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Yes, it is possible he had ischemia heart disease. If the acidosis was metabolic acidosis, did he have diabetes mellitus ? If so that too could be claimed as due to AO exposure. My husband died from both of these conditions. (FTCA/1151 Awards and also direct SC awards) They Never appeared once as diagnosed or treated by the VA ,his sole medical care provider. Your husband’s medical records will reveal if the VA should have diagnosed and treated these two conditions. Every medical record will be important-blood chem results, any EKGS and ECHOs, and definitely any records on the fairly recent endoscopy- colonscopy procedure. You mentioned they said the EKG was OK. An abnormal EKG ,that revealed ischemic event ,the same day they gave my husband the EKG was never followed up on at all by the VA and they never told him or me it had been abnormal.It proved that the “sinus infection” they diagnosed him with after he collapsed on his job at VA, was, in fact a heart attack. When I got his records and was able to decifer the EKG, it was the second piece of my evidence for my FTCA wrongful case.The first piece was the ER certificate. Full of malpractice. You said “Blood work shows infection. After an hour of being on antibiotics his stomach started to go down. Surgeon come in saying they might need to remove gallbladder. so another CT was done focusing on gallbladder. This CT shows enlarged gallbladder but no stones. The CT also shows what looks like part of his intestines and colon look dead. ” “I told them my husband had a endoscopy and colonoscopy Jan 2, 2017 at Lake Nona The New VA hospital. The told him they found something and took a biopsy of it and said it was negative not to worry. ” I think something went drastically wrong at that point or maybe for sometime prior to these procedures. But VA doesn’t care what I think. Your vet rep can always file a Section 1151 claim in addition to any claim for SC death. Feel free to print off my replies here to give to the rep,if you wish. “I need to get a letter from his VA doc to say that it is relevant to his death. I do not know how I am going to do this; as I have to meet with his Dr. at the VA, to explain everything that happened. I do not know how or if I can meet with his Dr. Any help there would be greatly appreciated. ” Was his VA doctor part of his very last care before he died? I had VA doctors blatantly deceive me ,after my husband was transferred to a different VAMC,when they discovered the local VA had malpracticed on my husband and did all they could to cover it all up.The medical records revealed ( in hard to read long handwritten notes, one or two detailed conversations I had with the cardiologist at Syracuse,identifying what I thought was important to his condition, in records they had that were already 4 years old.The cardio doc went through the med rec to the exact dates I gave him and then said “Oh my God! Yes yes I see it” Everything could have changed that day! But Instead of reacting to what I remembered , because I had no med recs at all at that point, the cardio doc did verify what I told him,as it was in the medical records, but that is when they ( a team of cardios and neuros) chose to try to cover up everything.Only one doctor knew what he was doing. His diagnosis was crossed out but I figured out what it said.He left VA and then after it took me many long months to find him, he gave me a free brief IMO that Dr Bash incorporated with his IMos when I proved my husband had died also from undiagnosed and untreated DMII. ” I need to get a letter from his VA doc to say that it is relevant to his death. I do not know how I am going to do this; as I have to meet with his Dr. at the VA, to explain everything that happened. I do not know how or if I can meet with his Dr. Any help there would be greatly appreciated. ” I think the main questions you need answered is if your husband had IHD or DMII. I dont think you need to ask more than this at this point. The VA doc would need to review his med recs to answer that. They did tell you his EKG was “normal” but the top right hand side brief narrative of the EKG will tell exactly what the leads diagram below it mean. He might even give you a copy of it right then and there – maybe not.If the doctor has no expertise in Endocrinology ,he might be unable to offer any opinion on DMII unless this is fully documented in his medical records. I guess my long point is that I believe any VA doctor would try to get out of writing anything that would help you,unless his medical records reveal he was definitely diagnosed and being treated for ischemic heart disease and/or DMII but had never filed a claim for them.Those diagnoses and records will help with the DIC claim for direct SC. But you might have potential for the 1151 DIC instead and that will take a strong IMO from a real doctor. I have many questions on all this—what was the endoscope and colostomy for? What type of acidosis did he have? I had sepsis once. What did they attribute that too? What did you sign when some infectious disease doctor was called in? But those answers are within the medical record I hope, and hopefully too that if something went wrong they did not try to delete any entries. This will all be very difficult without an autopsy but Nothing is impossible. Do not tip off VA as to any possible malpractice or negligence concerns you have.Try to obtain his VA medical records and any private med recs as well ASAP. I do not believe this death has anything to do with the flu shot.