“Life should not be a journey to the grave with the intention of arriving safely in a pretty and well-preserved body, but rather to skid in broadside in a cloud of smoke, thoroughly used up, totally worn out, and loudly proclaiming “Wow! What a ride!”
Hunter S. Thompson
Mr. NOD – Buckwheat, Electrolux, chieu hoi boy
A 64 yr. old WM in NAD. Stage 4, Grade 3 HCV, Genotype 3A. Rated 100% P&T for HCV; 100% for PCT, 60% for anemia, 40% for cryoglobulinemia and fibromyalgia, 30% for PCT skin damage and 10% for Tinnitus. Dx: HBV, HCV, Autoimmune Hepatitis, Crohn’s disease, Cryoglobulinemia type 3, Porphyria Cutanea Tarda, Fibromyalgia and RA. Short bowel syndrome following 4 VAMC bowel surgeries. 6 Ventral hernias in surgical cadaver skin (Alloderm). Post ileostomy. Post MRSA infection; ℞ = 1 pint Phlebotomy every month. DDD-L5-S1. 2 VA medical misadventures . Septal/myocardial infarction 10/2009. VA assessment? Good to go, bro-only 290% disabled.
AST/ALT October 14,2011—122/300 . Viral load -200K
AST/ALT 15 December 2011–59/106 (new diet/vitamins or portal gastropathy)
AST/ALT 23 January 2012– 154/361 (may be time for another new diet.) Cryoglobulinemia IgG=2546 (normal 687-1671).
AST/ALT 3 February 2012–210/432 (may be time for Imuran)
AST/ALT 13 February 2012–159/299 ( the new diet-no sugar and it sucks)
AST/ALT 5 March 2012—40/82 (still on the new diet–still no sugar. Love the numbers/hate the cure) Ammonia levels are normal.
12 March 2012– Ultrasound revealed Stage 4 (cirrhosis) but no cancer yet.
AST/ALT 6 June 2012— 153/300 ( Dr. is flummoxed)
AST/ALT 15 June 2012—143/270 (VA always finds it much lower!)
AST/ALT 18 September 2012—79/183 ( Vegan diet-Bleh.)
AST/ALT 19 December 2012—65/112 Liver is getting more cirrhosed? Pretty soon I’ll be decompensated and my numbers will be normal.
AST/ALT 15 January 2013 —-102/201. IgG —3530. Viral Load —478, 026 copies. Wowser.
AST/ ALT 22 February 2013—115/230. ANA 1:80 Looks like the AIH is coming back.
AST/ALT 2 July 2013—-86/167 IgG—3281
AST/ALT 6 August 2013—116/237
AST/ALT 21 December 2013 —122/201 IgG— 2990 Viral Load— 852,612
AST/ALT 10 February 2014— 86/157 Viral Load—1,350,000 copies
AST/ALT 14 May 2014— 41/77 IgG—2810 Viral Load —290,316 copies
AST/ALT 7 July 2014— 39/59 IgG—2540 Viral Load — 0
AST/ALT 15 July 2014—49/73 IgG—2620 Viral Load— 0
AST/ALT 19 October 2014—33/53. Viral Load— 0
Hepatitis C in remission December 7th, 2014. Confirmed December 7th, 2015
April 23rd, 2016–Congestive heart failure. Defibrillator/ pacemaker installed Feb. 8th, 2017.
I have a dream that one day the VA will judge us by the content of our C-files and not the interpretation regurgitated from the VACOLS M-21-1MR Adjudications Manual. But then, of course, it would still require they read the contents of the c-file. Therein lies the path to the VA’s much-touted but rarely-achieved 98% accuracy figure in claims processing.
Help me make a difference.