BVA9502438 DOCKET NO. 93-05 957 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in Hartford, Connecticut THE ISSUE Entitlement to a compensable evaluation for asbestos-related pleural disease. REPRESENTATION Appellant represented by: Disabled American Veterans WITNESS AT HEARING ON APPEAL Appellant ATTORNEY FOR THE BOARD Patrick J. Costello, Associate Counsel INTRODUCTION The veteran had active military service from July 1958 to May 1962. This matter came before the Board of Veterans' Appeals (hereinafter the Board) on appeal from a March 1992 rating decision of the Department of Veterans Affairs (VA) Regional Office (RO), in Hartford, Connecticut. This decision granted the veteran's claim for entitlement to service connection for a lung condition secondary to asbestos exposure. The veteran however appeals the assignment of a noncompensable evaluation for this disability. CONTENTIONS OF APPELLANT ON APPEAL The veteran avers that the RO erred when it failed to assign a compensable disability rating for his asbestos-related pleural disease. He states that he suffers from shortness of breath and experiences pain in his side. He further contends that his exposure to asbestos has decreased his lung capacity, thus restricting the type of activities he may pursue. DECISION OF THE BOARD The Board, in accordance with the provisions of 38 U.S.C.A. § 7104 (West 1991), has reviewed and considered all of the evidence and material of record in the veteran's claims file. Based on its review of the relevant evidence in this matter, and for the following reasons and bases, it is the decision of the Board that the preponderance of the evidence is against a compensable evaluation for pleural disease secondary to exposure to asbestos. FINDINGS OF FACT 1. All relevant evidence necessary for an equitable disposition of the veteran's appeal has been obtained by the agency of original jurisdiction. 2. The veteran has slight dyspnea on exertion after cutting the grass or walking approximately one mile; pulmonary function tests are within normal limits, and the lung function is entirely normal. 3. Neither an exceptional nor unusual disability picture has been presented so as to render impractical the application of the regular schedular standards. CONCLUSION OF LAW The criteria for compensable evaluation for pleural disease secondary to exposure to asbestos have not been met. 38 U.S.C.A. §§ 1155, 5107(a) (West 1991); 38 C.F.R. §§ 3.321(b)(1), 4.1, 4.2, 4.7, 4.10, Part 4, Diagnostic Code 6802 (1994). REASONS AND BASES FOR FINDINGS AND CONCLUSION In accordance with 38 U.S.C.A. § 5107 (West 1991), and Murphy v. Derwinski, 1 Vet.App. 78 (1990), the appellant has presented a well-grounded claim. The facts relevant to this appeal have been properly developed and the obligation of the Department of Veterans Affairs (VA) to assist the veteran in the development of his claim has been satisfied. Id. Disability evaluations are based upon the average impairment of earning capacity as determined by a schedule for rating disabilities. 38 U.S.C.A. § 1155 (West 1991); 38 C.F.R. Part 4 (1994). Separate rating codes identify the various disabilities. 38 C.F.R. Part 4 (1994). In determining the current level of impairment, the disability must be considered in the context of the whole recorded history, including service medical records. 38 C.F.R. §§ 4.2, 4.41 (1994). An evaluation of the level of disability present also includes consideration of the functional impairment of the veteran's ability to engage in ordinary activities, including employment, and the effect of pain on the functional abilities. 38 C.F.R. §§ 4.10, 4.40, 4.45, and 4.59 (1994). While in service, the veteran was exposed to asbestos as a result of his service in the U.S. Navy. In 1985, he started to develop pain and restriction in his chest for which he sought medical treatment. Upon undergoing radiological and pulmonary function tests, he was diagnosed as suffering from pleural disease. He continued to be seen by private physicians and in 1991 he applied for VA compensation benefits. The private medical results were forwarded to the RO, and the veteran underwent a VA Compensation and Pension Examination in January 1992. In March 1992, the RO granted service connection for this disability and assigned a noncompensable disability evaluation. VA Form 21-6796, Rating Decision, March 16, 1992. Upon receiving notification of the rating evaluation, the veteran appealed the decision claiming that his disability was more disabling than currently rated. The veteran's disability is evaluated as unspecified pneumoconiosis under 38 C.F.R. Part 4, Diagnostic Code 6802 (1994). The schedular rating table for this condition is as follows: Pronounced; with extent of lesions comparable to far advanced pulmonary tuberculosis or pulmonary function tests confirming a markedly severe degree of ventilatory deficit; with dyspnea at rest and other evidence of severe impairment of bodily vigor producing total incapacity. 100 percent disability evaluation. Severe; extensive fibrosis, severe dyspnea on slight exertion with corresponding ventilatory deficit confirmed by pulmonary function tests with marked impairment of health. 60 percent disability evaluation. Moderate; with considerable pulmonary fibrosis and moderate dyspnea on slight exertion, confirmed by pulmonary function tests. 30 percent disability evaluation. Definitely symptomatic with pulmonary fibrosis and moderate dyspnea on extended exertion. 10 percent disability evaluation. Since filing his notice of disagreement, the veteran has undergone additional pulmonary function tests. The results of those tests, and also those conducted in 1988 and 1990 are listed below. PFT 1/6/88 PFT 10/26/90 PFT 1/13/92 PFT 8/21/92 FVC 75% of predicted (Class 2 - Mild Impairment) 92% of predicted (Class 1 - No Impairment) 90% of predicted (Class 1 - No Impairment) 92% of predicted (Class 1 - No Impairment) FEV1 87% of predicted (Class 1 - No Impairment) 103% of predicted (Class 1 - No Impairment) 102% of predicted (Class 1 - No Impairment) 106% of predicted (Class 1 - No Impairment) FEV1/FVC 116% of predicted (Class 1 - No Impairment) 89% of predicted (Class 1 - No Impairment) 90% of predicted (Class 1 - No Impairment) 114% of predicted (Class 1 - No Impairment) These past four pulmonary function tests results reported that the veteran is currently not suffering from any noticeable impairment of the whole person. Additionally, the veteran's most recent private physician's report noted that the veteran was not suffering from any particular symptom. Letter from Dr. M. B. Russi, January 13, 1992. That is, he has not reported a chronic cough or the coughing up of bloody sputum. Further, the physician recorded that the veteran was not having arm pain, nausea, vomiting, or prolonged shortness of breath. No clubbing, cyanosis, or edema of the extremities was shown. The physician reported that the lung function was entirely normal. The VA Compensation and Pension Examination, conducted that same month, found that the veteran's respiratory rate was unlabored. VA Compensation and Pension Examination, January 21, 1992. The veteran did report however that he had limited exercise tolerance. While the physician noted that the veteran reported previous rales, upon examination, his lungs were otherwise clear. A chronic cough was not present. The results from this examination essentially mirrored the results obtained by the veteran's private physicians, Dr. M. B. Russi, on January 13, 1992, Dr. S. N. Mohr, on January 10, 1991, and Dr. D. Baillargeon, on January 18, 1988. Evidence has not been presented which would indicate that the veteran's disability is of such severity as to be classified as mildly disabling. While the veteran reports that the pleural disease causes moderate dyspnea on exertion, there is no symptomatic pulmonary fibrosis. Thus, while the lungs do show degenerative changes due to the veteran's exposure to asbestos, causing the veteran to complain of occasional discomfort, the objective findings do not support a compensable evaluation. Accordingly, the preponderance of the evidence is against the claim for an increased evaluation for a pleural disease secondary to exposure to asbestos. 38 U.S.C.A. §§ 1155, 5107 (West 1991); 38 C.F.R. §§ 3.321(b), 4.1, 4.2, 4.10, Part 4, Diagnostic Code 6802 (1993). Consideration has also been given to the potential application of the extraschedular evaluation provisions of 38 C.F.R. § 3.321(b) (1994). The evidence does not present such an exceptional or unusual disability picture as to render impractical the application of the regular schedular standards. Specifically, there has not been a demonstration of marked interference with employment or frequent periods of hospitalization so as to render impractical the application of the regular schedular criteria. ORDER Entitlement to a compensable evaluation for pleural disease secondary to asbestos exposure is denied. BETTINA S. CALLAWAY Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a determination. This proceeding has been assigned to an individual member of the Board. NOTICE OF APPELLATE RIGHTS: Under 38 U.S.C.A. § 7266 (West 1991), a decision of the Board of Veterans' Appeals granting less than the complete benefit, or benefits, sought on appeal is appealable to the United States Court of Veterans Appeals within 120 days from the date of mailing of notice of the decision, provided that a Notice of Disagreement concerning an issue which was before the Board was filed with the agency of original jurisdiction on or after November 18, 1988. Veterans' Judicial Review Act, Pub. L. No. 100-687, § 402 (1988). The date which appears on the face of this decision constitutes the date of mailing and the copy of this decision which you have received is your notice of the action taken on your appeal by the Board of Veterans' Appeals.