today   he presented for follow up 
s/p  right  nephrectomy  in march/2025 

presented with unspeciifc  symptomes 

plan 
lustral   50 mg  half  then  once 
sodium bicarbonate    500 mg once 
rtc after 
do  lipid  profile 
do  uric  acid 
do  urine analysis 
rtc after  2  months 