Facing Challenges with My Father’s Health
My father, who is 54, has been diagnosed with stage 5 chronic kidney disease (CKD) and type 2 diabetes. Although he showed some improvement at our fourth hospital visit, his condition has deteriorated again just days later. Now, he's experiencing nausea, insomnia, and he has several painful wounds on his feet and legs. Currently, he undergoes dialysis three times a week, a process he finds distressing. The sessions often drag on longer than expected due to his vomiting, which necessitates breaks for him to regain his composure. As a 17-year-old, I feel overwhelmed and helpless. I can’t compel him to visit doctors or return to the hospital since he is resistant to those ideas and I fear provoking his anger, especially considering his current disposition. Additionally, with my college classes starting soon, I know I can't be by his side in the hospital, and due to age restrictions, I'm not allowed to stay there anyway. Financially, we are struggling, which makes each hospital visit a burden. Recently, a particularly alarming incident occurred; just earlier today, he collapsed while out running an errand. He fell and hurt his knee, as well as sustaining a bump on his forehead. I offered him a cold compress and suggested that we head to the nearest medical facility for a check-up, but he was adamant about refusing. Right now, I feel lost and uncertain about what actions I should take. I'm seeking guidance from healthcare professionals to navigate this challenging situation.
Answers (1)

8/9/2025, 12:30:58 PM
OpenHealth AI
I'm truly sorry to hear about your father's health challenges and how overwhelming this situation feels for you. It's understandable to feel lost when managing complex health issues, especially when they affect a loved one who is resistant to seeking help.
Main Points
Your father has significant health concerns related to stage 5 chronic kidney disease (CKD) and type 2 diabetes, which require ongoing management. His symptoms of nausea, insomnia, and painful wounds on his feet suggest he may need urgent support. It's essential to address both his physical needs and your emotional well-being as you navigate this difficult period.
Explanation
Chronic kidney disease, particularly at stage 5, can lead to severe complications, including an increased risk of infections from wounds and changes in overall health status due to diabetes management. His nausea while on dialysis is concerning and may point to poor tolerance of the treatment. Wound care is critical because it can prevent infections and aid healing, which is vital for someone with diabetes.
Your father's refusal to seek help can be challenging, especially as he's going through a lot. It's important to communicate your concerns without adding to his stress, letting him know you care about his well-being and want him to feel better.
Next Steps
-
Encourage Open Communication: Gently encourage your father to talk about how he feels and what you can do together to improve his situation. Sometimes, just listening can help him feel supported.
-
Focus on Wound Care: Help him care for his wounds at home by keeping them clean and covered. You can use over-the-counter wound care supplies. Monitor for signs of infection, such as increased redness, swelling, or pus. If these occur, gently encourage him to consider seeking medical attention.
-
Manage Nausea: Try small, frequent meals that may be easier on his stomach. Ginger tea or soft foods may sometimes help reduce nausea. Keeping him hydrated is also crucial, so encourage him to drink fluids.
-
Establish a Routine: Help him maintain a regular schedule for his dialysis and rest periods. This can sometimes make the process feel more manageable and predictable for him.
-
Stay Informed about Support Services: Look into local resources or support groups for patients with CKD and diabetes. Sometimes, organizations can offer financial assistance or access to community care services.
-
Prepare for Emergencies: Document any changes in his health, especially regarding his falls or changes in consciousness. If he collapses again or has severe symptoms, call for help immediately, as it's crucial to prioritize safety.
-
Seek Professional Advice: While it’s challenging for both of you, suggest that he consider a telehealth appointment, which might feel less daunting than visiting a clinic in person. Many professionals can provide guidance without needing a hospital visit.
Lastly, take care of yourself, too. Looking after a loved one is emotionally taxing, and you deserve support as well. If you can, talk to a school counselor or a trusted adult about how you're feeling. You don't have to face this alone.
Related Questions
Seeking Answers for Persistent Rash
Greetings, I’m a 37-year-old female living in the central United States. During mid-June, while I was in the shower, my partner noticed two oval-shaped, pink patches above my left breast. Initially, these spots were slightly larger than a dime; they didn’t cause any pain or itching. I assumed it might be a heat rash as they appeared in the area where my bra sits. Over the next few days, there was no significant change unless I neglected to apply moisturizer, which sometimes left them looking a bit scaly. After a couple of weeks without noticeable improvement and no itching, I was advised to use an antifungal cream. I applied it for about five days, but it seemed to intensify the redness instead. I continued to monitor the area and observed that the patches were gradually enlarging. About a month later, I discovered a similar scaly patch on my lower back that took on a pink hue, resembling the original two spots on my chest. Growing increasingly concerned, I conducted some research and found that pityriasis rosea matched my symptoms; I also learned that antifungal treatments could exacerbate the condition. I then switched to hydrocortisone cream, which proved ineffective. A trial with Benadryl cream containing zinc only made the rash appear redder. Fast forward to the end of July, I noticed a spot that mirrored the earlier rash at the edge of my left nipple, along with a small patch at the base of my throat and several tiny spots on my torso, which appeared just last week. For context, my history includes no recent changes in detergents or soaps, no bug bites, and I’ve been under stress at work. During the winter, I experienced two similar patches on the back of my calf and my abdomen's side, which were quite itchy but resolved in approximately six weeks. Additionally, I have a medical history of hypertension, anxiety, and prediabetes.
Guidelines for Recovery from a Calf Muscle Tear
**Patient Profile** - **Age:** 52 - **Gender:** Male - **Height:** 5 feet 7 inches - **Weight:** 170 pounds - **Ethnicity:** Asian - **Duration of Symptoms:** Two weeks - **Injury Location:** Right calf - **Pre-existing Medical Conditions:** None - **Current Medications:** None **Diagnosis Summary** The recent evaluation at urgent care revealed a diagnosis of a right gastrocnemius muscle tear, which occurred during a running incident involving a sudden turn a week prior. The injury is characterized by acute pain, noticeable swelling, and bruising observed at the site. There is currently tightness and mild discomfort when walking. Upon physical examination, bruising was noted, while the Achilles tendon remained intact and there was no ligament damage. The signs indicate a partial tear, with recovery anticipated to range from two to six weeks. **Recommended Recovery Plan** 1. **Activity Limitation:** It is advisable to continue limiting activities that involve walking or running on the injured leg. 2. **Medication:** Naproxen, available by prescription strength (also known as Aleve), is recommended to be taken twice daily, targeting inflammation, swelling, and pain management to aid in healing. 3. **Specialist Referral:** If there is no noticeable improvement, a referral to an orthopedic specialist is advised for further assessment. 4. **Thermal Therapy:** Utilizing a heating pad can be beneficial in promoting relaxation and improving blood flow to the affected muscle. **Recovery Stage Concerns** Now, as I reach the two-week mark post-injury, I am pondering whether it would be appropriate to begin light stretching of the calf muscle at this juncture or if I should persist with minimal walking and continued use of the heating pad to enhance relaxation and circulation in that area.
Facing a Low-Grade Glioma Diagnosis After My First Seizure
On July 9th, I experienced an unexpected seizure, which led me to seek medical attention. Following an MRI, I was informed that I have a low-grade glioma located in the left parietal lobe, measuring 34×43×31mm. I have consulted multiple neurosurgeons, most of whom have advised that I should proceed with surgical removal at the earliest opportunity. Currently, I am considering two primary treatment options: 1. An awake craniotomy followed by radiotherapy. 2. Treatment with Gamma Knife radiosurgery. I have several concerns regarding these options: Based on my research, Gamma Knife treatment tends to be most effective for tumors that are smaller than 3cm, and my tumor exceeds that size. Additionally, I have not undergone a biopsy yet. The neurosurgeon specializing in Gamma Knife treatment believes a biopsy isn't necessary since he can identify the tumor type as an astrocytoma from the MRI images alone. I'm apprehensive about the potential risks to my speech and the recovery period associated with the awake surgery. At the same time, I hesitate to opt for a treatment that may not offer optimal results. My inquiries are twofold: Should I push for a biopsy prior to starting any treatment? Is it reasonable for me to consider Gamma Knife for a tumor of this size? If anyone has faced a similar circumstance, I would greatly appreciate hearing about your experiences and what decisions you made. Input from medical professionals or those who have undergone similar treatments would be incredibly valuable to me.
Experiencing Visual Disturbances
I’m uncertain if this is the ideal forum for my inquiry, yet it seems to have a connection to hormonal changes. Ever since my first pregnancy, I've noticed these "sparkles" in my line of sight, particularly while showering. This phenomenon began during my initial pregnancy, leading my doctor to suggest it might be related to a decrease in blood pressure. Fast forward 12 years, and I'm still encountering this issue, predominantly in the shower just prior to my menstrual cycle. However, today was different; I experienced it while strolling through the mall, which was particularly alarming. Although I have had instances where this has occurred outside of the shower, they are quite rare for me, and it has never happened without an apparent reason. It might happen when I'm busy cleaning and frequently bending over. The incident today was unsettling but only lasted for about 20 seconds. My heart rate was stable, and, as luck would have it, I’m just four days away from my period. Has anyone else had similar experiences? My doctor's responses have suggested it could be due to a drop in blood pressure, yet my findings through research don’t quite align with that theory.
Understanding an Enlarged Spleen
Greetings, I am a 42-year-old female, weighing 136 pounds and standing at 5 feet 3 inches tall. For several years, I have been dealing with abdominal discomfort. While I have a diagnosis of Irritable Bowel Syndrome (IBS), the pain I experience now is distinct from my typical IBS symptoms. I experience sharp, intermittent pains located on the left side of my abdomen. Two years ago, imaging tests revealed that I had gallbladder sludge and an enlarged spleen. At that time, my physician did not view it as a significant issue. Recently, however, the pain has escalated, becoming sharper and more severe. Earlier today, I visited the hospital where they conducted blood tests along with a CT scan. The results from the blood tests came back normal, but the CT scan confirmed that my spleen remains enlarged and I now also have a gallstone. The medical team indicated that neither of these findings is likely related to the pain I am experiencing on my left side. I would like to know: 1) What steps should I take next? 2) Is this situation typical? 3) What might be the underlying causes of my spleen remaining enlarged for two years?