This one is too tragic for words. AMLEG is repping this guy and they can’t even get him the right rating. They’re trying to do it under DC 7815 for Porphyria but miss the mark. DC 7704 (Polycythemia Vera) is the only rating for phlebotomies (40%) and everyone knows this. Well, almost everyone, apparently. Hell, the Vet can get an additional 10% for the scarring on top of the 40%.  AMLEG is clueless.

What is spooky is they decided to remand this to find out if he’s getting “Interferons” for this condition. What if he was? Besides being sicker than a dog, I doubt it would have any bearing on the subject-or effect on the PCT for that matter.

What’s worse, if you are getting phlebotomies every three months to control the PCT, how in Sam Hill is the PCT ever going to materialize to such a level as to provoke “bullous pemphigoids” (blisters)?

Knock-knock.

Who’s there?

Logic .

Logic who?

vA logic. Stop the phlebotomies and let’s make your liver trip the metal detector at the airport because of the iron buildup. So what if it provokes early cirrhosis? We need to know.

So here we go. Let’s endanger the Vet’s health and discontinue the phlebotomies with the sure knowledge that:

The examiner indicated that the Veteran’s PCT began when he was 22 years old, and that the Veteran experienced severe skin reactions when he did not get routine phlebotomies. The Veteran had a pint of blood withdrawn every three months as routine treatment for his PCT. The examiner indicated that no eruption was noted during the examination.

Jez. Where’d you park the squad car, Dick Tracy? You don’t just suppose the reason the Vet’s lack of skin disorder has anything to do with phlebotomies?  Round up the usual suspects, Jacques.