BVA9501913 DOCKET NO. 93-11 568 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in St. Petersburg, Florida THE ISSUES 1. Entitlement to an increased disability rating for a chronic pulmonary disease, currently evaluated as 30 percent disabling. 2. Entitlement to an increased (compensable) disability evaluation for chondromalacia of the right knee. 3. Entitlement to an increased (compensable) disability evaluation for chondromalacia of the left knee. REPRESENTATION Appellant represented by: The American Legion WITNESS AT HEARINGS ON APPEAL Appellant ATTORNEY FOR THE BOARD R. M. Yonemoto, Counsel INTRODUCTION The veteran had active service from October 1972 to September 1975. This case comes before the Board of Veterans' Appeals (Board) on appeal from rating decisions of July 1991 and May 1992 by the Department of Veterans Affairs (VA), Regional Office (RO) in St. Petersburg, Florida. A hearing was held in January 1994 by a member of the Board. REMAND A rating action of March 1976 granted service connection for asthma. In a rating decision of May 1981, the RO recharacterized the service-connected pulmonary condition as chronic obstructive pulmonary disease. The veteran argues that he has had frequent episodes of asthmatic attacks which impair his ability to work. At a personal hearing on appeal in the RO in April 1992, he testified that he was employed as a probation officer for the State of Florida and that his pulmonary condition impaired his ability to work. During a hearing at the Board in January 1994, his representative pointed out that the veteran had not received full consideration of his claim because his treatment records since June 1992 were not in the claims folder. The veteran indicated that he was currently receiving treatment at the VA Allergy and Primary Care Clinic in Tampa, Florida. These treatment records, however, are not on file. The veteran also asserted that he had not had a comprehensive VA examination of his service-connected knee disability. At the latest hearing, he stated that there was a mistake in scheduling him for a disorder not pertinent herein instead for his service- connected knee disability. In view of the foregoing, the Board is of the opinion that the veteran's case should be REMANDED to the RO for the following actions: 1. The RO should attempt to obtain and associate with the claims folder copies of recent treatment reports, not already on file, including those referred to above. The veteran should be requested to assist in this matter. 2. The RO should also obtain and associate with the claims folder copies of the records on the veteran's work attendance from the State of Florida Office of Probation Officers. The veteran should be requested to provide any releases necessary to obtain those records. 3. The RO should schedule the veteran for a special VA orthopedic examination to determine the severity and extent of his service-connected bilateral chondromalacia. The examination should be conducted in accordance with the Physician's Guide for Disability Evaluation Examinations. The examiner should be requested to determine whether there is pain on motion. All indicated laboratory studies and tests should be conducted. The claims folder should be made available to the examiner prior to the examination in order to obtain a true picture of the veteran's knee condition. 4. The RO should again schedule the veteran for a special VA pulmonary examination to determine the nature, severity and extent of his service- connected pulmonary disability. The examination should be conducted in accordance with the Physician's Guide for Disability Evaluation Examinations. All indicated laboratory studies, including pulmonary function tests and spirometry, should be conducted. The examiner should be requested to provide an opinion as to the extent of impairment, especially with respect to manual labor, as reflected by the clinical and laboratory findings. The claims folder should be made available to the examiner prior to the examination for his or her use in obtaining an overall picture of the veteran's service-connected pulmonary impairment. When the above development is completed, the case should be reviewed by the RO. If the decision remains adverse to the veteran, he and his representative should be furnished a supplemental statement of the case and be afforded an opportunity to respond thereto. The case should then be returned to the Board for further appellate consideration. No action is required of the veteran until he receives further notice. The purpose of this REMAND is to procure clarifying data. J. U. JOHNSON 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. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).