I am in the midst of traveling to see my Father,

He recently entered Memory Care. He is 94 with CHF, PVD, TAVR, CHD, AFIB, and Alzheimer’s with dysphagia. He has had one bout of aspiration pneumonia since entering care.

I just got a message about new test results from the doctor at the facility through MyChart. His NT PROBNP has risen from around 7,000 a month ago to 28,500 (!) today. I have googled, but haven’t found a clear answer. What does this all mean?

No one has called me. Also it is a holiday weekend. I am in and out of reception on my phone because of traveling. I would like to know more before I call. Any info on this test much appreciated.

Please know that I understand that I should call the doctor, but because I am a survivor of abuse at the hand’s of my father, who is a retired physician, talking to doctors is a trigger for me. Very stressful. Thanks.

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I am POA and HCP. I got word today from a friend that visited that he is very testy and confused. Refusing heparin and tests. I have a meeting with the Elder Care Law Firm‘s staff nurse on Friday. Will discuss next steps. I arrive tomorrow late and will see my Dad on Thursday. I haven’t signed any papers yet for his care facility which is just over the state line. Need to clarify some legal questions before doing that. He has been diagnosed with Acute Respiratory Failure with Hypoxia. On 4 L Oxygen.
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@MACinCT @AlvaDeer My Dad was hospitalized this morning. It is pneumonia again, some heart failure, some fluid in the lungs, no edema. On 4 liters of oxygen and antibiotics.
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AlvaDeer May 2021
I am glad your Dad's physician is quick off the mark for getting him care. Fluid in the lungs, as you might already know from research means that there is LEFT heart failure. Right heart failure effects the peripheral vascular syndrome. Left heart failure is much more dangerous than right due to the fact the lungs fill with fluid. Sometimes pneumonia and CHF look a tad alike in some cases, but CHF that effects the lungs is dangerous. Pneumonia is, in the aging as well.
Thank you for updating us. So few return to fill us in and it is great to get updates. Hope things go well for you.
Natriuretic peptides. When it rises above 3,000 it can often no longer be used diagnostically in some cases. Only the MD can answer for your Father's particular case. I am certain he will contact you with his concerns. Many things can cause a huge rise in this measurement. Everything from worsening heart condition to comorbidity such as renal failure, pulmonary issues, and even sepsis. Only your father's doctor can answer for what might be going on in his own case.
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Marrey May 2021
Thank you so much...
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Thank you so much, this is very helpful.
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