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

### input:
I have a lot of health issuse, I had open Heart Surery in April Seem to have not helped much, I also have several auto immune now I went had a diagnostic mamagram and a sonagran this Dr, said she never has seen this before in twenty years. i have a small lump but my left nipple get very large changes color to red and get a little warm so she looked again and said there is no varacose veins but if i lay down my nipple goes back to normal in a shape and color. So they wast to send me to a surgent. I am so much medication 20 capsles of potasium,my cumidin will not stay up I take 10 mg for 5 day and 15 mg for 2 And my protime will not stay up And several other med one other thing my heart rate is very high Any Advise would be greatly appreciated.

### output:

Hi, Dear thanks for the query to Chat Doctor virtual clinic. I studied your query in full details updated from you. I understood your health concerns. Based on your query data, In my opinion, Dear You seem to suffer from dyslipidemia with messed up cardio-vascular health. Postural nipple change you talk about indicates some Breast ailment in formation. I would suggest Second Opinion from Surgeon, to fix the breast ailment, which could mostly be due to Fibroadenoma with increased vascularity with some intramural pathology. For the heart ailments-Weight reduction/ strict dieting with high proteins with low volume in consultation with nutritionist/ exercises/ change in lifestyle/avoiding smoking, alcohol,coffee, tea,spicy non-veg diet. Besdies this if no improvement-Gastric Bypass-procedure to reduce the disturbed metabolism and to reverse the dyslipidemia, which is the major cause of your health risks. Hope this reply would help you to evaluate your case and treat it with your doctors in time to come. Hope this would resolve your query and worry and Anxiety accompanied by it. Welcome for any further query in this regard to ME. I would love to help you out.Awaiting any further query. Wish you fast recovery from this intriguing health problem. Have a Good Day. Chat Doctor. N.M.S. Genl-CVTS -Senior Surgical Consultant