### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
Please can you give me some advice for my father. He is a 63-year old male with several health issues. He has COPD, Diabeties Type 2, Fibromyalgia in his legs due to diabetic neuropathy, Herniated disks in his back, Stomach aneurym which has been monitored, Has had several mini heart attacks with heart failure ( at this points was hospitalized due to lack of oxygen), Heart blood flow is only working 25% and that lead to a cardiac pacemaker defib put in at Hershey Medical Center about 2 weeks ago and now is experiening heaviness in chest, Shortness of breath while moving around or even sweeping a small amount of the floor, I m very concernd most of all about what he just told me tonight and that was that he stopped taking his Lyrica due to feeling uncomfortable when the medication would start to wear off. He stopped this 2 weeks ago and did not tell his doctor because he is very stubborn. He will not go to the emergency room, I know this. Im very concerned due to his creatine levels being 4.5 to 5.0 for the last 4 to 5 years. He will not get a kidney transplant for several years to be at the top of the list. I need help on what I should do? Just not feeling himself at this point and I see this in him and he has explained some of his symptoms to me. Is he going into kidney failure due to not taking his Lyrica? And should have slowly decreased this medication? He does not want to be on it anymore. Please help, he is everything to me.

### output:

Hello first thanks for writing to us, your dad is a COPD patient as mentioned by u.therefore you have to understand that lifestyle of such patients are very difficult. And in winter and spring season it worsens. There is no remedy as such except symptomatic treatment. If your father is not willing to visit hospital no problem built a small hospital in your own house what I mean is get the oxygen cylinders and saline bottles and all such required medicines. These days you get well-trained nurse for home care. As per creatine level though it's higher than normal level still it can be controllable with proper diet and restrictions. Hope I have answered your queries properly