How do you decide between delisting versus keeping a patient inactive (Status 7) when MELD-Na improves meaningfully over time but portal-hypertension complications persist (e.g., intermittent large-volume paracenteses and episodic hepatic encephalopathy)?

The clinical scenario reveals a patient with a condition resulting in ascites requiring paracentesis, which means clinically significant portal hypertension is still present. If the etiology is alcohol, abstinence may result in laboratory improvement, explaining the MELD score improvement. Additiona...