General Discussion

- Been a nurse practitioner for 32 years; said the very same thing: CHF. The periorbital edema and swollen cankles...no other possibility. He's waay sicker than they'll admit. He's too ill to ever get better. Combined with the more than obvious dementia, he's a trainwreck.
- [a different take from a doc, you'll like this] I agree it could be CHF (and would be nice karma), but venous insufficiency-related peripheral edema cannot be distinguished easily from HF-related edema without the rest of the exam or echocardiogram findings (filling pressures, systolic and diastolic function). The data is insufficient for us to make the diagnosis. So while your suspicion is plausible it is not enough for the diagnosis. -A physician (and no, I’m not trying to criticize RN’s, just to clarify for accuracy)
- I too am an RN Case Manager and totally agree with you. In another post I mentioned how his so called physician must have been paid a hefty amount to tell the lie about his health. He can barely walk without appearing to have difficulty breathing, definitely a sign of CHF

Can we just agree that it's not a diagnosis, but VERY educated guesses by professionals who see this all the time?