’t even give him one of their bogus “VA nexus” jobs. So they simply state that the VET is not qualified to be Dr. Nexus man from Tennessee.

http://www.va.gov/vetapp08/Files5/0844489.txt

I sure don’t want to be a spoilsport, and I feel sorry for this Vet. But what was he thinking? Or more appropriately what was the DAV service officer in charge of this guy thinking? You don’t go to trial with no evidence. You ask for a continuance. Doesn’t anyone remember Perry Mason and shows like that? This is a train wreck and a sad one at that. He had a tattoo so it WAS a viable claim. I’m amazed every time I come across one of these things. I thought most Vets were smarter than this. I will continue to cling to my naive beliefs…

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BVA–HepC,2nd to HepB, 2nd to the Cocaine

The veteran also has argued (as discussed by the RO in the
SOC) that his hepatitis C is a separate disability that is
secondary to his hepatitis B. However, since, as noted
above, the veteran is not entitled to service connection for
hepatitis B, he cannot be entitled to service connection for
a disability proximately due to, the result of, or aggravated
by this disability

Significantly, the Board notes that the only competent and
persuasive medical opinion to directly address whether there
exists a medical nexus between current hepatitis B and C and
service, or between hepatitis C and hepatitis B, weighs
against the veteran’s claims. The December 2007 VA examiner,
after a review of the claims file, did not find any evidence
of hepatitis B infection while in service, though he found
complaints of gastroenteritis. Though the veteran maintained
he was given a shot in service once he was diagnosed with
hepatitis B, the VA examiner found it was less likely than
not that this would have caused hepatitis C, which was found
later in the 1990s. The VA examiner also found that the
veteran had multiple risk factors for hepatitis at this time,
including past intravenous drug use, blood exposures with
needle punctures, possible sexual transmission, ear piercing
and a history of intranasal cocaine use. The examiner
further found that these risk factors could have occurred at
any time during service and that there was also evidence that
drug use and alcohol use continued post-service. The VA
examiner opined that the veteran’s hepatitis C infection was
at least as likely as not related to the IV drug use, though
it was difficult to determine when this occurred. The
examiner noted that hepatitis C is a chronic infection and
that he was unable to determine if this was caused during
service, when the veteran had these multiple risk factors, or
if it occurred post service.
 

http://www.va.gov/vetapp08/Files2/0810084.txt

This fellow isn’t going anywhere with this. Very sad that his VSO encouraged him. This is where the power of positive thinking clashes with reality and the VA.

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BVA– Dumb and Dumber

We could certainly file this one under Dumb and Dumber, but I suspect the file cabinet has other folders that would be equally amenable to it. If you have any doubt about what the VA is going to look at to make a decision on your claim, ask for a copy of your military and medical records BEFORE you file. It might save you some wasted time and postage. As an afterthought, if your certificate of Achievement from Uncle Sam hanging on the wall is a DD Form 258, that is an Undesirable Discharge which entitles you to Dreamdollars. A DD Form 259, Bad Conduct Discharge also known in Veterans conversation circles as the “The Big Chicken Dinner” again will get you Wishwampum from the VA. If the character of your service led to an early discharge for reasons other than Honorable, your chances of getting remuneration are very limited to none. If there is any doubt in your mind, check to make sure you have in your possession either a DD Form 256 or 257 prior to filing a claim. This will clear up any confusion on your and VA’s part prior to your submission of the claim. If you no longer possess this piece of paper, check your DD Form 214. It is listed there as well and, yes, the VA has a copy of that, too. White out will not fake out anyone but your friends.

http://www.va.gov/vetapp08/Files3/0823564.txt

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BVA– Gee. Did I say that? I forget a lot.

We can file this one under C for Cognitive Brain Disorder. I know I forget a lot of stuff. My wife constantly reminds me of that. If you file a claim, you must have a game plan. An integral part of this should include a time line to refer back to every once in a while. This will aid in keeping your facts and the story line in sync with one another. One of the problems with not telling the truth is that you actually have to remember which lie you told to whom. Over a decade or two this becomes blurred and confusing. VA has come up with a handy analog repair order and it is generally infallible. They write it down. Everything you claim, everything you did that was medically stupid, drugs you used that were not prescribed, etc. was recorded for you in case your memory became fuzzy. Here, the Vet is being called out on it. It will cost him his compensation claim. More importantly, he will remember that he made a big boo-boo when he decided to take on the VA. On a good day,sober, you will have a hard time beating these jokers. Don’t try it after roasting a bowl with your buddies and then dragging out the 21-4138 and remembering it from your standpoint. Ain’t gonna happen. Wishwampum. Dreambucks.Dead in the water Dollars. Questions?

http://www.va.gov/vetapp08/Files3/0817946.txt

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BVA– NO HEP= NO $

File this one in the Idiot’s Delight box. If you are going to claim an injury in service, you must still have the injury when you file. It helps if you bring a nexus to the VSO to include with the injury. These three items are often referred to as the Caluza Triangle, or the Golden Triangle, or the Hickson elements. However you wish to refer to them, the principle is that you have suffered harm while in the employ of Uncle Sugar. How this ever got to the BVA with no Dx of Hep. is way beyond me and probably VLJ George E. Guido, Jr. as well. It must have taken him about 5 minutes to figure this one out. It set back at least one VET’s legitimate claim a few weeks and probably numerous Vet’s adjudications were interminably delayed so that justice would be afforded this idiot. Please,Veterans, in the interests of time management, when filing a claim make sure you have a Dx’d injury before self-diagnosing and rushing to file for benefits. The Veterans in line behind you would be greatly appreciative of your consideration in this matter.

http://www.va.gov/vetapp08/Files1/0806500.txt

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BVA-Roadmap to nowhere

 Ladies and Gentlemen Vets, this is a classic example of a frivolous filing. This Veteran has unfortunately had some problems in the past with drugs. It is unfortunate that he suffers. I think any caring person would have sympathy for his plight. The rules for compensation are rather cut and dried on the subject of remuneration for willful misconduct. I hope this sheds some light on filing claims when your case file, both VA and Military, is riddled with evidence of a negative nature. This Vet was represented by the DAV and I believe he should have been given an honest assessment of his chances of winning prior to wasting his, the VA’s, and the DAV’s time. Not to mention how many trees they had to cut down to manufacture the paper for this insanity. Simply put, I believe everyone should have their day in court with the caveat that their claim has merit. We all wait patiently in a line for our turn at the gold ring. Some claims turn on a subjective interpretation of regulations, events, and medical proof. This contains none of the above and simply clogs the system. 
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BVA– Hep A,B,C,D,E,F,G,H,IVDU,J….

This is the first in a series of “Frivolous Filings” series. It represents what can happen when the lip box beneath the nose opens and things that sound like intelligence emanate from within. Be very careful what you say. It will follow you forever.

http://www.va.gov/vetapp08/Files2/0817935.txt

This gentleman from Oakland is quite possibly beyond the pale. He has a lot of theories in the air at once. Unfortunately, VA will consider them inherently incredible along with him and assign the reason for the hep to drug abuse. It’s tragicomic in a lot of respects but amply illustrates what happens when one gets diarrhea of the mouth.

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CAVC-Evans v. Shinseki (2011) Post Hoc Rationalizations-

Once again, using literary license, we take pen to paper to illustrate the VA Secretary’s attempts to make an elephant disappear up its own asshole. He rarely succeeds when he gets to the Court and this is a fresh example. I rarely resort to scatalogical terms so I apologize. It is a literary term that best describes what has ensued here.

Mr. James I. Evans comes before the Court, with counsel, to object to what the VA has been doing for years and often getting away with. Occasionally a Veteran will call them on this and it arrives at Indiana Ave. NW for a fresh inspection that reveals this same, seminal defect. This time the Court cut down a few more trees and the decision runs to 18 pages, not including Mr. Evans’ attached Form 9 as evidence. This is a first for the Court as they never publish the documents involved. You will love the rich, controlled language that flows from the decision and the subtle jabs at the Secretary’s vain attempts at post hoc rationalizations (PHRs) for why they tried to railroad James’ claims.  The term “post hoc rationalization” has been around for aeons, but has gained notoriety in print in recent years due to the VA’s attempts to employ it so frequently. It’s their latest default setting when explaining what transpired decades ago. Hell, the raters have retired and there are no notes on why they screwed the guy. VA is just attempting to reconstruct the rationale for denial. Absent anything else they bring in the designated apologist. The Court, just as eager to please, has been more than happy to keep telling the Secretary he cannot do this. Perhaps a wet, smoky fire with green Madrona wood and an equally wet blanket to send smoke signals down toVermont Ave. NW to that effect would be in order. Maybe a wet blanket alone? He just doesn’t get it. God can get away with this. He can say He created Eve to keep Adam company and we have to take that as Gospel. The Secretary cannot decide 3K years later that the reason God did this was that a) He was bored; b) had some extra clay lying around and c) was only a couple of ribs shy of a chick, so what the hey? Try this one on for size:

The  Secretary further argues  that  the  appellant  “explicitly abandoned”  the  issues  of asbestos exposure, hepatitis B, and hepatitis C during his January 2008 hearing before the Board. Secretary’s Br.at 13-14.  However, it is the Board that is required to provide a complete statement of  reasons  or  bases,  and  the  Secretary cannot  make  up for its failure to  do  so.  See Martin v. Occupational Safety & Health Review Comm’n, 499 U.S. 144, 156 (1991) (” ‘[L]itigating positions’  are  not entitled  to  deference  when  they are merely appellant  counsel’s  ‘post  hoc rationalizations’ for agency action, advanced for the first time in the reviewing court.”).  The Board does not discuss the January 2008 hearing in its decision.  There is simply no indication that any statements that the appellant or his representative made at that January 2008 hearing influenced the Board’s decision.  The Secretary cannot support the Board’s determination by providing reasons for the Board’s decision that were not stated by the Board.  Evans v. Shinseki (2011)

In years past, the term for this was “fabricating a new interpretation out of whole cloth”. Recent Presidents have been known to dissemble with meaningless phrases like “Well, shucks fellers. That all depends on what the meaning of ‘is’ is. Ya know?” Presidents can do this. Accountants do the elephant trick all the time. VA needs to take lessons as they haven’t quite got the hang of this yet.

Here, we have a Vet who appealed 6 claims but was verbally challenged and accidentally ended up only appealing three according to VA poohbahs. Instead of just sitting down and saying “Gee, Jimbo. Something’s wrong here. Did you mean to do this? Are you sure?”; true to form they took the path of least resistance, took out their magic 8-ball and  construed what the poor man really meant. VA does this all the time. How many decisions have I read where the BVA says something along the lines of “It was felt that he was trying to… or- The claim was construed to be for…” or my favorite “The VA examiners extrapolated…”. Any time you see the word construe, interpreted or extrapolated, it usually spells disaster for the Vet’s claim.  In ex parte justice this is all too common and unconscionable. The Vet finds out about 2 years later and goes postal. It certainly didn’t help James to have a VSO. His service officer glossed right over this and probably was sitting in his little VSO office telling the Jimster what to write.  This is a small excerpt from the case, but it says it all:

As noted above, VA has a multitude of avenues available to clarify the issues on appeal that are consistent with pro-veteran, claimant-friendly claim development.  The entire veterans claims adjudication process reflects the clear congressional intent to create an Agency environment in which VA is actually engaged in a continuing dialog with claimants in a paternalistic, collaborative effort to provide every benefit to which the claimant is entitled.  In accordance with the Secretary’s asserted position, VA not only does not engage in such a dialog, but rather need not even communicate to a veteran that he has not perfected an appeal as to certain issues he might otherwise believe are on appeal to the Board until the veteran receives that message many years later in a final Board decision.   Evans v. Shinseki supra.

The Evans case will offer us endless ammunition to counteract the proclivity of VA to deny and then years later come back and try to reconstruct the denial reason anew with their latest PHR technique. Even I have been the unwitting recipient of one of these expeditions into the past. And oddly enough, after much brow-beating and chest-pounding (not to mention a DRO review of all the evidence), it was determined that Mr. Nod had inadvertently failed to obey the rules and filed his F 9 incorrectly, thus depriving himself of the right to appeal within 60 days. What is apparent is that they can’t do it with a straight face and are forced to   inform you in writing. Hence the ex parte justice. If they had to stand up in court and regurgitate this nonsense, everyone would look at them as if they were blaming it on alien abduction, or God forbid, George Bush.

At any rate, if you like a good Grimm’s faery tale, the Secretary’s version of how this went down is very entertaining. If he’d had a beer summit with the Vet, I’m sure this could have been ironed out and global warming would have been averted or reduced greatly.   Once again, this is proof of a governmental agency run amok spending hundreds of thousands of dollars trying to defend the indefensible. It is also proof of why Congress felt the need to bridle the VA with the Veterans Judicial Reform Act (VJRA) of 1988. Perhaps the Secretary should get a bumper sticker that says “If you’re gonna ride my case, have the decency to saddle me first”.  Granted, he would look silly wearing a saddle all the time.

Get out the popcorn and a cold IPA for this one. It’s a good read. At the end, Judge Moorman files his dissent and advocates for a much harsher remand than the mild-mannered response of his brethren. These gentlemen are becoming more than fed up with the Secretary and it’s starting to show.

http://www.uscourts.cavc.gov/documents/Evans_08-2133_published_opinion_4-4-2011.pdf

P.S. Below is a classic example of Post Hoc Rationalization.  I hope it doesn’t have to go all the way up to the Court. It’s sitting in D.C. right now advanced on the docket because my shelf life sticker is expiring soon.

Attached is a post hoc rationalization made 14 years after a denial. On the blue-hoo sheet (#1) it states”The service record shows history of treatment for hepatitis in 1971 during his duty in Indochina.Treatment for hepatitis is not shown in the available service record.” This puzzled me for a while until I remembered some of my military career was spent working for AirAm. That was where I was when I came down with hep. My military SMRs have no record of it. I mentioned it in my separation exam and that is the “history of treatment” they mention. Since I had a copy of my off road medical records, I sent one in (#2). And since they said I wasn’t in Vietnam, I also sent them a copy of TDY orders showing I was. I got an SOC in January of 95 (3)  that said “Roger on the records. We’ll get back to you.” Like a jilted lover, I waited, but that was the last I heard.

I refiled in 07 and won in 08. I filed for the 1994 date in my 2008 NOD and the 09 SOC (DRO review, no less) shows the revised post hoc rationalization (4). All of a sudden, records sent in with the  12/94 NOD are moved to appear to have been sent in with the 3/ 94 claim. Now the rationale for the 11/94 denial shifts to”However, the 1994 claim was denied on the basis that the hepatitis noted in service left no chronic residuals”. No mention of “history” or “treatment” now. The reader will notice that the PCT issue is no longer associated with the hepatitis as in “residuals of hepatitis”. It has been sidelined and thrown out as in “you were never in Vietnam, Mr. Nod.”. Bingo. No more residuals. As usual, my good buddy at the VSO never mentioned getting a nexus from the skin specialist  who identified it (the PCT).  Actually, that nexus requirement didn’t become mandatory until a year later in the Caluza v. Brown decision. All in all, VA did a bang up job of rearranging the furniture and moving the documents around to fit the picture. Police call this staging a crime scene. VA calls it a probative analysis of the available information. One little problem. When you submit new documents, they have to redo the decision from scratch [38 CFR 3.156(b)]. Absent a do over, the Vet cannot file his appeal (Form 9). That is why they said “we will notify you as soon as our decision is reached”. There’s no regulation that says you have to file the F-9 to get a do over. The DRO danced around the fact that they never called me back. That’s where it sat for 14 years. Now, ladies and gentlemen-watch closely. The typewriter is faster than the eye. Approximately a year later on the PCT DRO review, they finally address that pesky #4 document. This time VA opts for a novel PHR   (#5) “The narrative portion also noted that the above TDY orders were received and that you would be further notified of a decision. This subsequent decision would have been a SSOC issued subsequent to your filing a timely VA Form 9.” No mention of the simultaneous submission of the off road hep.  medrecs. Just a failure to submit the F-9 in order to receive my SSOC denial.  VA eats 38 CFR for breakfast every morning and they damn sure don’t cotton to the idea of having to pay a shitton of bucks out for their screwup. It’s easier to employ the PHR technique and reconstruct history to comport with a “revised” version. Since the new PHR version reveals I never appealed, the claim is DOA. Pretty fancy footwork, huh? These guys would be naturals for Dancing with the Stars.

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COVA–Espiritu v. Derwinski- No Lay Doctors

In almost all decisions you will read, be they Court or BVA, you will run across two cases over and over again. Gilbert v. Derwinski is the most quoted, but hard on its heels is Espiritu v. Derwinski (1992). The major reason these two surface so frequently is what they stand for. Gilbert had multiple holdings that are salient to Vets which we have discussed in another post. Espiritu focuses on one narrow idea- that unless you are a doctor, you have no business talking like one. 

     While Layno v. Brown (1994) espoused the holding that a Veteran, or anyone testifying in his/her behalf, could only opine on what came to them via their five senses, Espiritu held very narrowly that if you have no medical training you cannot make statements, diagnoses or pronouncements of a medical nature. That domain belongs exclusively to medically trained personnel.

     Jovita M. Espiritu filed for DIC in August of 1971 shortly after the death of her husband, a Philippines Army soldier in the Second World War. She was denied based on the death certificate not agreeing with the medical records associated with his service-connected injuries.

     Mrs. Espiritu suffered in silence for 18 years and decided to reopen her claim. She submitted some very controversial evidence to bolster her argument. The first item raised a few eyebrows. It was a different death certificate that said the same exact thing as the original.  Item number 2 was a contemporary letter from Mr. Espiritu’s family doctor dated a month prior to his demise which listed numerous medical complaints, but not the one listed as the cause on the death certificate. Item number 3 was a lay statement from the next door neighbor saying that Mr. Espiritu died from TB, asthma and septicemia which (oddly) partially mirrored the death certificate’s findings. Item number 4 really made everyone sit up. This was a statement from a nurse named Pilar Nacionales that said Jose did not die from his service- connected injuries. Last but not least, Item number 5 was a joint affidavit dated a year prior to this reopening from two neighbors who claimed to be present and who stated that Jose’s new adventure in the afterlife was a direct result of septicemia and “buttock abscesses”. It was an eclectic bunch of evidence but failed to move the Manila RO.

      No to be outdone, Jovita filed to appeal the adverse decision, perhaps hoping this time to receive a sympathetic hearing of the facts. The 1990 BVA was no more availing than the  RO in 1971, so she decided to take this to the top. Keep in mind here she’s doing all this pro se.

     The Court didn’t waste any time with this. They could have (and I might have) impugned her testimony and evidence as contrived and fabricated but they didn’t. Instead, they addressed the obvious problem. Jose’s next door neighbor was not a doctor nor were the two gomers she dug up to swear they were present for the Extreme Unction ceremony. Let’s face it. The evidence was shaky and Pilar’s contribution was extraneous.  Hell, for that matter the Doctor’s letter didn’t even blame it on the SC condition. Having two dissimilar death certificates was rather fishy, too, but everyone politely overlooked the possibility of a forgery. I suppose the rest of the evidence was so damning that no one felt good about piling on the poor widow woman. At this point it was obvious to everyone but the blind that she was desperately grasping at straws.

     That is the long and the short of José Espiritu’s demise and Jovita’s fruitless pursuit of DIC. She probably didn’t live happily ever after either. Jose, on the other hand, will be ensconced in the VA legal Hall Of Fame for centuries to come if we continue to have collateral damage associated with wars.

 

    Meet Jovita Espiritu…                                                                                                                                                                                                                                                                                       Espiritu_90-452                                                                                                                                                                                                                                                                                                                                                                                                                                                                 

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