Citation Nr: 1031295 Decision Date: 08/19/10 Archive Date: 08/24/10 DOCKET NO. 07-16 729 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in Waco, Texas THE ISSUE Entitlement to service connection for posttraumatic stress disorder. REPRESENTATION Veteran represented by: Texas Veterans Commission ATTORNEY FOR THE BOARD Motrya Mac, Counsel INTRODUCTION The veteran, who is the appellant, served on active duty from September 1972 to August 1975. This matter is before the Board of Veterans' Appeals (Board) on appeal of a rating decision, dated in August 2006, of a Department of Veterans Affairs (VA) Regional Office (RO). In February 2009, the Board reopened the claim of service connection for posttraumatic stress disorder and remanded the underlying issue of service connection for further development. As the requested development has been completed, no further action to ensure compliance with the remand directive is required. Stegall v. West, 11 Vet. App. 268 (1998). The appeal is REMANDED to the RO via the Appeals Management Center in Washington, DC. REMAND The Veteran has identified as a noncombat in-service stressor an incident in service at Fort Hood, Texas, while on a training exercise, he cleared a burning smoke grenade that accidently landed on a 5,000 gallon fuel tanker filled with JP4 fuel. This incident is documented in the service personnel records. On VA general examination in August 2003, the impression was posttraumatic stress disorder, but no stressor was identified to support the finding. VA records in April 2006 show the Veteran did not meet the criteria for posttraumatic stress disorder under DSM IV. As the Veteran has identified a noncombat in-service stressor, which is documented, and as the record is insufficient to decide the claim, further development under the duty to assist is needed. Accordingly, the case is REMANDED for the following action: 1. Afford the Veteran a VA psychiatric examination, including psychological testing for posttraumatic stress disorder, to determine whether the Veteran has posttraumatic stress disorder and, if so, whether posttraumatic stress disorder is at least as likely as not related to the in- service incident in which the Veteran cleared a smoke grenade from a fuel tanker in February 1974 at Fort Hood, Texas. In formulating the opinion, the examiner is to consider that there is no evidence that the Veteran served in Vietnam or that he experienced hostile military or terrorist activity, while he was in service. 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 medically sound to find in favor of causation as it is to find against causation The claims folder must be made available for review by the examiner. 2. After the above development is completed, adjudicate the claim of service connection for posttraumatic stress disorder. If the benefit sought remains denied, provided the Veteran and his representative 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. 2009). _________________________________________________ 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) (2009).