Citation Nr: 21041845 Decision Date: 07/10/21 Archive Date: 07/10/21 DOCKET NO. 15-05 798 DATE: July 10, 2021 REMANDED Entitlement to service connection for narcolepsy is remanded. Entitlement to service connection for restless leg syndrome is remanded. REASONS FOR REMAND The Veteran served on active duty in the U.S. Navy from October 1980 to June 2001. The Veteran appeals the denial of service connection for narcolepsy and restless leg syndrome. He argues that his conditions began in service around the early 1990s and both have continued since that time. When this appeal was last before the Board in June 2019, it was determined that further development was needed to include affording the Veteran a VA examination by a medical doctor. While the Veteran was afforded a VA examination in September 2020, the examination was conducted by a nurse practitioner not a medical doctor as requested. As the Veteran indicated in his November 2020 statement, the remand directives of the Board were not followed. A Court or Board remand confers upon the Appellant the right to compliance with that order. Stegall v. West, 11 Vet. App. 268, 271 (1998). As the remand directives of June 2019 were not followed, the AOJ is again requested to comply with the Board's remand directives as stated below. The matters are REMANDED for the following action: Schedule the Veteran for a VA examination by a medical doctor to determine if his currently diagnosed and treated narcolepsy and/or restless leg syndrome is related to service and/or related to his service-connected disabilities. Access to the electronic claims file must be made available to the examiner for review. After examination and review of the record, the examiner must opine whether it is at least as likely as not, i.e., is there a 50/50 chance that the Veteran's narcolepsy and/or restless leg syndrome had its onset in service or was caused by service; or whether it is at least as likely as not, i.e., is there a 50/50 chance that the Veteran's disability was caused and/or aggravated (an incremental increase in disability even if only occurring during flares) of the disorder by the service-connected obstructive sleep apnea, tinnitus and/or chronic sinusitis. In doing so, the examiner must address: (1) the Veteran's claim of a symptoms that started in service and that have continued since that time, (2) the January 2019 opinion of Dr. M and (3) the Veteran's claim that his sleep apnea and narcolepsy are related to the large amounts of rotating shift work while in the Navy essentially from 1984 through 1997 with only a limited amount of time not on shift work interspersed throughout. The examiner should comment on whether there is any medical reason to accept or reject the Veteran's belief that symptoms that he experienced in service represented the onset of narcolepsy and/or restless leg syndrome. A complete, well-reasoned rationale must be provided for all opinions offered. The examiner must reconcile any opinion with the lay statements and testimony of the Veteran. T. MAINELLI Veterans Law Judge Board of Veterans' Appeals Attorney for the Board T.S. Willie The Board's decision in this case is binding only with respect to the instant matter decided. This decision is not precedential and does not establish VA policies or interpretations of general applicability. 38 C.F.R. § 20.1303.