Citation Nr: 1032265 Decision Date: 08/27/10 Archive Date: 09/01/10 DOCKET NO. 06-31 857A ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in St. Petersburg, Florida THE ISSUE Entitlement to service connection for headaches. REPRESENTATION Veteran represented by: The American Legion WITNESSES AT HEARING ON APPEAL Veteran and spouse ATTORNEY FOR THE BOARD J. W. Kim, Counsel INTRODUCTION The Veteran had active service from April 1959 to April 1967, including service in the Republic of Vietnam. This matter comes before the Board of Veterans' Appeals (Board) on appeal from a March 2006 rating decision issued by the Department of Veterans Affairs (VA) Regional Office (RO) in St. Petersburg, Florida. In January 2007, the Veteran testified during a hearing before a Decision Review Officer at the RO. A transcript of that hearing is of record. Although the Veteran indicated a desire for a Board hearing on his VA Form 9, he later withdrew his request. The appeal is REMANDED to the RO via the Appeals Management Center (AMC), in Washington, DC. VA will notify the Veteran if further action is required. REMAND The Veteran contends that he has had headaches since returning from Vietnam. His service treatment records do not reflect complaints of frequent or severe headaches. They do show complaints of headaches associated with colds. They also indicate that he may have had sinus problems. Post service, November 1972 VA hospital records reflect a history of headaches since 1965 or 1967 and of sinus problems for many years. Studies were planned and he was to be admitted, but he left against medical advice. Medical records from his employer from 1978 to 1995 reflect sporadic complaints of headaches. VA treatment notes from as early as August 2003 show that he still suffers from his headaches, diagnosed simply as chronic headaches. They also show a history of seasonal allergies and a recent diagnosis of adult onset diabetes mellitus. The Board finds that the Veteran is competent to report having headaches since service. See Layno v. Brown, 6 Vet. App. 465, 470 (1994); Grottveit v. Brown, 5 Vet. App. 91, 93 (1993). Given the competent evidence of persistent or recurrent symptoms of disability since service, medical evidence of headaches since 1972, and a current diagnosis of chronic headaches, the RO should schedule the Veteran for a VA examination to determine whether his headache disability had its onset in service or within one year thereafter or is etiologically related to service. See 38 C.F.R. § 3.159(c)(4) (2009); McLendon v. Nicholson, 20 Vet. App. 79 (2006). Accordingly, the case is REMANDED for the following actions: 1. The RO should schedule the Veteran for a VA examination to determine the nature, extent, and etiology of his headaches. His claims file should be made available to and reviewed by the examiner in conjunction with the examination. All indicated tests should be conducted. The examiner should provide an opinion on whether it is at least as likely as not (50 percent or greater probability) that the headache disability had its onset in service or within one year thereafter or is etiologically related to service. A complete rationale should be given for all opinions and conclusions. 2. Thereafter, the RO should readjudicate the claim. If the benefit sought on appeal remains denied, the Veteran and his representative should be provided a supplemental statement of the case and given an opportunity to respond. The appellant has the right to submit additional evidence and argument on the matter or matters 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. See 38 U.S.C.A. §§ 5109B, 7112 (West Supp. 2009). _________________________________________________ DEBORAH W. SINGLETON 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).