Hi all any nurses around. I'm concerned about husband. He is a huge man 6'5 and over weight after gastric bypassing 1999. He has severe pitting edema. Has had it a long time. The issue is the 40 mg lasix is not working. The edema is moving to his hands. He has had vascular work ups done for his legs. It was all good. I'm thinking if the edema is moving up to his hands is it possible we are heading towards congestive heart failure. It's a holiday weekend. Do we go to the ER! Wait it out till we see a dr. He wanted to change doctors because basically the one he sees now is doing not much for him. I also feel he is not metabolizing the lasix or potassium because of the gastric bypass. Any advice? I should add that both his mother and maternal grandfather died of kidney failure.