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Diagnosed with LVF, cardiomyopathy, diabetes, rheumatoid arthritis. Unable to walk. Decreased immune levels. Suggestions?

My father is diagnosed with LVF and he is a Cardiomyopathy patient and diabetic too. Doctors have suggested very little intake of Salt and no consumption of water beyond 1 litre per day. He was fit and fine till he got was operated for Cellulitis in his leg after this one by one health issues started. By the time wound started healing he developed rheumatoid arthritis . His immunity decreased and he is barely now able to walk and his heart condition worsened. His creatinine levels are fine in normal range (0.7) but he cannot take any drugs like Oncotrex or HCQ since they have bad side effects for his heart condition, how can he get back his immunity and worried whether will be able to walk like before? Please suggest some best medicines or good doctors. I stay in India, Bangalore and my phone number is 0000
Asked On : Thu, 21 Feb 2013
Answers:  1 Views:  52
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Internal Medicine Specialist 's  Response
Welcome to HCM,
After going through your father,s history he has two medical issues first is Rheumatoid arthritis and Cardiomyopathy ,please understand he must be having these both for quite some time but as he became symptomatic for cellulitis they are diagnosed hence take good care of him.
Cardiomyopathy with LVF (Low Ejection Fraction) that is why salt and fluid is restricted and cardiac drugs are prescribed with diuretics and ACE inhibitors.
His declining immunity may be result of use of Oncotrex as it is a immunosuppressive drug, partly and by disease itself.
You can visit good hospital and consult a Cardiologist and Rheumatologist to help him, once he is investigated and if required re-synchronization with ICD may be advised and would benefit and his pain and inflammation can be controlled with drugs.judiciously.
For heart of end stage Heart transplantation if possible is also possible.
Take care
Good Luck
Answered: Thu, 21 Feb 2013
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