Citation Nr: 0841898 Decision Date: 12/05/08 Archive Date: 12/17/08 DOCKET NO. 06-21 998 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Waco, Texas THE ISSUES 1. Entitlement to service connection for pneumonia. 2. Entitlement to service connection for right inguinal hernia. 3. Entitlement to service connection for residuals of myocardial infarction. WITNESSES AT HEARING ON APPEAL Appellant and Dr. Bash ATTORNEY FOR THE BOARD Motrya Mac, Associate Counsel INTRODUCTION This appeal arises before the Board of Veterans' Appeals (BVA or Board) from a May 2006 decision of the Department of Veterans Affairs (VA) Regional Office (RO) in Waco, Texas that denied the benefits sought on appeal. The veteran had active service from March 1984 to March 1986 and additional service with the Texas Army National Guard from July 2002 to July 2004. REMAND A preliminary review of the record discloses a need for further development prior to final appellate review. In this regard, in November 2008, the veteran timely submitted to the Board additional evidence without a waiver of the right to have the evidence initially considered by the RO. 38 C.F.R. § 20.1304. The evidence consists of a statement of a private physician, who expressed the opinion that the veteran's hernia and myocardial infraction were due to service. As the medical evidence has not been initially considered by the RO, and the veteran has not waived this right, further development is required. In addition in October 2008, the veteran testified that he had chest x-rays taken and that, essentially, this evidence was relevant to his claim. This medical evidence is not in the claims folder and needs to be associated with the file. Therefore, in order to give the veteran every consideration with respect to the present appeal, it is the Board's opinion that further development of the case is necessary. This case is being returned to the RO via the Appeals Management Center (AMC) in Washington, D.C., and the veteran will be notified when further action on his part is required. Accordingly, this case is REMANDED for the following action: 1. The RO/AMC should ask the veteran to specify where and when he has received treatment for residuals of pneumonia, right inguinal hernia and myocardial infarction after separation from service in March 1986 and prior to his National Guard service in July 2002, as well as after his National Guard service July 2004. The veteran should also be requested to clarify where and when the x-rays of the chest he testified about at his BVA hearing were taken. The veteran should further be requested to provide an authorization to obtain the records. 2. After the development requested in the first paragraph has been complete, the RO/AMC should review the record and determine if the medical evidence is sufficient to decide the claims. If not, the RO/AMC should arrange for the appropriate VA examinations and/or medical opinions. 3. When the development requested has been completed, the case should again be reviewed by the RO on the basis of the additional evidence, including the additional evidence submitted to the Board following the veteran's BVA hearing. If the benefits sought are not granted, the veteran should be furnished a Supplemental Statement of the Case, and be afforded a reasonable opportunity to respond before the record is returned to the Board for further review. The purpose of this REMAND is to obtain additional development, and the Board does not intimate any opinion as to the merits of the case, either favorable or unfavorable, at this time. The veteran is free to submit any additional evidence and/or argument he desires to have considered in connection with his current appeal. Kutscherousky v. West, 12 Vet. App. 369 (1999). No action is required of the veteran until he is notified. _________________________________________________ RAYMOND F. FERNER Acting 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) (2008).