The veteran does not have osteoarthritis or peripheral vascular disease as the result of disease or injury that was incurred during his active military service. The claims for increased ratings for bilateral hearing loss and otitis media were denied.

The Board denied service connection for multiple conditions, including rheumatoid arthritis, right hip degenerative joint disease and rheumatoid arthritis with acetabular cyst status post right total hip replacement, osteoarthritis, psoriatic arthritis, hypertension, prostate cancer, diabetes mellitus type II, fever sores, and a compromised immune system, as the evidence did not support a finding of service connection for any of these conditions.

The appeal for special monthly pension (SMP) based on the need for regular aid and attendance or housebound status is remanded to ensure that the appellant receives every possible consideration, including a new VA examination.

The Board denied service connection for a left ankle disability, low back disability, right knee disability, and left knee disability as the evidence did not support that these conditions were incurred in or aggravated by active service.

The Board remands the claim for service connection for peripheral vascular disease to ensure that the RO substantially complies with its previous remand directives.