Hello. I'm Dr. Phil, licensed and practicing internist. Excellent service is my goal.
Hi I'm Dr. Phil
Can I ask your first name?
nice to meet you
Hi, you too
what has he had checked so far?
and can you list his medicines too?
He had a chest x-ray recently, I'm not sure too much else. He is in a bad way. umm..he takes quite a lot of things...I think for diabetes is the main one and he is on oxygen
many times infection can cause this
So I would look for infection first.
he takes water tablets, he had a blood test which they said wasn't great but was probably from his swollen legs?
probably heart failure
this is common and causes swollen legs and will show up in the blood
I would consider depression as well
depression can commonly cause pain
ok, I have suggested he may need antidepressants because of the chest problems? heart failure sounds very bad! should I get him a scan on the heart maybe?
yes an echocardiogram
and I agree with antidepressants
ok, I will push for both of these things. thanks so much. Is there anything else I should do?
no that's it for now
just keep searching too
sometimes it takes a while
perfect thanks for your time. Ok I will keep trying things. thanks again.