67  Years old male 
known knonw to have renal stone   1993 
renal   stone  surgery  1996 


open heart  disease     2013 
multipem c ath after teh  surgery 

bp  133/70 

he has   trace lower limb edema

medication 
amicor   5 mg ocn 
plan 
add   alfacal 
do labs a   and then reevalaution 