61   years old male pt 
cabg   before  6  years   at ramahal 
dm   x 6  htn x6 
dld  x6 
asthma 
stroke 
dementia after  stork 
pacmaker 
medication
concon  5 mg ocne 
lipinil  40 mg once 
mepral  20 mg once
coumad      5 mg once 
aspirin 


he is  complainig  from itching that  has  been progressive 
he is  knonw to have  schezophrenia 

plan 
do renal us 
do labs 
reevalutiona fter  labs 
continue  venofer   100 mg  ocne  weekly untill improvement 