The thing I've always wondered about, is the kidney issue. Our own Sean Maloney once mentioned overhearing some of TP's good friends at a contest that TP was a cocaine user, hence what Tom claims to be a "fistula (sp?)" for his dialysis treatments.
The kidneys filter blood, correct? Well, if your shooting coke in your veins, wouldn't the kidneys be one of the first stops of the now coke-laden blood? On a day-to-day basis, I'm sure this would lead to damaging the kidneys, right? (I'm thinking outloud here).
On top of the possible drug use, there is the diuretics for shows and maybe guest posings as well. Drying out your kidneys and the long periods of dehydration for shows would also lead to cumlative damage on your kidneys, right? Then you have the advil, which would cause some trouble with the kidneys, but not to the extent that TP claims. Then add in the protein and that's even more stress on the kidneys.
All of the steroids, advils, diuretics, and the rumoured drug use probably were what caused his kidney failure. So, TP's telling what happened, just not quite as it actually happened. Somewhat skewed the story to suit his ego. It's the truth, just not the whole truth!