Citation Nr: 0006792 Decision Date: 03/14/00 Archive Date: 03/17/00 DOCKET NO. 94-25 922 ) DATE ) ) On appeal from the Department of Veterans Affairs (VA) Regional Office (RO) in Pittsburgh, Pennsylvania THE ISSUE Entitlement to service connection for post-traumatic stress disorder (PTSD). REPRESENTATION Appellant represented by: The American Legion ATTORNEY FOR THE BOARD R. T. Jones, Counsel INTRODUCTION The veteran served on active duty from July 1966 to February 1970. This matter comes to the Board of Veterans' Appeals (Board) from an August 1993 RO decision which denied service connection for PTSD. The veteran failed to report for an RO hearing in 1994. The file shows that the RO previously denied service connection for PTSD in March 1985, and the veteran did not perfect an appeal from that determination by filing a timely substantive appeal. In its August 1993 decision, the RO did not address the issue of finality of its prior decision which denied service connection for PTSD, although failure to do so did not prejudice the veteran. Under the circumstances of this case, the Board will address the issue of service connection for PTSD on a de novo basis. This is the only issue on appeal at this time. The Board notes that an issue of service connection for any other psychiatric disorder is not on appeal at this time. A claim for service connection for schizophrenia was denied by the Board in April 1973, and the Board denied an application to reopen the claim in March 1980. In a November 1993 statement, the veteran's representative argued that service connection should be granted for a psychosis. Reopening of the claim for service connection for a psychosis would require new and material evidence. The file shows that the RO attempted to develop this issue, by scheduling the veteran for a VA examination in 1997, but he failed to report. The issue of an application to reopen a claim for service connection for a psychosis has not been procedurally developed for appellate review, is not before the Board at this time, and is referred to the RO for any indicated action. FINDING OF FACT The veteran has not presented competent evidence of a plausible claim for service connection for PTSD. CONCLUSION OF LAW The claim for service connection for PTSD is not well grounded. 38 U.S.C.A. § 5107(a) (West 1991). REASONS AND BASES FOR FINDING AND CONCLUSION The veteran served an active duty in the Air Force from July 1966 to February 1970; his service included duty in Vietnam; and he performed duties of a mechanic. The veteran's service medical records note no psychiatric disorder. At his service separation examination, he gave a history of frequent trouble sleeping and infrequent bed wetting since he came to Vietnam, and he associated this with rocket attacks and anxiety secondary to being in Vietnam. The psychiatric system was normal on objective clinical evaluation. Post-service medical records beginning in October 1971 (more than a year after service), and continuing into the 1990s, show the veteran was diagnosed and treated for schizophrenia. None of the medical records show a diagnosis of PTSD. On an April 1993 VA examination to determine the presence of PTSD, the examiners (both a psychologist and a psychiatrist) reviewed the veteran's clinical history, including the claims file. Following examination, the diagnosis was schizophrenia. The examiners noted that nowhere in the records had a diagnosis of PTSD been entertained as a possibility. The veteran claims service connection for PTSD as the result of alleged stressors during Vietnam service. Service connection may be granted for a disability due to a disease or injury which was incurred in or aggravated by service. 38 U.S.C.A. § 1110; 38 C.F.R. § 3.303. Among the specific requirements for service connection for PTSD is a proper diagnosis of the condition. 38 C.F.R. § 3.304(f). The veteran's claim presents the threshold question of whether he has met his initial burden of submitting evidence to show that his claim is well grounded, meaning plausible. If he has not presented evidence that his claim is well grounded, there is no duty on the part of the VA to assist him with his claim, and the claim must be denied. 38 U.S.C.A. § 5107(a); Grivois v. Brown, 6 Vet. App. 136 (1994). For the veteran's claim to be plausible or well grounded, it must be supported by competent evidence, not just allegations. Tirpak v. Derwinski, 2 Vet. App. 609 (1992). In order for a service connection claim to be well grounded, there must be competent evidence of current disability (a medical diagnosis); of incurrence or aggravation of a disease or injury in service (medical evidence, or, in some circumstances, lay evidence), and of a nexus between the in- service injury or disease and the current disability (medical evidence). Caluza v. Brown, 7 Vet. App. 498 (1995). The evidence shows that the veteran was diagnosed with schizophrenia after service. None of the medical records on file, including the latest VA examination, shows a diagnosis of PTSD. Without a current diagnosis of PTSD, the claim for service connection is not well grounded. Caluza, supra; Rabideau v. Derwinski, 2 Vet. App. 141 (1992). Since the veteran has not met his initial burden of presenting evidence of a well-grounded claim for service connection for PTSD, his claim must be denied. 38 U.S.C.A. § 5107(a). ORDER Service connection for PTSD is denied. L. W. TOBIN Member, Board of Veterans' Appeals