Service connection for anemia, brain tumor, sleep disability other than sleep apnea (claimed as insomnia), left shoulder strain, muscle spasms of the back, chest, and neck, skin disability (rash on stomach and arms), respiratory disability (shortness of breath), rhinorrhea, cyst of the left eye, bilateral leg claudication, and gastroenteritis is denied.,The Veteran's service treatment records are negative for complaints, diagnoses, or treatments related to these conditions. The post-service medical records do not provide evidence of current disabilities for any of these conditions.

The Veteran's eligibility for PCAFC benefits is remanded due to the AOJ's failure to address whether it is in the best interest of the Veteran to participate in the program. The Board finds that the Veteran has been in need of personal care services for at least six continuous months based on an inability to perform the ADL of bathing.

The Board dismissed the Veteran's appeal for service connection of a right ankle disorder.,The Board denied the Veteran's request for an earlier effective date for his service connection for gastroenteritis, lumbosacral strain, left lower extremity radiculopathy, right lower extremity radiculopathy, left ankle lateral collateral ligament strain, right knee strain and hemorrhoids. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of a lumbosacral strain. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of left lower extremity radiculopathy, sciatic nerve. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of right lower extremity radiculopathy, sciatic nerve. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of a left ankle lateral collateral ligament strain. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of right knee strain. The earliest effective date is December 5, 2018.,The Board denied the Veteran's request for an earlier effective date for his service connection of hemorrhoids. The earliest effective date is December 5, 2018.

The Veteran's hypertension, left shoulder strain, and right shoulder disability are all granted as service-connected.,The Veteran is also remanded for a rating in excess of 10 percent for degenerative arthritis of the spine and for service connection for sleep apnea.

The Board has decided to remand the case due to insufficient medical opinions and a need for additional examination.