Mind her 732234 80 year old man social history cares for his wife he's bed bound no package of care because it was canceled by him although he previously had a package of care but unclear frequency awaiting social input intermittent blackberry store for several months background ischemic heart disease nstem e 2019 tia hypertension mitral and cardiothoracic regurgitation spinal stenosis ckd 3 a ejection fraction 26% in august 2022 heart failure with reduced ejection fraction cabg interstitial lung disease and atrial fibrillation cares for his wife who's bed bound worsening exercise tolerance doesn't leave the house walks around the house only with a stick 50 to a 100 yards raise inflammatory markers probably secondary to fractures slow upper gi bleed intermittent likely would benefit most from treatment with ppi not and not endoscopy in the first instance plan further resuscitation iv endoscopy iv ppi endoscopy once stable aiming early next week continue aspirin due to previous cabg iv omeprazole bd