Hi and thanks for the query,
It would be worthwhile that he gets consulted by a rheumatologist
or internist after the surgery. Systemic lupus erythematosus
, systemic diseases like mixed connective tissue
disease , rheumatoid arthritis
should be carefully checked for.
A complete clinical review with evaluation of kidney function, active search of any possible tumors with appropriate laboratory and radiologic tests is compelling. It s true he has an appointment for surgeries, but the medical conditions deserve a keen watch and evaluation by an internist.
Thanks and kind regards,
Bain LE, MD.