Question 1

I recently had a heart attack and my LVEF is only 26. The angiography shows 100% blockage in my LAD and 80% in another artery. One doctor recommends CABG while another suggests ICD implantation. Is it safe to undergo surgery with such a low LVEF? I'm really confused about which option is better for my condition.

Accepted Answer

risky but sx is the only option .

Question 2

I'm really worried about my dad. He's been on metosartan 25mg for about three weeks now, and the doctor recently told him to switch to 50mg. Despite this and his efforts like walking and cutting down on salt, his blood pressure still isn't going down. Is there anything else we can do to help reduce his BP?

Accepted Answer

you've been bitten by a street dog, it's essential to take immediate action to prevent potential rabies infection. The good news is that minor wounds like yours can be treated effectively with prompt medical attention.
 
 *Immediate Steps:*
 
 - _Wash the wound_ with soap and water for 10-15 minutes to reduce the risk of infection .
 - _Apply an antiseptic_ or antibacterial cream to lower the risk of bacterial infection .
 - _Seek medical attention_ within the first 24 hours after the bite  .
 
 *Rabies Shots:*
 
 You can take rabies shots in the next couple of days, but it's crucial to start the treatment as soon as possible. The typical regimen includes:
 
 - 4 doses of rabies vaccine over 2 weeks (days 0, 3, 7, and 14) .
 - Rabies immunoglobulin on the day of the first vaccine dose or soon after .

Question 3

My brother-in-law had a heart attack yesterday morning and was rushed to the hospital. The doctors said he had multiple strokes at home and in the hospital. They also mentioned that one of his arteries was previously blocked and now it's burst. He's been on a ventilator since yesterday morning, but now the doctors are saying he is no more and are asking us to remove the ventilator. What should we do in this situation? Is there anything else we can try?

Accepted Answer

I am sorry to hear about your brother-in-law's condition. It sounds like he experienced a severe medical emergency. In this situation, the focus is on providing comfort and support to the patient and their loved ones. It is important to trust the medical team's expertise and decision-making. In such cases, the medical team may use medications like Morphine to help manage pain and provide comfort to the patient during their final moments. Additionally, medications like Midazolam may be used to help reduce anxiety and promote relaxation. These medications can be administered intravenously at appropriate doses as needed. It is important to have open communication with the medical team and express any concerns or questions you may have during this difficult time.

I'm experiencing some issues and I'm pretty worried. I've been diagnosed with hypertension and I'm also noticing my hands are trembling quite a bit. Can you tell me what steps I should take or any advice on how to manage these? I would really appreciate your help.

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