70  years old male patent 
dm 
htn

he was  onatcand  plus   forxiga   metformin 
crestor   20 mg once 

before   one  years   he  had  creatinine  of   4.5  mg /dl    a fter   medication 
 and i  stopped the medication    at alia  hospital 

he  had  radical  cystectomy and he  has  illioillial  pouch     by  dr  raed alhamouri 
  28/8/2024 

he   had creatinie   around  1.5   untill    for the last   3  months     where  his  creatinine  2.7

12/2025  it  was 

3-2-2026
2.04
ast   17 
alt    15 
alkaslin 123
wbc     10   hgb    14   plt

2-12-2025  it  was  1.8

medications
off medication   other  that  insulin 
mixtard   15  and  20 
30      am  and  30  pm 


plan 
30  am  and  25  pm 
galvus 
bioslove 
alfacal 
calcium 
rtc after  2   weeks  after labs and us 