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

### input:
my wife had emergency surgery on 3/28/14 to repair ruptured colon. now has colonospy device. obstruction was not cancer. she had a real hard time after surgery, 2 mild heart attacks, severe edema, jaundice, on respirator for 18 days. when all of this was done she was sent to rehab. they got her in mid april and were able to get her up a few times and she was taking as many a 20 steps with a walker. then she had a svere lupus attack 3 weeks ago. has only been up once for about 30 seconds. now has penomia. will not even try to sit up or stand. she is 64 years old and had a normal active life prior to surgery. she has had the lupus (systemic - mild) for 12 years, the therphists are pushing to send her home. i m communting 160 miles a day to be with her. we have no insurance. is there any hope she will ever sit up or walk again or has too much time passed. she just wants cough syrup, sleep and to be left alone. i v tried everything I know to do - i mm 66 and in poor health - any advse is appreciated

### output:

Dear Sir, Thanks for your questions. It seems that her lupus is active now, and she had lupus vasculitis/enteritis leading to rupture colon, and she recovered from it. Now she is having pneumonia. Differentials in present condition are chest infection secondary to immunosuppression or Lupus pneumonitis. I suggest doing appropriate cultures, BAD and HRCT thorax for work up of same. Hope I could solve your query.