Brief Answer: Prognosis is poor! Detailed Answer: Hi and thank you so much for this query. I am so sorry to hear about what your friend is going through. I understand chronic illness can be a cause of depression that further worsens the disease state. However, we need to be able to work even harder to make sure that we don't get there if we are serious about taking care of the disease. His prognosis depends on how well he would get involve in controlling his diabetes and other disease conditions.Should he not take any advice, then he may die even in weeks from a possible acute complication like diabetic coma or heart attack. However, with minimal efforts, he can live for years but in a miserable state because the disease would be a great burden to him because of complications but, none would be sever enough to kill him instantly. I will suggest that you try and get him more motivated and involved in his care. I believe he needs to be consulted by a psychiatrist for management of his depression and find ways to get him back to taking control of his health. In all, his prognosis is poor should he not change from his bad ways. It can lead to death within days or weeks from acute complications if he is totally negligent or may take years if he is stubborn leading to longterm complications and a very poor quality of life. Also, consider getting a psychiatrist consult for him. Does he still smokes? I hope this helps. I wish him well. I understand how frustrating it gets t watch a dear friend give up on taking good care of his disease conditions. I hope he finds reasons to change and become more involved. Thank you so much for using our services and do feel free to ask for clarifications and more information if need be. Dr. Ditah, MD.

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Brief Answer: Thanks for the follow up. Detailed Answer: I am so touched reading these lines. It can be difficult for the family to go through such hard times when there is little to spend and illness is also a big concern. I will like you to make your friend understand that he needs to take good care of himself. he may be negligent of is ill health and this would only open the doors for further complications that would make his life miserable. what many people fail to realize is that not taking care of yourself doesn't always result to death but leads to severe complications that worsen your already compromised quality pf life and that is something no one should wish for. Chest pain, shoulder and neck pain could all be referred pain from the heart. It needs thourough question and examinations in order to tell if that is the case. With his stents history, having an ischemic heart disease is a more likely than not. Should it persist, please let him talk to his cardiologist. I hope this helps. talk to him and stress not on death but on threatening complications that would not kill him but let him suffer so much like heart failure, liver and kidney failure, diabetic neuropathy, etc. This is what can make him think of reconsidering his efforts to stay healthy. Dr. Ditah, MD.

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Brief Answer: Yes, send as a direct query to Dr. Chobufo Ditah! Detailed Answer: Hi and thanks for your efforts. I can see you are so caring as a friend. I wish you well and hope you continue to do so to many more of your friends should the need be. I hopw he gets to appreciate your efforts, time and sacrifices to at least change and take full control over his life when he still ahs the opportunity to do. With future updates, you can continue on this link or ask the moderators to send to Dr. Chobufo Ditah. Also, you can choose to ask a direct query to me when the updates flow in. Tis will ensure that we continue fro here rather than starting it all over again. I hope this helps. I wish you both well. Dr. Ditah, MD.

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Brief Answer: Thanks! Detailed Answer: Thanks for your kind words. Keep me posted and updated. Cheers! Dr. Ditah, MD.

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Brief Answer: Thanks! Detailed Answer: Thanks!

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