Citation Nr: 0809914 Decision Date: 03/25/08 Archive Date: 04/09/08 DOCKET NO. 05-06 283 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Nashville, Tennessee THE ISSUE Entitlement to service connection for a right hand disability. REPRESENTATION Veteran represented by: Tennessee Department of Veterans' Affairs ATTORNEY FOR THE BOARD T. Azizi-Barcelo, Associate Counsel INTRODUCTION The veteran, who is the appellant, served on active duty from June 1978 to June 1982. He also had a subsequent period of service in a reserve component. This matter is before the Board of Veterans' Appeals (Board) on appeal of a rating decision in April 2003 of the Department of Veterans Affairs (VA) Regional Office (RO) in Nashville, Tennessee. In January 2007, the Board remanded the case for further development. The requested development was not completed, so further action is necessary to comply with the Board's remand directive. Stegall v. West, 11 Vet. App. 268 (1998). The appeal is REMANDED to the RO via the Appeals Management Center in Washington, DC. VA will notify the appellant if further action is required. REMAND In January 2007, the Board remanded the case for further development to include affording the veteran a VA orthopedic examination. The record shows that the veteran was scheduled twice for VA examinations, but each time, it was noted that the examination had been cancelled due to the veteran's failure to report for the examination. It is apparent that notice was mailed to the wrong address. Notices of the scheduled examination in April 2007 and May 2007, as well as an October 2007 supplemental statement of the case, listed an apartment unit number different from the one provided by the veteran in January 2005 and contained in the file as his most recent address of record. Although the notices were not returned to VA as undeliverable by the United States Postal Service, the notices were clearly sent to the wrong address. In order to ensure due process, the case is REMANDED for the following action: 1. Ensure that any notice or correspondence to the veteran is mailed to his address of record. See the January 2005 Request for Change of Address Form. 2. Schedule the veteran for a VA orthopedic examination. The examiner is asked to determine whether the veteran has a right hand disability, and, if so, whether it is at least as likely as not that the current right hand disability, is related to service. The claims folder must be reviewed by the examiner. The examiner is asked to comment on the clinical significance of the entry in the service medical records in September 1980, documenting a sprained fifth finger of the right hand, and the X-ray report in 2005, showing mild osteoarthritic change at the first metacarpophalangeal joint of the right fifth finger. In formulating the opinion, the examiner is asked to consider that the term "at least as likely as not" does not mean "within the realm of possibility, rather it means that the weight of the medical evidence both for and against the conclusion is so evenly divided that it is as medically sound to find in favor of the conclusion as it is to find against the conclusion. 3. After the above development is completed, adjudicate the claim. If the benefit sought is denied, provide the veteran a supplemental statement of the case and return the case to the Board. The veteran has the right to submit additional evidence and argument on the matter the Board has remanded. Kutscherousky v. West, 12 Vet. App. 369 (1999). This claim must be afforded expeditious treatment. The law requires that all claims that are remanded by the Board of Veterans' Appeals or by the United States Court of Appeals for Veterans Claims for additional development or other appropriate action must be handled in an expeditious manner. 38 U.S.C.A. §§ 5109B, 7112 (West Supp. 2007). _________________________________________________ George E. Guido Jr. Veterans Law Judge, Board of Veterans' Appeals Under 38 U.S.C.A. § 7252 (West 2002), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Appeals for Veterans Claims. 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) (2007).