BVA–CHEESEHEAD FINALLY HITS PAYDIRT ON JETGUN

FROM THE BEER CAPITAL OF WISCONSIN

635646931319099161-veterans-administration-logoVA denies. Let’s face it. You could have 7 out 8 salient factors pointing towards a cryptogenic liver ailment (read HCV) including elevated ALTs and fatigue and the VA rater is going to say  you were just having the vapors, it was acute and immaculately resolved before separation- and you suddenly came down with it in April 2004 because that’s the day you were diagnosed. 

Combating that level of medical ignorance is what asknod is all about. From the day I figured out the secret handshake, I have vigorously tried to share my secrets. Yes. Secrets because another soul arrives every day and suddenly discovers why they lost. This should be front page news but you never hear about the little guy. You never see the denied ratings of 150 others who gave up before they got to the BVA.

When a Vet has this much evidence for and gets denied, it’s no longer a mistake. It’s a committed decision to deny and see if anyone bitches a pitch. If sending it out to a truely independent gastrodoc for an unbiased, probative opinion is the default setting for granting a claim, then the bar is set far too high.

Denying a claim is an art form as you can see here. 

The VA examiner is chided by VLJ Michael Martin

In April 2012, the Veteran was afforded a VA examination where he was diagnosed with Hepatitis C. The examiner provided a negative opinion on the relationship of the condition to service. The examiner stated that although the Veteran was noted to have a mildly elevated SGPT (ALT) during active military service, there was minimal evidence that these abnormal liver test results were specifically caused by Hepatitis C. The examiner further stated that the liver test abnormalities were asymptomatic during active military service. However, he did not discuss in his opinion the Veteran’s complaints in his service treatment records of fatigue and decreased energy, or the questions raised in his records about the etiology of these complaints of fatigue.

Viewed in this light, you can see the lopsided tilt of justice at the Milwaukee’s Fort Fumble. Their motto?  Why, what else. Mr. GS-12 Cheesehead VSR says:

WE DENY CLAIMS

download (1)

BEFORE YOU FILE ‘EM

Posted in BvA HCV decisions, Jetgun BvA Decisions, Jetgun Claims evidence, KP Veterans, Tips and Tricks, VA Medical Mysteries Explained | Tagged , , , , , , , , , , , , , , , , , , , , | Leave a comment

VETERANS PRESIDENTIAL PREFERENCE POLL #1–12 MONTHS OUT

Welcome to the voting booth. I trust you all to vote once so I don’t have to hang cookies all over it and keep out all you Vets from Chicago that died during the Civil War. I am not interested in why you voted or for whom. Some candidates are far more Veteran-centric than others. Amen. To be frank, I’m not terribly enchanted with very many of them.

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NAVY AIRCRAFT CARRIERS–I HAD NO IDEA

CaptureAfter all these years, I finally found out the real reason why they put those tail hooks on the Navy’s  aircraft. Sure, they use it to land sometimes when they’re not paying attention and come in way too fast. I get that. They couldn’t qualify as Air Force fighter pilots so they had to go somewhere. My daddy used to say there was always a job for the milk truck drivers if they don’t qualify at the Indianapolis Speedway. 

Nevertheless, I had no idea they were so meticulous and clean aboard ship. My respect for the support personnel who service and clean the A/C went up about one hundredfold when LawBob Squarepants emailed me this photo. Who would have thought they wash off their aircraft completely after each use and hang them out to dry? Amazing. Their dedication to their work should be an inspiration to all the military services.

TAILHOOK

Apparently the pitot tube was exceptionally dirty on this one

 

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BVA–SC FOR HCV DUE TO 3.156(C) & JETGUNS

VeteransAdministration.12755109_stdHere’s a daisy. Veterans Attorney Everett L. McKeown did a magnificent job of getting Johnny Vet his SC for Hepatitis. They found old STRs from his first period of enlistment and used them as the fulcrum to get his 2004 claim reopened. This is the crowbar known as 38 CFR §3.156(c). It is the only other tool available to reopen an old decision other than CUE to obtain an earlier effective date. 

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Everett McKeown, Esq.

Whether McKeown knew he was going to unearth the old records in advance is immaterial. He did a magnificent job on the back side of the claim after showing the risks of transmission of the disease via jetguns with pertinent articles and not one, but two positive nexus IMOs. Result? Johnny wins all the way back to his filing in early 2004. His knowledge of VA law, and §3.156(c) in particular, were the winning combo. He’s located in Windemere, Florida if any are interested in his services.  Read all about it:

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files3/1525003.txt

And here are Mr. McKeown’s particulars for those of you who need quality legal help.

http://www.lawyers.com/windermere/florida/everett-l-mckeown-esq-158768483-a/

Two things I note as well. The VA has finally come around to my way of thinking and begun capitalizing the word “Veteran” as well they should. Additionally, while they have not yet begun referring to the Pedojet and Munji inoculation devices as a “jetgun”, they are beginning to refer to them as “jet injectors” rather than pneumatic air injectors. I’m patient. I say it’s a jetgun. It looks like one and it has a trigger. Case closed. We’ll gladly take the win though.

jetgun ejection 1cc

Posted in BvA HCV decisions, Earlier Effective dates, HCV Risks (documented), Jetgun BvA Decisions, Jetgun Claims evidence, Lawyering Up, Veterans Day | Tagged , , , , , , , , , , , , , , , , , , , , | 5 Comments

BVA– JETGUN WIN FROM ST. LOUIS

635646931319099161-veterans-administration-logoHere’s a wrinkle. DAV reps Johnny Vet for HCV and cirrhosis. Way back in 2003, he told his VA gastrodoc about his concerns of jetguns being the risk factor. Bingo. An antique pseudonexus saves the day in 2011 when the VA doc dutifully writes a concise, bulletproof nexus. Meanwhile, a VA examiner who has never set eyes on this guy begins blowing bubbles in 2012 and twice again in 2014 that it can’t possibly be due to a jetgun but instead is due to being extremely trashed or hammered. While we all would like to believe alcoholism leads to all manner of social ills like bad breath,  divorce. losing custody of the kids and the like, we would have a hard time pointing to it as a seminal cause of Hepatitis C.  

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files5/1538486.txt

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Posted in BvA HCV decisions, HCV Risks (documented), Jetgun BvA Decisions, Jetgun Claims evidence, KP Veterans | Tagged , , , , , , , , , , , , , , , , , , , , | Leave a comment

BVA–SEX, NOT POLYSUBSTANCE ABUSE = HCV

downloadFrom the Joe Friday/Badge 714 Memorial VARO

Every once and a while we see a really good example of VA bending over backwards using a reverse nexus that flies in the face of anything they have ever held before on HCV. We often get guys Service Connection for HCV based on service medical records showing contraction of a social disease we don’t talk about in polite company.

Hey, life happens when you’re 19 and away from home for the first time in a faraway country with different social constructs. Since it isn’t willful misconduct, it’s a Line Of Duty, or LOD, determination. Humorous yes, but still in the line of duty. I saw patches on hats in-country that said

 

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That’s not necessarily something to brag about but when you’re young, you do strange things you wouldn’t dare do now.

So here we have Army draftee 11 Bravo  Johnny Vet- January 69-August 1970 -who got a raging case of bent brain in-country. It took him and VA a looooong time to figure it out but he won in 2014. He would now like to attribute his “polysubstance abuse disorder” to the PTSD which led him to self-medicate. In the process of self-medicationating, he somehow contracted Hepatitis C. Which brings him to our attention.

http://www.index.va.gov/search/va/view.jsp?FV=http://www.va.gov/vetapp15/Files5/1542065.txt

Seems Johnboy went to DC without that all important nexus letter. Could be that the “free” legal help he hired (DAV) neglected to mention that. The new DBQs VA uses are dandy for the VBMS word search. The only problem is the missing box where your doctor is supposed to insert

36. REASON CLAIMANT HAS HCV

[  ] Wild sex

[  ] Drug  abuse

[  ] Combat Dustoff Medic/Crewchief

[  ] Transfusion

[  ] Shared razors/toothbrushes

[  ] Alien abduction

[  ]  Other (describe)

That certainly covers everything with the most likely at the top. That’s what Johnny Reb’s Joe Friday rater comes up with. Where a history of drugs is indicated,  VA says it is the first and foremost reason every time. Even with any STDs on the record,  willful drug misconduct is dragged out as the etiology and whoosh-down the tubes you go.  So what do you make of this one?

The Veteran claims that his hepatitis C is related to his active service. His STRs, however, are unremarkable for symptoms, treatment or diagnosis of hepatitis C during service. Instead, current medical treatment records confirm that the Veteran has been diagnosed with hepatitis C.

 

Okay, hold the phone. Just the fax, ma’m. Just the fax. Why would you find reports of HCV in the 1969 medrecs? It wasn’t “invented” until 1989 by Dr. Henry Southern. I’m gonna go out on the little branches and bet there’s no evidence of a Polymerase Chain Reaction (PCR) RNA sequencing test to determine viral load in his contemporary STRs either. Time to get one of those computer gizmos and google “origin of HCV”, Sherlock. Here’s where it gets hinkey

As already mentioned above, the Board previously remanded this claim for a VA examination to determine if the Veteran’s hepatitis C is indeed related to his active service, including if it was secondarily due to his polysubstance abuse as self-medication for his psychiatric disability. To this end, the Veteran had a VA examination in April 2015. The Veteran reported that he was diagnosed with hepatitis C in 2000. He stated that he was not taking any medication for his condition. He complained of fatigue and nausea. The examiner confirmed a diagnosis of hepatitis C. The examiner indicated that high sexual activity was a risk factor in the Veteran’s development of hepatitis C.

I can’t make this stuff up. It’s priceless reading for everyone but the Johnster here. Most Psychiatrists would unanimously encorse an Axis III dx of drug abuse secondary to PTSD. Most civilian ones, mind you. VA’s shrinks get the 30 pieces of silver bonus for saying otherwise. I’d also wager the “VA examiner” doesn’t have a PhD. after the RN.

He opined that the Veteran’s hepatitis C was less likely attributable to the Veteran’s long history of polysubstance abuse. The examiner commented that based on physical examination of the Veteran, his history and a review of the claims file, there was insufficient evidence to suggest that the Veteran’s hepatitis C was attributed to the Veteran’s long history of polysubstance abuse. He explained that the Veteran had denied a history of intravenous drug use. Therefore, the Veteran’s hepatitis C was not attributable to his long history of polysubstance abuse.

So, let me see if I have this straight. When a Veteran recites his “history” to a doctor, it is considered just that- the Veteran’s idea of how it all went down. If unsubstantiated by cold hard evidence of record, it is merely hearsay and given little, if any, probative value.  On the other hand, here, what the Veteran describes as “history” is suddenly given combat presumptive  credulity and taken at face value. Gee, when did this all change?

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AVLJ Kelli Kordich

Seems we have a reverse Colvin violation here. The Veteran is now allowed to opine on the cause of his malady and VA will accept his medical acumen. The only thing I find out of place would be the VLJ.  She is none other than Kelli Kordich- the one who blew the whistle on Deputy in charge of Rocket Dockets Laura Eskinazi. Seems she would have more of an investigative bent toward getting it right. Such is the state of the art of HCV jurisprudence. One might note it appears that she has been demoted from VLJ to Acting VLJ.

 

 

 

Posted in BvA HCV decisions, HCV Risks (documented), Jetgun BvA Decisions, Jetgun Claims evidence, KP Veterans, Medical News, Nexus Information, VA Medical Mysteries Explained | Tagged , , , , , , , , , , , , , , , , , , | Leave a comment

VETERANS DAY– 2015

welcome-home-backHoooo doggies. Veterans Day again. It’s like getting two birthdays for a Vet. For others, it’s a day of recognition well-earned. To me personally, it’s confirmation that what I did was appreciated eventually by America. It sure didn’t appear that way May 16th, 1972 when I returned to the Land of the Big PX from two years off-road in the bush. My appreciation for the modern miracle of refrigeration knew no bounds. A cold Tanqueray and tonic with real tonic rather than crushed up quinine pills was an indescribable treat when you’d been drinking them lukewarm with no fizz for several years. I went so far once as to throw in an Alka Seltzer. War is uncivilized.

On a more personal note, I was interviewed last week by our local Key Peninsula newspaper for an article about Veterans. Since it’s only a monthly rag, it won’t be out in time for tomorrow’s celebration. That’s beside the point. The interviewer asked me to tell him my whole story from induction to the present and how, if at all, it had changed me. Where does one start?

When I signed up, I was a hop, skip and a jump ahead of being drafted into the Army. I was set to go to Hartwick College in Oneonta, New York but I had a little run-in with the law four days after I graduated in June 1969. Actually, Virginia considered throwing eggs at a moving cop car a felony in 1969 so it was more than a “little” run in.  I felt a breather from 12 years of education was called for, too.

This definitely set the stage for my future. To be honest, everyone male in my family had gone to wars past and it would have appeared unseemly for me to miss this one. I admit I did put in for England, Spain and Germany. Fat chance. In 1970, everyone was headed to Southeast Asia. In retrospect, I wouldn’t have wished it any other way. Some of us are born with a defective survival gene and run toward the sound of gunfire rather than away. Eau d’ gunpowder is our preferred parfum. We prefer the thrill of victory and the agony of de feet.

In the intervening years since my service, I have evolved as we all do. Children, jobs and opportunities dim one’s memories of that time but never obscure it. With the onset of illness born of that era, it all comes back to me and sometimes consumes many of my waking hours. Giving back to other Veterans comes naturally to me. In fact, I find it to be a passion now rather than a hobby.

I consider it an honor to have served for many reasons. It certainly won’t be why I will be remembered when I pass but that wasn’t the reason I signed up. I don’t have any medals for above and beyond the call of duty.  What I do hope to be remembered for will be my advocacy for Veterans. This was never meant to be about me and my travails with the Veterans Administration. I simply use that as a teaching tool in the fervent hope no Veteran will ever be abused as I was.

24-7-365I took my friend Mark to the airport yesterday morning. He’s off to the Philippines to meet his future bride. On the way to SeaTac, we reminisced about our service as all Veterans do. One thing stands out about us. The first is that we are a very small club consisting of three percent of the population. Most importantly, the membership requirements are extremely stringent. You cannot decide at forty that now is the perfect time to enlist to fluff up your resumé.  The window of opportunity to serve is narrow and fleeting. We give up quite a bit of our lives when young to do this. I don’t measure it in time but in opportunities lost. Veterans can rarely recoup four years of excitement, fast cars and wild women (or men for you gals). They can experience it later in life but not in the same youthful context. Years later, most of us realize it was a worthy investment that teaches responsibility with a capital R. There can be no higher Responsibility than keeping your buddies alive in a fire fight. They depend on you and vice versa. That life skill cannot be taught at Burger King or Albertson’s. Equally stated, it cannot be unlearned to the chagrin of those who suffer the aftereffects such as PTSD.

thVeterans are a unique breed. Some are not role models or particularly well-groomed while some are more like Fred Rogers of Mr. Roger’s Neighborhood. Some are inordinately proud of their contribution and some, like Secretary of State John Kerry, consider it a black stain on their otherwise unblemished record of service to America.  We won’t visit Miriam Webster to define “service” this morning. That’s not what this is about.

What I did in Southeast Asia will remain there.  Many have said it was misguided but I maintain it was an honorable undertaking. We don’t get to choose how or where we served. Worse, we don’t get to choose our commanders. We do not have a choice of serving only in peacetime because that can all change at the drop of a hat- as it did on December 7th, 1941 or on September 11th, 2001. We chose to serve because we were motivated Americans. Nobody ever said you can’t be all you can be at Domino’s Pizza. It’s just less intense compared to watching tracers zip by you in downtown Falujah.

1962746_891360070875378_4846301925831717569_nVeterans of all walks and services are not unique other than being an extremely small percentage of our population. Someone needs to print up some “3%er’s Club” T-shirts with the service logos. What mostly sets us apart is that rare defective gene called patriotism. I pray geneticists never discover how to suppress it. Without patriotism, we will become a second class nation and lose the respect of the world. Being the bastion of Democracy comes with many onerous responsibilities. The vast numbers of our military cemeteries on foreign shores are testament to our commitment to other nations who seek freedom.

Without Veterans, we’d still be using the English currency and affecting  that godawful English accent.

“I say there, old chap. Another spot of Dr. Pepper, eh wot?”

” Aye. Bloody good stuff.”

Happy Veterans Day-even to you John Kerry-

From all of us here at asknod.org

Hug 2015 19

Posted in KP Veterans, Veterans Day | Tagged , , , , , , , , , , , , , , , , , , , , | 3 Comments

In 2008 a Mayo doc answers: ‘Whatever happened to ‘jet injectors?’

Gregory A. Poland, M.D. (LINK) answered this question with the wimpy “possible” word yet then explains plausibility without using the word.

Dear Mayo Clinic,  I remember we used to get vaccines and other shots using an air gun, and lots of people could get shots quickly. I haven’t seen this done for a long time. Why? Were problems discovered with that method? It seems that it would be an efficient way to give flu shots, for instance, in a really short time.

A: Using an air gun — also called a jet injector — is a fast way to deliver vaccines. But jet injectors were discontinued for mass vaccinations about five years ago because of possible health risks.

(So jet injectors weren’t discontinued in the general population until about 2003?)

A jet injector uses high pressure to force a vaccine or other medication through a person’s skin. Their speed made jet injectors very efficient, so many people could be vaccinated quickly. They were often used in the military. Although they weren’t pain-free, jet injectors didn’t involve needles. The result was less discomfort than a needle injection, and they caused less anxiety in people who were afraid of needles.

In some cases, however, jet injectors could bring blood or other body fluids to the surface of the skin while the vaccine was being administered. Those fluids could contaminate the injector, creating the possibility that viruses could be transmitted to another person being vaccinated with the same device.

Of particular concern were viruses transmitted by blood, such as human immunodeficiency virus (HIV), hepatitis B and hepatitis C. HIV can lead to acquired immunodeficiency syndrome (AIDS) — a chronic, life-threatening condition caused by damage to the immune system. Hepatitis can cause chronic inflammation of the liver and lead to serious liver damage.

Veterans born in 1954 had the highest infection rate at 18.4 percent.

image: VA Veterans born in 1954 had the highest infection rate at 18.4 percent.

 

Greater awareness of these diseases and other blood-borne illnesses led to increased scrutiny of ways they might be spread. Although no widespread outbreaks of these diseases were caused by jet injectors,

STOP–he hadn’t heard about the widespread veteran/military outbreaks by 2008?  But he doesn’t claim that NO outbreaks occurred via jet injectors.

the risk of blood and body fluid contamination of the equipment made jet injectors no longer acceptable for vaccinations. Instead, most vaccines now are administered by needle injection, typically in the arm for adults and in the thigh for children.

From his bio: “Dr. Poland’s research has been continuously funded by the National Institutes of Health since 1991.”  He wants to provide information yet not bite the hand that feeds his lab–leaving us to read between the lines. The takeaway is that the risks of jet injectors are “no longer acceptable” but no pointers to actual evidence upon which his opinion is given is provided.

Posted in Guest authors, HCV Health, Jetgun Claims evidence, Medical News, Nexus Information | Tagged , , , , , , , , , , , , , , , , , , , | 3 Comments

CAVC-GAGNE v. McDONALD–JSRRC DUTY TO ASSIST (NOT)

vetcourtappealspromoThe Court hands down precedential decisions on occasion that baffle and are invariably overturned at the Fed. Circus where saner minds prevail. On occasion, when sane minds are assigned to the panel to decide momentous matters in the first instance, there is no need to go higher. Justice can be accomplished in short order by using the computer on your shoulders that you were born with. Here, in spite of two notably anti-Veteran Judges, Friar Greenberg managed to steer them in the right direction.

nvlsp_amy_136_203_70

Amy Odom

Winning these claims also requires a knowledgeable law dog. Mr. David R. Gagne got the dream team from the National Veterans Legal Services Program (NVLSP). David Sonenshine and Bart Stitchman ostensibly have their fingerprints all over this but Amy Odom was the day-to-day shieldbearer for all intents and purposes. I wrote about her successes in Beraud v. Shinseki a few years back. If anything, her prowess before the Courts has increased in the interim.

Few remember the stone age of the Court and a fellow Veteran named Roger Schafrath. Roger actually is remembered for two concepts. Not only was the duty to assist enunciated clearly so as to clarify the concept to VA but also the inadequacy of a single C&P used to reduce an existing rating. Mr David R. Gagne’s decision will turn on the first Schafrath precept of how the duty to assist in a true, nonadversarial method helps the Veteran rather than pay lip service to 38CFR §3.159 while denying him.

I think back to a local  Gyrine Vet here near me named Tom. Tom had HCV and a pretty good idea that the tattoo @ 0200 on shore leave in Da Nang city, Republic of Vietnam was the culprit. Most Marines never recall getting the tattoo but boy howdy do they when they wake up and notice it in the mirror the next day. Tom’s fellow friend aboard ship, a Navy medic, submitted a buddy letter saying he remembered it well and even recited how they carved a perfectly good tattoo of a well-endowed lady off his arm and stitched it up. Not all at once. They did it in stages. She was extremely well-endowed and occupied a lot of  square inches of upper arm. VA discounted the letter as a) no one can remember back that far with any clarity and b) there was no proof they served together on the CG-9 USS Long Beach. The VA rater’s legendary acumen was disproven when Tom pointed out the DD -214 of his buddy clearly stated his posting to the Long Beach during the time in question.

Here, Mr. Gagne was being gigged for not being able to remember the approximate date (to within two months) of the incident upon which he rested his stressor. VA cannot have it both ways. Similarly , the VA’s nonadversarial posture was blatantly on display when it was pointed out that the M 21 manual arbitrarily shitcanned your claim if you could not narrow the time frame to within the two-month window they requested. If you were off by even a day, the claim would be denied for lack of finding it-not that it didn’t exist.

VA clung to the misguided theory that they were not required to  search any further than within whatever two-month period you specified. Since Congress didn’t write this gem into the statute, it appeared to be a little over the top to the judges. Knowing Judge Greenberg, it must have made his skin crawl.

Parts of 38 CFR § 3.159 pertinent to Mr. Gagne read thus:

§ 3.159 Department of Veterans Affairs assistance in developing claims.

(a) (2) Competent lay evidence means any evidence not requiring that the proponent have specialized education, training, or experience. Lay evidence is competent if it is provided by a person who has knowledge of facts or circumstances and conveys matters that can be observed and described by a lay person.

(b)(1) (2) When VA receives a complete or substantially complete application for benefits, it will notify the claimant of any information and medical or lay evidence that is necessary to substantiate the claim (hereafter in this paragraph referred to as the “notice”). In the notice, VA will inform the claimant which information and evidence, if any, that the claimant is to provide to VA and which information and evidence, if any, that VA will attempt to obtain on behalf of the claimant. The information and evidence that the claimant is informed that the claimant is to provide must be provided within one year of the date of the notice. If the claimant has not responded to the notice within 30 days, VA may decide the claim prior to the expiration of the one-year period based on all the information and evidence contained in the file, including information and evidence it has obtained on behalf of the claimant and any VA medical examinations or medical opinions. If VA does so, however, and the claimant subsequently provides the information and evidence within one year of the date of the notice, VA must readjudicate the claim.

(2) If VA receives an incomplete application for benefits, it will notify the claimant of the information necessary to complete the application and will defer assistance until the claimant submits this information.

(c) VA’s duty to assist claimants in obtaining evidence. Upon receipt of a substantially complete application for benefits, VA will make reasonable efforts to help a claimant obtain evidence necessary to substantiate the claim. In addition, VA will give the assistance described in paragraphs (c)(1), (c)(2), and (c)(3) to an individual attempting to reopen a finally decided claim. VA will not pay any fees charged by a custodian to provide records requested.

(2) Obtaining records in the custody of a Federal department or agency. VA will make as many requests as are necessary to obtain relevant records from a Federal department or agency. These records include but are not limited to military records, including service medical records; medical and other records from VA medical facilities; records from non-VA facilities providing examination or treatment at VA expense; and records from other Federal agencies, such as the Social Security Administration. VA will end its efforts to obtain records from a Federal department or agency only if VA concludes that the records sought do not exist or that further efforts to obtain those records would be futile. Cases in which VA may conclude that no further efforts are required include those in which the Federal department or agency advises VA that the requested records do not exist or the custodian does not have them.

(i) The claimant must cooperate fully with VA’s reasonable efforts to obtain relevant records from non-Federal agency or department custodians. The claimant must provide enough information to identify and locate the existing records

Mr. Gagne lost below at the BVA because he could not narrow the window of his stressor to a two-month period. VA, using the M 21 Manual, an instructional “how-to” on claims adjudications that is nowhere to be found in 38 USC or 38 CFR, denied  him. This was the problem that the VA Secretary finally had to admit was not according to Hoyle.

Granted, Veterans are not (and should not be)  given a ten-year search window to find the stressor. Shrinking it down to two-months, however,  is going too far in the opposite direction. The Gagnemeister had it down to a year and the actual unit he was assigned to. That would be enough to find the event that provoked the bent brain but VA was disinclined to waste that much time on it. Note that they never determined the records didn’t exist. This is what the Courts call “an absurd reading of the law that Congress never intended.”  We in the legal theatre call it par for the course when dealing with these peter puffers.

To get around it, and to let the VA keep their precious M 21 language intact, Judge Greenberg merely ordered the VA to search in two-month increments for all of the year that Mr. Gagne was in Thailand until they found the corpus delecti. If said body was not unearthed then the duty to assist had been afforded him and the denial would be legal.

Another obvious error in this was also glaring. Mr. Gagne had informed the RO that he was waiting for his records from the NPRC to help substantiate this event. VA knew full well there was nothing of substance there that would help. Furthermore, they had the very same records before them and never intimated they possessed them. Had David known this, he could have asked for assistance at the National Archives and succeeded in obtaining what was needed there.

Finally, we are to believe that since there are only 13 full-time employees of the JCRRS, the VA is not obligated to go further afield or be more diligent in their search. Seems to me, the JCRRS needs to follow VA’s lead and hire about 5,000 guys in order to get the same amount of output of 100. Since the majority of JCRRS’ workload is strictly of VA origin, if they are overwhelmed they should ask for more funding before VA initiates insane internal “guidance” abrogating their responsibility in the duty to assist. How else are we to read it?

Of course, five minutes before Judge Greenberg’s staff attorneys began writing up the vacate and remand, the OGC tried to weasel out of the 60-day abortion and say that the M 21 is merely an “Instructional aid to adjudication” and by no means does it order a rater to offer only one 60-day window of search…

The Secretary wishes to clarify that his view of the M-21-1 Manual provisions in question is that they are in fact guidance to adjudicators, and nothing more. Although not well articulated at argument, counsel for the Secretary attempted to explain that the provisions of the M21-1 Manual referencing requests to JSRRC in terms of sixty-day time frames are simply guidance to adjudicators; not a prohibition against multiple requests. See, e.g., Guerra v. Shinseki, 642 F.3d 1046, 1050–51 (Fed. Cir. 2011) (acknowledging the Secretary’s position that the M21-1 Manual is primarily “‘an internal manual used to convey guidance to VA adjudicators [and] not intended to establish substantive rules beyond those contained in statutes and regulations’” (quoting 72 Fed. Reg. 66,218 (Nov. 27, 2007) (alteration in original));

With the advent of the new Fully Developed Claim (FDC), more and more Veterans are collecting their own evidence and taking the onus of the search off VA. If this is the case, logic dictates the workload of the JSRRC must be declining by rights. Try explaining that anomaly to the VA bean counters.

Here’s the Gagne CAVC decision and his BVA hanging. I get the biggest bang out of this when the OGC has to “reexplain” how their oral brief or answer to the Appeal contentions always changes into a “Perhaps we weren’t clear in our arguments, your Honor. We certainly didn’t mean to imply that the rater only had to limit his search to one sixty-day window. That was error on his part and fortunately we caught it after we got here. No harm, no foul.”

Gagne_14-334

Gagne BVA

Posted in BvA Decisions, CAVC ruling, Duty to Assist | Tagged , , , , , , , , , , , , , , , , , , , , , , , | 2 Comments

VA HUNGRY HIPPOS–TOMAH STYLE

vet pumpkinIt’s the Thorazine-and a lot more. Remember the old Coors commercial? I give  VAMC Tomah high marks for wanting to increase their morale. Très expensive but still cheaper than SES moving costs from DC to Philly. All I have is images of patients futilely pushing their call buttons and being ignored for hours. I experienced that first hand in 2009-10 during my VAMC Seattle staycation.

A big thank you to Ben Krause of DisabledVets.org for his cutting edge journalism. Onward through the blog.

Posted in VA Health Care, VA Medical Mysteries Explained | Tagged , , , , , , , , , , , , , , , | 1 Comment