“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. Iron arm and Grahamcracker
Inpatient at Seattle, WA VAMC from 4/25/2009 to 5/19/2010…
A 69 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). Reconstructed left forearm. 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 December 23rd , 2016, August 3rd, 2018 and September 23, 2019.
April 23rd, 2016–Congestive heart failure.
Received VA Accreditation # 39029 Nonattorney Practitioner on August 4th, 2016.
Defibrillator/ pacemaker installed Feb. 8th, 2017.
Admitted to the Court of Appeals For Veterans Claims November 22nd, 2017. Sworn in by Judge Michael Allen February 08, 2018.
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 M-21-1MR Adjudications Manual. But then, of course, it would still require they read the contents of the c-file visually without .pdf OCR. Many older records are hand-written.Therein lies the path to the VA’s much-touted but rarely-achieved 98% accuracy figure in claims processing.
Finally. One man explained it in no uncertain terms. He was an
American, then a Veteran, and lastly, a President. Nevertheless, he
condensed the concept of a Veteran down into one concise phrase…
The man who says it cannot be done should not interrupt the man doing it.
And lastly, my favorite. Many ask me why I represent Veterans before the Department of Veterans Appeals and the Federal Court of Appeals for Veterans Claims (CAVC) . Well, boy howdy-it sure ain’t for the bucks. It’s because I might make a difference in the outcome between you and your battle with VA. I’ve been lucky to help over 1,000 of you in your pursuit of claims- in most cases TDIU or 100% schedular. In addition, I’ve also helped some of you attain the highest tiers of Special Monthly Compensation-R 1 and R2. Being almost 68 and a pragmatist, I get that there are millions of you “Veteran Starfish” out there. I wish I could, but I can’t make a difference for all of you. What’s important to Cupcake and me is that we make the effort to make that difference for even one of you.
My contact information is here:
G. Alexander Graham VA # 39029 POA Code E1P
14910 125th Street NW
Gig Harbor, WA 98329
VA accredited to practice at the VBA, BVA; Admitted to the CAVC Bar, Member- CAVC Bar Association; National Organization of Veterans Advocates (NOVA).