My situation was relatively unique, involving both toxic exposures and intense workload during extreme temperatures. I still don't feel as though I have a full picture yet but know that there was evidence of acute liver failure with resulting rhabdomyolysis (muscle damage). When that happens it can overload the kidneys, causing their temporary failure. I have long had a condition called nephrotic syndrome, losing protein in my urine, and this was exacerbated by the event. The primary protein lost is called albumin, a protein produced by the liver, so increased loss of albumin and reduced ability to produce it results in a condition called hypoalbuminemia. it's kind of funny that I had this condition from the time my health crashed and yet no physicians ever worried about it. Hypoalbuminemia causes inflammation of the gall bladder wall, resulting in scarring/adhesions to surrounding tissues. When they removed my gall bladder, because of gall stone induced jaundice, a few years ago this was what they found. The formation of gall stones was likely related to my high cholesterol levels and the impaired liver function as the liver is required to clear excess cholesterol from the body. My test results, in light of this, show that doctors had spent years ignoring intermittent evidence of gall stones associated with my experience of bouts of intense abdominal bloating and vomiting. Like I said, my situation was kind of unique (or at least I hope it was). Since the local hospital decided that it was for the best to cover up their role in the screw up the situation is only about to be investigated. Several respiratory conditions can result from liver problems and I currently suspect my own to involve both restriction of movement of the diaphragm, which sits just above the liver, and portopulmonary hypertension. Two primary conditions relate to liver problems; hepatopulmonary syndrome and portopulmonary hypertension. I ruled out hepatopulmonary syndrome because life expectancy doesn't seem to be particularly good with it, and I would likely be dead by now if I had it.