Family, Internal Medicine, General Medical Questions/Please help

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Question
Please help my grama is 62 she has heart issues for a long time and high blood pressure since forever and her kidneys shut down in 2012 and just earlier this year we found out she has cancer to top it off and before we found that out she use a heart attack while bein in the middle of dialysis and now her legs ate swelled and was just in the Er and its not water weight or anything like that but they don't know and say she's in major heart failure oh and plus, just last week her plates dropped from 150 to 83 so please can anyone help cause these stupid doctors aren't doing anything right for her except sending her to her grave faster. PLEASE PLEASE PLEASE help me find out what to do.... please...

Answer
Dear Jessica,

I am so sorry for everything you and you grandma are going through. If she had an echocardiogram, I would think it would show significant heart failure. The heart is a pump. If there is too much fluid, and the pump is weak, it cannot pump all the fluid and it ends up in her legs and feet. Dialysis can help to take off the extra fluid and cleanse her blood. But many times the heart rules. It sounds like the cancer is affecting her blood counts. I am not too concerned about her platelet count, she can get blood products to assist in that area. Did you talk to your grandma to find out what she wants? Unfortunately, the body can only take so much before it stops. And many times the treatment is painful without the improvement expected. I think you should have a talk with your grandma and spend as much time with her. That is the best medicine anyone can offer.  

Family, Internal Medicine, General Medical Questions

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Dr. Pamela M. Cipriano, DNP, APRN

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My name is Dr. Cipriano. I have a private practice specializing in adult health and wellness. I can answer questions associated with thyroid disease, cardiac disease, pulmonary disease, high blood pressure, muscular aches and pains, cholesterol levels, male/female sexual questions or questions on the sexual organs, gastrointestinal problems, healthy ways to lose weight and maintain a healthy lifestyle, and nearly anything else that pertains to medicine.

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I am on the Medical Staff at a local hospital where I work as a medical/surgical hospitalist as well as in the emergency department. I am certified in critical care and advanced cardiac life support. Prior to becoming a Nurse Practitioner, I was a certified critical care nurse (CCRN).

Organizations
Society of Hospital Medicine American Association of Critical Care Nurses American Association of Nurse Practitioners Connecticut Advance Nurse Practitioner Society

Education/Credentials
Maryville University 2014-2016 Doctor of Nursing Practice University of Connecticut 2007-2011 MSN, Acute Care Track Nurse Practitioner. Board Certified September 2011 Critical Care Certified 2014 Central Connecticut State University 2002-2006 BA Psychology St. Mary's Hospital School of Nursing 1991-1993 Diploma Nursing Registered Nurse

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Named as a World Wide Leader in Healthcare and was included in the 2013-2014 edition by the International Nurses Association.

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