Okay /fit/, I'm in a bit of a desperate situation and I'm asking for help. My mother underwent quadruple bypass surgery Wednesday morning and she's been unconscious ever since. Her blood pressure is at 35 over 19 and the medication she's hooked up is the only thing keeping her alive now. The problem is the medicine keeping her blood pressure up is restricting her kidney so she's close to complete renal failure. Any ideas what type of medicine we can use!? They used lasex and it failed.
>>35295872
wow, you're asking 4chan for advice on quadruple bypass surgery?
>>35295872
Are you fucking kidding me
Why are you asking a Thai scarf making forum for a medication for your dying mother?
Aren't there doctors there?
ask the fucking doctor you retard, why are u asking people on a christian anime image board?
>>35295872
This is definitely the place to ask this.
>>35295872
uh bump I guess
>>35295888
nice trips, but this is actually a south african heart surgery board.
>>35295872
>coming to a Mongolian throat singing forum and asking for medical help
Maybe ask a doctor in the hospital you are in
>>35295882
>>35295885
I'm desperate and I've tapped the experts and they've run dry and I'm not satisfied with hope and pray. Fuck the south.
>>35295872
>/fit/ - Medical Professionals and Doctors
Err, I think you severely overestimate the legitimacy and intelligence of the users here. /fit/ doesn't know shit even about lifting, nobody is going to know about surgery.
It's literally a board of shitposting NEETs. What the fuck?
My condolences though senpai I hope she gets better soon, honestly. Good luck.
>>35295902
You can stay here and ask sure, but i don't think anyone on fit has any idea m8.
>>35295913
I'm asking every where I can. Not even my old A&P professor is no help.
>>35295919
Literally try Reddit. Not even joking. They have actual normies and professionals there.
>>35295929
Fuuuuck might as well.
>>35295934
Make sure you mention the hope and pray part
Makes you seem less insane
>>35295929
This, I hate to admit it, but 4chan is a shit for actual advice.
Good luck anyway, tough shit
>>35295872
reminder that this pic is /fit/
I'd go for ACE inhibitors maybe add beta blocker next to the lasix
>>35295872
Yo try that app figure1 as well, it's like instagram for doctors where they upload cases. Worth checking out what they have to say.
Milk and squats.
>>35295872
Spray some windex on her.
It work eveeery time!
There's a reason they say "leave'em dead with levophed" it's a last resort kinda thing. Fucks the kidneys up real bad like.
Good luck OP. Hope it all works out alright.
>>35295872
Couldn't they try dialysis? I've got no idea if that would put too much stress on the heart, but it would at least bypass the kidneys, and liver if that's fucking up too.
>>35295976
you dumb fag, ace inhibitors cause constriction of afferent glomerular arteriole, further depriving her already failing kidney of blood, o2 and nutrients. just kill urself, and b blocker when she's hypotensive already??? r u trying to kill the poor guy's mum??
lasix lowers blood pressure
op question is nonsense
>>35296034
Derp
I heard McDonald's raises your blood pressure, so blend a bunch of big Macs and force feed them to your mom through her tracheotomy hole.
>>35296074
I don't get it either. They wouldn't use lasix if they knew there were kidney issues, which is a huge problem after cardiac surgery.
>>35295872
lel idk m8, try /adv/
>>35296123
>>35296074
It's a diuretic.
>>35295976
Both of those are going to drop her pressure.
She needs vasopressors.
>>35296008
Dialysis would drop her pressure.
epinephrine
difetur
might as well ask about all of the vassopressors
>>35295872
Sorry bro, but at least there is dialysis if everything goes bad.
>>35296148
She's probably on vasopressors, which is why her kidneys aren't getting enough blood flow. My question is why is she hypotensive? Did she have a heart attack before going into surgery and she's in cardiac failure? And 35/19 is WAY below the adequate MAP to have a good CPP. She should be brain dead by now if that's her actual blood pressure.
>>35296140
Oh, never mind. It's a loop diuretic. I get why they used it.
>Prostacyclin on renal blood flow and glomerular filtration rate and all that.
>>35296156
I don't really get the situation anyway, vasopressors and lasix seems to be counter-productive. You would think they would blast the blood pressure meds as high as they could get it, and forget about kidneys entirely, letting em fail and switching to dialysis considering the slim likelihood of survival with her blood pressure being that low.
...really?
>>35296270
She's on 4 times the dosage to keep her blood pressure going.
>>35295872
She was dead in the first place, you are just preventing the inevitable, I am sorry bro, your mother will die.
That's life.
>>35296384
..Ouch. Harsh breh
>>35295872
pls leave, and i mean that in a good way, you should not be here, no matter how desperate you are, this might be a health board but this is way above everyones head, sry, my only advice is hold her hand
is she still asleep because of the anesthesia or is she in a comma?
no kidneys is still better than no life
i hope ur mom wakes up
>>35295872
>35 over 19
no brain
To be precise,
the brain needs a mean arterial pressure of roughly over 50mmHg
With 35 over 19 over a prolonged time, the kidneys give out, and more importantly, the brain.
Sorry bro, doesn't look good
>>35295872
When tradicional lasex fails try larape
Use weed before it's too late
>>35295872
Im sorry bro, hope evrything gets better
>>35295872
Sounds like sick sinus syndrome
She needs EKG and re catch to rule out anything else and most likely have an iced installed.
But ur docs know this, so why r u posting on a meme board?
Have you tried creatine yet????
>>35295872
8 SCOOPS 12 TIMES A DAY
>>35295872
fish oil brah
>>35295872
In the remote event this is true, it's time for you to disconnect from the internet and have some time with your mother.
Ya know, scrolling through some of the posts I thought for sure that /fit would have asked for pics at least. I'd say that is mild progress barring all of the nonsensical replies
Heart transplant.
Or find a world class cardiologist, they can keep people alive for pretty long.
Stat injection of oatz and squatz
I would say her goose is cooked
>>35296972
Good point anon.
Post nudes of your mom OP
It's not looking good. I've been sitting beside her on and off for the past 48 hours. It's a miracle she's still alive. I tried asking Reddit and I got jack. Some of the answers here got me thinking of different questions and routes I could pester the docs with but no avail. I'm tired and now I'm waiting, it could be few hours or maybe a day. Thought you'd like an update. I've taken the docs aside and asked the tough questions and I'm prepared for the worst. Organ failure and brain damage are all she looks forward to if she survives. The real suffering is my dad who left my mother alot of financial responsibilities. I'm going to be very busy. Thanks.
>>35297152
That's sad anon. I'm sorry to hear it.
Just be there for your family, you'll need each other to get through this. The next few years are going to be rough.
Dianabol. That will get her blood pressure right up.
Plus she'll make some sick gains.
>BP is 35 over 19
shes dead, jim
>>35297152
Good luck man, hope you come out of it better and have a good year ahead.
Good luck bro.
>>35297152
I hope your old lady comes to heal. Don't know what prompted you to come to 4chan, let alone /fit/ of all boards but never the less.
The measure of a man isn't in what he can change, it is how he reacts to things he cannot. Like another poster above me said, simply be there for your family and don't be afraid to seek out help for yourself. It's one thing being a pillar, it's another having zero foundation to be such. Best of luck to your and your mum anon, much love mate.
>>35295872
Give her some medical marijuana that should fix her right up
I'm sorry anon :'3
>>35295872
Op I'm nothing but just a collector of memories on an buddhist meditation board but maybe you should ask the doctor
Give her some cod liver oil tablets and she'll be fine, I read they were great for the heart
https://www.youtube.com/watch?v=dYYUR21_G9c
>>35297152
I'm sorry to hear that anon. You have a tough time ahead, but don't give up. You can get through this.
Sounds bad. I'd personally have the patient in a norepinephrine drip for the blood pressure and antibiotics for the chance of sepsis. Lasix is a diuretic and draws fluid out of the body and gets excreted out of the urine. Chance are your mom's surgery was a failure which happens sometimes despite how shitty it is.
>>35297152
My dad passed away on (of all days) Fathers Day this past June. He was in the hospital for 2 weeks yet no one on his part of the family told me anything (i have a bunch of half siblings). I received the news on Fathers Day of his condition. I prayed to God to let him die in peace and not to worry about me and his family. That we would be ok and if it was possible to let him go to Heaven if it meant Id have to go to Hell. He died like an hour and a half later.
Be thankful and spend time with her before she goes.
>>35297678
Are you saying they were negligent in treating her correctly?
>>35297678
I mean they are giving her kindey restricting meds and lasix
>>35297678
P sure they gave lasix for the kidney failure
>>35297678
Nobody cares what you would do med student. She's most likely in cardiogenic shock. She's definitely not only on levophed, but several other pressors. They're giving her lasix to decrease volume and reduce strain on her heart. In the acute state CHF and shock, lasix actually increases blood flow to the kidneys.
why would they try to save the kidneys when the heart cant pump for shit though.
Depending on which pressors shes on, you could try the renal dose for dopamine and get your alpha agonist effects from levophed or epi coupled with fluid boluses.
Her pressure is around half of what it takes to perfuse the brain, sorry bud
>>35297152
OP, my dad died and left my family w/ nada. External family made him sign a couple of papers and everything is in their hands now
The rough times are not here to stay, they will pass. Am praying for you right now.
>>35297820
>>35297152
Iktfb.
Lost my mother last November after a short battle with cancer. The pain gets better but you never stop missing them. It feels like yesterday she passed away.
My heart goes out to you in this hard time
OP
Here's a hug
no homo
I will lift for both you and your mom tomorrow
Your mother will be under a specialist team of cardiologists and other consultants that know the specifics of your moms situation.
Anything you listen to on 4chan and reddit is from wannabes and med students that haven't got a clue what they are talking about...
Your mother is likely in very good hands, I'm sorry bro
>>35298151
I know that feel as well
It's been 4 years already
Low blood pressure is best helped by electrolytes. Various salts, etc. Low electrolytes is dangerous, but proper diet is something most doctors are ignorant about.
Hey OP. make sure that the doctors are also checking for hemorrhaging. my uncle got his lungs replaced, but then died from brain hemorrhage that they did not know about.
>>35295872
BP of 35/19 mmHg is not compatible with life, Anon. I'm truly sorry, but my advice to you is to go and spend your mother's last hours with her.
>>35295872
have you tried chicken noodle soup?
>>35295976
You don't know what a beta-adrenoreceptor is. And you don't know what angiotensin does. Hush now.
>>35296954
Time and a place, bro. Time and a place.
Well, thanks guys. Another update. She passed on about 1:30 central time. I've tried.
>>35299084
Stay strong brah.
>>35299084
If it's really you, man, my condolences.
Who performed the surgery fucking Pepe why are you asking us
>>35299084
...so hard. AND GOT SO FAAAAR
>>35299084
Fuck lad, i'm sorry
This is the weakest bait thread I've seen in a long time.
>>35297152
I think it's best that you use the apparently short remaining time to say goodbye to her (she is unconscious, but still) instead of desperately trying to outsmart the doctors.
>>35295902
Ask House MD
>>35299084
hold your frame bro, best wishes to you.
sounds like hepatorenal syndrome, unfortunately there is no magic drug for this since we don't know why the kidneys shut down, i'm sure they've already tried large fluid infusion
>>35299084
stay strong, bro. it's just life, we're all gonna go, and pretty soon.
but learn from this take care of your own heart health and that of your relatives (it's mostly genetics, probably)
Damn, I only just read this thread, I'm actually a world famous heart surgeon who can conduct operations over the internet, I could have helped.
>>35299084
Sorry man, hang in there bro.
>>35299084
I'm sorry to hear that, man.
Trying to ask /fit/ for medical advice must have been your lost resort.
>>35299130
Good advice Anon, hope OP sees this.
>>35299260
you probably trolling, but I often work out in a tiny gym with the best heart surgeon in the country
he spotted my shitty benches, older dudes who knew him were always super nice to him and sometimes he took phone calls to talk medical stuff (he was the only one, what an asshole, right?), then I saw him on TV ...
>>35299084
You really did try... My condolences man, I really admire how much you tried. Thank you, for doing that.
I wish you the best for everything man.
I need to start drinking again.
At least you can use your mother instead of a barbell for deadlifts now
>>35299681
got a chuckle out of me, anon
I guess you could call it deadweight
>>35299681
You cheeky motherfucker. I needed that.
>>35297152
R.i.p OP's mom, it's gonna be really tough Anon but remember that she wouldn't have wanted you to be miserable and that she's happier and out of pain now. Good luck bro
>>35299786
IN FOR MOMBELL
>>35299786
You're a fucking disgusting piece of shit
Thoughts are with you, OP.
I know its a dark time but whatever the outcome I hope everything works out in the end.
>>35299786
>>35299803
Mombell.....top kek
My mom had an aneurysm and I found her spasming on the living room sofa. She had a DNR, but we moved several times since she wrote it and we couldn't find it, even after turning everything upside down. She usually took care of all the paper work, but it wasn't among all the other stuff. After waking from the coma, which took a few weeks, she was basically a vegetable, but she was awake. She would make weird gestures with her hands and couldn't speak nor recognize us. She would moan a lot, though. I know for a fact ending up like this was her worst nightmare. Paying for the care of a husk almost ruined our family financially, and when she finally died by an MRSA, all of us were glad.
There are worse fates than death. I wish I could have been sad, when my mom died. Sorry for your loss, OP.
>>35299084
stay strong brother
>>35299786
Too far man, no one wants to think of their recently dead mom's vagina. Chill.
>>35299823
>>35299812
>>35299786
>>35299084
lad.
been following your thread, and I'm so sorry.
You've done all you can do, I'm so sorry.
I'll hold you brah.
>>35296195
This...Unfortunately. If she has been that hypotensive for any appreciable amount of time she has probably suffered from hypoxic brain damage. If she recovers she will not be the same. I would allow the hospital to provide care for another 48 hours... If she goes off of sedation and shows no signs of responsiveness let her go.
>>35295872
This can't be a real thread. OP is just pulling shit out of his ass.
OP, if you're legit, post some pics of your mom's paperwork - invoices, whatever - to prove that shes in the hospital right now for a quad bypass surgery. If you can't, then there is no way anyone here can take you seriously.
>>35299930
I see whatchu did there
geddit
The heart was a piece of shit
>>35296975
this
also ECMO, dialysis
ask /sci/ they're smarter than any other board
>>35298903
This looks like Mugshots in Starkville MS
>guy posts on /fit/ all the time
>mother has a cagb
>Dude is having a mental break down
>Muscle memory of "I'll ask those /fit/ guys like how I ask them for info on lifts"
>>35299084
For all it means, my deepest condolences. I've tought may times of the day my mother will pass, and i don't know how i will cope. Be stronger than me.
SS+GOMAD
>>35300220
This made me sad anon
I feel you breh, my sis is in the hospital right now and its been tough for the family. Im sorry for your mom and stay stong lad.
Looks like your mom and my grandfather share the exact same death date. . .
>>35297986
Lasix is taking fluid from her pump and dumping it into a Foley bag and any fluid they add to her just goes right there anyway. Any pressors she's on are just squeezing a pipe that's fucking empty anyway. Pressors themselves have a negative impact on kidneys due to renal shunting but you can replace kidneys before replacing the patient. I'd personally forego her kidneys and fuck them up and have her on dialysis than let her sit without enough Systolic Pressure to perfuse her brain. Cardiogenic shock seems unlikely unless there's pericardial rupture from the surgery which happens but I'd imagine they would already have cracked the chest by now if that was the case. I'd go for sepsis and hypovolemia first of all given the information presented but you just live in your resident program mindset and think that the world works exactly how you think it does if you want.
Sorry OP but your mom is probably on too much levo to be weaned off any time soon and probably isn't gonna make it. It's sad but it happens and I've seen it happen many times over the years.
>>35295872
at least she passed cleanly with someone who loved her by her side.
Alright guys things have wound down and family is all relaxing and eating. Turns out you guys were the most useful among the communities I turned to and helped me gather my thoughts and ask the right questions. I appreciate the frankness and it steeled me to the inevitable.
About my mother; she was 55, a smoker, and out of shape and gaining weight. To make this /fit/ related my doctor told me I was prediabetic so I've changed my diet and exercise habits thanks in part to you guys. I lost 50 lbs, gained a little muscle, started feeling better, and reversed the onset of diabetes. Part of what my mother was going through helped motivate me to get in shape. I tried many of times to get her work out with me but she'd never tried. She had 99% blockage so in retrospect she never had the energy. It was a cascade of events that lead to the complications over the past two days stemming from her poor health. So stay /fit/ for yourself and your family. Thanks to you guys I'm the healthiest in the family and the extra energy from being in better health helped carry my family through all this.
BTW I've expected the banter, doesn't bother me at all.
>>35298903
Electrolytes don't help blood pressure, hypertonic solutions simple pull fluid from the vascular space to fill the vessels. If there isn't much there they won't do jack shit. Lasix is already causing the shift and will mess up Electrolytes but the woman probably already has a peg tube in at this point to renourish the body of lost nutrients. Besides she's probably accompanied by an amiodarone drip because I'm sure she has post operative a fib due to the Lasix fucking with her potassium
I feel for you OP, and other anons with sick relatives ITT.
My dad's got bowel cancer and the tumors in his abdomen are tearing him apart, morphine syrup is the only thing keeping the pain away.
The way things are going, he's got a week or two at most.
>mfw my birthday is in a week's time
>>35300401
>you just live in your resident program mindset and think that the world works exactly how you think it does if you want
You too. There's absolutely nothing to support sepsis or hypovolemia at all. If it was due to blood loss during surgery they would have pimped her full of fluids and RBCs already. If they're using lasix and pressors it's due to pump failure which is the source of her low blood pressure, not hypovolemia. They're trying to decrease her volume status to improve her blood pressure. Go back to reading webmd and pretending as if you have any idea what youre talking about.
>>35295872
Deadlifts lmao
>>35299078
Yeah, you're right. There's a time and a place to ask for advice on very complicated post surgical procedures and it's sure as shit not on 4chan.
>>35299084
>>35300447
oh man... im so sorry
it was with little to no pain, take solace in that
now get big, bigger than all of us, for her
stay strong breh
>>35300447
eg get allt
>>35300447
were all gonna make it breh.
>>35295872
Anon, I am so sorry for my terrible offhand comment about your mother involving a barbell. It was entirely evil of me and I don't know why I made it. I feel like Karma is working against me right now, normally I'm a humanitarian, but I'm being punished so badly right now. I'm sorry.
>>35299084
So sorry breh
>>35295872
Take 3 asprins every hour with a big glass of water or milk. I had a similar experience and it did the trick for me.
>>35299084
i'm sorry man
>>35295902
Youd probably need to give her your kidney if dialysis isnt an option
>>35295872
READ THE STICKY
>>35299084
Sorry bro
Stay well
>>35299084
I'm sorry, anon..
Keep your head up and carry on strong in her name.
I miss my family, fuggg
Become her iron lung and pacemaker. Bear hug and use one arm for chest compression, and shove the other straight into her chest cavity and squeeze her heart.
>>35295872
Medfag here.
It really depends on what kind of SHOCK she is having. I would guess CARDIOGENIC because she just had heart surgery. She's probably on dobutamine and epineprine? Or... is she having SEPTIC because she has an infection? In which case she would be on norepinephrine and vasopressin?
I really can't tell what kind of situation your mom is in, but a blood pressure of 35/19 is not compatible with life. She'll probably need dialysis if her kidneys continue to fail. It could be temporary if she has a good prognosis.
It depends on her co-morbidities, too. Is she obese? The fatter the higher risk of death. Uncontrolled diabetes? Considering she needed multiple vessels bypass'd, she probably didn't live a healthy life.
I'm sorry that your mom is in this situation. The medical staff is probably doing all that they can to keep her alive. The brain is the most important thing to keep alive, even if that means that the kidneys need to suffer temporarily (hopefully).
If she's not getting enough oxygen to her brain for too long, she's going to have brain injury and will never be the person she was before. Even now, you can't expect her to go back to how she was before.
