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Suggest Treatment For Shoulder Fracture In A Heart Patient

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Posted on Mon, 25 Aug 2014
Question: Hi,

I am again back to my query.
My father is heart patient, has two of stunt in his heart 4 years back. Right now He has his shoulder bone broken, which had two plaster for 2 months. and now treating Dr. suggested us for surgery. based on his weak health, age factor , we are avoiding for surgery.
Today again we visited one XXXXXXX orthopedic. He told us that because he is 70 year old and he has stunt in his heart, you avoid surgery. He is just weak . give him proper diet, this bone will be join to some place automatically. He told him to raise his hand, he was able to lift it till some point. He said he is allright, just dnt go for surgery.

I will attach his recent X-ray. Would like to know opinion for same.

doctor
Answered by Dr. Vinay Bhardwaj (5 hours later)
Brief Answer:
Fitness for surgery separate from Ortho Issue

Detailed Answer:
Hi XXXXXXX Thanks for coming to HeallthCareMagic. I have gone over your fathers information in detail and scanned through the x-rays you have sent. Given your fathers advanced age and cardiac history any Anesthesiologist would be very scared to put him under anesthesia to tolerate surgery. The drugs from the anesthesia themselves are very demanding on the body and they they can cause heart attacks and arrhythmias of the heart.

So if your doctor is recommending conservative care without surgery. That may be best. If you want more details. Try and give me your dads blood work and EKG reading and I will try and give you a basic assessment. Remember though, I cannot examine him, so all i can do is review is diagnostics at best.

Vinay
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Vinay Bhardwaj (8 hours later)
Hello Dr.

What is this EKG reading ?
The other thing can someone give me idea if we keep hist hand like this would it be ok.

doctor
Answered by Dr. Vinay Bhardwaj (3 days later)
Brief Answer:
EKG not uploaded

Detailed Answer:
Hi, upload the EKG and I will look at it with you. As far as keeping his hand in the same state. I'm guessing that he has come to the point where the surgery is his last resort. If he cannot handle surgery, then it would be best if he got regular physical therapy to keep the arm XXXXXXX and useful. A good Physical Therapist will be able to help you with that.

I hope this helps, Upload the EKG and we will discuss it. Take Care.

Vinay
Note: For further queries, consult a joint and bone specialist, an Orthopaedic surgeon. Book a Call now.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
Answered by
Dr.
Dr. Vinay Bhardwaj

Neurologist, Surgical

Practicing since :2006

Answered : 544 Questions

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Suggest Treatment For Shoulder Fracture In A Heart Patient

Brief Answer: Fitness for surgery separate from Ortho Issue Detailed Answer: Hi XXXXXXX Thanks for coming to HeallthCareMagic. I have gone over your fathers information in detail and scanned through the x-rays you have sent. Given your fathers advanced age and cardiac history any Anesthesiologist would be very scared to put him under anesthesia to tolerate surgery. The drugs from the anesthesia themselves are very demanding on the body and they they can cause heart attacks and arrhythmias of the heart. So if your doctor is recommending conservative care without surgery. That may be best. If you want more details. Try and give me your dads blood work and EKG reading and I will try and give you a basic assessment. Remember though, I cannot examine him, so all i can do is review is diagnostics at best. Vinay