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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is There Any Need Of By Pass Surgery?

i took my wifeto hospital they told her she need heart by pass surgency she is chronic dietac insult depend, she smoke 2 pack, she is a amptee,below knee she cannot straight knee out she cannot wear her art.leg she just a stent put in on right leg her leg was dying,she had genegreen on toe how ever leg looks better and gegreenis clear up she got depression, does phy activ.had total hip replace on leg has all types of dietace problem, several other all. she can walk she depend on me for just evertything she is 60 years and after doctor heart cat she has numbers of blockage in heart and chd. she told them she does want bypass surgeny what am i wanting is what to except she on asp,ect med. what i am want to know what except and can this be long term thing she would not even have a doctor visit who done excuse my spelling and type ps her thighs ache right and stup is cold thanks i just want to be pepare ,she has walk on walkerin 2 years thanks
Tue, 9 Jun 2015
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Cardiologist 's  Response
Smoking, long standing diabetics has presented with all the complications she can have, for sure doing bypass surgery would be tricky for her, with immediate complications like infection post surgery, weaning her out of ventilation and long term risk of closure of grafts because of her smoking and uncontrolled diabetes . So without doubt the surgery is risky for her and as you said that she is not mobile, I will recommend you that if no cheat pain or breathlessness at rest on with daily activity you can try to give a trial to medical management where the drugs can be optimised to maintain symptom free life (many trials do support my recommendation) , however after optimisation the symptoms persist you may proceed with due care with the hope that she modifies her lifestyle post surgery. Regards
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Is There Any Need Of By Pass Surgery?

Smoking, long standing diabetics has presented with all the complications she can have, for sure doing bypass surgery would be tricky for her, with immediate complications like infection post surgery, weaning her out of ventilation and long term risk of closure of grafts because of her smoking and uncontrolled diabetes . So without doubt the surgery is risky for her and as you said that she is not mobile, I will recommend you that if no cheat pain or breathlessness at rest on with daily activity you can try to give a trial to medical management where the drugs can be optimised to maintain symptom free life (many trials do support my recommendation) , however after optimisation the symptoms persist you may proceed with due care with the hope that she modifies her lifestyle post surgery. Regards