Conversation: The conversation between human and AI assistant.
[|Human|] My dad is 84 yrs. old and on peritoneal dialysis.  Hes also had 5 bypasses.  His pulse rate has been 33-35 and he has low blood pressure.  His kidney dr. has taken him off all of his heart meds now and he appears to be having congestive heart failure again- has a bad cough.  Im very concerned.  Any help I can get would be much appreciated.  Thanks.
[|AI|]  Hi There After going through the medical history provided by you of your father I would like to suggest that at the age of 85yrs, after going through bypass surgery being on peritoneal dialysis with such a low heart rate and low BP I would recommend you to take him to a multi-specialty hospital as he is in a need of ICU care. He requires a HOLISTIC approach of treatment and cardiac medications need to be started back with dose titrations. ICU care is recommended for him according to the condition described by you. Good Luck