I am unable to recommend treatment or medical management without performing a complete history and physical examination. Your father has a number of complex medical problems and this is best managed by his primary care physician (PCP) in consultation with other specialists including a cardiologist and nephrologist. You should also visit with your father to see what his desires and preferences would be. I would suggest that you attend one of the visits of your father with his PCP and ask what treatments are recommended and then discuss your father’s wishes in regards to his treatment.
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