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

### input:
My brother-in-law aged 61 years old diagnosed with 2 blocks in the heart and also a block in right way of passage to kidney and advised for bypass surgery. He has the history of Hypertention, Diabetics for a decade also suffers from gastric ulcers. Some of our well wishers contemplating on going for KEELEYs method of treatment to avoid surgery. Can you please give details about this method and how far it is successful as an alternative to bypass surgery. Thank you very much. P. Srinivasulu / INDIA.

### output:

Hello thank you for posting here. I have gone through your description. Since he has two blocks in the heart arteries, and he is advice bypass, the right choice is to go ahead with bypass surgery. I don't know any therapy named KELLEY, but I suppose you are talking about ch elation therapy. This therapy is of no benefit for the patient. The blocks in the heart artery are embedded inside the heart vessel and any amount of medication or therapy cannot decrease it to make it vanish. Medications can only help to stop progression of the block. Definitive way to treat critical heart blockages is an angioplasty or bypass surgery. Had you been my patient my advice would be to go ahead with bypass? Bypass surgery requires a stay of 7- 10 days approx in the hospital. Patient can start walking usually by day 5 after surgery. It requires a recovery period of 20 -25 days, but the long term results of bypass are very good with patients having a good quality of life. Gastric ulcers can be treated with long term antacids. Gastric ulcers are not a contraindication for surgery. Wishing you good health thank you