The Veteran received emergency medical treatment for hypertension and dizziness at a private hospital. The treatment was deemed necessary due to the severity of his symptoms, which included high blood pressure readings over 200, extreme weakness, dizziness, shortness of breath, and cold sweats. Given that a VA facility was not feasibly available and delay in seeking medical attention would have been hazardous, the Veteran's claim for payment or reimbursement is granted.

The Board granted an effective date of October 21, 2021, for the grant of service connection for hypertension.

The appeal for a compensable rating for left ear hearing loss, service connection for right ear hearing loss, and bilateral vision condition was dismissed. Service connection for hypertension, congestive heart failure, and coronary artery disease was denied.

The Board denied service connection for various conditions, including prostate cancer and related disabilities, urinary incontinence, sleep apnea, hypertension, varicose veins, lumbar spine disability, hip arthritis, shoulder arthritis, ankle arthritis, knee strain, knee replacement, and hand arthritis. The only condition granted was a 10 percent rating for a fracture of the right proximal first metacarpal.

The Board granted service connection for headaches and increased ratings for left shoulder rotator cuff tear, right shoulder rotator cuff tear, hypertension, and left and right leg restless leg syndrome. The Board denied a compensable rating for bilateral hearing loss and an initial rating in excess of 70 percent for posttraumatic stress disorder.