Dear Tim,
on the basis of this update, patient condition seems very improved, I guess due to an aggressive cardiological treatment. She definitely needs a better correction of anaemia; some more cardiological data are important: pulmonary resistances? PAP you quote is systolic/diastolic?
If pulmonary resistances are compatible with OLT, I would start enlisting process; I would continue aggressive cardiological treatment (especially diuretics); I wouldn’t accept hb lower than 8.5.
If patient shows a further improvement you can wait and eventually de-list the patient.
All my best! Elisa
