Conversation: The conversation between human and AI assistant.
[|Human|] Hi, I just turned 56, I had triple bypass in April 2010 in a German hospital. 2 months later back in the States I had chest pain again, I was admitted and found out the new LIMA that was placed closed(failed entirely) therefore they put two stents one month and another two stents a monther after and ballooned the lower diagonal in my LAD, the bad artery. In Feb. 2011 I received another stent between the others and ballooned the side diagonal, what a mess!! Doctors have no clue why this is happening, they are puzzled as I am. However, my main concern is, my sex life has been altered since the surgery and of course all the medications I have been taking, I was very active prior to that. I just can t get up as often as I want and it does not get as hard. Your diagnosis is much appreciated
[|AI|]  Hello, Brief Answer: As a cardiac patient, you need alternatives to satisfy your needs that do not affect your cardiac Chat Doctor. Explanation: My opinion is that ischemic heart disease patient is advised generally about his lifestyle and habits. Concerning activity, it is encouraged as a general rule to do exercise with moderate strength. As for sex life, as important it is, the ischemic patient is advised not to do any vigorous activity that may cause angina. I suggest my patients the following; discuss with your partner the best ways and positions that should satisfy your needs without risking your condition. Also, avoid taking sildenafil or