How to promise beside a parent who have have four heart-attacks, a pace-maker and defibulator implanted and?

still refuses to take his medicine. It is remarkably stressful to the family, everyone is in constant worry around him and yet he still smokes a pack of cigaretes a day and refuses drug. He is depressed, angry and stresses my mom out. What can I do as a daughter?
I'm sorry to hear about that. But the truth is there really isn't anything you can do. He's making his own choices and -- this is important -- they *are* his choices.
There are psychiatrists trained to deal with these sort of things. The specialty is call consultation liaison psychiatry. The specialists deals with "the interface between medicine and psychiatry, usually adjectives in a hospital or medical setting." There is something wrong with the way your dad perceives his disease and also something wrong next to the way the family is dealing with it, Go see someone who specializes contained by Liaison psychiatry, Source(s):
Get some life insurance on him.
I am sorry to hear that it sounds similar to he gave up just tell him how you discern , maybe have his doctor talk next to him
Nothing, try to get along with him, perhaps he have decided his time is up and that's his choice, not yours.
A doctor can check heart sounds by listening with a stethoscope over the surface of the chest. An echocardiogram can find the exact grounds of the murmur.

The heart has four chambers: two upper chambers (atria) and two lower chamber (ventricles). The heart has valves that close with respectively heart beat, causing blood to flow in just one direction. The valves are located between the atria and ventricles, and between the ventricles and the major vessels from the heart.

Normal heart sounds are call S1 and S2. They are the "lubb-dupp" sounds that are thought of as the heartbeat. These sounds occur when the heart valves close. Normally, there is no nouns when the heart valve opens. In a person beside congenital heart disease or heart valve disease, a "click" sound may be heard during a physical exam.

Because the heart is also divided into a "right side" and a "departed side," sometimes these sounds may be divided. Most commonly noted is a "split S2." This is caused when the right and left ventricles relax and the valves close at slightly different times. It is regular. But occasionally, the split can be a sign of an abnormality, such as enlargement of one of the ventricles or narrowing of a valve.

Murmurs occur when a valve does not close tightly (such as next to mitral regurgitation) and blood leaks backward. They also can occur when the blood flows through a narrowed or stiff spigot (such as with aortic stenosis).

The health care provider can normally identify the valve involved and whether you have regurgitation or stenosis during the exam. The location, quality, and timing of the murmur are adjectives important. The doctor may ask you to squat, stand, or hold your breath while bearing down or gripping something with your hand to listen to your heart.

A murmur does not necessarily mean that you have a disease or disorder, and not all heart disorders lead to murmurs.

Murmurs are classified ("graded") depending on their ability to be heard by the examiner. The grading is on a clamber. Grade I can barely be heard. An example of a murmur description is a "grade II/VI murmur." (This process the murmur is grade 2 on a scale of 1 - 6).

In addition, a murmur is described by the stage of the heartbeat when the murmur is hear. When a murmur is more prominent, the doctor may be able to feel it with the palm of the mitt over the heart.

The following are important clues to the cause of the murmur:

Does the murmur occur within the resting stage (diastole) or contracting stage (systole)?
Does it occur early or late surrounded by the stage?
Does it occur throughout the heartbeat?
Does it change when the doctor uses physical maneuvers?
Can the murmur be heard contained by other parts of the chest?
For example, a presystolic murmur is heard just BEFORE systole. It is usually caused by narrowing of the mitral or tricuspid spigot (the valves between the atria and the ventricles).

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