(555,27,'2025-08-19','','','lupus nephritis stage 4 \nfor cyclophosphamdie and   plasma pheresis \ntrasfer to the hospital \ni spoke with hi\\m in regard the sperm banking ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(556,112,'2025-08-19','','','last  prograf    dose   28/7 \n\nthen he was  on prednospne   5 mg once dialy \ndiovan    once daily \n\nplan trasfer to dr  saed \nprednsione   30 mg once \ncolchcin   0.5 mg 1x2   for  2 weeks   then once\nj dee   50000  iu once weekly\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(557,346,'2025-08-19','','','nocturnal enuresis \n\nplan \nadd  novitropan \nadd   minirin melt \nadd   dee  dense \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(558,349,'2025-08-20','','','69  years old female pt \nknown to have DM X5\nHTN X26\n DLD   \nGOUT \nHYPOTHYROIDISIM\nPRESENTED WITH   CREATININE  1.7\n\n\nPLAN \nADD   EXFORG \nADD  J DEE \nADD  REVILAX \nADD DEFLAZACORT \n\nRTC AFTER  2 WEEKS AFTER  DOING ABDOMINAL   US AND  LABS \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(559,111,'2025-08-20','','','LABS  AS ATTACHED \nRITUXIMAB',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(560,337,'2025-08-20','','','  TODAY HE  CAME FOR  FOLLOW UP \nCREATININE  1.9 \n\nLEVOX  WAS STOPPED \n\nPLAN\nCONTINUE  AMICOR \nRTC AFTER   1    MONTH \nENCOURAGE  FLUID INTACKS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(561,350,'2025-08-20','','','DM\nDLD\nHTN \n,ETFORMIN \nHYPOCOR \nDIOOVAN \n\nWBC   6/6  HGB 12/8  PLT  332 \nCREATININE  0.9  -1.2 \nUREA  52\nA1C  6\nTSH  1.5',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(562,351,'2025-08-20','','','47   Years old male pt \nknonw to have angiomyolipoma of the kidney  with reassuring urology opinion\ngout\n\ncreatinine   1.47    increased  to 1.69  tehn imprved \nuric acid   10 \nbun      33 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(563,352,'2025-08-20','','','today  she was seen and her chart was reviewed \n\ncreatinine   5.1 \ncholesterol       165 \nfbs    95 \nhdl   37 \nldl   82 \nuric acid    5.9 \nbun 70 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(564,353,'2025-08-21','','','20   Years old male pt \n10 years old   of  oral ulceration \n2020   recurrent  every 2  weeks\nat the age of 16  years   recurrent ulceration \ngoutex  0.5 mg    but  he developed high liver fucntion test \n\nplan \nadd  oracort \nadd folic acid \nadd  deflazacort \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(565,212,'2025-08-21','','','exforg \ngalvis   50 mg once \nforxiga   10 mg once \nomega   3 \nvit d',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(566,242,'2025-08-21','','','Weight 114\nBp 145/ 82\nCreatinine 2.69b',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(567,354,'2025-08-21','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(568,170,'2025-08-22','','','  today he was seen and his cahrt was   reviewedn \n\n\npredialysis \nfor  follow up \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(569,357,'2025-08-22','','','64     years old   female pt \nknonw to have  htn     for the last   4  eyars \nsingle kidney \natrial   fibrilation \nnormal coronarits \nno  dM \n\n\ncreatinine    in 1/2025   it  was   1,3-1,4  \n\ntoday she came  with cre atinie 2.1 \ncbc  noral \nurine analysis showed    high  wbc \n\nmedication \nquest  2.5 mg 1x2 \ncocnor  5 mg ocne \ncadex   4   mg once \nnorvasc    5 mg \npepticum \n\n\nplan \nadd  calcium \nalfacal \nadd  biosolve \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(570,358,'2025-08-22','','','70    years  old  female \nknonw to have  dm  htn     dld    \nsLE? \n\nshe is  underweork up for  multiple myeloma  by the   dr alia  alkahlili \n\nher creatinine    1.23  \n\n\nplan \narasp  30 mg ocne weekly \nrtc after one month \nrtc after  \nadd  j dee \nadd  aransp',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(571,359,'2025-08-22','','','54      years old   male  pateint  with polycustic kdiney disese \nmother with  APKD  a nd dialysis at the a ge of  60 \nBPH \nHTN \nGOUT\n\nMEDICATION \nCADEX   2 MG \nALLORIL  300 MG ONCE \nCONCONR  5 MG ONCE \nAMICOR    5 MG ONCE \nLIPONIL   40 MG ONCE \n\n\nPLAN \nADD   AMICOR  5 MG 1X2 \nADD   BASILOX \nADD   CALCIUM \nADD   ALFACAL',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(572,59,'2025-08-22','','','Today he   was seen and his  chart was reviewed \n\nceatinie  3.4 \nhgb  116 \n\nplan \nhold iron \ncontinue  atransp \n\nadd   res  q  10 \nadd  l  carnitin\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(573,12,'2025-08-22','','','stable \nno new complains \nvital signs stable \n\nplan \nadd  rejoint \nadd  b12 injection',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(574,51,'2025-08-23','','','today she came for follow up \nshe  sought medical by dr  Ismaeel and    he stopped all the medication \nsought Medical Device  by  dr ala    with reassuring   Finding   including improvement on the  right  optic  neve and  the left  has  Milk   degree of edema \nhowever  the  report  is   not available now \n\nmedication \nnexium   40 mg once \nmyfortic  1x2  for  one wek  then 2x2 \ncarvidelol  1.5  2x2 \ncadex  4 mg  1x2 \ncalcium  600 mg once \nj dee   once  monthy \nferromedplus     1x1 \nrtc after   2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(575,51,'2025-08-23','','','today she came   for follow up \ncreatinine   1,5 \nno urine analysis \ncbc    4,6  hgb 10.5  plt    220 \nbun 23',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(576,297,'2025-08-23','','',' today  he came for  follow up \ncreatinine  1.2 \nhgb  14 \nbo 128.76 \n\nplan\nprograf  1  mg  1x2 \nmyfrotic  2x2 \nprednisone  10 mg ocne \nconcor   5 mg \n\nrtc after   2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(577,156,'2025-08-23','','',' plan \nplease     make    2  am  and  3  pm \nmyfortic   2x2 \nprednione  5 mg ocne ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(578,341,'2025-08-23','','','today the pateint came  for  follow  up \nhe was admitted to the hosoital  on thursday withn pulmonary edema nd  hypertension  crisis \nhis  labs  attached to the  file \n\nplan\nmedication \nadd lecardipin \nadd  biosolve \nadd  deflazacort  for  5  days \notehr medication is  on pic ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(579,24,'2025-08-23','','','stable \nadd   resq10 \nadd  l  carnitin ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(580,360,'2025-08-24','','','61   years old male opt \nknown to have    hyperteisnon   x7 \ndm 6  years  \n\ntraqsvers  colon cancer and   he is status post colectomy\nihd   sten  before    6  eyars ago after s table angina \nbefore   5  months hduring ramadan he   fasted   and he developed  decreased level of consciousness and he  developed   acute kdinehy injury and \nhe  was seen  by  dr  hiba  albarghothi and she was   and  the creatinine was  4,9 mg/dl \n\nmedications \nlantus   8\nnovorapid   7  iu before  each meals \nasa  100 mg once \ncarvidelol  12.5 mg  1x2 \nosmoadalat  30 mg 1x2 \ncalcium carbonate  600 mg 1x3 \nalfacal once daily \naransp   once   bi weekly \nsodium bicarbonate  500 mg 1x3 \nferrous  fumarate   1x1\n\non exam \nbp  140/70    hr  70 \ntrace lwoer limbs edema  \n ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(581,26,'2025-08-24','','','today he came for follow up \nmaintained on \nlozar    50 mg 1x2 \namicor  5 mg  1x1 \nempa  10 mg once \nliponil   40 mg once \nmepral  prn \n\nplan \nplan \nadd  sedaprim  for the pain \n\n\nrtc after   2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(582,26,'2025-08-24','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(583,321,'2025-08-25','','','follow up  visit \ncreatinien  1,2 \nprograf  9\nhgb 9.7 \n\nplan \nadd    iron supp \nprogrf  from  4=5       4+4 \nmyfortic  2x2 \nprednisone  10 mg once \nsulprim    for  3  months \nmepral  20 mg once \nrtc after 2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(584,217,'2025-08-26','','','today he was seen and his chart was reviewed \nhe looks   stable \nno   new compain \n\nvital  sign   avarage 1180123.80-85 \ndr  muhammed alburini  refused to do the kidney biopsy as he has high risk for bleeding ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(585,361,'2025-08-26','','','76    years old male pt \nknonw to have HTN   DM  CABG  AND  MULTIP;LE  C CATH \nHE WAS ADMITTED    7.2025   as acase  of acute kidney injury after diarrhea  illness \nand he was maintaine on entresto and other nephrotoxic  agent \nhe  creatinine back to  1,3 \nejection fraction  35% -40%\n\nwbc   9,6  hgb      14  plt   179\ncrp negative \nesr  28\ncreat   1,8 \nbun  65 \ngluco  134\nna   141 \nk   5,2\ncl  109 \ncreat  2,3\nbun  63 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(586,199,'2025-08-26','','','today she was seen and her chart was reviewed \ncreatinine  1,8 \nurine analysis  showed   high wbc   and high nitrite \ncbc  showed  hgb  13 \n\nplan \nadd   forxiga \nstop insulin \nadd  ciprofloxacin \nresq10 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(587,362,'2025-08-27','','','57   years old male pt \nstone  former \n2009   untill this moment  he has  multiple stones \nno family history for renal stone \nDM   6,6    ha1c \nhypertension   for the last  6 months and has been maintained on  concor   5 mg once \nmetformin and sitaglibtin 50/1000\n\n\nmedication \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(588,308,'2025-08-27','','','today   she was seen \nbetter \ndeporession \ncreatnine  1,8 \nplan \nstop metfmin \nadd  macrofuran \nrtc after  3  days finishing the antibiotics \nconside   meropnm \ncheck blood pressure  since her blood  rpessure   150/90\n\n\nة',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(589,138,'2025-08-27','','','today she came for  follow up \nmuch better \nno new complains \nplan continue   the same rx \nrtc after doing labs and bring medication ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(590,311,'2025-08-28','','','today he  came for  follow up \nesr  130 \ncreatinine  5.2 \n\nplan \navilac     15    sl  bid \nprednisone   20 mg 1x2 \nparamol  extra   1000  1x2\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(591,363,'2025-08-28','','','72  years old female pt \nknown to have   chronic kidney dsiease  with base line creatinine 2,8 \nshe is knon nw  to have  hypertension with\n\nmedication \n  cadex  2 m ocne \nconcore    5 mg once \nlecardipisn  10 mg once \nlasix  stopped   lastr month \nshe was referred from dr  ashraf  and    she is complainifng   from s ib  and  orthjpnia   \nvcital signs    120/80 \nspo2 96 \nglobal hypokinesia  mil d  lvg  with significatn  diastolic  dysfucntion  with significnat    eelevated  lv\n\n\nplan \nstop   lecardipsin \nstop lasix \nrtc after one week \ncheck blood pressure   and follow waight \nadd alfcal and  add c alcium ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(592,46,'2025-08-28','','','today she was seen and her chart was reviewed \nshe still having  5    gram \nplan \nadd liponil  40 mg ocne \nmake  prograf  2  am and  1  pm \nrtc after one month  with   creatinine   and  urine  pcr \nfor  possible  rituximab',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(593,365,'2025-08-30','','','63  years old male pt \nknonw to have  HTN  for the last   10 years \ncad  with  pci to   rca  2019\nlad 2021\nd1 prox  \ntotal d2\nC CATH  IN 2019 \nCHF   with redused  ejecion  fraction   30-35%\nckd  with     acr       1500    creatinien  2  in 9/20224\n3/2025 n it  was  1,6\n\nplan \nhold  amicor \nconcor  half  tab \nentresto  100 mg    1x2  after imprvement of his  blood  pressure \nforxiga  10 mg once \nlasix  hold for  3  days  the  once   every otehr  day \nrtc anext  week \n\n\nconsiede  adding  alfacal \nconsider  adding resq10 \nrtc  next  week',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(594,366,'2025-08-30','','','67   years old male pt \nstone  former \nbph   and he has  been maintained   on  omnic  ocase \n  he has  chronic kidney disease  with base line   1,4    12/2024 \n\nrecently   new  labs  were  done and showed   3,03 \nfurther   evalaution showed   hgb  10 \nrenal us  s  was done and showed \n\nmedication \nvalsadipin  160/10/25\nconcor  5 \nalloril  100 \ntjiotard  100 \nsymbicort  inhaler \nomnic  ocase \n\nplan \nstop  valsadipin \nad   amciro \nadd   cadex \nivf   500 mg   once  dailyu',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(595,367,'2025-08-30','','','62   years old  female pt \nDM \nHTN \nCKD    \n\ncreatinine  last    years 1.5-2 \n\ncreatinine  this  year   1,5-2 \n\nc/o numbness and  generalzied weakness \nlower  limbs  weakness   mild \n\n\nlast  friday  she  sought medical  advice and she  found  to have  high blood   prssure and high surgar \n\nmedication \nempa  10 mg once \nasa \ndiamet   1 x1\namicor  5 mg 1x2 \nconcor  5 mg once \nlozar ?\nalfacal 0.25 mg once\nnexium   40 mg once\nsitaglue\ntegretol \nlipidex    40 \nbiosolve  600 mg 1x3\ninsulin lantuis     25-15\nwbc  9  hgb       13  plt204\ncreatinine   2\n\n\nplan \nadd  exforg \nmale  empa  10 mg once a\nadd c alcium   600 mg o\nhbac  7.9 \nrelaxon\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(596,256,'2025-08-30','','','حplan \nadd  resq10 \ncreatinine imprpved     to  2,8 \nhgb stable \nurine    analysis sowed   zinnat   500 mg 1x2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(597,121,'2025-08-30','','','add  res  q10 \nurine  pcr   les than 11\n\nplan \ncnontinue   atacand \nrtc after one   3  motnhs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(598,368,'2025-08-30','','','56      years old female patient \nDM    for the alst  14 years \nhypertension for the last  12 \n c cath was  done    and  it was normal \n\n\nmedications valsadipin  hct\nmixtarf   30  and  30 \nmetformin  1x2 \ncocnor   5 mg once \nliponil  40 mg once \nforxiga 10 mg once\nalloril   100 mg once \n\n\nplan \nadd  forxiga \nmake  valsadipin hct  160/10/12,5 \nadd  j dee \n\nrtc after  3  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(599,315,'2025-08-30','','','  creatinien   1.9 \n\n\nplan \nrtc after   2months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(600,329,'2025-08-30','','','  creat   2.3 \n\nplan add  lozar \nrtc after  2 weeks \nwaiting  kidney biopsy after  doign the  insurance \nstop amicor ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(601,333,'2025-08-30','','','  stable \nno new complains \nvital  signs  stable \n\nplan \nto be reevlauted at  dr    asraf \nconsider adding   forxiga  10 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(602,189,'2025-08-30','','','today  she was seen and chart   was revoiewed \n\n24  hour  urine collection lastly shwoed   1800\navarage  blood  pressure     104067        to  100/67\n\nplan \nstart  prednisone  for  3  motnhs   continue  vit  d \nreepat  urine pocr and creatinine after  1,5  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(603,189,'2025-08-30','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(604,364,'2025-08-30','','','kidey transplantation   sicne  4/2025\ncreatinine  at discahrge  1.2-1,3 \nnow it is   1.9 mg/dl \n\nhe has  BK    inurine \nmedication \nprograf  1  mg  2  and 1 \nmyfortic  2 am and 1  pm \nrednisone  10 mg onec \ncontinue    antihypertensive medication \nreevalaution after   doppler and after labs',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(605,371,'2025-08-31','','','Dm\nHtb\nCkd 1.5 \n\nExforg\nCarvidelol\nCadex\nInflicta \nEucrease \nAsa\nLipids ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(606,373,'2025-08-31','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(607,330,'2025-09-01','','','today he was seen \ncreatinine   1.7\nurine analysis   no protein \nplan \nresume  inflicta \n15/9     he  will call me    inflrmiong me about the  potassium   if  it  is less than   5   then  to restart  entresto \ntoday his potassium is  5,5  and  i  will hold   entresto \nmake lantus  20  20 \nactrapid   10  10 \nrtc after   2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(608,375,'2025-09-02','','','59     years old  female pt \nknown to have  dm    for the last   4    years f\nhtn  for the last  2  years    improved \nchronic kidney disease    base line   1,9   and  2   at the peak \nfalling  down she has  left a rm fracture \nshe  developed    neck  swelling   for which she has   has   fna  \nshe neded  operation   for which she  found to have  cratinien  1.29    and they  send  her  for  further  evalaution \n\n\nrenal us   normal \ncreatinine  1,2-1,4 \n\nplan \nshe  can go for  surgery with mild risk \nhold  inflicta and lasix  one  day before  surgery \nrtc after  one week of the surgery \n\nthanks',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(609,135,'2025-09-02','','','today she came  for  follow up\nno new complains \nwbc    12   hgb    11  plt     260 \nurine  analysis showed   75-80   wbc  trace  protein\ncreatinine      4,7   bun 63     cholesterol  143',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(610,117,'2025-09-04','','','today he was seen and his chart wasa reviewed \nhe looks  fine \nblood pressure   140/90 \n\nplan \nadd  concor   2.5 mg once \nadd   forxiga   10 mg ocne \nj dee   50000 once weekly \nrtc after  2  onths  \nrepoeat  triglyceride since h\\\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(611,376,'2025-09-06','','','62 year old female pt \nknonw to have HTN   DM    CHF    CKD  \nPSYCHIATRIC ILLNESS \n\nShe has  generalzied weakness \n\nshe   found to have   creatning  of  8-9   \nlast yeaar it  was  2,5',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(612,180,'2025-09-06','','','today he was seen and his chart wasa reviewed \nstable \nplan \nforxiga  started      10 mg once \nalfacala 0.25 mg once \n\n\nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(613,306,'2025-09-06','','','today she was seen and her chart was reviewed \nshe looks better \nno nerw complaions \nvital signs stable \n\nplan \nadd  res  q  10 \nadd  j dee \nadd nosoca\nre  1x3 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(614,377,'2025-09-06','','','62    years old  female   pateint \nhypertension  for  the last  few  months   she was started on   arbozide   160/25 \n\ndiscopathy \n\nshe  has  recent  uti  and   \n\ncreatinine  w as  0.8  in 1-9\nthen  in  5-9   it is  2.2  \nand  today  1.8 \n\nplan \nstop  arbozide \nencourage  fluid \nblood  rpessure  follolw up \nrtc after one week ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(615,343,'2025-09-06','','','creatinine  backed to 0.9 \nrenal us  nromal  size \nsmall   stone  4  mm in the right and  3.5 mm on the left \nmild BPH \n\nPLAN \nKEEP THE SAME \nADD  ZIMICAL',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(616,379,'2025-09-07','','','56     years old male pt \ndm   2004 \nhtn   since  2004 \n2020   c  cath     with    stent \necho  was done and showed \nstroke \nechow as done  in 2024  showed  ejection fraction    66%  with normal valve \n\ncreatinine  in  2025    april  was 0.8 \n\nprotein  in urine  2\ncreatiinin    7/2025  was  1,5  8/2025  was  1,8\n\nmedication \nexforg  160/10 \nanapril  20 m g once \nlasoix  40 mg once \nmetformin \nnexium \ncadex  2 mg ocne \nlasix  40 mg   1x2  eod  with 1x1\nasa   100 mg onc e\nplavix   75 mg once \n\n\nplan \nstop anapril \nstop  exforg \n\nplan \nadd amicro  5mg  1x2 \nadd   cadex  4x2 \nadd biosolve \nadd  dee dense ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(617,86,'2025-09-07','','','atacand \nferroud   fumarate\ncalcium \nfeboxtat \n\nvalusite \ncyclsosporin    75 mg  1x2 \nnexiun\nprednsione  10 mg ocne \ncarvideloil  25 am and  25  pm\n\n\nhe  sought medical advice \ncolonoscopy and hestopped  myfortic ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(618,381,'2025-09-07','','','23    years old male pt    since the age of  2  years \nnephrotic  syndrome   showed \nFSGS\nDE[PENDAT  OF STERIOD \nHE WAS  ONMYFORTIC AND   CYCLOSPORIN \n\nHE WAS  ON REGULER ALBUMIN  AND LASIX \nMEDICATIONS \nCYCLOSPORIN   100 MG 1X2 \nMYFORTIC   260 MG  1X2 \nPREDNISONE 10 MG  AM \nCALCIUMM  600 MG 1X2 \nLASIX   1X1\n\n\nPLAN \nADD  PREDNISONE  20 MG   2    TAB  FOR  3  DAYS  THEN   30 MG   FOR  2  DAYS  \nRTC AFTER  ONE WEEK  AFTER  DOING  LABS  AND PROTEINURIA \nCONSIDER   RITUXIMAB \nCONSIDER ALLORIL \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(619,218,'2025-09-07','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(620,382,'2025-09-07','','','62\nDM\nHtn\nChf\nCabg\nCkd\nAtrophied one kidney \nBase line 3 \nHgb 9 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(621,8,'2025-09-08','','','today   she was doing well \ncandisoin\n\nplan \nadd    lustral \nadd   basilox \nbasilox   400 mg once \ntussibal   honey \nrevilax \n\n\non monday ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(622,8,'2025-09-08','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(623,326,'2025-09-08','','','today he came  for  follow up \ncreatinine  0.6 \nurine analyssi  nt  done   pending ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(624,383,'2025-09-09','','','59     years old male pt \npre  dm \nhtn \nstone   former   and stone     removal  in 2013  and  nephrectomy   left side in 2014 \nhe has   recurrent   dysuria and heisitency ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(625,198,'2025-09-09','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(626,384,'2025-09-10','','','DM  X  25 \nHEPATITIS   B \nGOUT \nHTN \nCKD \n\nRECENT ADMISSION TO HOSPITAL WITH  PULMONARY EDEMA \nRECENT  ADMISION AND HIS LABS SHOWED  CREATININE  4 \nCHF \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(627,260,'2025-09-11','','','today  she came for  follow up \ncreatinine  1.3-1.5 \nurine analysis  normal \nabdominal us    small    right   kidney  with  normal  left  kidney medication \nconconr  2.5 mg once \nlecardipin   10 mg once \nzimical \nj  dee  once  monthly \natorvastatin  20 mg once \ndr  hani  stopped the   hyperthyroid  medications ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(628,260,'2025-09-11','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(629,297,'2025-09-11','','','today he   came for  follow  up \ncreatinine   1.3 \nhgb  14 \nb12   more tha   12 \n\nplan \nadd  zimical \nfolic  acid \ncontinue  iron',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(630,70,'2025-09-11','','','today she came  for  follow up \ncreatinine  1.9 \nstable \nplan \nrtc after one month \nmyfortic   360 mg 1x2 \nprednsioen   to be stopped  over one month \ncontinue  forxiga  10 mg once \ncontinue   liponil 20 mg once \ncontinue  mepral  20 mg ocne \ncontinue   thyroxin   50 mcg    for   4  days and    25 mg  for  3  days  sicne she  has   tsh  6 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(631,377,'2025-09-13','','','  creatinine   1\nuti \ndischarge on  nitrufuramtoin  1x2 \nrtc after  2 weeks  with  cx  and urine analysis',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(632,385,'2025-09-13','','','83   years old male pateint \nHTN \ndm   For the last  n 15   years   \nCHF   WITH  EJECTION FRACTION  30%  STENT\nDLD \nGOUT\n\n\nPRESENTED WIT LEFT FLANK PAIN\n\n\nBASERLINE   1.9 \nPRESENTED WITH  LEFT FLANK PAIN AND  GENERALZED WEAKNESS \n\nEJECTION FRACTION    FOUND TO N BE  62  ON THE LAST  ECHO  1/2025 \nABDOMINAL US  UNREMAKRAB LE \n\nHE W AS  TAKING  CODIOVAN  160/12.5  INSPITE OF HIS BLOOD PRESSURE  80/40 \n\nPLAN \nSTOP LASIX \nSTOP  SITGLUMET \nSTOP CO DIOVAN \nADD FLATEX \nADD  SCOBUTYL  CO',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(633,381,'2025-09-13','','','THE  GOUT  HAS  RECOVRERED \nCREATININE  0.8 \nURINE ANALYSIS   SHOWED  NO  PROTEIN\nPLAN N\nADD ALLORIL  EOD \nMAEK  CYCLOSPORIN   75 MG 1X2 \nRTC AFTER    3  MONTHS  WITH DEXA  AND LABXC    INCLUDING   CREATININE  AND  URINE ANALYSIS \nURINE  PCR  AND  CYCLOSPORIN   LEVEL',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(634,365,'2025-09-13','','','Today he came for  follow up \ncreatinine  1.4 \nplan \nmake aldactoine   12.5 mg ocne \nrtc after  2 months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(635,386,'2025-09-13','','','66    years old male  pt \nno  dm    no htn \nno ihd \nex  smoker \nhemodrrhoid \npresented  with  back  pain \n\ncreatinine  3.1  esr  100  hgb 9.9 \nmedication \nlipidex   40 mg once \namicor  5 mg \nasa  100 mg once \ncipralex  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(636,329,'2025-09-13','','',' creatinine   3.8 \n\nplan \nadd   deflazacort \nadd   sodium    bicarbonate \ncadex   2x2 \ncloniodione \ndiscusion for  kidney tx   was   carried \nto  do blood  group \nplan \nstop lozar \nadd levardipin \nrtc after  2 weeksw',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(637,131,'2025-09-13','','','TODAY  HE  LOOKS  BETTE R\nCRFEATININNE   6.9\nFSB   76\nBUN    47\n\n\nPOTASS  5.3\nNA  137\n  HGB   12,5WBC     12 \nPLT    253',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(638,239,'2025-09-14','','','today he  looks  fine \ncreatinine  2.7 \nstable \nadd  medrol  for joint pain \nadd j  dee \nadd  b12 \nadd mepral ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(639,230,'2025-09-15','','','today  the  wife  came for  follow up \nhe has  hypotension attach \n  wbc    6  hgb    11,4    mcv  90   plt   168\nesr  29 \ncreatinine  1.3 \nurine analysis showed no  protein and  no high wbc \n\nplan \nadd j dee \nadd   b 12 \nadd  folic acid ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(640,388,'2025-09-15','','','29   years old \ndm type  1  since  27 \nhypertension   since  2019 \nckd  with dialysis      2021  then  kidney tc   at turkey  \nmatching  90% kidney tx   2021\nmedications\nprograf  1 mg  3  am and 2  pm \nmyfortic 360  1x2 \nprednisone  5 mg 1x1 \nnifidipin   30 mg 1x1 \ncadex  2 mg once \nlantus   24 \nglucomet  xr \napirda  7 x3 \nasa  100 mg once \nliponil 40 mg once \nconcor  5 mg once \n\nplan \nto consider  changing the lipid  med a fter the next labs \nsugar   control   lantius  24     apidra   7  8   5 \nrtc after one  week with no payment  since he has  full payment ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(641,54,'2025-09-16','','','today   she  came  for  follow up \ncreatinine  1.9 \n\nplan \nadd  acidophilus \nadd    prozac \nlabs   after one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(642,389,'2025-09-16','','','23   years old female pt \ng2 p2 \n\nshe has   hydronephrtis  during  pregnancy and she  was prescriped   analgesia \n\ntoday she came for   evalaution of her flank pain \n\n\nplan \nto do  us \nto do  urine analysis and creaatinine \nscobutyl \nzinnat \nj dee \n\nrtc after doing labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(643,390,'2025-09-16','','','sicne     14 years old he found  to have stone former \n2010  he  had left side  and right side  pain  and he sought medical  advice at  dr hazem shaladeh \nhe  found to have   hematuria \nhe has  low k level \nhe was taking lucorice \nbefore  4 days he had chest pain and SOB   radaited to the left side iza\nbefore  3  days   he  had another  chest pain  and  SOB \nhe   sought medical adice at alia hosital and then he was trasferred to almizan hospital and he   found to have hypokelemia   in  order  to do c cath \nhe  slept  well and   he  found to have hypomagnesemia \nchest pain improved  and he underwent  c cath     with normal coronaries \n\nhe has no  numbess on the lower limbs  \nbut he  ahs  mild  musculer pain  but he hsa  sedantary life \nblood pressure   normal \nhe has  family history for   hypokelemia \n\nhe  has c reatinine  0.8 \nserum potassium 2.6 \n  he is  known to have   dm   and dyslipidemia   and he  been maintained on   eucrease and   rosulip \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(644,391,'2025-09-17','','','70   years \ncabg   2014 \nDM for the last   15  years \ndld \ngout \nc cath  2019   with balloning \nhe was   doing well  untill   few  motnhs ago when he started to   do  routin labs nad his  urine analysis  shwoed =3  proteinuria \nprotein /creatinine  ratop  7.8 \n\nhe  has midl lower limb edema  and he has  numberss \n\nmedication\nmetfformin \nconcor  5 mg  sitaglu \nlipidex \nentresto   100  1x2\nasa  100 mg once \nforxiga  10 mg ocne \nentresto  1/5  tab  bid \nasa   100 mg \nplavix    75 mg  1x1 \naldacton  25 mg once \nlasix  40 mg once \ntritace  com  5/25 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(645,330,'2025-09-17','','','today   he  looks better \nresum entresto   half  tab \nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(646,391,'2025-09-18','','','make aldactone  half  daily \nlasix  eod \nadd alfacal   0.25 mg once \ncalcium  600 mg \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(647,393,'2025-09-18','','','2000  She was pregant    and  sicne the  seocnd  month she ahs  hematuria and    then she  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(648,170,'2025-09-20','','','today he was seen and his chart was reviewed \n\nplan \ncalcium  600 mg    \nalfacal 0.25 mg once \n\nslow k \nsodium bicarbonate \n\nplan \nreevalaution after labs  after  5  day    since he was  on  potassium supplentation ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(649,394,'2025-09-20','','','62  years old female pateint \nshe has  lower limbs edema nd   eye  puffness \nshe hasDM    ON METFORMIN \nShe is on HTN    on EXFORG   160/6\nECHO was   done and showed  noral study \n\n\nplan \nswitch   exforg  to  codiovan \nadd j  dee  50000  once weekly \nadd concor   5 mg once \nafter  1   month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(650,395,'2025-09-20','','','hydronephrosis  during preganadcy \n\nabdominal us  normal \ncreatinien  normal \nno urine proteinuria \nuti \nplan \nrizacef \nj dee \nscobutyl \n\nrtc after 2 months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(651,173,'2025-09-20','','','today she came  for  follow up \nplan \nswitch  for  exforg   160/5 \nconcor  5 mg once \nj dee \njamission \nto do labs   and rtc after   2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(652,396,'2025-09-20','','','49    years old female pt \nhyperthyroidism \ncoronary problem \n\nshe was    followed by dr ashraf \n\n\nshe  found to have  heavy proteinuria      594/84 \ncreatinine  0.8 \n\nplan \nchest x t \ngn work up \nadd   resum valsan \nempa \nj dee \n\nrtc atfter  doing albs and chest  ct \nj dee  \nrtc after labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(653,386,'2025-09-20','','','right kidney   7,5 \nleft kidney   9 \ncreatinien   3.1 \nldl  140 \n\nplan  \nadd   calcium  600 mg  1x1\nalfacal 0.25 mg once \nrtc after ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(654,397,'2025-09-20','','','68   years old male pt \nknonw to have DM   X  23  \nHTN \nDLD \n HE WAS DOING WELL \nCREATININE  1,35 \n2/225  HIS CREATIINE  3,3    A ND  RECENTLY HIS CREATININE   REACHED   4,5 \nBP  160/70 \nMEDICATION \nHE WAS ON \nEMPA  10 MG ONCE \nVALSAN       160/25 \nLIPONIL 40 MG ONCE \nNOVORAPID \nLEVIMER \nALLORIL \nCADEX  \nMEPRAL \nSITAGLU \n\nPLAN \nDO RENAL   US   AND  RENAL DOPPLER \nDO LABS   SICNE HIS CREATININE INCREASED RAPIDLY    FROM 3-5 \nSTOP EMPA \nSTOP VALSAN \nSTOP ALLORIL \nSTOP  SITAGLU   100 \nADD  MOCOCORD \nADD   \n\n\nREFERRRED FROM DR AMEEN  HARB \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(655,398,'2025-09-20','','','36   Years old \npapillary throid c acinoma   in 2016 \nthyrodiscomry and   radioiodin \nno chemotherapy \n\nnormal   thyroid  follow up \ncreatinine  1,4    and  today it is  1,7 \nurine analysis  showed  normal kdiney   fucntion \n\nrenal us   normal size   with 13  on the right  side \n13  ont he left side   with   increase echogenecity \n\n\ncalcium   14  tabl\nalfaca   1  mg 4  tab \nmaloux \nzimical \nmagnesium    250 mg    1x2\nnexium 40 mg ocne\nthyoxin 250  daily \nand   2  days  200   daily \n\nplease do labs and then  Reevaluation \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(656,294,'2025-09-20','','','prograf   2  and  3 \n\nmyfortic   2x2 \nprednsone  5 mg ocne a\nasa  100 mg ocne \ngalvus     50 mg once \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(657,399,'2025-09-20','','','70   years old \ndm  x  2  years \nhtn \nanexity  and  his last  a1c  10\nischemic hear  disease last  one     before  2  years \nckd     unremarkable \n\nplan\nliponil  40mg \namaryl   2 mg once\nalloril  100 mg once\nfamodin \ninflita  10 mg once\natacand  8 mg oncee\nasa   100 mg once\nnervantin 400\nconcor   5 mg once\nsitaglu',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(658,199,'2025-09-20','','','today she was doing well \ncreatinine  1.8 \ncontinue  forxiga  or  inflicta \nrtc after one   and half  month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(659,400,'2025-09-21','','','60   years old male pt \nBPH \nHYPOTHYRODISIM \nDM   X  20 \nHTN  X20 \nDLD   X20 \nIHD    WITH OPEN HEART      BEFORE  3 MINTHS    DONE BY  DR  NIZZAR \nBEFORE  5  MONTHS  HE STARTED TO HAVE  LEFT FLANK PAIN AND   GENERALZED WEAN ESS \nBEFORE  4  MONTHS    HIS CREATININE  3   AND THEN   HE HAD    OPEN HEART SURGERY \n\n\nBP  150/70 \nHR \nLAST  LAB  IN 21/8  HIS CREATININE    FOUND \nHE  WENT TO JORDAN AND   THEN    HE    FOUND TO HAVE  CREATININE  7 MG/DL \nAT ALISTISHARI  THEY  ASKKED HIM TO  DO  DIALYSIS  BUT THEN   HIS  CREATININEN    IMPROVED TO  5,13 \n\n\nEJECTION FRACTION  50% \n\nCREATININE  5-7 MG /DL \nHE HAS  MILD LEFT  SIDE   FLANK PAIN\n\n\nPLAN \nDEFLAZACORT \nALFACAL \nSODIUM BICARBONATE \nABDOMINAL US \nAFTER   DOING LABS \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(660,401,'2025-09-21','','','73   \nDM   for the last 7  years \nhypertension   for the last   5 \nhistory for  c cath \necho wsa done  many years gao  and  normal \nparotide   recection \nno  family history  for renal disease \n\n\ngood  Exercise  Tolerance \nmedication\n\nxigdue  x r    10/1000\nconcor   5 mg  once \nthyroxin\nasa  100 mg once \namiocr  160/10\nliponil  40 mg once\nsitaglu  50 mg once\nconcor   5 mg once\n\n\ncreatinine 1\nurine protein /creatinine ratio  2,2  normal \na1c 7,6 \nldl 110 \n\nrtc after 3  months \nadd zinnat for uti \nadd  new  fe folic',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(661,404,'2025-09-22','','','pcnl   one year ago \n28/7  she had   PCNL \nsHE IS  STONE FORMER   AND  SHE IS  UNDEREVALAUTION FOR N   STONE FORMATION \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(662,384,'2025-09-22','','','50  YEARS OLD MALE PT \nPRESENTED FOR  FOLLOW UP \nCREATININE  3.6 \nHGB  12.5 \nHA1C  9 \n\nPLAN \nCADEX  2 MG OCNE \nAMICOR  5 MG CONE \nCONCONR   5 MG OCNE ALLORIL   100 MG OCNE \n;LIPONIL  100 MG OCNE MEPRAL  20 MG OCNE \nLANTUS   30   PM AND  10  AM  \nAPIDRA  20  BEFORE  EACH MEAL  \nSITAGLU  50 MG OCNER \nCALCIUM   600 MG OCNE \nALFACAL 0.25 \nTHYRPOXIN  100  MCG  DAIULY  \nEXCEPT   ON SSATURDAY AND  TEUSDAY  2  TAB ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(663,112,'2025-09-23','','','Today he came for follow up \ncreatinine   1,3 \nuric acid  11 \nhe has  knee pain   and gouty   arthritis \n\nplan \nprednisone    30 mg       for  2  days \n20 mg  for  2  days \n10 mg  for  2  days \ncolchicin   0.5 mg   1x2 \nalloril 200 mg   ocne dailu \n\npcnl  at jordan ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(664,383,'2025-09-23','','','today he was seen and his chart was reviewed \nplan \nadd  omnic  0.4\ncandipine    8/2.5 \nurostabl  fs \n\nrtc after   2 month \n\nll edema  no dvt',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(665,156,'2025-09-23','','','consider  decreasing the myfortic   on the next month\ncreatinine 1.1 \nmyfortic  2x2 \nprograf   2-3 \nprednisone  5 \ncalcium \napidra  9 \nlantus  9',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(666,394,'2025-09-23','','','rtc after   2 months \ncreatinine  1.3 \nalbumin/creatinine  ration  minial \ncbc   normal \nldl  180 \n\nplan \nadd liponil \nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(667,310,'2025-09-23','','','  he has  eps    before   the operation lased   for  2  months \nbefore one month \n\n\nplan \ndo uric  acid \ndo labs \nafter     3  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(668,406,'2025-09-23','','','wegner vasculitis \nshe is  on cyclophosphamide therpay \ncreatinine  1,7 \n\non laith   alamlah     follow up \n4/',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(669,254,'2025-09-24','','','she has   c c ath   that showed   normal coronaries \nlabs  done and shoewhd\ncre 2.2\nhba1c   5.7\ncreatinine  1,9\nbun   36\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(670,407,'2025-09-24','','','DM    AND HTN  SICNE 2004 \nSTROKE  BEFORE  2  YEARS \nPRESENTED  WITH HEMATURIA \nCREATININE  0.8 \n\nABDOMINAL  US  SHOWED MILD  BILATERAL HYDRONEPHROSIS \nESR  HIGH \nHGB 12 \n\nMEDICATION  ASA ,  PLAVIX ,  AMICOR  5  , CADEX   4X2 , LOZAR  WAS ADDED TO HIS MEDICATION, LIPONIL , LANTUS , SITAGLU \n\nPLAN \nRTC  AFTER  2  MONTHS \nCONSIDER  ABDOMINAL CT  FOR THE   HEMATURIA   WORK UP \nIF  REMIANS THEN CONSIDER  CYSTOSCOPY\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(671,408,'2025-09-24','','','19   YEARS OLD FEMALE PT \nFOR THE LAST   2  YEARS     SHE  JOINT PAIN AND  SHE HAS  HAIR   LOSS \nPLAQUNEIL     INCREASE THE LIVER   FUCNTION   AND  LEADING TO HEPATITIS  FOR WHICH  THIS  DRUG  WAS STOPPED \n\nSKIN RASH \nSHE WAS REFERRED FROM DR SAED  FOR  THE  HEMATURIA   WITHOUT PROTEINURIA \n\nWBC   8,3   HJGB   13.2  PLT 261\nESR  2\nCREATININE  0.65\nAST  10\nURINE ANALYSIS SHOWED     PLUS 3  BLOOD AND SHE HAS  80  RBC \n\'\nRENAL US  WAS DONE AND SHOWE D RIGTH KIDNEY  12  CM AND THE LEFT KIDNEY  12.5 \nSHA HAS  SMALL  RENAL GRAVOLS \n\nMEDICATIONS\nMYFORTIC 2X2\nPREDNISONE  5 MG ONCE\nJ DEE   50000  IU ONCE WEEKLY \nFEXODIN  180 MG ONCE  DAILY\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(672,409,'2025-09-25','','','64     YEARS OLD FEMALE PT \nFREE PAST MEDICAL HX \nABDOMINAL CT  NORMAL CREATININE 1 \nURINE   ANALYSIS WAS  SHOWED   UTI \nIMPROVED \nNBACK  WITH     LEFT FLANK P[AIN AND      MILD  DYSURIA \n\n\nPLAN \nDISCAHRGE  ON  CIPRO \nFLATEX \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(673,410,'2025-09-25','','','22    Years old male pt \nfree past  medical history    history \nbefore   2  months  he  started to have  abdominal pain   on the right   and lower size \n\nhe  sought medical a dvice    then he received   im injection \n\n\nhe  sought medical advice   by dr wael \ncreatinine  1.\n\nabdominal us  showed normal abdominal ujs and  normal pelvic \nwbc    9   hgb   14.5  plt    301\ncreatinine  1.86\ncrp  positive\nwbc    19)9    wbc  7  hgb   15   plt    275\ncreatinine   1.48 \nalt  21\nh pylori   negative\nurine analysis    normal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(674,411,'2025-09-25','','','65    year old male pt \nnot  known to have  dm \nhtn    for  the last 5  years \nstone  former\necho showed  ejection  frqaction    60%\nbilateral renal stone\n\nsuspected polycycstic kidney disease \nchronic kidney dsiease  with base line  1,6 \nmultiple   renal  stone  removeal  and  lithotripsy \n\npresented with  crea    2m7   16   9  2025\n2.6    22-9-2025\n\nmedications \natenolol  100 mg once \ndiovan  160 mg \nexforg   160/5\nxatral  10 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(675,412,'2025-09-27','','','72   years   old   female \nDM X  20 \nHTN  X 20 \nDLD   X 10 \nIHD  WITHOUT  STENT \nGOUT \n\nC/O  JOINT PAIN\n\n\nMEDICATION \nASA   100 MG  ONCE \nSITAGLU    100 MG ONCE \nAMLODIPIN   \nLASIX   EOD\nMEPRAL   20 MG ONCE\nLIPONIL  40 MG ONCE \nALFACAL 0.25 MG ONCE\nALLORIL   100 MG ONCE\n\n\nPLAN \nADD   DEFLAZACORT \nMAKE  AMICOR   1 \nADD CADEX \nADD  BIOSOLVE \nDO  RENAL US AND LABS \nRTC AFTER  2 WEEKS \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(676,365,'2025-09-27','','','Today he was seen  and his chart was reviewed \n\nhe  has   lowish bllod  rpessure  reading   at home abut  at the clin ic  his  bp  140/80\n\nplan \nrecheck  his  device \nhis  creatinine   1.9    it  will imprpve to   1.7\nplan \nrtc after one month after ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(677,398,'2025-09-27','','','creatinine  today  1,1 \ncalcium    8.7 \nmagnesium     1.3 \n\n\nfor the last    3  days  \ncalcium  12 \n\ncalcium 11\ntoday8.7\n\ncalcium   4 \nalfa  1 \nno mag\n\n\nrtc  after   2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(678,413,'2025-09-27','','','64    years old male pt \nfree   past  medical history \npresented with  creatinine  1,6 \nbefore  few  yeatrs   1.2 \n\nabdominal us  was   done and  showed\n\nright     9.5     cc \nleft   right   10 \n\n\nfatty liver  disease \notherwise   normal \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(679,223,'2025-09-27','','','today  she  came  for  follow up \ncreatinine  1,6 \nldl 109 \ntrigleceride   400 \n\nplan \nadd  omega  3 \nadd mgacal \n\nrtc after  2  momnths ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(680,385,'2025-09-27','','','today he came  for  follow up \nhe  srill having theleft flank [pain \nnot  improving \n\nplan \nrtc after 3 months \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(681,415,'2025-09-28','','','Dm x28\nHtn x28\nCapg 2011\nCkd 2024 1.6\nLast few months 2.7 - 3.5\n\nMedication\nCynthia\nCalcium\nNahco3\n X2\nConcor 7.5\n\nPlan \nAdd alfacal\nAdd biosolve\nAdd vitamix',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(682,378,'2025-09-29','','','APKD ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(683,418,'2025-09-29','','','60  Years old female patient \n\nknown to have   paplitarey  thyroid   cancer     s/p  thyroidectomy \nadrenal adenoma \npitutary adenoma \nckd \nright atrophied kidney \nleft kidney   showed   cyst \n\n\nimpression \nmutipglanuler    endoscinopathy \nhip replacemtn \ncrohns  disease \n\nmedications\n\nplan\nadd  carvidelol   6.25  1x2 \nlasix   40 mg once \nzainnat  500 mg 1x2 \n\n\nrtc after   2 weeks   with new  labs  to   be done at    alia hospital \nshe is  welling to do echo  at  dr  asraf  clinic ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(684,419,'2025-09-29','','','Small left kidney \nBase line 1.2 \nIncreased to 1.68',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(685,91,'2025-09-30','','','presented with creatinine more thqn 7 \nbu67 \nhgb 11 \nuric acid   9,5 \\\\\\\n\nplan \nconsider  pd \ndeflazcort \nnexium \nalloril  300 mg once n ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(686,420,'2025-10-01','','','68   years  old female pt \nablasion    before   7 years \nc cath    before   3 months  normal \necho in  9/2025\n\nmedications \nforxiga   10 mg once   \ninsulin     lantus   30 \napidra 10 \nconcor 5 mg once \nnexium 40 mg once \ncrestor  40 mg once \namitryptulin \nescitalopram  once \nacamol\nalloril  300 mg once \nvalsan  hct \nfilrenone \nforxiga \n\nplan \nhold valsan \nhold  filrinone \nhold forxiga \ndorenal us \ndo labs \nreevalaution after  one week \nadd  delfazacort  for  5  days \nadd  dee d ense \nadd   amicor  if  blood pressure  high \nin the clinic her blood pressure  is    114/70',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(687,421,'2025-10-03','','','24 years old male pt \nwas  treated by dr laith alamlah   for reactive arthritis \nhe  autoimmune work up  was negative \npart  of his history that he has mutiple  stone with  removal   before  2  years  via PCNL \nhe  continued to have  hematuria \nhis  ct  didnot show  any stone \nhe  still having hematuria \n\nplan \nadd   rwatinix \nadd omnic  ocas \nrtc after on   after   doing  lbase month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(688,357,'2025-10-03','','','  today he  was seen and his chart was reviewed \nshe has  single kidney \ncreatinine  2,3 \n\nplan \ncontinue the same \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(689,422,'2025-10-03','','','hypertension  dyslipidemia \nhe has  iron def  anemia \nneed   endoscopy and   work up',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(690,358,'2025-10-03','','','70  years old female pt \npresented after  aransp  with    hgb  of  10 \nplan \nadd     folic acid \nadd  b 12  injection   one  onthly \n\nrtc after one month   after doing labs\ncontinue aransp   once  every 2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(691,423,'2025-10-03','','','61   years old male pt \ncabg   before  6  years   at ramahal \ndm   x 6  htn x6 \ndld  x6 \nasthma \nstroke \ndementia after  stork \npacmaker \nmedication\nconcon  5 mg ocne \nlipinil  40 mg once \nmepral  20 mg once\ncoumad      5 mg once \naspirin \n\n\nhe is  complainig  from itching that  has  been progressive \nhe is  knonw to have  schezophrenia \n\nplan \ndo renal us \ndo labs \nreevalutiona fter  labs \ncontinue  venofer   100 mg  ocne  weekly untill improvement ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(692,263,'2025-10-03','','','today she came  for  follow up \ncreatinine imprved  to  1.1 \nuric   acid   improved \nbp  130/80 \nshe  still having   dyuria 4plan \n\n\nplan\nferrous fumarte \nfolic acid \nciprofloxacin  500 mg 1x2 \n\nrtc after   one  month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(693,166,'2025-10-03','','','today   she came  for follow up \nshe has  no new complains\nshe  has  forgetness \nshe  has  no   uremic  amnifistation \n\n\nplan \nadd  b 12 \nadd  spectrovit \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(694,424,'2025-10-04','','','   he need  some ophthalmic Evaluation\nbut he  found to have  creatinine \nDM   X 25  YEARS \nHTN   X25  YEARS \nNO IHD \n\nMEDICATIONS\nLIPONIL  40 MG ONCE \nASA   100 MG ONCE \nmixtard insulin \namicor\n\nplan \nadd  calcium \nadd alfacal \nadd aransp \nreport  was given ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(695,413,'2025-10-04','','','creatinine 1.3\nesr   11\nplan\nomnic  0.4\nciprofloxacin',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(696,46,'2025-10-04','','','todayu she came  for  follow up \ncreatinine 0.7 \nurine protein/creatiine   ration  3.6  gram, \n\nshe is on predniosone  30 mg once \nshe is on prograf   2x2 \nliponil not  taken  yet \ncalcium \natacand   8 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(697,46,'2025-10-04','','','for ppd   test \nand then rituximab',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(698,425,'2025-10-04','','','dm  for the last      20 years \nhba1c    11\ncreatinine   \n\ninsulin \nlantus  \napidra \ncrea  0.8\ncholesterol     176\na1c 11\nldl   127\n\n\nplan \nadd  lozar \nadd   j  dee \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(699,220,'2025-10-04','','','today he was seen \ngfr   30 \nurine protein /creatinine r atio  1300 \n\nplan  \n\nadd alfacal \n\nadd  biosolve \nrtc after one month \nto bring   the lasb and then  to be reevalutgged ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(700,426,'2025-10-04','','','55    years old male patient \nrenal sus  was  done and showed \nhe is knonw to have     hyperteison \nand then after covid   he has   and he     developed  ards \ncreatinine a t that time    was  not  checked \nafter one year    he  has  creatinine  1,9   mg/dl \nfasting  ramadan  3,9 \n\n\nhe   is  on  hemodialysis    and then   switched to   peritoneal dialysis \ncurrently he is   planning to to  PD \n\n\nMEDICAITO \nCALCIUM 8  TAB \nALFACAL     0.25 MG  4X1\nMAGENSIUM \nB12 \n\nHGB\nrenal failure   one years     ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(701,427,'2025-10-04','','','dm   for the last   15  years \nhtn  for the last   25 \narthoplasty \nmild    redueced  ejection fraction \n\n\nCREATININE  3,3 \n  FROM  3 \n\nABDONINAL US  UNRMARKABLE \nSHE HAS INFECTED   HIP \n\nPLAN \nSTOP ALDACTOINE \nSTOP  EUCREASE \nSTOP EMPA  25 \n\nMAKE  AMARYL  2  MG OCNE \nRTC AFTER  2 WEEKS AFTER LABS \n\n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(702,153,'2025-10-04','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(703,153,'2025-10-04','','','GLUTERAL  ABCCESS \nBREST ABCESS',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(704,64,'2025-10-04','','','KEEP THE SAME    RX \nADD  IRON \nADD  FOLIC ACID \nADD     AMARYL     8.4 \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(705,429,'2025-10-05','','','56 year old \nHypertension on validating \nCreatjnine 1.7. Increased to 2.6. Then 3.2 \n\nPlan.\nCadex\nAmicor\nCarvidelol \nCalcium \nAlfacal\nCalcium \nDeflazacort \nEtc after 2 week with Labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(706,430,'2025-10-05','','','Hypertension \nCreatinine 0.9\nTrace albuminuria ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(707,431,'2025-10-05','','','Kidney donor\nCreatinine 1.3 in June 2025\nNow 1.55\nNormopressue hydrocephalus \nOn acetozolamide and novitropan \n\nPlan \nContinue the same \nStop metformin\nEncourage hydration ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(708,253,'2025-10-06','','','He has bilateral flank pain  radiated to the  scrotum \n\nbp   128/85 \n\n\nplan \nabdominal us \nurine analysis \ncreatinine \nabdominal us \n\nstart on ciprofloxacin and scobutyl co \n\nrtc after  2 months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(709,432,'2025-10-06','','','hypertension and anexiety \n\nplan \nexforg \nothers \n\nrtc after   doing labs \nhe has  mild  proteinuria  that has been  transeit \n\nplan \nto do  urine  pcr and then reevlaution',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(710,25,'2025-10-06','','','kidney tx   in sep  1 \ndonor    from brother matching  100% \ndouble  j  was   was removed \n before  2 weeks the creatinine   1,7     and  she was admitted to   hospital  and it   was  drug  effect \nthen she developed   hyperglycemia and she  found to have    DM    with hba1c 11 \n  and she was  maintained on insulin onfusion \n  she was discahrged   with RBS   250 mg/dl \nshe  developed   lower limbs weakness \n\nlast   rbs   300 \nshe  adivced   dr  asraf and he advice    20  lantus    and  apidra  10 before  each    meal \nmedication \nprograf    5  am  and  6  pm \nprednisone   2  x2 ,\n\nprednisone   5 mg  2x2 \nprednsione   5  mg  2x2 \nprograf   5    and 6 \nstop adalat \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(711,162,'2025-10-06','','','todaay she is  fine \ncreatinine  4.5  -4.8 \nbun  40  no need  for dialysis \nbp  140/77 \nsat  95 \n\nplan \nsatable \nrtc after one months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(712,406,'2025-10-06','','','  she  ahs  cough and sputum production \nsputum  cultrue showed   actitobacter \n\nplan \nlevox \nmake prednisone  20 mg \nhold  cyclophosphamide   due to chest infecntion \nadd  galvus   for  the dm \nadd liponil    for  the   dyslipidemia \nadd biosolvee',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(713,434,'2025-10-08','','','dm \nhtn \ndld \n\nmedicatioon \naspirin \ncrestor \nlantus   25    and  20 \napidra   10  15   7 \nexforg   160/5 \ncocnor  5 \n\nto  follow up labs \nhac   110.7 \ntrigleceride   more than 500 \ncreatinine 0.7 \n\nplan \nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(714,435,'2025-10-08','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(715,420,'2025-10-08','','','creatinine improved f rom   3  to  1.6 \nno  significnat proteinuria \nshe has  hypoglycemina\npla \nreduce the   lantus  dose \nreduce apidra  dose \n\nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(716,436,'2025-10-09','','','30   yers old female patient \npregnant   36 week \nshe  found to have proteinuria  more than 4   gram \nshe has normal blood pressure \nshe has   no  any complains \nalbumin 2,2 \ncreatinine  0.4 \nabdomninal us    was repeated an d abdominal doppler   was done \n\nplan \nprednisone  40 mg \nfamotidin \nclexane \nfollow up with  her obs \nrtc   renal clinic next week \nana  neagtive \nc3  normal \nc4  normal \nshe needs clexane  but the family asked to hold  if  any  dangerous \nwaaiting the renal doppler us ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(717,412,'2025-10-11','','','today  she was seen and her chart was reviewed \nrenal us  showed   multiple renal cyst \ncreatinine  2,3  improving\nk  5.2\n\nplan \nadd  alfacal  twice weekly \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(718,438,'2025-10-11','','','67  years old female \n\n\nplan known to have Hypertension for the last   3  days \ngouty arthitis   treated   by dr  hazem and she   was  treated with  cinelone \n\n\nshe   has  back pain and she    sought medical adivce\nshe  sought medicala advice at  dr   azizah   and she was  prescriped \n\n\nshe    found to have  creatinine pf   1.4\nuric acid  9.5 \nhgb  11.7  wbc  was  14 \n\nshe is  doing  perfactly well \n\n\nplan \nadd  atacand \nadd  lasix \nadd  carvidelol \ncarvidelol\n\nrtc   after  3 weeks    after  doing   labs\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(719,439,'2025-10-12','','','45   years old male Patient \ndm  for the last   12    years \nhyertension for the last  6  years \nretinnopathy  on reguler  follow up  at  almuhatased \nDLD     with hypertrigleceridemia \nchronic kidney disease \n\n\n17-9-2025    he had  chest pain and  it was \ntroponine   was not done \necg   was    anterior     changes \necho was done and   normal \nc cath was done  and it  showed  free   limit \n\n\n2.4    17-9 \n2.6    18-9 \n3.6      after   5  days    22-9 \n\n\nhe  contacted   dr  bilal  and  he was  taking  fluid    for  3  days  and then it  was improved to    3.2   26-9 \n27-9   creatinine    3,6\nk5.1\n\nrenal us  was   normal \nuric acid   was   10 and  then Improved  to 8.5 \n\n\nmedications\nasa  100 mg ocne \ncocnorn   5 mg ocne \nezomax      20 mg ocne \nresetemib    40/10  mg  once \namicir    5 mg 1x2 \nforxiga  10 mg once \nsitaglu  50 mg once \nsiran  200 mg  1x2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(720,439,'2025-10-12','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(721,440,'2025-10-12','','','17   years old  male patient \nfree past medical hisotry \nfor hte last   2  years      he  jhas  right  sided   flank pain \ndysuria \ncreatininer  1.4\n\n\n\nplan \ndo abdominal us \ndo  creatinine \nurine   prc \nrtc after the same ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(722,441,'2025-10-12','','','70   years old    female pt \nknonw to have    dm  for the last   20  years \npresented with dysuri   and   frequency  \nabdominal us \n\n\nmedication \nmetformin \namaryl   4 \ngalvus 1x2 \n\n\nurine analysois showed     =3  glucose and    wbc   40-50\ne  coli       sensitive    zinnat \nurostabe   \n\nplan \nrtc   after   2   month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(723,441,'2025-10-12','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(724,27,'2025-10-14','','','for the fourth dose of cyclophsophamdie',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(725,326,'2025-10-14','','','todey  he came for  follow up \ncreatinine     1.1 \nesr nromam\nurine protein/creatnine  ration  just  390 \nurin analysis  showed  mild  blood   1  and  some  rbc   \n\n\nto come  base  after one month \nsince  his  creatinien 0.7    increase  1 \n reassess the proteinuria ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(726,401,'2025-10-15','','','she is  doing \n\nurin     analysis  shwoed   mild uti \nurine culture  sjowed   e  coli \nplan \ncnotnue   zinnat \n\nrtc after  2  months \nrenal us  normal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(727,314,'2025-10-15','','','today she came for follow up \nshe is  doing  fine \nno lower limbs   edema \n\n\nplan \nnervantin   100 mg once \nrt after 2  months\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(728,442,'2025-10-15','','','53    years old female pt \nknonw to have  kdiney stone and she was  treated with medications \nshe presented with      frothy   urine \n\nshe is knonw  to hve   hypm valsadipin 160/5 ertension o\ntrufen \nelatrolat   25 mg once \nlintoya plus \nlocast \nlorax\n\nto  do labs and   then reevalaution \nto do  abdominal us \nshe has   frothu  urine   and  she   is  welling to  do   some labs  her \n\n\nplan \nadd   ciprofloxacin \nadd paramol extra \nrtc after  doing labs \ncreatinine  1.1 \nurine  pct  2.2  upper limit   2 \nurine analysis  showed 10-12  wbc \n\\\nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(729,418,'2025-10-15','','','she is  on  indapamide    2.5 \nnifidipin   60 \ncarvidelol  12.5    and  6.25 \ncaded \nthyroxin   150 \n\n\nplan \nadd  alloril    eid \nadd  ferromed plus  \n\nconsider  lipid  loweing  agent  if the ldl  not  less than  90  next time ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(730,429,'2025-10-15','','','today he came with creatinine  2.9 \n\nplan \nalfal  eod \nd  ee   5000 \nother  wise to keep the same ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(731,425,'2025-10-16','','','creatinine  1.2 \nprotein /creatinine   0.12 \n\nrenal us  showed   larg  kdiney size and echogenecity \n\nplan \nrtc after   3  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(732,218,'2025-10-16','','','he was seen and his chart was reviwed\nhe has rught ankle  pain and effusion  mostly gout\n\nPLAVIX \nLIPITOR \nAMICOR   5 MG 1x2\nnexium \n ARANSP \n IRON \n CALCIUM \n ALFACAL \n\n\nplan \nadd   lantus   15 \nadd   balgist \nadd  colchicin \nadd  prednsione  20 \nadd gel  for analgesia \n\nrtc after  1 month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(733,309,'2025-10-16','','','today  she came for follow up \ncreatinien 1.1 \nurine  protein  370 \n\n\nplan \nresum  lozar \nadd   zinnat \nadd iron \n\ndo labs  after  3  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(734,443,'2025-10-18','','','52    years old female pt \ndm  for the laast    25  years \nhtn \ngout \ndld \nihd \nsojgren syndrom \n\npresented with  proteinuria  \ncreatinien  1,1   to  1,5  for the alst   3  months   but lasat  year  it was   trace  proteinuria and creatinine of 0,8 \n\nshe has  poor   neurological  manfistation \neye  prolnel   rigth  eye  blidness and left  eye   major impairement \n\n\naldactone   25 \nmepral   20 mg once \ninflicta  10 mg once \nsitaglu   met   50/850 \ninsulin apidra and lantus \nvalvorg  160/10 \nasa  100 mg once \ncrestor   20 mg ocne \ncadex    2 mg once \nmiro \n\nplan \nstop aldactone \nadd   kerendia \nadd   ferroud  fumarate \nadd  flatex \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(735,226,'2025-10-18','','','Today he  came for  follow up \ncreatinien 3.9 \n\nplan \nfor kidney bioosy \nfor report \nrtc after     1  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(736,427,'2025-10-18','','','today  she ws seen nd her chart was reviewed \nnervantin\nplan \ncreatinine   3 \nplan \nadd   sedaprim \nadd   nervantin \nconside r  tramal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(737,122,'2025-10-19','','','dysuria \n\nfrequency and urgency \n\nplan \nciprocare \nomnic ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(738,444,'2025-10-19','','','39   years old male pt \nhe has   dizziness and loss of conscocentation for the last   1  year \nhis blood  pressure  was  195/110 \nhe was  prescriped  codiovan    and his creatinine  increased    for  which he   was  switched to amicor \nand he found to have dyslipidemia \n\nhe is  working   as  seller \nfamily history  unremarkable  for  any renal disease \nhe has    family history for  hypertnesion at  young  age \n\nno joint pain \nno  morning stiffness \nno skin rash \n\nlabs was done and showed \nwbc  8.3  hgb 14  plt  233\ncreatinine  1.88    na  136  k     4.2    uric acid  8,2    ast  21   alt    21   esr  35    rf  neagtive \nldl   231 \nhe has  plus  1  protein and   hematuria     10-12 \ntsh   2.17   and    ha1c    5.3 \n\nrepeated  cretinine   1.4-1.9 \n\n\nbp   160/99\n\nhe ha  been maintaine don amicor  5 mg  1x2 \n\nplan \nrenal us \nwork up \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(739,239,'2025-10-19','','','today he came for follow up \ncreatinine  2.3 \nplan \nstable\n\nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(740,445,'2025-10-19','','','15  years old female pateit \nbilateral puuv\n\nwbc  3.2   hgb10    plt268\nshe is knonw to have multiple  comodbidies \nshe has   multiple  urology  problem \n\ncreatiine   5.6 \nk  5.5 \n  She   was  followed by dr  mutasem duodin \nbest  creatiine  level  3.2 \nhighest  level    5,6 \n\n\ncreatinine  5.6   bun   39\nurine analysis showed     wbc  2-8    protein =2\ncrp  2.8\nna  143   k 5.4  cl 118\n\n\nplan \nadd   calcium \nalfa\nsodium bicarbonate\nmepral\n\n\nmedication \noff  medication  except  for   key exylate',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(741,446,'2025-10-19','','','dM   for the last   25  year s\nhtn  for the last  15  years \ndld   for the last   6  years \nCKD  for  the last   6  years    \ncreatiine  1.5    before   12  years \nand then  she was   was  followed   by    naseem alqasmeh \n\n\nshe was admitted to  dura hospital   before one wek \ncrp   49\ncreatinine 4,3\nk 5,1\nmg 1.8\nbun 118\nna 134\nwbc   9.4   hgb  10.4    plt     186\n\nbefore 2 days     wbc   10   hgb    9   plt   167\ncreatinine    3.8    k 4   bun   141\n\n\nmedications\nmepra  20 mg ocne \nconcorn   5 mg once \nalloril 100 mg ocne\nlaxadin \nalfa\nlasix 2  am  1 pm \namicor 5 mg 1x2\nliponil 40 mg once\nferromed  plus \ncalcium\nfolic  acid \ncade  2 mg  1x2\nspiron  25 mg   eod \nasa  100 mg \naldopa   250 mg 2x3 \nsitaglu  50 mg once \ntegretol \ninsluin   lantus  and   mixtard \naransp \n\n\nplan \nadd   basilox \nadd sodium bicarbonate\n\n\nshe  has  shunt \nnot  in need  for dialysis',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(742,444,'2025-10-20','','','today he  came \nabdoninal us  normal \nana  negative \nc3 c4  normal \ncreatinine  1,6 \nuriune   protein/creatinien  ratio  840 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(743,243,'2025-10-20','','','stable \nstart  steriod  tappering from  deflazacort  30 mg  to  half  tab',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(744,400,'2025-10-20','','','stable \ncreatinine 5,2 \nbun  51 \nplan \nadd   urea  cream \nadd  lorax \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(745,447,'2025-10-20','','','46   years old male pt \nfor the last   10 years he   found to have  hypertension \nafter   awile  he  found to   have   impaired kidney function \ncreatinine   1-7-2.7 \n\nhe  sought medical adivce  by nephrologist and he was prescripbed      antihypertensive medication   \nhe      found to have  gouty arthitis and he    was managed by dr saed atawnah \n\n\nna  133   potassium    4,3     cl 107\nc31.2  nl\nc40.35  normal\n\npth   143\nurine pcr    6.7over   79\nurine pcr   0.084\nurine stable  no protein  no rbc\na1c5.9\ncreatinine   1.86\nanti ccp  0.61\n\nmedictions \nasa   100 mg once \nvasan and hct \nconcor   2.5\naldactone  25 mg once\ncadex   4 mg once \ndapagloflozin  10 mg once \nalloril   100 mg once \nmedrol  4 mg once \nsitaglu  50 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(746,448,'2025-10-21','','','72    years old female pt \nhypertension for the last    30 years   forafter  the last  pregenecy \nintermitting  vomting   on assival \n\nshe has  been maintaine  on    exforg \n\nshe was admitted with      ca th and she found to have  hypokalemia     2,7  and she received    orala   \n\nafter     c cath    she was   maintained on orala k \n\nlast  k  pill  last  thursdaay \n\nmedications \nexforg  160/10 \nlipidex   40 mg once \ncocnor     2,5  mg once \nasa a  100 mg once \naldactone  25 mg once \nmeprala \n\nmostly lidel  syndrome \n\nmke ldctone  50 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(747,449,'2025-10-21','','','30   years old female patient \nknown to have iga nephropathy \nhas been maintaianed    on \nvalsan   80 mg once \n\n\nplan \nconsider adding   lipid  lowring agent  if her   ldl  remains  high \ncontoinue  valsan \nshe has  proteinuria  of  900  mg this month \nbefore   3  months  it  was    600  mg ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(748,86,'2025-10-23','','','vLSDIPIN HCT \nCARVIDELOL   25 MG X2 \nRTC FTER ONE MONTHS',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(749,353,'2025-10-23','','','TODAY HE CAME FOR FOLLOW UP \nCREATININE  1 \nESR  8 \n\nPLAN \nRTC AFTER ONE MONTH\n\n\nADD NEURO B \nADD  ZINK',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(750,321,'2025-10-23','','','STABLE \nCREATININE   0.9 \nTAC  WAITING \nLDL  99 \nPLAN \nADD   CALCIVIT \nRTC AFER   ONE MONTH',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(751,30,'2025-10-23','','','SHE IS  DOING WELL \nNO NEW COMPLAINS \nCREATININE  S TABLE\nC3 C4  NORAML \n\n\nPLAN \nTO MALE   PROGRAF  1 MG  ONCE  THEN HALF  MG  ONE \n\nTHEN RTC AFTER ONE  MONTH ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(752,167,'2025-10-23','','','Today the  pateint was seen and his  chart was reviewed \n\nhe looks better \nhba1c   12.4 \nplan \nadd  forxiga \nmake ezitim  40/10 \n to do labs after  2 weeks \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(753,450,'2025-10-25','','','48   yers old male pt \nknonw to have  dm   for the last  2  years \nhtn  for the lst   16  years \nstone former \nRA   and  he was seen by dr  muhammed  idias \n\nmedication \neucrease   50/1000 \natacand   plus    16/12.5 \n\nhe has   renal stone   and he  found to have \n\n\n\nrenal  us distal uretric stone  mild  (3  mm ) \nand he  has  smalll  gravel    on tne right \n\nhe was discahrged on \nrwatinex \nscobutyl co\nacamol focus \natacand   \ncadex  4 mg once \n\nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(754,170,'2025-10-25','','','today he was seen and his  chart was reviewed \n\nhe looks  fine \ncreatinine  jumped to 5,2 \n\nplan \nfor  nphrostomy to the left side \ni spke  with dr  haitham \nkeep  te same \ncalcioum \nalfacal \nsodium bicarbonat \nto do  urine analysis and urine cultrue  from both  sided ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(755,9,'2025-10-25','','','she came for folloqw  up \ncreatinine  3,2 \nplan \nadd  calcium \nalfacal \narnaps  sicne th   hgb 8 \nadd  vit  d \nadd  nervantin \n\nrtc after   one  month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(756,452,'2025-10-28','','','  dm for the last   20  \nhtn  for the last  2  years \nckd  for kidney  stone  before   4  years \ncreatinine   was  around 2  for the last \npACMAKER      BEFORE   2  YEARS \nEJECTION\n\n\nMEDICATION \nALFACAL  0.25 MG ONCE \nTEGRETOL  200 MG ONCE \nCADEX  4 MG   1X2 \nCONCOR  5 MG   1X1 \nAMICOR  5 MG  1X2 \nLANTUS 35 \n\n\nPLAN \nADD  SIAFIL \nADD   Q SEED \nADD   DEFLAZACORT \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(757,213,'2025-10-28','','','TODAY SHE CAME FOR FOLLOW UP \n  SHE  STILL HAVIBG HEMATURA \nNO PROTEINURIA \nNO HTN \n\nSHE IS  DOING WELL \nCREWATININE  NORMAL',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(758,26,'2025-10-28','','','STABLE \nNO NEW COMPLAINS\nVITAL SIGNS STABLE \nCREATININ E  1.3 \nPLAN \nLOZAR \nEMPA \nJ DEE \nLIPONIL \n\nRTC AFTER2  MONTHS',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(759,26,'2025-10-28','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(760,112,'2025-10-29','','','today he came for follow up \ncreatinine 1.1 \nuric acid  7,4 \nhe hasa  gout aarthritis \nplan \naadd colchicin  1x2 \nprednsione tab  20 mg once   for  6  days \nalloril  increase to  300 mg once daily \nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(761,453,'2025-10-30','','','46   years old female patient \nshe has  chest  complains \nasthma \n\n\nshe  hs  proteinuria    =2 \nshe  has  creatinien 1.23        gfr  55% \n\nplan \nwork up for   vascultis \nreevalaution after labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(762,454,'2025-10-30','','','5   years   c/o  polyuria \n\nhe  sought medical  advice   by dr fahd and he was   novitropan \ncadex \n\nurodynamic study was  done and s=it showed normal \n\nr/o diabetis  insipidus \nother   cases  including neurogenic blader  however the   urodynamic study showed no  abnormalities \n\n\nto  do  Labs  and then r Evaluation ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(763,28,'2025-10-30','','','stable ةشنث \nrtc after 2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(764,46,'2025-10-30','','','today she was seen and her chart was reviewed \nshe looks the same\nshe has    no new labs \nshe refused to take the   rituximab \nshe  refused   to take medication \nshe  want too tapper teh  medications \n\nupon her responsibilities ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(765,57,'2025-11-01','','','today  he came  for  follow up \ncreatinine   1.9 \nabdominal  us  showedn    4  mm \n\nplan \nkeep the same   rx ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(766,173,'2025-11-01','','','valsan  80   - n 160 mg once \ncrestor  20 mg once \nbezalip    400 mg once concor   5mg  once \nprednsione   5 mg    eod    for  2 weeks  then  5  mg    every other ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(767,301,'2025-11-01','','',' today she was doing   well \n\ncreatinine   0.85 \nurine protein/creatinine  ratio  0.09 \nno  protetinuria\n\n\n\npln \nrtc after   3months \nwith cretinine  nd urine analysis \n\nimpression \nthin basement membrane  disease ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(768,455,'2025-11-01','','','um muhammed \nfree past medical history \nshe has   hydtrectomy and then it w as complicated by   fistula \n\n\nshe  came  for  follow up \ncreatinien  1\nbun 15 \nhba1c  5/9\nwbc    5   hgb    13.4   plt   245\nurine analysis shwoed     1030       blood  2    no  albumin and  no  wbc\ntsh  2.23 \nabdomoimal  us  shwoed   mild   fattyninflitration and  no  focal leasion \n\nriht    measure   12 \nleft   measure   12.5 \ndiffuse  gassesous abdomen ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(769,53,'2025-11-01','','','today he was seen \ncreatinien  1.7 \nurine protein /creatinine   =1   no   much rbc \n\nhe  is on  exforg   160/6 \ncarvidelol  6.25 mg 1x2 \nconiseder adding   empa  now    and if   neew complication then forxiga \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(770,53,'2025-11-01','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(771,444,'2025-11-01','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(772,444,'2025-11-01','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(773,456,'2025-11-01','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(774,454,'2025-11-02','','','he hs    psychologicl polyuri \nurine osmo  more thn  270 \nurine osmo  290 \ntsh norm\ncretinien normal \nesr normal \ncalcium normal \n\n\nplan \nadd  immipramine\nrtc fter  month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(775,457,'2025-11-03','','','31   years old female Patient \nkidney failure Underlying Kidney disease    unknwon but kdiney biopsy was done and showed  fibrosis IGA\n\nshe was treated with  Immunosuppressant \nno dialysis \nkidney tx  3/2019  from mother   44  years \nmatching  80%\npost tx    creatinien 0.9-1 mg /dl \nafter   4  months  increased 1.4  mg/dl \n\nit was  2   8/2025 \nand for the last  2  months  it is  2,5 \nno new complains \n\n\nmedciation \nmyfortic  360 mg 2x2 \nprograf  2x2 \nprednisone 5 mg once \ncarivdelol 12.5 mg 1x2 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(776,458,'2025-11-03','','','93   years old female pt \nknown to have  dld \n\npresented with rise in creatinine 1.9   increased to 2.3 \n\nmedication \nempa    10 mg once \ncontraloc \nalfacal \nconcor  5 mg once \njuvista \namoxiclave \nlasix \n\ncinelone \n\n  stop alloril \nstop liponil stop empa \nstop  sitaglu \nadd  deflazacort \nabdoinal us \nrepeat the last   after one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(777,459,'2025-11-03','','','60   years   old female \nshe is knonw to have  \nHTN    FOR THE ALSTR  2  YEARS \nDM FOR THE LAST  ONE YEARS \nDLD \nACUTE LIMB ISCHEMIA AND SHE HAS  C CATH \nLOWER LIMB  LIPMPING DUE TO  TENDON INJURY \nBAKER CYST \n\n\nMEDICATIONS \nNEXIUM  40 MG ONCE \nCALCIUM \nJ DEE  BALGISC \nATACAND  8 MG ONCE \nASA  100 MG ONCE ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(778,324,'2025-11-04','','','referral; for  PD ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(779,254,'2025-11-04','','','TODAY SHE WAS SEEN AND HER CHART WAS REVIEWED \n\nCREATINIEN  TODAYU     2.6 \nBUN  39 \nPCR 1.44\nTSH   1.4N\nHBA1C  8.7\nWBC  7  HGB     10.7  PLT   227\nURINE ANALYSIS SHOWED  PLUS  3   PROTEIN AND WBC\n\n\nSTOP   PYRIN \nCONTINUE  UTI  TREATED \nAFTER  2 WEEKS TO  DO CREATINIEN AND  TO CALL \nAND THEN  RTC AFTER  2 MONTHS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(780,460,'2025-11-04','','','59   YEARS OLD MALKE OT \nTYPE  2  DM \nRETINOPATHY \nCREATININE  HIGH > \nCREATININE  BEFORE  2 WEEKS    WERE  AS THE  FOLLOWING \nCRREA1.48\nBUN\nLDL89 \nA1C  7\nWBC6,7  HGB    15   PLT \nURIC ACID 9 \nTSH  1.2 \n\nMEDICTION \nMETFORMIN   \nSITGLU  50 \nLIPONIL \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(781,438,'2025-11-05','','','atacand   half  tab \n\n\nplan \nto come back after one month with  fasting lipid  profile \nuric acid \nurine analysis   and urine culture \ncarvidelol \nalloril  100\n mg ocne \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(782,438,'2025-11-05','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(783,461,'2025-11-05','','','85   years old male pt \nknown to   have  \nhtn \ndld \npacemaker   at jordan \n  he had abdominal us  showed  right  kidney  9.,5 m cm   with corticla thickness   1-1.3 \nthe left kidney  showed increased parenchymal  echogenecity   as  well as  multiple  pyramidal cyst     5    5.5 \nnoermla  cortical thickness \nno stone n\nno hydronephrosis \nleft kdiney  10.3    cortical thickness   1.5-1.8 \nBPH     size   178 \nnormal liver \n6\n\nmedication \nxatral   10 mg ocne \nnifidipn  30 mg ocne daily \nvalsadipin   160/5/12.5 \nciprocare   500 mg once \nuroclaen  \nb12 \n\ncreatiine   4.46 \nbun  46 \nhgb  13 \n\n\nimpression \nbph \nckd \n\n\nplan \nstop vasadipin \nadd   cadex  4 mg  1x2 \nadd alfacal \nadd  calcium \nrtc after one  month \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(784,462,'2025-11-05','','','81   \nDM   For the   last  5  years \nhtn  for the last   2  years \ndld \n\n\nmedication \ncrestore     10 mg ocne \nmetformin  850 mg once daily \nvitr     k  \nasa  100 mgonce \n\n\n\nplan \nforxiga \nlozar \nbetmega   50 mg once',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(785,463,'2025-11-05','','','first  preganncy  2022n   and her  plt   was       20 \nshe redeived   cortisone  and  cyslosporin   rituximab    and\n\n\ndiagnosed  with itp   \nafter  labour      her  plt  improved to  50-60 \n\n\non the second pregnancy  she  developed   plt \nivig     5  doses \nprednisone  60 mg once \n\ndelivered  before  25  years and she received plt and    steriod before labour \n\n\n\nplan \ndo work up for labs \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(786,464,'2025-11-06','','','52   yers old mle pteint \nhe had  ezcema on the fingers\naskked to do  creatinine \n\nhe had  creatinine  \n1.09 gfr  77\nrepeted  labs  showed creatinine  1.3 \n\nother wise he is  doing well \nno new complains \n\nhe was seen and   evalauted   by dr  hassona \n\n\n\ntoday he came for follow up \nabdominal us  showed   showed  increase  echogenecity \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(787,465,'2025-11-06','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(788,184,'2025-11-06','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(789,98,'2025-11-07','','','tody he wsas  seen  and his  chart wasa revoiewed \ncreatinine   1.7 \nbun normal \nserum lyte  normal \nurine proteinj    negative \'\n\ninflictra   10 mg once \n\nlaxcadin \namicor    5 \nlolip    20 mg once \n\neucrease  50/85-0 mg once \n\nnexium \nasa  \n\nplan \nstop  inflicta \nadd  amaryl \nbiolove   600 mg \nj dee \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(790,357,'2025-11-07','','','add   res q10 once daily \ncreatinine  2.3 \nurine   culture    negatriv\n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(791,166,'2025-11-07','','','today shecrea is doing well \ncreatninine  5.5 \nbun 29 \nhgb  9.5 \n\nplan \nstop alfacasl \nstop sevelamer \ncontinue calcium \ncontinue   ferrous \ncontinue  b12 \nadd  rapaphin \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(792,439,'2025-11-08','','','todaay  he came for follow up \ncreatinine   2.7 \n\nplan crestor \nconsider  rtc after  one month for possible resumeing of the forxiga ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(793,439,'2025-11-08','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(794,256,'2025-11-08','','','TODAY SHE CAME FOR FOLLOW UP \nCREATININE    3  \nAST  ALT \nHGB  11 \n\nFSB   95 \nALKALAIN    146 \nBILIRUBIN   0.7\nBUN  35 \nCALCIUM  9.9 \nCREATNINE   3 \nPHOSPHORUS   4.1 \nURIC    5.8 \nLDL  79 \nPOTASSIUM   4 \nNA   138 \nCL   102\nPTH   82 \n\n\n\nMEDICATION \nASA   100 MG ONCE \nSIMVASTATIN  20 MG ONCE \nMEPRAL   20 MG \nSTOP  CALCIUM AND ALFACAL  SINCE   CALCIUM 9.9   AND PTH    NORMAL \nCARVIDELOL  12.5 MG  1X2 \nAMICOR   5 MG 1X2 \nCADEX   4 MG  1X2   \nNOVITROPAN   ONCE\nSPASMIX \n\nRTC AFTER   2 MONTHS\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(795,466,'2025-11-08','','','57  years old female \ndm for the last   20  years \nhtn   for the lasr   2  years \ndld \n  for the alst   few  years \nischemci heart disease     \nCABG     Before    2  months \n\nc cath was done and   and  showed  triple vessels  disease \nthen  he was referred  to almakksed    hospital \ncreatinine   4 .2    after the  cardiac cath \nhe  didnot need     dialysis \n\ncreatinine 7/2025  2,2\n\n\npln\n\ndd   lfcl \nadd \n\\calcium \ncreatinine   on th   whatssap    2.1 \nother lasb  are okl \nmedication asa \nplavic \ncocnorn  7.5 \nlipon il \nadd  tegretol',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(796,450,'2025-11-08','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(797,199,'2025-11-08','','','today she came for follow up \nshe  dinot have crweatinine   today \ncholesterol   141 \nurine analysis  normal \nha1c  6.7 \n\nplan \nkeep the same \namicor  5 mg 1x2 \ncocnor  5 mg ocne \ninflicta   and she was given davinus \nsitaglu  50 mg ocne \nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(798,452,'2025-11-09','','','creatinine  2.7\ncbc  normal \nurine analysis   uti and proteinuria \nlabs  as  pictures ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(799,467,'2025-11-09','','','70   years old male pateint \nNO  DM \nNO HTN \nNO DLDL \n\n\nHE  WAS AT  HAJJ  FESTIVAL AND HE  SUFFERED FROM STROKE \nHE   SOUGHT MEDICAL ADVICE  BY DR  RAED AND HE    SOUGHT MEDICAL ADIVICE     FOR THE RENAL MASS \n\n\nABDOMINAL CT  SHOWED    RENAL MASS   LEFT SIDE \nHE  VISITED  DR MAHMUD ALLAN   AND HAD NEPHRECTOMY \n\n\nPOST OPERATIVE  HIS CREATININE STARTED TO INCREASE \n2.5 MG \nBEFORE    ONE MONTH IT WAS   2.0 \nTHEN    IT  BECAME   2.08 \n\nMEDICATRION \nPLAVIX  75 MG ONCE \nAMICOR  5 MG ONCE \nCOCNOR  5 MG OCNE \nLIPITOR   40  MG OCNE \nASA  100 MG OCNE \n\nPLAN \nADD  CADEX \nADD BIOSOLVE \nADD  LASIX \nADD   LASIX  EOD \nADD  J  DEE    50000  ONCE DAILY \nHIS  BLOOD  PRESSURE  IS     166\nMAKE  SURE THAT   HE  IS  TAKING AMICOR  NOT  ANAPRIL ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(800,468,'2025-11-09','','','FAMILY HISTORY FOR HYPERTNESION \n\nNO  DM \n\nNO NEW COMPLAINS \n\n\nSHE  FOUND TO HAVE   ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(801,469,'2025-11-10','','','FOR  GENETIC  COUNCEILING \nHIS  BROTHER  ON LOW   HSA   END  STAGE KDINEY DISEASE   2 OF THEM \nNEPH  GEN  MOSTLY \n\nTO DO THE TEST FOR THE  WIFE ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(802,451,'2025-11-10','','','SWITCH   IMURAN  TO  MYFORTIC \nSTERIOD TAPPERING   5  MG  EVERY  2 WEEKS \n\nRTC AFTER  ONE MONTS \nTO DO  CREATINIE   AND TO SEND  IT  THROUGH WATSAP',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(803,406,'2025-11-10','','','TODAY   SHE CAME  FOR    FOLLOW UP \nSHE  FINISHED  THE CYCLOPHOSPHAMDIE  DOSES   \n?  HIGHER  DOSE \nSHE  STILL HAVE   COUGH    CHILLS \n\nPLAN \nPREDNISONE     FROM  20  >  15  FOR  2  WEEKS THEN   10 MG  FOR   2 WEEKS \nMAKE  VIT   D    ONE  TAB  EVERY 2 WEEKS \nCALCIUM1  OCNE DAILY \nSTOP  BIOSOLVE \nMETFORMIN     AFTER  HEAVY MEALS \nCONTINUE  LIPONIL \nAMICOR  5 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(804,470,'2025-11-10','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(805,471,'2025-11-11','','','one  month  ago \npregnant    on the   13  week\nbilateral flank pain and she  found to have   uti \nand then she was teasfererd to alahli hospital and she    was  treatred with iv  antibiotic \nafter   5  days  she was discahrged  home   \nshe   has   right flank pain and she \n\n\nplan \nreferral  for meropnm   1x3 \nstart   rizefet   400 mg once \nparamol  extra    1000 mg once \nabdominal us  shwoed no hydronephrosis \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(806,472,'2025-11-11','','','28  years old female pateint \nenal agenesis   sicne  2012 \nshe had dialysis  for  1,5  years \nshe had  kidney transplantatio6 6 n  in 24/4/2024 \ndonor    non relative   52  years\nmatching   60%\ncreatinine  after   the operation 0.8 \ncellcept  2x2 \nprograf    6-6 \nprednisone  20  then tappering\nreguler    follow up by dr mamoun \n\nimuran  50 mg  1x2    started  2/2025 \nshe  got pregnant     last m p  23/5 \ncreatinine   started  to increase  in the   6 th  months \n\nbp   130/90\ntrandate   1x2 \nprednsione  30 mg once \n  creatinien  1,8 \ncreatinine   2.2 \nthen  1,5 \n\nplan \n\ncontiue  prednsone   30 mg once \nkeep other   the sam \ntrandate  200 mmg   1x2 \nrtc   weekly ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(807,473,'2025-11-11','','','45    years old female pt \nknown to have  dm  for the last  18 years \nhypertension for  the last  18  years \nanemia \nckd \n\n\nshe  had   bleeding    and she    neeeded  d and   c \nbut she  found to have high creatinine \nshe   sought medical advice  by  dr    ahamad    and    she  found to have \nnext   week  she   sought medical advice  again   and   she  might need  dialysis   a  transplantation \n\n\ncreatinine   4.2   to  4.5 \nplan \nadd   alfacal \nadd  sodium  bicarbonate \nadd  biosolve \nrtc after  2 weeks \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(808,297,'2025-11-13','','','creatininein  1.2 \ntac  7 \n\nprednsione  7.5 mg once \nprograf  2   and  1 \nmyfortic   2x2 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(809,474,'2025-11-13','','','62   years old male patient \nhe is knonw to have   stone former \nDM   x 12  years \nhTN   X  12 \nDLD  \nDISCOPATHY \n\nhe  sought medical advice   by d r   muhammed albourini    CREATININE   WAS 3 \n\n\nhe lost  his  follow up \n\ncreatinine  3,7 \n\n\nWBC    11 HGB    14  PLT    246\nCREATININE  3    BUN     36       LDL   89    HDL   44    TRIGLECERIDE    151  \nA1C   7.8\n9/2025  IT  WAS    2.9\nPROTEINURIA  PLUS  3 \n\nRECENT  LABS SHOWED \nCREA  3,7\nNA  146\nBUN 40\nHCO3  17\nCLCIUM 8,5\nK   4.9\n\nLABS SHOWED \nBIOSOLVE   400 MG \nCRESTOR  20 MG ONCE \nAPIDRA \nLANTUS   20 \nAMICOR  5 MG ONCE \nASA 100 MG OCNE \n\n\nPLAN \nADD CADEX \nADD AMICOR   5  X2 \nADD ALFDACAL \n\n\nDO ABDOMINAL US \nDO  LABS AFTER   3  M ONTHS \nLINTOYA      PLUS   ONCE DAILY \nADD LUSTRAL ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(810,475,'2025-11-13','','','32   Years old   male pateint \nflank pain \nhe  had creatinine  1.5  mg /dl \nurine analysis showed   hematuria  as  the patient    claims \nhe had  abdominal us    that showed      medical  renal disease \n\n\nplan \ngn  owrk up',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(811,381,'2025-11-15','','','23   years \nFSGS \n\non cyclosporin 75 mg 1x2 \nmyfortic   1x2 \noprednsione   10 mg \nj dee \ncalcium \n\n\nplan \nadd  lozar  since  his blood pressure  160\nstop myfortic \nreassess for the   gout  since  it  might be not  gout and to consider  mri \nhe has  periodental abscess and he might need   antibiotics    like  augmin \nreport  was given \nreassess after  3  weeks \n\ndexa  was done and showed  osteopenia \nand not  osteoporosis ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(812,476,'2025-11-15','','','dm \nhtn\ndld \n\n\nabdominal us showed renal us    renal  stone  6  m \ncreatinien  1.4-1.6 \n\nplan \nadd  empa ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(813,386,'2025-11-15','','','aransp\nomic \ncreatinine 3,7',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(814,388,'2025-11-15','','','he has proteinuria',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(815,477,'2025-11-15','','','77   years old female patient \nknonw to have   DM   for the last   20  years \nhtn \nfor the last   15  years \ndld \n\n\nosteoarthritis \n\nmedications \nforxiga 10 mg once \ncodiovan  80/12,5 mg once \ncalcium 600 mg ocne \ncalcium \nlasix   1x1\nthyroxin  100 mcg onc e\nasa   100 mg once \n\nsimvastatin   20 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(816,457,'2025-11-15','','','IGA   NEGROPATHY \nKDINEY  TX \nCREATINIEN 2,2 \nPROTEINURIA  1500 \n\n\nPLAN \nCNOTNIUNE  PREDNOSNEN   20  MG  FOR  2 WEEKS THEN  15  GM  FOR  2 WEEKS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(817,302,'2025-11-26','','','today   he was seen  \ncreatinine  2.3 \n\n\n\nplan \nkeep the sam e\nadd  alfacal \nadd c alcium \nhold  inflicta met  for one week \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(818,60,'2025-11-26','','','today she was seen   and her chart was reviewed \nbase line creatinine 1l6 \ntoday  2 \nproteinuria    2  gram \n\nplan a\nadd     karendia \ncontinue  dapa  and   atacanf  16 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(819,478,'2025-11-26','','','81   yEARS OLD FEMALE \nHYPERTENSION FOR THE LAST 15 \nDM  FOR THE LAST   15 \nDLD\nGOUT \n\n\nCRATININE  2.2 \nA1C   6.1 \nPLAN \nDO RENAL US \nDO LABS RTC AFTER  2 WEEKS \n\n\nplan \namaryl 2 mg \nsitaglu \ncalcium \nvit  d \nasa   \nlipinil  \n\nrtc after  2   months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(820,479,'2025-11-27','','','membrabous   nephroapthy \n\nmedication \nprograf   1x2 \nvalsaan  80\nasa \nmepral \n\ncreatinine 0.7 \nurine  albuminuria   2.1 \nalbumin  3.2  from 2,8',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(821,480,'2025-11-27','','','51   years old female patinet \ndm ?    metfromin \n\nshe has  lower limbs edema       maily at the ankles \nshe   found to have albuminuria \nshe    has   again  lower limbs  edema \n\nlabs showed\nalbuminuria 56\n\nno  joint pain \nno   skin rash \nno lower limbs edema \n\nabdomnal us  showed  normal \n\n\nplan \nadd  cocnor \nadd  j dee \nrtc after doing labs and  urine  evalution\ni have asked  for  calcium  phosphorus  uric acid \ncreatinine \nurine protien  /creatiine ration \nc3  c4  \nesr  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(822,481,'2025-11-27','','','73   years  old male Patient \nknown to have   DM  for the    25  years \nHypertension  for the last  25 \ndld \nischemic heart disease    with stent \nchronic Kidney disease with Base  line  more than 2 \nhe had   renal stone  many years ago and he has  \n\n\nmedication \natacand    16  \ncadex   4 mg once \ninsulin  mixtard  \nasa  100 mg ocne \nlipitor   40 mg once \n\n\nhis base line creatinien  3,2    and  he came with creatinine  4.3 \n\nplan\nstop atacan \nadd amicor   1x1 \nmake cadex  4 mg 1x2 \nadd calcium   600 mg once \nalfacal o,25 m\ng ocne \nmepral  20 mg once \n\nrtc after   3weeks \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(823,385,'2025-11-29','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(824,443,'2025-11-29','','','today she cqmne   for follow up \ncreatinine  1.4 \nurine proteinn    230 \nldl   115\nserum lytes normal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(825,443,'2025-11-29','','','today she came   astable \nurine   pcr  230 \ncreatinine  1.4 \n\nplan \nadd  spectrovit  mg ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(826,482,'2025-11-30','','','66   years old male patient \nKnown to have  hypertension   for the last  25  years \njuly last year  e    found to have  rise in creatinine   it was  1.4 mg /dl \nand Since  then   it  is  1-  1,5 mg mg/dl\\\n\nhe was   doing well\n\nplan \nadd  exforg \ncarvidelol  \nrepeat  labs   after  2 weeks and  send  ot  through wahtasap \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(827,483,'2025-11-30','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(828,484,'2025-11-30','','','SECONDARY HYPERTENSION \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(829,485,'2025-11-30','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(830,486,'2025-11-30','','','  37   years old  female  pt \nshe has  hypertension \nfamily hisoptry  for  heart disease \nshe  sought medical advice by   out patient and  she   was referred     for  coronary ct  angio  that   is normal \n\nshe  found to have  gerd \ncreatinine  0.9    \nwbc     8.3   hgb     13.8  plt    318\ntsh   3.88 \nbun 21 \n\nshe has  arthopathy   before  many years \n\npln \nsecondary   hypertension work up \nabdominal  us \n24 hours  urine   collection for  vma  and metanephrocx \nabdomoina  ct ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(831,27,'2025-11-30','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(832,429,'2025-11-30','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(833,346,'2025-11-30','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(834,230,'2025-12-01','','','today he was seen   and his chart was reviewed \n\nplan \nstop  respiredal \nstop cadex \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(835,138,'2025-12-02','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(836,418,'2025-12-02','','','dd  cadex \nadd atozet \nadd   prozac \ndiovan  160 mg ocne daily \ncreatinine  1.9 \nblood  pressure  still high \ncarvidelol  12.5 mg 1x2 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(837,487,'2025-12-02','','','68   years old female pt \nDM  X25 \nHTN   FOR   THE LAST   6  YEARS \nDLD  FIR  THE KLAST   25  YEARS \nCABG  11/11/2019 \nGOUT \n\n\n\nSHE WAS   TRASFERRED FROM  DR  MALIK MASWADAH    AND SHE  WAS  NEEDED C CATH AND    SHE  FOUND TO HAVE  HIGH CREATININE   FOR WHICH SHE WAS REFERRED  TO US \n\nMEDICATION \nASA  100 MG ONCE \nLIPIDEX   40 MG OCNE \nCLEXANE \nLASIX  40 MG ONCE \nFORXIGA  10 MG ONCE \nAMICRO  5 MG 1X2 \nPLAVIX  75 MG ONCE \nCARVIDELOL     6.25 MG  1X2 \nMONOCORD    20 MG 1X2 \nCADEX      4 MG ONCE \nINSULIN     \n40  AM AND  35  PM \nLSITAGLU    100 MG ONCE \n\nPLAN \nADD BIOSOLVE \nSTOP    INFLICTA \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(838,406,'2025-12-02','','','TODAY SHE CAME FOR FOLLOW UP \nNO NEW   LABS \n\nPLAN \nADD OGMIN \nADD  BUDICORT \nRTC AFTER  1  WEEK \nCONSIDER   CHEST AND  BRAIN CT ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(839,488,'2025-12-02','','','64    YEARS OLD FEMALE PATIENT \nKNOWN TO   HAVE \ndM  for the last  16  years \nhtn for the last   16  years \ngout \ndld \nishcmeic heart disease  \nspatus  post  cabg    7/9/2025 \nc cath  and then  cabg  \ncreatinine    at the time for the    cath  no   clear \n\n\nshe had   cabg  \nno newq complains \nshe has  lower limbs edema \n\n\nmedications \nkarendia  10 mg once \nforxiga 10 mg ocne \nplavix \ntritace  1.25 mg once \nliponil \nasa  100 mg once \nconcor   1.25 mg thyrox   100 mg\njaneut \nnovorapi \nlantus \n\n\nplan \nadd   ozempic \nadd forxiga \nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(840,455,'2025-12-03','','','today she came for follow up \ncreatinine 0.9 \nurine analysis normal \n\nplan \nkeep  on mebeverin \nand  j dee \n\nlustral after omra ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(841,490,'2025-12-06','','','69   years oldmale patient \nknonw to have  hypertension  since  2001 \nDLD \n\nHeWs  DOING WELL UNTILL   2  WEEKS  WHE  HE  HAS  CHEST PAIN AND   GENERALZED WEAKNESS \nHE WAS ADMITTED TO   HALHUL HOSPITAL   AND  DISCHAGE  IN GOOD  GENERALAL  CONDITION \nHE  HAD  ECHOI  BY   DR  RAMADAN     AND  IT  WAS REASSURING \n\n\nHE  WAS   DOING   WELL UNTILL TODAY  WHEN  HE  AHD   LEFT SIDED CHEST PAIN \nNO FEVER \nNO  CHILL \nNO  LOWER LIMBS EDEMA \n\nMEDICATIONS \nSLOW   K 2 X2X\nCONCOR  5 MG 1X1\nLIPONIL   40 MG ONCE\nASA  100 MG ONCE\nBIOSOLVE  600 MG 1X1\nNEXIUM   40 MG ONCE \nAMICOR 5 MG 1X1\nALFAVAL 0.25 MG ONCE \nCEFPO  200 MG ONCE\nLASIX  2 AM\n\n\nCREATININE 1,8\n\n\nPLAN \nINCREASE  LASSIX      4- M   2   AT  PM \nADD  DEE D ESNE \n\nRTC AFTER  3  DAYS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(842,379,'2025-12-06','','','TODAY HE WAS SEEN \nCREATININE  1.3 \nA1C   7.2 \nURINE ANALYSIS      PROTEIN  3  AND  RBC  70 \n\n\nMEDICATION \nCRESTOR    20 MG \nCONCOR  2.5 MG \nAMICOR   5   MG 1X2\nPLAVIX   75 MG  ONCE\nASA   100 MG ONCE\nLASIX     2  AM  AND  1    EOD \nCADEX    2X2\nJUVISTA  100 MG ONCE\nLOZAR  50 MG 1X2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(843,491,'2025-12-06','','','BILATERAL  FLANL PAIN FOR THE LAST  ONE WEEK \nHE  SOUGHT MEDICAL  ADVICE  BY DR  HANI MASALMA     AND HE HAD  ABDOMINAL US \nTHAT  SHOWED  INCREASER  RENAL E CHOGENECITY \n\nLABS  WERE DONE AND SHOWED \nESR 13\nC3  NORMAL \nC43  NORMAL \n\nCREATINBBNINE  1.18 \nBUN 24\nABOMINAL  US   SHOWED INCREASER PARANCHYMAL ECHOGENEDCITY \nURINE ANALYSIS SHOWED  1  PROITEIN  AND  MINOR       BLOOD \n\n\nHE HAD   UPPER  RESPIRATORY TRASCT INFECTION \nNO JOIN TPAIN \n\nPLAN \nDD   DEFLAZACORT   30 MG ONCE \n\\ADD  J  DEE   50000  ONCE   WEEKLY \nZINNAT   500 MG  1X2 \n\nRTC FTER   2 WEEKS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(844,484,'2025-12-06','','','SHE  PREESENTED  WITH  \nHIGH BLOOD PRESSURE  READING \nSHE IS ON  VASADIPIN   HCT \nCADEX  2X2 \nCARVIDELIL   12.5  1X2 \n\nPLAN \nADD  CYNT  OF  NOT AVAILABLE THEN    HYDRALAZIN ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(845,492,'2025-12-06','','','73   years old female patient \nHYPERTENSION FOR THE LAST \nDM    FOR THE LAST     10  YEARS \nDLD \nIHD   AF    WITH  GOOOD  EJECTION FRACTION \nWAS  DOING  WELL  BUT  SHE WAS   TAKING  NSAID      FR THE  KNEE  OSTEOARTHRITIS \n\nMEDICATIONS \nQUEST  5 MG 1X2\nCODIOVAN  160/12.5\nALLORIL   100 MG ONCE\nTEGRETOL  200 MG ONCE\nACAMOL   500 MG ONCE\nVIT  C\nLOLIP  20\nNECIUM\nMETFORMIN  850 MG OCNE\n\nCREATININE  1.7 \nBUN   60 \nCBC   13 \nLDL  70 \n\nPLAN \nADD  DEFLAZACORT \nADD   REJOINT \nRECHECK THE    URIC ACID AND  CREATININE  IF  HIGH   THEN   CONSIDER  SWITCHING THE   CO DIOVAN ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(846,358,'2025-12-06','','','TODAY  SHE WAS SEEN AND HER CHART WAS REVEWED \n\nCREATINIEN  1.4 \n\nMEDICATION \nNEUROGARD \nTHYROXIN \nPLAQUNEIL \nSITAGLU \nCYMBALTA \nEXFORG     160/10 \nCONCONR      10 \nFORXIGA  10 MG ONCE \nSIMVASTATIN    40 MG ONCE \n\nPLA \nADD   SYMBICRT \nADD  BIOCHIOLATE \nADD  BIOSOLVE \n\nRTC AFTER ONE MONTH',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(847,493,'2025-12-06','','','76    YEARS \nGOUT   \nBPH \nNO HTN \nNO  DM \n\nHE  PRESENTED WITH  ITCHING AND  HE RECEIVED     ANTIHISTAMIN \nHE  ASKKKED TO  DO CREATININE AND LIPID  LOWRING  AGENT \nHE  SOUGHT MEDICAL  ADVICE  A T   DR    ASAD  MAKARZAH AND  HE WAS REFERRED TO US \n\n\nLABS  SHOED C REATININE   1.3 \nBUN  18 \nBIIRUBIN   1.7 \n\nFERRITIN  318 \nTSH    1.4\nWBC           9   HGB     16  PLT   214\nHBA1C     5.8\nCOP NEAGTIVE\n\nABDOMINAL US  SHOWED   RENAL CYST  FATTY LIVER  INFLITRATION \nPROSTAT HYPERTROPHY\n\n\nPLAN \nJAK   2  MUTATION \nADD BIOSOLVE AND A DD   RAPAFIN  TAB\nRTC AFTER  1MONTH',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(848,421,'2025-12-06','','','TODAY HE   IS  FOR  FOLLOW  UP \nCREATININE  0.8 \nURIC ACID  5.1 \nPHOSPHORUS   3.9 \nCALCIUM   9.8 \nURINE NALSIS   NORMAL   WITH  1  WBC  AND    RBC ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(849,357,'2025-12-06','','','TODAY SHE CAME   FOR  FOLLOW UP \nCREATININE  2.3 \n\nCHEST IFECTION \n\nPLAN \nADD   LEVOX \nADD    BUDICORT \nADD  NORVASC  SICNE THE BLOOD PRESSURE     200/100',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(850,494,'2025-12-06','','','  55   YEARS OLD MALE PATEINT \nHE HAS   LEFT SIDE  TRAUMA \nHE  HAD  LABS AND HE  FOUND TO HAVE     HEMATURIA \n\n\nNO  JOINT PAIN \nNO  SKIN RASH \nNO  FEVER   \nNO CHILLS \nUROLOGIST  EVALAUTION AND HE  RECEIVED   SALIVIT  WITH MILD IMPRVEMENT \n\n\nMEDICATION\nMETFORMIN  \n\n\nPLAN \nADD   SPECTROVIT    \nGN  WORK UP\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(851,108,'2025-12-08','','','creatinine 0.8 \nalbumin 3,6 \nadd  j  dee \nadd flatex \nadd  b12   monthly',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(852,467,'2025-12-08','','','today  he came for follow up \ncreatinine imprpved  to  1.6 \ncbc   12 \nurine analysis    clear \ntsh 1 \n\nuric acid    6 \nhba1c   5.1 \npsa   1.8\n\n\nplan \nadd  lecardipin   10 mg once \nstop amicor  make  cadex    4     pm and   1  am \n\nrtc after  2  months   after  doing  crea',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(853,30,'2025-12-08','','','creatinine  1 \nurine protein/creatinine   ratio   2,2 \n\nplan \nmake  exforg    160/5 \n\nb12    injection weekly',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(854,86,'2025-12-08','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(855,111,'2025-12-08','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(856,495,'2025-12-08','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(857,470,'2025-12-08','','','cretinien    3.6    improved     2.6   then  2.9 \nmicor  leading     to   lower limbs edema \nhe is on cadex  4 mg 1x2 \n\nplan \nadd   hydralazin    50 mg 1x2 \nalfacal \ncalcium \naranspn \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(858,456,'2025-12-08','','','today he came for  follow up  \ncreatinine improved to   1.4 \nhe has  low  urine output \n\n\nmedciation \ncadex \ninsulin \na;facal \ncalcium \n\nplan \ntavanic   from outside \nbudicort   1x2 \nspectrovit ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(859,496,'2025-12-09','','','Drug addict \nLyrica and sequel \nPresented with flank pain \nCreatinine 1.48 \nUrine analysis. Clear \n\nPlan \nBiosolve and j dee \nEtc after 2 weeks with us and Labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(860,25,'2025-12-10','','','today she came for follow up \n\n\nplan \nadd  symbicort \nadd \ncreatinine  1.4 \ntac  level  12 \nhgb  7.6 \nferritin   2000 \ntsh    0.6 \npth   131',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(861,321,'2025-12-10','','','today she came foir follow  up  \ncreatinine 0.9 \nTSH   0.05    LOW  FOR  REVBLAUTION \nSHE HAS  TREMOR \nPLAN \nPROLOL 10 MG 1X2 \nSTOP  CONCOR \nMAKE  PREDNSIONE 5 MG OCNE \nPROGRAF  4   AM  ANAD   4  PM \nCALCIUM \nLIPITOR    40 MG ONCE\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(862,497,'2025-12-10','','','89   YEARS   OLD FEMALE \nNO DM \nNO  HTN \nNO IHD \nNO  GOUT \nCT    with  contrast   1.4 \n\nmedications\ncoumadin   d=for the PE \nMEPRAL   20 MG ONCE \nTRUFEN    400 MG 1X1 \n\n\nLEFT AXILLLARY  NODE  BIOPSY SHOWED POOR  DIFFEREBATED   CARCINOMA \nSHE    FOUND TO HAVE CREATININE   1.4 \n\nAND THAT  IS   WHY SHE PRESENTED   TO MY CLINIC FOR   THE NEEDS  FOR  CT ANGIO \n\n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(863,498,'2025-12-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(864,464,'2025-12-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(865,499,'2025-12-11','','','41   years old male pt \nhypertension for the alst  2  years \n\nhypertension  in the family \ndl   dm \nno family history   for  ckd \nhe has  joint pain and  morning  stiffness \n\nhe has  morning   stiffness \n\nhe has  skin rash \n\nurine analysis shoed   protein  =2  and     erythrocyte   10 \nmicroalbuminemia  300 \necho    negative \nrenal  doppler   decrease velivicity \ncta       normal\n\nimpression  \niga nephropathy \nct   angio   for  the  aorta  normal \nrenal doppler  normal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(866,309,'2025-12-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(867,412,'2025-12-13','','','today she was seen and her charft was   reviewed \n\nplan \ncreatinine  2.3 \nk  not  done \n\nplan \nkeep the same rx \nadd  zimical c v\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(868,333,'2025-12-13','','','TODAY   SHE  CAME  FOR  FOLLOW UP \nCREATININE  IMPROVING   2.06 \nURIC  ACID    6 \nHA1C   11 \n\nPLAN \n\nTODAY SHE  CAME  FOR  FOLLOW UP \nCREWATININEN   2 \nURIC  ACID  I MPRVING \n\nPLAN \nRTC AFTER ONE MONTH',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(869,294,'2025-12-13','','','STABLE  AND   RTC AFTER ONE  MONTH ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(870,297,'2025-12-13','','','TODAY HE CAME FOR  FOLLOW UP \nCREATINIEN  1.2 \n\nHGB B 16 \n\nPLAN KEEP THE SAME  RX\n\nRTC  AFTER ONE MONTH ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(871,400,'2025-12-13','','','TODAY   SHE  CAME  FOR   FOLLOW UP \nCREATININE     7 \nK  STABLE \n\nPLAN \nREEVALAUTION AFTER  4   DAYS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(872,500,'2025-12-13','','','74    YEARS   OLD FEMALE   \nKNONW TO HAVE  dm  htn     ckd   gout     alzhamier  disease \n\n\nshe was  followed  at  jordan    for alzhemier  and  \nlast  time  she  sought medical advice  at  jordan  she w as  given   prednisone  20 mg once \n\nthen she  developed    puffness and  sob \nshe  sought medical adivce   at  dr sameer  alqadi and she  did  some labs  that showed \nwbc   5,1    hgb12.7    plt272\nesr   54\ncrea  1.34     a1c   6,3ldl  97\ncrp 15\nurine analysis   normal \n\nplan \nadd   bioslve \ncheange  atacand  plus   to atacand \nmake alloril   200  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(873,51,'2025-12-13','','','today she came for follow up \nshe  sought medical by dr  Ismaeel and    he stopped all the medication \nsought Medical Device  by  dr ala    with reassuring   Finding   including improvement on the  right  optic  neve and  the left  has  Milk   degree of edema \nhowever  the  report  is   not available now \n\nmedication \nnexium   40 mg once \nmyfortic  1x2  for  one wek  then 2x2 \ncarvidelol  1.5  2x2 \ncadex  4 mg  1x2 \ncalcium  600 mg once \nj dee   once  monthy \nferromedplus     1x1 \nrtc after   2  months \n\n\ntoday she came  for   follow  up  creatinie  1.2  \nurine  protein   760 \nalbumiun  3.4 \nshe is on  topiramate  for   psedue tumoe  cereberi\nexforg   160/10 \nshe  has  falnk pain  and the us  normal \n\nplan \nadd  balgesic  1x3   for  3  days \ndiscuase  uremix   with dr   jubran ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(874,451,'2025-12-13','','','stable\ncreatinine  2.1 \nalbuminuria   400 mg  \nalbumin 4,5 \nc3  83 \nc4  16 \n\nplan \nmake  lozar  50 mg ocne \nmake  prednisone  10 mg once \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(875,501,'2025-12-13','','','58   years old male pt \nknown to have  hypertension   for the  last  8 years \n\ngouty arthritis \nbase line   1.9-  2 \nfor the last      4  years  he  suffered fromn   right  wrist pain and swelling and he w as diagnosed with psedogout   \n\nhe  sought medical advice  by dr  idies  and  he was   was  discribed   feburic       40 mg once \n  then  80 mg once \ncolchivin  0.5 mg   1x2  \nmedrol 4 mg once \nhe   found to have   polycythemia  \n\ncreatinine\ncreatinine 2.2\ncrp negative\nmg 1,8\nrf  negative\nwbc  12.8   hgb  17.5  plt  227\nuric acid  3 \nfbs   90    creatinien  2.18\n\nkidney us  showed polycystic  kidney disease \n\ncodiovan  160/25 mg once \ncolchcin \nfeburic \nsteriocort \nrivoxar  20 mg once efburic \n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(876,483,'2025-12-13','','','today she was seen \nshe is  doing well \n\ncreatininer  1.9 \n\nplan make  prednisone  5 mg ocne \nadd c alcium \nkeep lasix  40  2  am and  1  pm \nstop all hypertnesivept  and she is not  taking atacand and no   carvidelol \n\nplan \nrtc after  2 weeks  for labs and  possible   digoxin\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(877,152,'2025-12-14','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(878,498,'2025-12-14','','','55 Y \nHYPERTENSION ON NIFIDIPIN   8/2.5 \nSHE PRESENTED WITH  PROTEIURIA    PLUS  3 \nSHE HAS  NORMAL KDINEY US \nSHE  HAS  POLYCYTHEMIA  DUE TO   SMOKING PIP \n\nPLAN \nVENESECTION \nMAKE  CANDIPIN  16/5 \nADD  FORXIGA \nSTOP NSAID \n\nANCA NEGATIVE \nC3 C4  NORMAL CREATININE 0.9 \n\nPLAN \nRTC AFTER 3 WEEKS \nREEVALAUTION FOR POSSIBLE  KDINEY BIOPSY ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(879,502,'2025-12-14','','','dm  for  18  months \npresented  for  evalution \ncreatiine  before  it  was  2.2   ans  before  one week   it  was  1,85   and his   gfr   was   40 \nwas referred from dr  neveen and he  has   a1c  11 \nplan \nadd   empa   10 mg once  daily \nmetfromin  850 mg once daily \nrtc after one month   with labs \nfood  restirction \nsalt  restriction \nadd  biosolve and  add j dee \nbp  was  high     for  reassessment  next visit ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(880,503,'2025-12-16','','','\n36   YEARS  OLD  MALE PT \nKNOWN TO HAVE  DM FOR THE LAST   11   YEARS    TYPE  2 \nMEDICATION \nSITAGLU  50 \nATACAND  PLUS   16/12.5 MG ONCE \n\nA1C  6.5 \nCREATININE  1.8  MG /DL \nBEFORE     ONE     MONTH  IT WAS   1,5 \nLAST YEAR  IT WAS   0.9 \n\n\nBP  180\n\nPLAN \nSTOP ATACAND  PLUS \nADD  ATACAND    16 \nNORVASC   5 MG \nCONCONR  2.5 MG ONCE \n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(881,504,'2025-12-16','','','69  YEARS OLD   \nHYPERTENSION     ON AMICOIR  160/10 \nLIPITOR   FOR  DYZLIDEMIA \nMETFORMIN \n\nCONCOR     5 MG ONCE \n\nDEPROSPAN     FOR  ASTHMA \n\nLASIX   40 MG   EOD \n\nPLAN \nSTOP  AMICOR   PLUS \nSTOP METFORMIN\nADD  AMICOR  5 MG 1X2\n\n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(882,487,'2025-12-16','','','SHE CAME WITH   CREATININE 1,4',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(883,505,'2025-12-17','','','85   YEARS OLD MALE PT \nKNONW TO HAVE  HYPERNTESION   \nON AMICOR  \nCADEX \n\nPRESENTED WITH  CREATININE  1,7 \nIT  WAS   MORE THAN 2 \n\nHE CAME FOR  FOLLOW UP\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(884,474,'2025-12-17','','','TODAY  HE WAS SEEN AND HIS CHART WAS TREVIEWED \n\n\nPLAN \n\n\nCREATININE HAS  IMPRPVED TO  3.1 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(885,474,'2025-12-17','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(886,474,'2025-12-17','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(887,506,'2025-12-17','','','HYPER TESION  FOR  EVALAUTION',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(888,507,'2025-12-17','','','75  YEARS OLD MALE PT  KNONW TO HAVE  HYPERNTESION  SINCE   2002  AND  DM  SINCE  2002  ASTHMA \n\nNO  IHD  NO   GOUT \n\n\n\nHE  HAS  POLYURIA AND   DYSURIA \n\nIMPRESSION \nBPH \nNEURGENIC  BLADDER \n\nMEDICATION \nCADEX   2 MG   ONC DAILY \nINSULIN   LANTUS AND    APIDRA \nCODIOVAN   160/  25 \nALLORIL    300 MG ONCE \nSYMBICORT   PUFF \nXABAN  2,5 MG 1X2     FROM  DR  RAED  SAEED \n\nIMPRESSION \nBPH  VS    NEURGENIC  BLADDER ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(889,508,'2025-12-20','','','33   Years old male pt \nknonw to have    sarcoma  and  he is  on biological treatemetn aand chemotherapay \nhe presented with  bukaterak flank pain and he   has    questionalble    bilateral  flank pain \nplan\nhe    found to have abdominal     and  tenderness \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(890,509,'2025-12-20','','','64  years old female pateint \nknonw to have      dm   for the alst   5  years \nhypertension for  have    the last   5  years \n\nshe has lower limbs edema \nthen siffered from      back pain parotitis  \nshe  has    decrease urine output  for the alst   2  months \n\n\nhe   sought medical advice    by dr   batram and   she    found to have   eye   dryness \nand she   found   noctureia    for the alst  few  years \n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(891,255,'2025-12-20','','','today he  came3  for  follow up \n creatiine   2.2 \nabdominal us  small  size     kdiney \nurine  analysis shwoed   1  = \ncbc    normal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(892,476,'2025-12-20','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(893,438,'2025-12-20','','','today she  presdmnted with  ut i \nplan \nasa   100 mg ocne \natacand   8 mg once    for  reevlaution \ncarvideloil 6.26 mg once daily \nrizacef\ncrestor   20 mg once \ncolchin     for   gout  attachd \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(894,288,'2025-12-20','','','he is  doing well \nno new complains \n\nhe has been  maintaed\nforxiga    109 mg ocne \ntritace  2.5 mg ocne \nasa   100 mg once \nalfacal 0.25 mg once \nasa  100 mg once \nfeboxtat   80 mg once \nvitamix   tab daily\n\n\n\nplan \nrtc after   2 months  and  consider    ozepic  0.25 mg  once weekly',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(895,510,'2025-12-21','','','44    years   old female pateint  \nknonw to have hypertneison for the last   9  years \nafter  preeclampsia \nafter   9  months  of pregnancy   her  blood pressure  was  180/90 \nconcor  5mg once   failed \namicor  5 mg  failed \natacand  plus 16/12,5 \n\n\nfor the last   1  years   she    generalzed weakness and  she  sought medical advice   by dr  raba3  and she  backed c/o  generalzed weakness \n\nplan \nadd   vasadipin  160/5 \nconcor     2.5 \nj dee \nbetastin \ndeflazacort \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(896,425,'2025-12-21','','','today he    came for  follow up he is  on  vit  d \nplan \nbp  140/60',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(897,481,'2025-12-21','','','today he came for follow up \ncreatinine  3,8 \nhgb   95 .\n\nplan\nadd  carvidelol  12.5 mg 1x2 \nlecardipdin  10 mg once \nrtc after one month \nhis blood pressure was  200/100',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(898,503,'2025-12-22','','','today she was seen and her chart was reviwed \n\ncreatinine  1.5 \nproteinuria    1500 \nesr  70 \nurine analysis  showed =3 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(899,165,'2025-12-23','','','today she came for follow up \ncreatinine  1.34 \nurine   protein /creatinine r atio  0.2 \nuric  acid  4',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(900,165,'2025-12-23','','','today she was seen and   her chart was   reviewed \nhold alfacal \ndecrease the  uric   acid  dose \ncontinue  exforg   160/10 \nconconr  5 mg ocne \ninflicta  met \n\nplan \nadd   aspirin ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(901,218,'2025-12-23','','','today he was seen and his chart was reviewed \ncreatinine 6.3 \nbun 127 \nk  5.1 \n\nplan \nrtc after  3  months \nalfacal \ncalcium \ndeflazacort \nazimex \nrtc after  10 days ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(902,511,'2025-12-23','','','68   years old male patent\nknown to have dm for the last  6  yearS \nHypertension   \ndLD  not on treatement \n\nhe  suffered from left kidney stone and    it passed   alone \n\nlabs showed   creatinine  was  high \nmedication \namaryl  4 mg once  daily \n\nmetformin \nsitaglu \n\na1c 6,5 \n\nhe is    onalloril    100 mg ocne  daily \n\n\ncreatinine  2.7 \nbun    35\nurine analysis   showed   neagtive  for  uti \n\n\nplan \nadd   cadex since his blood pressure   160/70   \nad   biosoleve \nadd betastin \n\nrtc after  3 weeks \nwith  kidney functiont est and serum electroltyes and  urine protein /creatinine ratio',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(903,512,'2025-12-27','','','dm   x22 \nhtn \nckd  base line   1.3  -  1.8 \n\nplan \nadd  zinnat \nadd   deflazacort \nforxiga    10 mg \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(904,513,'2025-12-27','','','75   years old male pot \nknonw to have  dm  and   hypertneison for the las t   8  years \n\ncreatinine        rose \nwbc    45\nwbc    8   hgb    12   plt216\ncrea  1.4      bun  14     \nhba1c  10.9 \ntsh   2,5 \nuric acid     7,5\n\nmedication \nhold  metformin n\namaryl   4 mg once\nalloril  100 mg ocn e\nlkantis  30 \nnovorapd  12\nliponil  40 mg once \naldactone   25 mg once\ncodiovan  160/12.5 \nalfacal \naldactone   25 mg once \nlasix   40 mg once \nasa   100 mg ocne \nplan \nadd  empa \nadd  cadex \nmake  aldactone   half  tab \nmake  codiovan  diovan \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(905,308,'2025-12-27','','','asa   100 mg ocne \nalloril  100 mg ocne \nmetformin   850 mg ocne \nactrapid    6  before   each maea \nlantus     25 iu   at om \nlorax  \nliponil   40 mg ocne \n\nplan \nadd   empa \nadd  lusral \nadd amicor \nadd  ogmin \nto do creatinine and then reevalaution ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(906,53,'2025-12-27','','','nothing to  add \nhold  empa   during    ramadan ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(907,514,'2025-12-28','','','42   yers old femlae pt \nknonw to have   scleroderma and  brest  ca \nscleroderma   scine childhood \n\nshe is known to hve  connetive tissue  doseasae  wotj sclerodema  diagnosed sicne the last  15  years on regfuler fpollow up  with her  ehrumatolgsut  \nshe has been maintained on plaquneil and  she  also  has   berest  cancer   treated with  surgical intervention    radio and  chemotheraoy \nnow  she is   on hormonal therapy \nzuladix  monthly     and  she  has normal  echo and normal hrchest  ct \nexceopt for paratracheal   soft tussue leasion   1.2   then  1.2  ten  0.9 \nshe  has  loud  p2  \nimpressio    scleroderma  with    face and  hand  feature\n\nshe has    dyficulties in swlloing   and  she was recommeded to see  gastroenterolgist  for   endoscopies \n\n\n\nshe  had  abdominal  ct  that showed   right side d  hydronephrosis   with balloning    of the renal pelvic   which may be ie  to  PUJ  stenosis \n\nshe has  right   suded   hydronephrossi  with b allooing  of the renal pelvis  which may be  due to  puj  stensosi   \n\n\nlabs  were   done and showed   a1c     4.5   \nesr  1 5 \ncbc       5.3   hgb12   plt 152\nurine analysis showed no  proteinuria \nno  hemturia \ncreatinine  0.6 \n\nmedication \nplqunril  200 mg 1x2 \nlitrazol  instead of  tamixfim \nzoladex \n\n\nplan \nadd mag  3 \ndo   do   labs  and then reevalaution',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(908,54,'2025-12-29','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(909,504,'2025-12-29','','','today she was seen and her chart  w as reviewed \n\ncreatinine  2.9 \nhgb 10 \n\nplan \nadd  cadex \nadd  alfacal \nrtc after one month \nfor  further e valaution ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(910,264,'2025-12-30','','','51   years old female pt \npolycystic kdiney disasse \nhypernteison \n\n\ntoday she came   with creatinine 2.2 \nhgb  10 \nurine analysis clear \n\nplan \ncadex  4 mg once \nconconr  5 mg  once \nalfacaol  0.25 mg once',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(911,515,'2025-12-31','','','hematuria    \ncreatinine  0.8 \nrefrred   from  dr   shawer \nabdominalus  normal \necho normal \n\nPLAN \nVALSAN \nCONCONR \nRTC AFTER  DOING LABS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(912,516,'2025-12-31','','','69   years old male pt \nknonw to have    dm     x        30 \nhtn   for the last   25    \ndld\nchf    with base line  25% \n\nchroic kdiney disease     base    line  3   for the last    3 \n\nbefore   2  years   it  was  1,6 \n\nbefore   2  days     3,5  -  3.3 \ndura hosital   and    found to have  2.45 \n\nimpression \ncarvidelol  12.5 mg 1x2\ncadex  4 gm 1x2 \nasa   100 mg once \namicor  5  gm 1x2 \nalfaca  0.25 mg once daily \nmixtard   for insulin \ncrestopr   20 mg once \ngalvus   50 mg once \nezofibrate   400 mg once \nlasix    40 mg 1x1 \n\n\n\nplan \nrtc after  2 weeks \nconsider adding  ozepic  or  forxiga  a fter  2 weeks  of  stibilization \n\ncrea  2.5\nbun  27\ncalcium  8.5 \npotassium     4.4\nhgb  14\nwbc  8  \nplt282',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(913,13,'2025-12-31','','','STOP  EXFORG \nSTOP  AMICOR \n\nPLAN \nRTC AFTER DOING LABS \nCOTINUE  DIOVAN \nCONTINUE  CADEX \nSTOP FORXIGA  FOR ONE WEEK \nMAKE LASIX  40 GM 1X2 \nRTC AFTER  2 WEEKS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(914,517,'2025-12-31','','','36   years old male pateint \nhe  found to have   hyopertnesion for the last   2  week\nbp 190/120 \n\nr/o  IGA\nhe  sought medical advice   at  dr  ashraf  as  he  found to have  hematuria \n\nabdominal us normal   norma;  rena  doppler \ncreatinine 0.9\nhe  is  on  exford \n\nhe   has  hematuria \nno proteinuria \nplan \nwork up  for  autoimmene  disease \nct  abdomen \n\nplab\nto  do insuaracne  \nsecondary htn \nwork up ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(915,188,'2025-12-31','','','TODAY HE  CAME  FOR FOLLOW UP \n\nPLAN \nCONSIDER  DIALYSIS  \nREFERAL TO THE HOSPITAL ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(916,365,'2026-01-03','','','63  years old male pt \nknonw to have  HTN  for the last   10 years \ncad  with  pci to   rca  2019\nlad 2021\nd1 prox  \ntotal d2\nC CATH  IN 2019 \nCHF   with redused  ejecion  fraction   30-35%\nckd  with     acr       1500    creatinien  2  in 9/20224\n3/2025 n it  was  1,6\n\ntoday he came for follow up \ncrewatinine  2 \nserum electrolytes  normal \nurine analysis normal \ncbc  normal \n\nmedication\nempa   or   forxiga  \nalfaca  0.25  eod \nentresto  50  am  and  50  pm \nliponil    40 mg ocne \n\nconconr  2.5 mg ocne \nasa  100 mg once \nlasix  alf  tab daily \n\nrtc after one   months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(917,518,'2026-01-03','','','\n52   years old   male pateint \nknonw to have  htn for the last   6  years \nprostatic  hypertrophy \nsarcoidosis \n\nmedication \nprednisone   5 mg once \nvalsadipin 160/5 \nprosimol \n\n\nhe     had   flank pain and  he   found to have    renal stone with   hydronephrosis \nand he has  stone distraction by  dr  abusbeh \nand then  afte rone month he  found to have another kidney stone  tat had been removed \nbefore one  year it  was  1,6 mg/dl \nhe  found to have creatinien  2.03 mg, bun  25    for  which he was   referred to us \n\nexamintain  \nbp  160/90 \nabdomoinal exam unremarkable \ndo abdominal   us \ndo labs  including protein /creatinine   ratio \ndo abominal us \nprendosopne      30 mg once \namicor    5 mg 1x2 \ncadex  4  mg once \ncalcium \nalfacal \nj  dee  \n\nplan \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(918,173,'2026-01-03','','','today she came for follow up \nkdiney  biopsy showed  FSGS \nurine priteiun c reatinine ration mroe than 5  grtam \ncreatinine 0.9 \n\nplan \nforxiga   10 mgonce\nprograf  2  ama nd 1  pm \nprednisone  20 mg ocne \nvalsan \nconcorn  7.5 \ncalcium \nj  dee \n\nto  do  echo \nliponil \n\nrepeat labs after one week  for   livber  fucntiontest assessment   and  prograf level \n\nrtc after one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(919,519,'2026-01-03','','','56  YEARS  OLD FEMALE PT \nKNONW TO HAVE  DM  HTN   DYSLIPIDEMIA \n\nPRESENRTED UPON FIDING FOR PROTEINURIA  ON THE URINE  ANALYSIS \nSHE IS   FOLLOWED   IN ISREAED \n\nMEDICATION \nVALSADIPIN HCR \nUNKNONW   OTHER \n\nPLAN \nABDOMOINA    US  WAS DONE AND   IT WAS NORMAL \nLABS \nWAITING TO BE SENT  FROM ISS A\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(920,400,'2026-01-03','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(921,253,'2026-01-03','','','TODAY HE  WAS SEEN AND HIS CHART WAS REVIEWE \nPLANN \nDO LABS \nTHEN  REEVALUATION',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(922,29,'2026-01-03','','','TODAY SHE CAME FOR FOLLOW UP \nSHE IS  DOING WELL \n\nWBC    8,7  HGB   12.4   PLT    278\nCREATININE   4.2 \n  NA  143  K   4.5     BUN   71\nURINE  ANALYSIS  CLEAR  NO   PROTEIN  AND  NO  UTI',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(923,520,'2026-01-03','','','for the last   4  years  she has  recurrnet    hemaqturia   associated with\ndysuria  and  generalzed weakness \n\n\nshe  sought medicala dvice  by dr rirzigat and  she  found to have   obstrcutive uropathya s  she  described \n\nindwelling cath was  inserted in order tosee  if she has   real uti and    it was neagtive \n\nno  joint pain \nshe has  non specifice  symptomes\n\n\nplan \nabdomional us \nlabs \nj dee \nzimival \nmebeverin \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(924,506,'2026-01-03','','','20   years old female pt \nknown to have   DM  TYPE   1 \nHTN    \nNEW  ONSET   HYPERTENSION \n\nPLAN \nINSULIN LANTUS  NOVORAPID \nTACHYCARDIA    5  AND  2.5 \nVIT    D  J DEE  50000 \nPLAN \nADD   LIPONIL ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(925,521,'2026-01-04','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(926,522,'2026-01-04','','','    50  years old female pt \nfree past medical history \n\npresented with  flank pain   and she   has  history for     renal stone and   \nand for the last  2   wee ks  she  found to have   flank pain   \nno dysuria \nurgency \nno hematuria\n\nshe has  family History  second  degree relative with Kidney stone\n\n\nplan \nadminal us \n\nlabs \nrwatinix \nscobutyl \nparacetamol     extra\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(927,519,'2026-01-05','','','today she was seen and her  chart was reviewed \n\ncreatinine 0.8 \nalbumin  /creatinien  ratio  improved from  1.9  toi 0.7\nldll  improved  149  to  86 \nhdl     improved   to  654 \nbp  139/87 \n\nplan \nkeep  forxiga  10 mg ocne \nkeep  valsadipin  hct         and alternating with    exforg \ncrestor  20 mg ocne ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(928,523,'2026-01-06','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(929,488,'2026-01-06','','','oze[pic  were  added \nforxiga ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(930,524,'2026-01-06','','','e alwwst   12  years \nright sided   body weakn ess   after  stroke before  12  years \nvalvuler    heart  disease      and   she has     c cath   that showed   cardiac     problem    vesselss  and    sten\n\n\nchronic kdiney  disease    creatinin  3.6   10/2024\nrenal us  showe d cyctic  changes\n\nmedicayion \nmarial  10 mg once \nlasix    2  tab  daily \nliponil  40 mg ocne \nalfacal 0.25 mg once \n\nlanton   \nnifidipin  30 mg once \n\nplan\nadd    cadex \nadd   hydraazain \n\nrtc after one week \nmake lasix  40 mg 2x2 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(931,511,'2026-01-06','','','Creatinine 1.\nLdl100\nHba1c 8\n\nPlan Add amicor 5 mg 1x1',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(932,25,'2026-01-07','','','fter  chest infection \ncretinien   1.7 \nprograf   18',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(933,525,'2026-01-07','','','40   years old  femlae pt \nknonw to hve  apkd \n\ndiscovered   35 \nshe has   larg  kdineys  and   polyccystic  one  of then   5  cm \n\nwbc  8-10     many   leucocytes    \ncreatinine  0.8\n\n  zinnat  500 mg 1x2 \nurolcean  \nlsix \nscobutyle',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(934,70,'2026-01-08','','','today she wsa seen and her chart was reviewed \ncretinine 1.9 \nhba1c  5.2 \nurine protein /creatinine  ratio   62/75 \nurine analysis  normal   but  rbc  and plus  1  protein\n\nplan\nstop prednisone',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(935,526,'2026-01-08','','','52  years old male pt \nknonw to have  DM for the last  22  years \ndld \nhypertension \ncad \narthris \n\nfather with kidney  tx  and passed away \ncreatinine before  2  years   was 1,9\nurine analysis sowed plus  2 protein \n\ngiven atacand and  forxiga before  but  it  rose the creatinine  \n\ntoday he came for follow up \n\n\ntoday he came for follow up \ncreatinine  4.6 \nbun high \nhgb 9 \n\nplan \nstop atacand \nstop  forxiga \nadd   alfacal \ndiet and   water  restirction \nlasix  prn',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(936,527,'2026-01-09','','','71 years old   male pateint \n\ndm for the last 20 \nhtn  for the last   20 \nbph \nischemic heart disease \nstent  on the carotid  nd  sten on the peripheral  system \nand  more than 5  sten on the heart \nejection  fraction  60%  before    2  months \n\nin november   2024    his  creatinien  was 0.9 \n\nhe develeped   chest  infection and he  was admitted to the hospital and he was  given prednisone and then  he  started to have   epigastric pain and   and he  continue  to have  azithromycin and  klacid \nhe was admitted  hospiital   for  3  days and then he    had a   labs that showed \n\n12/10 /2025\nhgb  13         wbc  12   plt   174\ninr  5.7\ncreatinine  1.9\nbun 44 \ncrp  27 \nna  143   k    3.8  cl    98\n\n\n\n12/2025       cbc  showed  wbc   7,6  hg    12   plt 192\ncrp  21\ncreat  1,6\nbun 31\nk 4,3\n\nbefore   2  days     creatinien  1.5  \ncrp   1.76\n\nmedication \ncoumadin \nnifidipin    1x2\ncadex  4 mg once  \nmonocord  20 mg     half  tab  x2 \ncarvidelol   12.5 mg 12 \nforxiga  10 mg once \nplavix   75 mg ocne \npantover   20 \natozet       40/10 \n\n\nplan \nadd  res  q 10 \nadd  j dee  \nadd  apidra \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(937,528,'2026-01-09','','','35  years old femlae pateint \nregant   for the last      2months \n\nshe  had  proteinuria       accidantly \nG  3 P2 \nshe has  no history for  preclapmsia \nshe has  no  previous medical historhy \nshe has   family hsitory for    single kidney \nshe has  no joint pain \nshe has low back pain and   she has   morning stiffness \nshe has  lower limb nubness  and   she  has      stiffness \nshe has  headahce and dizziness \nshe has no skin rash \n\ncreatinine 0,7 \ncholesterol     110 \nast   12 \nalt  11 \nalbumin  3.5\nurine  protein/creatinine  ratio  2700 \nfbs    80 \nwbc     7,8  hgb   11.6      plaelt    318\nshe ahs  24  hour urine collection  945\nshe has  hematuria and  proteinura \n\nplan \nadd  dee  desne \nadd   aspirin \nrtc   every month \nfollow up  blood pressure ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(938,529,'2026-01-09','','','53      years old  male pateint \n2026     he started to have   headache \n he was referred to us  for the proteinuria   and  creatinien   1/4 \n\ncreatinine  2.7   then improved   1.4 \nhepatitis  vaccination \n\n\ncreatinine   1/4 \nurine protein/creatinine r atio  450 \nldl  74\ntrigleceride      290 \n\nhe ahs been  on  amicor      140/90   concor  2.5 \n\n\nplan \nstop alfacal \nrtc after one montha fter  doing  esr \npth ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(939,530,'2026-01-09','','','44   years old female pateint \nopen heart surgery  in 2011    for  valve  replacement \nshe  is knonw to have  SLE       for the last   14  years \n\nrecurrent  abortion  and \nshe has  no   proteuria   untill \n\n\nshe is  on reguler follow up  by  dr  muath \nplaquneil 200 mg once   1x2 \nmyfortic  360 mg 2x2 \nprograf    hal f  tab   x2 \nmepral    20 mg onc e\nprendsione  n 10 mg ocne \ncoumadin   5 mg once daily \nconcor  5 mg one \nvalsan   160 mg once   \n \n\nshe was referred to us  for   cyclophosphamdei   500 mg    every   2 weeks \n\nplan \nadd     prendisone  20 mg ocne \nprograf\nj dee \nmyfortic  360 mg  2   and  1   and  2 \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(940,59,'2026-01-09','','','today he came for follow up\n  today   he  has no new complaisn\n\nvital sign stable \nhgb 11 \ncreatinien  3.4 \n\nmedication \namicor   5mg   1x2\nmethyldopa  250 mg cone \nalfalcal  once \ncalcium    1x1 \nasa  100 mg ocne \nsitaglu    50 mgonce \n\nplan \nadd  biosolve  \nrtc after  2  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(941,531,'2026-01-09','','','    72  yEARS OLD FEMALE PATEINT \nKNOWNT O HAVE     DM FOR THE LAST   20   YEARS \nOPEN HEART  CABG \nDLD \n\n\nSHE   WAS REFERERD TO US  FOR THE FINING FOR  CRATINIE  1.7 \nRENAL US SHOWED  BOTH KD EY ARE  NORML IN SIZ AND  SHAPE  WITH ECHOGENECITY  PRESEVRED  CORTICOMEDULLARY  DIFF     WITHOUT  EVIDANCE OF   STONE AND     HYDRONEPHRITS \nRI  FOR THE   RENAL  ARTETIES      ARE  INCREWAED  NOSTLY SECONDARY TO RIGISITY AND LOOS OF THE LELSTICTY   AND\n\nC C ATH SHED    S=PATENT ILIMA  TO LABS  AND  PATERN  SVG  TO PDA \n\nMEDICATION \nASA\n\n CRP 13\nTSH 6\nVIT D     10 \nB 12 600\nHGB 10 \nCREAT  1.7\nURIC ACID9\nAST  ALT  NORMAL\nK 5.8\n\nPLAN \nADD     J  DEE \nADD  RES  Q  10 \nHOLD  MEFORTNIN ONE  DOSE \nMAKE  TRITACE  1.25 \nTO BE REEVALUTED BY D R  ALI=YA\nFERRITIN    5TSH 61  100  G ONCE \nPLAVIX  75 MGONCE \nPANTOVER     40 MG OCNE \nLIPONIL  40 MG ONCE   CONCORN  4  MG OCNE \nTRITACE    2.5 MG OCNE \nFORXIGA   10 MG  ONCE \nLASIX  20 MG OCNEN\nCREATININE  1.5 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(942,358,'2026-01-09','','','TODAY SHE CAME FOR  FOLLOW UP \nCREATININE  AND OTHER LABS NOT  DONE \n\nPLAN \nADD  RES  Q   10 \nKEEP THE SAME   RX \nRTC AFTER ONE MONTH',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(943,386,'2026-01-10','','','TODAY HE CAME FOR FOLLOW UP \nCREATININE  INCREASE D  YTO  4.5 \nPOTASSIUM OK \nBUN  45\n\nPLAN \nAMICOR \nASA  \nLIPIDEX \nARANSP \nADD  SODIUM BICARONATE \nADD    BIOSPLVE',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(944,167,'2026-01-10','','','TODAY HE WAS SEEN \nGALVUS  WAS ADDED \nLANTUS   20  AMA ND  20 P,',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(945,532,'2026-01-10','','','44   YEARS OLD FEMALE \nBEFRE  ONE    YEAR    SHWOE  FOUND TO HAVE    HIGH BLOOD PRESSURE \n\nMEDICATION \nCONCONR   510 MG OCNE \nALDACTONE    25 MG ONCE \nDIVINUS \nCODIOVAN\n\n\nSHE WAS REFERED TO  US  DUE TO HIGH BLOOD PRESSURE \n\n\nPLAN \nVASADIPIN  HCT ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(946,479,'2026-01-12','','','41  years old female pt \n\nmyfortic   1  and  2 PM \nASA  100 MG ONCE \nPREDNISONE  5 MG ONCE \nPLAQUENIL 200 MG  1X2 \nDIOVAN    80 MG   1X1    \nCALCIUM    600 MG ONCE  1X2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(947,479,'2026-01-12','','','Today he came  follow up \ncreiatinine  0.6 \nurine protein / c reatinine r atio     1.2 \nalbumin   3.8 \n\n\nplan \nadd   prograf \nmyfortic    360 mg  1x2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(948,470,'2026-01-12','','','today she came for follow up \ncreatinien  2.9 \nlecardipin \nlasix   once daily \nhydralazin \ncadex \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(949,420,'2026-01-12','','','foboxtat    80   mg once \nnexium 40 mg once \namicor  5mg   1x2 \n\nplan \nadd   candipin   8/5 \nforxiga \nrocephin ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(950,533,'2026-01-12','','','64   years old male pt \nknonw to have   dm for the last  20  yea rts\nophthalomopathy    and he is on rejection \n\nbefore  one   and half  year   he  fiund to have   high creatinine and proteinuria \nhe has   gemeralzed weakness \n  today   he came for follow uup \nhe has     bilateral flank pain \nhe  has lower limbs  edema \nhe   has  orthopnea  \nhe  has itching \nhe has  midl   nausea \n\n\n\n medication \ncalcimore\nfolci acid \ncadex   4 \njuvista\nasa  100 mg once\nalloril   100 mg once \n\n\ntoday   he came  for follow up \ncreatinien  6.4\n\n\n\nplan \nadd  deflkazacort \nadd    biosolve \nalfacal \ncalcium \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(951,406,'2026-01-12','','','today she came for follow up \nshe needs  hospitalzaition \n\nplan \nrefer to the hospital for  evalaution ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(952,515,'2026-01-14','','','today he came for follow up \n\ncrea 1\nldl  97\nurine pcr  negative  0.07\npsa    0.69\nesr 5\n\nc3  c4  normal\n\nurine plus 1 blood   \n\nblood  pressure showed  \n\nplan \nkeep the same  plan  of management \nconsider  cystoscopy after one month\nafter    3 months  consider   3  cystoscopy',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(953,486,'2026-01-14','','','today  she came for follow up \nshe has   siglke  funtioning kidney \natrophied single kdiney \nshe  has   tachycardia \n\nplan \ncarvidelol  6.25 mg 1x2 \nj dee  \nsedaprim \n\n\nlustral \nsedaprim \ncarvidelol \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(954,444,'2026-01-14','','','stop  vit  d \nmake  carvoideliol   conconr  2.5 mg ocne \ncontinue  diovan 80 mg ocne \nmake  crestor  10 mg ocne \n\nrtc after one  week  on ramadan ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(955,223,'2026-01-15','','','today she came for follow up \ncreatiuine  1.6 \ntri   350  imprving \nurine analysis   plus  2 protein \n\nplan \nadd  zinnat \nadd urostable \nrtc after one   week of  fasting \nto send  me the  hba1c',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(956,397,'2026-01-17','','','today he came f or follow up \ncreatinine  4.3  \nhgb   9.9 \nhba1c  7.2 \nfbs   136 \nbun  37 \nldl  98 \nuric acid   9.2 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(957,397,'2026-01-17','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(958,520,'2026-01-17','','','today she came  for follow up \ncreatinien 0.6 \nno urine protein \nshe has  low  vit  d \nshe has low   ferritin \n\nshe was discaharged on \nferrous  fumatrate \nvit  d\nzimical\n\nrtc after   2  months  . she  didnot pay    ignorantly ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(959,482,'2026-01-17','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(960,534,'2026-01-17','','','69  years oldfemale pt \nDM For the last   17  years \nhtn for the last    17  years \ndld  for the last      20  years \nhypothyroidisim \ngouty arthritis \nvalvuler heart disease \n\n\npresented with  left flank  pain  for the last  one week \nno fever   she  has  chilld \nnon dysuria   but she has  frothy urine \nshe had  labs  out sdie   and that showed creatinien  4 mg/dl \n\n\nmedication \naspirin  100 mg once\nconcor   5 mg 1x2\nmepral 20 mg ocne\nquest   2.5 mg 1x2 \ndronedarone     400 mg   1x1\nalloril  100 mg ocne \namicor   5 mg  1x1\ncalcium  600 mg 1x2\nlasix    40 mg 1x2\nsemegle   8   pm \napidra   6   before  each meal \n\ntoday she   came  for follow up \nbp  117/75 \n\nplan \nhold amicor \n\nadd f Ferrous fumarate   1x1\nalfacal   once daily \nmedrol  4 mg once \nlaxadin \nparamold  extra \nto do labs and  abdominal us  for   Evaluation \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(961,535,'2026-01-18','','','62    years old female pateint \nknown to have   gouty arthritis \nshe is knonw to have  hypothyroidism \ndyslipidemia \nhypertension for the last   7  years \nchronic  kidney disease    before  8 years  she  found to have   git bleeding anfd  she  found to have   anemia   hgb 5   then she      found  to have   sever anemia   5/11/2025  she  had  endoscopy   and she  found  to have \n\nshe  found to have  creatinien  1,8   to  2 \nshe  has   untruly explained   anemia \nshe has   negative   stool  for ocult  blood \n\nplan \naransp \niron \nct  without  iv  contrast \nrtc after one weke \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(962,498,'2026-01-19','','','today she came for follow up\ntrig  177\nast  alt  normal\n\nldl 231\nhdl   46\ncholesyerol   318\nmagnesium   1.79\nbun  15\ncreatinine   0.8\ncalcium   9.1\nalbumin  3.9\nurine protein /creatinine   2.47\nurine protein 2\nrbc 6-8',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(963,536,'2026-01-19','','','suspected  c3  gn \nlupus \nno  proteinuria \ncreatinine  0.6\n\nplan \nconotnue   lozar \nsteriod   steriod   20 mg   every 2 weeks \nrtc after  1 months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(964,502,'2026-01-19','','','Today he came \nCreatinine 2.3 \n\nPlan\nHold empa for 3 days \nHold metformin for 5 days \nMake amicor once daily \nKeep other the same \nEtc after 2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(965,537,'2026-01-20','','','33   years old female patient \nshe   is  g1  p1 \nshe  suffered   preeclampsia    28  weeks \ndelivered    at  28-30  weeks\n\nshe  went     to the icu for  3  days   and then she was discahrged \nafter   40  days   of the delivered she was  instructed to visit  nephrologist \n\n\n\ntoday she presented for follow up \nshe has been maintained  on \nlozar  50 mg    1x21\nlabetaol   100 mg  1x1\n\ncreatinine  0.88 \nbun  9.8',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(966,538,'2026-01-21','','','g2 p2 \nfree past medical history \n\nshe was  Pregnant   and she  defliveed  before  2 months \nproteinuria  started   on the e  first  trimeter \nand  then it increased    in the thirds  trimester \n\nshe delivered   before   2 months \nshe has   fever  and chills \nand she    then it  becmae    plus  3 \n\n\ndr ala  azah \n\n\nthe last  urine analysis showed    plus  2  protein  and   plus  2   rbc   she  has  high wbc\n\nplan \ndo  abdominal us   (  it was with  post  voing  assessment )\nana   c3  c4   antipla2r \nurine  pcr \nother lasb ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(967,91,'2026-01-21','','','came  for follow up ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(968,539,'2026-01-21','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(969,196,'2026-01-22','','','today he came for follow up \ncreatinine   1.3 \nforxiga  was  started by dr anas \n\nplan \nrepeat  creatinine after  2 weeks \nconsider a dding  exforg \nadd  aerovent \nrtc after  1  and  half month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(970,461,'2026-01-24','','','today he was seen \ncreatinine   3.6 \nplan \n\n\n\nplan coninue  cadex    1x2 \ncalcium \nalfcal \nbiosolve \nloratadin \nrtc after  3 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(971,267,'2026-01-24','','','CARVIDELOL \nCADEX \nAMICOR \nSTOP ANAPRIL \nCARVILDEIL   X2 \nMETHYRDOPA   1X2 \nCONTIONUE THE OTHER \n\n\n\n\n\n\n\n\nCOCONTO REPEAT THE LABS AND  RTC AFTER 3 WEEKS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(972,540,'2026-01-24','','','26  YEARS OLD MALE PATEINT   BEFORE   5  YEARS  HE  STARTED TO HAVE LOWER LIMBS EDEMA \nMILD  SOB CALCIUM   7.7 \nNA     139  K    4.4   CL  105\nALBUMIN 2.5 \nGLOBIN    26\nGGT    9  \nAST   30 ALT   26\nAMYLALSE  55 \nCK  44 \nCREATININE 1.3\nLDL   223 \nBILIRUBIN   5.5\n\n\nABDOMINAL US \nNORMAL ABDOMINAL ULTRASOUND  AND SHE HAS   NORMAL   RENAL SIZE AND ECHOGENECITY \nPROSTATIS  NORMAL \n\nTHE  GALL BLADDER   IS WELL   SEEN   WITH NO STONE \n\nLIVER    \n\nIMPRESSION \nNEPHROTIC SYNDROME\n\nPLAN \nPREDNISONE  60 MG OCNE \nVALSAN   160 MG OCNE  J DEE   ONCE WEEKLY \nNEXIUM \nTO DO ANTIPLA2R \nTO  DO VASCULTITIS  WORK UP \n\nNO  JOINT PAIN \nNO ORAL ULCERATION \n\n\nLABS SHOWED \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(973,541,'2026-01-24','','','RESUME   MYFORTIC  X2 \nPROGRF   3   X2 \nPREDNSONE  5 MG CONE \nCALCIUM \nMG \nJ DEE \n\nRTC AFTER  2 WEEKS    BY PHONSE   ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(974,514,'2026-01-24','','','today she came for frollow up \ncreatinine   normal \nno proteinuria and normal urine analyhsis \n\nplan \nadd  magnesiu m \nadd  vit   d \n\nrtc after  6  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(975,512,'2026-01-25','','','todaكط\nكhe was   seen and her chart \nwas revieed \n\nabdonialk  us  showe dnormla    kdiney  size and  echogenecity \ndiffuse  fatty liver  inflitration \n\nw9.6  hgb   1.9  plt    230\ncreatinine   1.6 \ncholesteroal  1 59 \nfbs      71\nesr  31\nurine proteinn /creatinine  ration    0.95bc  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(976,52,'2026-01-25','','','kidney tx   from  son \nprogrqaf  2    am  1  pm \nmyfortic  2x2 \nprednisone  5 mg once \nlantus    15-20 \nlantus   26  pm \ncarvidelol  12.5 mg 1x2 \ncadex  4 mg once \n\n\nplan \nmake  prograf  2x2 \nadd   galvus \nadd  metformin\nadd cadex 4 mg 1x2 \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(977,533,'2026-01-25','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(978,542,'2026-01-26','','','20  years old male pt \nnormocalcemia  hypercalciuria \n\non alkasolve \nocd \n\nplan \nadd  lustral  50 mg half  once daily then     half    tab\nconsder  adding    hct \n\nrtc after  one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(979,467,'2026-01-26','','','today he came for follow up \ncreatinien  1.5 \nurine analyhsis clear \n\nplan \nadd  b  12  injection \nb12  injection \nomnic \nrtc after   2 months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(980,535,'2026-01-26','','','she is  doing   well \ncreatininer  1.5 \nhgb  9.1 \nstable \n\nrtc after  3 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(981,418,'2026-01-26','','','she is  on  diovan  and  give her  valsan \ncontinue the sam e  rx \ncnnsder  a dding   sglti inhibitir  later one i ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(982,503,'2026-01-26','','','37  years old male pateint \npresented with  for  follow  up \ncreatinine  1.7\nurine /creatinine  0.360 \npotassium normal \ncbc normal  hgb  11.7 \n\nplan \ncrestor \nforxiga \nferromed plus \natacand   16 \nsitaglu \nconcor \n\n\nplan \n\nstop  forxiga before  ramadan \nto come to the clinic  one week a fter  fasting \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(983,481,'2026-01-26','','','today he came for   follow up bp  200/100 \n\nccb  couldnot be  tolerated due to lower limbs edema \n\nplan \ncarvidelol  12.5 mg 1x2 \ncadex  4 mg 1x2 \nmethyldopa  250 mg 2x2 \ncalcium  600 mg 1x2 \nalfafal  0.25 mg ocne \nlipinil  40 mg once \nmixtard insulin the same dose \nlasix  40 mg ocne daily \n\n\nrtc after one month   with labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(984,538,'2026-01-28','','','today she came for follow up \nanti pla2 r  was enagtive \nana  postive  in low titer \nc3 c 4    nromal \nalbumin 4,2 \ncreatinien  0.7 \nshe has     mostly  lupus   and she  has  to be  on the following \n\n\nplan \nvalsan    80 mg ocne \nplaquneil   200 mg 1x2 \nj  dee    5000  once weekly \nnovitropan  at  bed  time \n\n\nrtc afer  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(985,124,'2026-01-29','','','today she came for   follow up  creatinien 0.7 \nalbumin 4.5 \nurine pcr   negative \n\nplan \nlozar  50 mg 1x2 \nempa  10 mg ocne \nasa  100 mg ocne \nliponil  20 mg oce \ncarvidelol  6.25 mg 1x2 \nj dee  50000  once weekly \ncalcium  600 mg 1x2 \nrtc after pne  month \nstart  steriod tappering   15 mg  for  2 weeks then   10  mg   for  2  weeks \nshe  brought  prograf  but not  started yet  due to  good  result ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(986,543,'2026-01-31','','','60  years old male pateint \nknonw to have    dm  for the last 20  years \ncongestive heart failure \nopen heart surgery    CABG   2017     at ramaallah \n\nmedication \ninsulin \nlantus    30  pm \na[idra 20   and  10  before  each meal\nsitaglu  50 mg \nlasix   40 mg ocne\nspironm  100 mg once\nbetastin  16 mg 1x3\nasa 100 mg ocne\nfamodinn\nmetformin  1x1\nconconr  5 mg ocne\nsimavastatin \n\n\n\npresented for labs  check \nhe  found to have   creatinine  0/4\nurine analysis shwoed   plus  2  protein \nuric acid    4.3 \nurea    28 \ncholesteriol n  1 60 \nwbc    7.4   hgb      15   plt     188\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(987,152,'2026-01-31','','','tday he came for fo6 \nllow up \nkdiney  tx   12/1/202\nno immediate complication  \n\nprograf    2  am and 1  pm \nmyfortic   2x2 \nprednisone   3  mg ocne \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(988,478,'2026-01-31','','','today she came  for follow up \ncreatinine  1.9 \nabdominal us  showed \nboth kdineys measured   8.5 mg   with increase  echogenecity   and  small  renal cyst \nno hydron ephrotis \nno abdomoinal fluid \nldl   115 \nha1c  6,2\nmedciation\nasa \nliponil \namaryl 2 mg once \ncalcium \ndee  dense \n\nrtc after  2  months\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(989,478,'2026-01-31','','','81   yEARS OLD FEMALE \nHYPERTENSION FOR THE LAST 15 \nDM  FOR THE LAST   15 \nDLD\nGOUT \n\n\nCRATININE  2.2 \nA1C   6.1 \nPLAN \nDO RENAL US \nDO LABS RTC AFTER  2 WEEKS \n\n\nplan \namaryl 2 mg \nsitaglu \ncalcium \nvit  d \nasa   \nlipinil  \n\nrtc after  2   months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(990,255,'2026-01-31','','','today he came for follow up he deloped  allergy   to calcium   600 mg \n\ncreatinine   2.4 \nurine analysis   showed   hematuria \n\nplan \nadd  concor\nadd  amicor \nadd  alfacal \nbiosolbve \nrtc after   2  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(991,544,'2026-01-31','','','69   years old male pateint \nknown to have DM for the last   20  years  with retinopathy  \nhypertension for the last   20 years \ndld \nno ischemic ehart disease \n\n\nis  creatinine   reached   5.3 \nand then it  is  3.5 mg ocne \n\nmedications \niron supp\ncadex  2mg \nlokwlma  5 mg once \nlantus   8  iu\nalfacal 0.25 mg once \nrepaglinide   0.5 mg ocne \nsimvastatin    20 iu \nb12   once daily \n\ncreatinine   4.8 \nurea     229\npotassium  5,4 \nsodium   139 \nphosphoric    4.7 \ncalciuj m   8.7\nalakaline phosphoatase     65 \nast    10 \nalt   10 \nt  protein      6.3\nalbumin   3,6\nglobin   2.6\n\n\npLAN \nADD  AMIOCOR  5MG  1X1 \nADD  CADEX  2 MG OCNE \nSODIUM  BICARBONATE \nADD  BIOSOLVE \nMAKE ALFACAL 0.25  EOD \nADD  CALCIUM \n\nREASSESSSMENT AFTER LABD AND  ABDOMINAL US \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(992,545,'2026-01-31','','','45  Years old female patient \nunknwon to have  chronic  kdiney disease \npresented with  joint pain  for the last   one months \nshe has   morning stiffness for the last  one  months \nsleeping \nshe has lower limbs edema \n\n\nshe  has  puffy face  and periorbital puffness \n\n\nplan \nadd    modal\nadd j dee \nadd deflazacort   half  ta daily for one week \nurine analysis not  done \ncreatinine  normal \nabdominal us  normal \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(993,111,'2026-01-31','','','today she came for follow up \ncreatinine  1.6 \nother labs \npeding \nfor the second dose of  rituximab after one week \nmedication \nnifidipin   1x2 \ncynt  1x2 \ncarvidelol  2x2 \nkepra  500 mg 1x2 \nasa  100 mg cone \nmyfortic  6  tab daily \nhydralazin  50 mg 1x3 \nlasix  40 mg 2x3 \nrtc   within one week ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(994,177,'2026-01-31','','','for medical report ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(995,546,'2026-02-01','','','Creatinine 0.9 \nHematria and hypertension ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(996,547,'2026-02-02','','','61    years  old female patient \nknown to have    hypertension for the alst   10 years \ndld   for the last   10 years \n\nmedication s\nexforg  160/5 \ncrestor \nnorvasc \n\n\nshe was  doing well    and she had  labds  for  check and she  found  to have   lower limbs  edema  and she has  creatinine  3.5 \nurine   analysis   showed  plus  3  protein \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(997,548,'2026-02-02','','','56   years old  male patieit \nknown to have   hyertension \ndld \nno ihd \nhe has  \n\nmedication \nliponil  40 mg once \natacand \nnibivelol   5 mg once \nabdominal us  nornal \n\nplan \nmake  atacand  16 \nvenesection \nreevalaution  after labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(998,532,'2026-02-03','','','valsadipine  hct   \naldacton\nconcor 10 \ncadex  4   x2 \ndivinus    10 mg once \n\nbariatric  surgery ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(999,46,'2026-02-03','','','atacand   8 mg once \ne mpa   10 mg once \nferrous fumarate\nadd  lustral\n\ncall dr riad',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1000,522,'2026-02-03','','','today she came for follow up \ncreatinine   0.9 \nshe  has  uti \n\nplan\nadcef \nvaginal ovule \nflagyl  500 mg 1x3 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1001,517,'2026-02-03','','','pLEASE \nCRESTOR  20 MG ONCE METFORMIN    EXFORG 160/5 \n\nRTC AFTER   2  MONTHS',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1002,406,'2026-02-03','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1003,549,'2026-02-04','','','52      years old female \nknonw to have   brest  ca     received many    chemotherpay \nshe ahs  metastatsis  disease \npresneted with crfeatinine  1.3-1.5 \n\n\nplan \nabdominal us \nsteriod\ndeflazacort \nalfacal \nrct after doing labs',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1004,550,'2026-02-04','','','56  years old female paitnet    \ns/p  hiatus  hernia  repear \n\nshe has   left flank pain   and  it is taking    medication \n\nurine analysis   not  done ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1005,451,'2026-02-04','','','plaquneil   200 mg    every other   day  2   a nd  1 \nmyfortic   2 x2\nstop lozar \nresume prednisone  10 mg \ncalcium \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1006,8,'2026-02-05','','','candipin   16/5 \nsedaprim \nlustral\nlustral \nsedaprim\nj dee   5000  once weekly',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1007,551,'2026-02-07','','','65   yersold female pateint \nDM   FOR THE ALST   10 YEARS \nHTN  FOR THE ALST   10  YEARS \nDLD \nGOUT  \n\n\nPRESENTED  FOR   FOLLOW UP   REFARIIG  THE PROTEINURIA \n\nCREATININE  1.2 \nBURIC   8.9\nPROTEIN /CREATIINE  RATIO    2745\n\nMEDICATION \n\nVASADIPIN  HCT   160/25\nROSU\nLIP  20 MG ONCE \n\n\n\nPLAN\nFILRINON \nSTOP  EMPA \nADD  ADCEF \nASA \nROSLUPIL\nADCEF  EUXREASE \nRTC AFTER   1  MONTH\nEUXREASE   50/1000\nEMPA   10 MG ONCE ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1008,547,'2026-02-07','','','TODAY SHE CAME FOR FOLLOW UP \nSHE HA D PACEMAKER \nTHEN SHE  CAME WITH CREATINIEN  MROE THAN 5\n\nPLAN \nBACK TO THE HOSPITAL FOR  N PULSE S TERIOD THERAPY',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1009,153,'2026-02-07','','','51  YEARS OLD FEMALE PATINET \nSHE HAS LIPONIL  40 MG OCNE \nVALSAN  160 MG ONCE \nINFLICTA   10 MG ONCE \nSITAGLUMET   50/840 \nNEXIUM \n\nSHE C AME  CREATINIEN  1.3 \nHA1C    5.3 \nLDL   72 \nURINE ANALYSIS  CLEAR',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1010,173,'2026-02-07','','','She has   back pain and right flank pain  radaited tot he leg and she  received  nervwntin  25/1    without  much improveemtn \nshe has    mri  that showed  minor  fractire ont he hip pain \n\n\nshe   received  tramal    50 mg once daily n after one   day she received another tab with improvement of her condition   but  then it  was  not  reposing   for whichs he  stopped  tramal \n\nshe  received  collagen and im injection   of steriod  with   mild imprvement of her condition \n\n\n\nlabs  in 19-1   showed    hgb  15    wbc    20  plt    34\nhba1c  5.4\ncreatinine  1,4   bun  32 \nast  17  alt    29 \nuric acid   6,6 \nldl  219 \npotassium      4.8\niron /tibc     7000/25\nesr  35\ntsh    0.7\npth   37\nc3  c4  normal\ntac  3.2\nvit  d    32 \nvit  b12      274\n\n\nhip  mri  showed  right  sacral  insuffecency  fracuter \nosteoporosis \ncreatinine  1.05\nbun  18 \n\nurine  protein/creatinine  ratio   6400 \n\nmedciation \nvalsan  160 \nempa    20 mg once \nliponil  40 mg once \nprograf  2   ama nd  1  pm \nprednsione  15  currently \ncocnor   7.5 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1011,543,'2026-02-07','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1012,470,'2026-02-07','','','today he came for follow up \ncreaatinine  4,4 \n\nmeication \ncadex 4 gm 1x2 \ncarvidelol  12.5 mg 1x2 \nhydralazin 50 mg 1x2 \ncalcium  600 mg  1x3 \nhold  alfa  due to high phopshorus \nnexium  40 mg once [\nplavic  75 mg once \nliponil  40 mg once \nlasix  40 mg ocne \n\nplan \nadd  l  carnitin \nadd  biosolve \nrtc after  one month \ncontinue   aransp \nhold  iron due to constipation \n\nthanks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1013,152,'2026-02-08','','','todayu heca meflor follow up\ncreatiine  0/8\nurine analysis  normal \ncrp  2\ncbc  normal \n\nplan \nstable \nrtc a fter  2  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1014,552,'2026-02-08','','','46   years old female opa t\nknown to have  dm for the last     19    years \nchronic  kdiney disease  with  base line creatinien  2,2 \npci  in 2020 \n\n\necho  was done a  \nleft  venticuler    ejectio fraction   45% \nmoderate   diastolic   dysfunction \nmild  pericardial   effusion \nmild  tricusped  regurgitation \nivc   mild  dilaterd \n\nmedication \nasa   100 mg once \nconconr \nliponil \nplavix \ninsulin    sliding sca\n\n\n\nplN \nADD   EMPA \nADD  LOZAR \nADD  ALFACAL  RTC AFTER   LABS  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1015,553,'2026-02-09','','','prediabetic      and  he is  is \nstop   foirxiga \nand start   exurease  \nlast  ha1c   5.7   and once  incrased  to    6.3 \nsince  cornoa \n\nmedication \nvapin 2  tab   dose on  20 \ngapapentin 400  mg   2  tab \nbetmiga 50 mg once \ntoviaz    8mg  once daily\ntamsulosin \nlevofloxacin \nminirin   melt    120  mcg  once daily \n\n\nplan \nabominal us\nlabs',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1016,554,'2026-02-09','','','70  years old male patent \ndm \nhtn\n\nhe was  onatcand  plus   forxiga   metformin \ncrestor   20 mg once \n\nbefore   one  years   he  had  creatinine  of   4.5  mg /dl    a fter   medication \n and i  stopped the medication    at alia  hospital \n\nhe  had  radical  cystectomy and he  has  illioillial  pouch     by  dr  raed alhamouri \n  28/8/2024 \n\nhe   had creatinie   around  1.5   untill    for the last   3  months     where  his  creatinine  2.7\n\n12/2025  it  was \n\n3-2-2026\n2.04\nast   17 \nalt    15 \nalkaslin 123\nwbc     10   hgb    14   plt\n\n2-12-2025  it  was  1.8\n\nmedications\noff medication   other  that  insulin \nmixtard   15  and  20 \n30      am  and  30  pm \n\n\nplan \n30  am  and  25  pm \ngalvus \nbioslove \nalfacal \ncalcium \nrtc after  2   weeks  after labs and us ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1017,534,'2026-02-09','','','today she came for  follow up \ncreatinine   6 \nbun  moe than   200 \n\nhgb  8 \n\nplan \nto repeat the lab test urgently and then reevlaution ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1018,555,'2026-02-09','','','56   years \nDM   fOR THE LAST   16  YEARS  GOUTY ARTHRITIS \nhTN FOR THE LAST    4  YEARS \nDLD\n\nHE WAs  DOING WELL   UNTILL    3  MONTHS    WHEN HE STARTED TO HAVE  LOWER LIMBS SWELLING AND HE  HAD  ECHO  T [vHAT SHOWED  NORMLA \nHE  SOUGHT MEDICAL DVICE  AT  DR  HANI \n AND  HE   SOUGHT MEDICAL  ADVICE  BY  DR  MALEK \n\nHE   WAS  DOING   CREATININE  WAS 1.2 \n\nECHO WAS DONE AND  SHOWED    EJECTION FRACTION  55%\nDIASTOLIC  DYSFUCNTIO   GRAD  1 \nMILD  CONSEBTRIC  LVH\n\n\nMEDICATION \nCOIDIOVAN   160/25\nLOZAR??\nLASIX \nEUCREASE\nTEGRETOL\nENALAPRUL\nASA\nVALSADIPIN HCT\nASA  100 MG ONCE \nATOZT?? \nFLICTAMET     10/1000\n\n\nplan \nhold  valsadipin  hct \nhold inflictamet \nstart amicor \ncadex \nasa    janeut \ntegretoil \ncrestor \nrtc after   one week ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1019,556,'2026-02-10','','','85   Years old female patrinet \nknonw to have anemia  and she   underwent   git  work up and she    received blood   many times \n\nshe has  lower limbs edema  for the last   one months\nshe  sought medical advice  at  dr malika dn she     found to  have  creatinien  1.8 \n\nshe is  kidney donor    before   35  years and she   who  died \n\n\n\necho was done and showed   ejection fraction   55% \nshe has  diastolic  dynsfucntion  grad  3 \nnormal lv  size and fucntion \nshe has  heavly calcified  aortic  valve  and  moderate   lvh \nsever  aortic  stenisis \n\nshe needs   TAVI\n\nwbc    5,2   hgb     7.2  plt      226\nalbumin   3.8 \ncreatinine  1.8\nbun     30 \nserum sodium   136   k      4.7      cl  107\ntsh   3.3\nurine analysis sowed    normnal  study\n\n\nmedciations \nconcor    5 mg ocne \ntelmisartan    80 mg ocne \ncrestor    20 \neucrease   50/10000',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1020,553,'2026-02-10','','','today he came  for  follow up \nabdominal  us  showed    pre voing   600   post  voding  220 \n\nplan \ncadex \nand  dudart \nrtc after one motnha fter  doing labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1021,555,'2026-02-10','','','56   years \nDM   fOR THE LAST   16  YEARS  GOUTY ARTHRITIS \nhTN FOR THE LAST    4  YEARS \nDLD\n\nHE WAs  DOING WELL   UNTILL    3  MONTHS    WHEN HE STARTED TO HAVE  LOWER LIMBS SWELLING AND HE  HAD  ECHO  T [vHAT SHOWED  NORMLA \nHE  SOUGHT MEDICAL DVICE  AT  DR  HANI \n AND  HE   SOUGHT MEDICAL  ADVICE  BY  DR  MALEK \n\nHE   WAS  DOING   CREATININE  WAS 1.2 \n\nECHO WAS DONE AND  SHOWED    EJECTION FRACTION  55%\nDIASTOLIC  DYSFUCNTIO   GRAD  1 \nMILD  CONSEBTRIC  LVH\n\n\nMEDICATION \nCOIDIOVAN   160/25\nLOZAR??\nLASIX \nEUCREASE\nTEGRETOL\nENALAPRUL\nASA\nVALSADIPIN HCT\nASA  100 MG ONCE \nATOZT?? \nFLICTAMET     10/1000\n\n\nplan \nhold  valsadipin  hct \nhold inflictamet \nstart amicor \ncadex \nasa    janeut \ntegretoil \ncrestor \nrtc after   one week \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1022,557,'2026-02-10','','','36    years old male pateint \npresented with      hematuria \n\nhe received   mepral   but  he received \nhe has  abdooinal pain nd  diarrhea   and  he  was admitted to  soroka  hospital   for  5  days \n\n\nhe received    candisartan   8 mg ocne \n\nplan\nabdominal us \nlabs\nwork up  for igA',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1023,436,'2026-02-11','','','today she was seen and her chart was reviewed \n\nprotein/creatinine r atio  0.9 \ncreatinie nromal \nalbumin   2.9 \n\nplan \nsteriopd  tappering \nprograf ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1024,558,'2026-02-11','','','77    yearas old male patinet \nknonw to have      for the last  10 years \nhypertensio for the last   10 years \nchronic  kidney disease  and his creatinine was  1,3  \n\n\nhe   found to have    renal mass for   evaution \nno  weight loss \nno hematuruaimild  hystency\n\nmedication \nliponil 40 mg once \nmetformin 1x2 \nsitaglu \nasa   100 mg once \nomnic  0.4 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1025,26,'2026-02-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1026,26,'2026-02-11','','','today  he  was seen \nhe is on lozar \nempa \nliponil \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1027,540,'2026-02-11','','','today he  was seen and his cahrt was revdiwed \n\ncreatuininr  0.9 \n c3    116 \nalbumin   2.5 \n\nurine analysis   plus  3  protein \n\n\nplan \nsteriod tappering \nback a fter one  mon\n\n\nrtc after one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1028,14,'2026-02-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1029,14,'2026-02-11','','','she needs  PD ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1030,511,'2026-02-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1031,28,'2026-02-12','','','MAKE  PREDNISONE     10 MG   FOR ONE  WEEK \nRTC AFTER   2 MONTHS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1032,461,'2026-02-12','','','CREATIINE   4.6 \nPLAN \nCADEX \nMETHYDOPA   250  2X2 CALCIUM \nALFACAL ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1033,257,'2026-02-12','','','TODAY SHE CAME FOR FOLLOW HP \nCREATININE  0.7 \nURINE  PROTEIN/ CREATININE  RATIO    38\n\nPLAN\nADD  LOZAR    50 MG OCNE \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1034,505,'2026-02-12','','','TODAY HE CAME FOR FOLLOW UP \nHE  FOUND TO HAVE  ATRIAL FIBRILATIO N AND HE  WAS STARTED ON   QUEST   2.5 MG 1X2 \n\n15/12/    2.2 \nCAME  WITH  CREATININE  3.1 \n\nMEDICATION \nAMICOR  MG   1X1 \nCADEX   2X1 \n\n\n\nPLAN \n\n\nPLAN \nADMISSSION TO THE HOSPITAL \nBASILOX \nCARDIOLOGY EVALUATION',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1035,487,'2026-02-12','','','ASA    100 MG OCNE \nAMICOR  5 MG 1X2 \nMONOCORD    20 MG 1X2 \nLIPIDEX   40 MG OCNE  ATOZET   80/10   MG ONCE \nLASIX  40 MG  EOD \nSITAGLU   50 MG ONCE \nMIXTARD    35  AND  40 \n\n\nPLAN \nADD   CADEX   4 MG ONCE ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1036,75,'2026-02-12','','','TODAY SHE CAME FOR FOLLOW UP \nCREATININE  4,8 \nBUN   44 \nLDL   57  \nCBC   10.9 \n\nMEDICATION \nNORVASC  10 MG OCNE \nCADEX  2 MG OCNE \nATOZET   40/10 \nCALCIMORE \nCARVIDELOL  12.5 MG 1X2 \nALFACAL \n\nLANTUS    15 \nAPIDRA  12   BEFORE   BREAKFAST  AND LUNCH \n\n URINE  CULTURE   AND THENH  ROCEPHINE  2  GRAM FOR  3  DAYS \n\nREPEAT LABS AFTER  2 WEEKS    ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1037,75,'2026-02-12','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1038,235,'2026-02-12','','','CREATININE   1.2 \nHE IS ON FORXIGA \n\nPLAN \nRTC AFTER  RAMADAN \nVENESECTION',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1039,518,'2026-02-12','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1040,559,'2026-02-12','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1041,493,'2026-02-13','','','today   he was   seen     and  his   chart was revieedf s\ncreatinine  1/1itching improved \n\n\nplan \nadd   cresotr     20 mg once \nrtc after one months  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1042,492,'2026-02-13','','','she   is better \nstill has  joint pain \n\nplan \nadd   nerventin \nadd paramold  extra \ndiovan during  ramadan \n\n\nto  send me  the lab s ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1043,529,'2026-02-13','','','rtc a fter   2  months \nadd  omega  3 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1044,528,'2026-02-13','','','today she came  for  follow up \npregnant   12   week \nbp   112/70 4\ncreatinien  0.6 \nc3 c 4  normal \n\nurine  protein/creatiine  ratio   740\nalbumin   improved  3.5-   3.9\n\nplan \nkeep the same   management \ndiet      restriction \nrtc after     one  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1045,358,'2026-02-13','','','today   she came  for follow up \ncreatiine  1.2 \nshe is doing well \nghgb    10/5 \n\nplan \nadcef   300 mg  1x2 \nzimical  tab    eod \nb12    once  monthly \ncontine the same   rx \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1046,531,'2026-02-13','','','creatininr  1.1     uric acid    6/9    ccalcium   9.4     potassium   5.7    sodium     138 \nwbc    11 1  hg   9.2    plt     327     esr  109 \nhypergamma   globulinemia \n\nplan \nhold  amaryl and    forxiga  during  ramadan \nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1047,510,'2026-02-13','','','bp    120/80\n\ntoday she is doing  well \nno new complains \ncontinue the same \nadd  b12 \nadd  zimical \nadd  bezofibrate \n\nrtc after  3  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1048,527,'2026-02-13','','','today    he came  for  follow up \nprpteoinnuria    3.5\ncreatinie  1.38 \n\nplan \nadd   aldopa   1x2 \nadd  kerendia \n\nrtc after   2   weeks  for the medication \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1049,530,'2026-02-13','','','today  she came  for f ollow up \ncreatinirn  1 \nc3  \nesr  10\nc4    15\nc3  94\ncrea  1\n\nurine pcr    3.24\nalbumin  3.9\n\n\nplan \ncoumadin  4  /7  and    hald  3/7 \nvalsan \nshe  stopped inflicta  due to infections \ncontinue  prograf \ncontinue  myfirtic   5  tab daily \n\nrtc a fter     6 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1050,530,'2026-02-13','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1051,560,'2026-02-13','','','69    years old female patient   known to have  dm  for the last   15  years    hypertneison for the last   15  years    dld   for the alst  10 years    gout     for the last   5  years \nno ischemic  ehart disease \nhyperthyroidisim      then  hypothyrodisim  \n\nmedication \n\nlozar     50 mg  1x1 \ninsulin     mixtard   \ncarvidelol  12.5mg  1x1 \nliponil  40 mg one \n\nshe is planning   to fast   ramadan \nplan \nadd  valsan  160 mg cone \nadd  j  dee \ncarivdelol 12,5  gm 1x2 \nto do abdominal us  and    esr   calcium  urine  pcr \ncosnider adding  forxiga  after  ra madan \n\n\n\nlabs showed   \nhgb    12.4       wbc       7,2    plt      275\nurine analysis showed     no rptoein and she has   plus  3 leucocyte snd a many  wbc \na1c    8.6 \nfs7bs   172 \ncreatinien  2.1 \nbun  45\nuric     acid 5.1\ncholesterol  178  trigleceride    203\nast    17\nna     143      k  5,2     tsh    15\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1052,560,'2026-02-13','','','today   she was see',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1053,166,'2026-02-13','','','creatinine   5.1 \nbun   43 \npotasiium    5.3 \nphosphorus   3.5 \nhgb   11,9    wbc     5,7           \n\n\nplan \ncalcium \nraspd \nalfacal \nferrous  fumarar ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1054,412,'2026-02-14','','','73 years old female \nasa  \nliponil   eod  \nferrous fumarate \namicor \ncadex \nalfacal  eod  \ncalcium  eod \nalloril   once \n\ncreatinine  1.8\nhba1c   6,5 \nhgb  10.3 \nserum lytes acceptable ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1055,480,'2026-02-14','','','today she was seen adnd ehr chart was reviewed \nc3  c4  nromal \ncreatinine  0.8 \n\n\nplan \nmodal \nzimical \nmold  extra  1000 mg para\n\n\nconsider   rheumatology  evlaution and medication ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1056,267,'2026-02-14','','','today he was seen and his chart was rev iewed \n\nhe looks better \n\nhgb  13 \ncreatinien  3.9 \npotassium     5.3 \nldl   116 \nesr  20 \nurine analysis   clear \nesr   20 \n\n\nmedication \nhydralazin  50 mg 1x3 \namicor  5  mg 1`x2 \ncadex  2 mg ocne \ncarvidelol   6.25 mg 1x2 \nalfacal  2  tab \ncalcium   2  tab \nferrous fumarate \naransp      once monthly \n\nadd b12   \nadd j  dee \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1057,302,'2026-02-14','','','plan \nadd  \nadd  thyroxin \nkeep the sam   rx \nlantus     40 \napidra   25   25    5 \ninflictamet  5/1000\nrtc after one months  with  doign  tsh  and  free  t3  t4 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1058,561,'2026-02-14','','','63   years old female patient \nknonw to have    goutyarthritis \nhtn    \n\n\nmedciation \nnorvasc \nalloril   300 mg once \nvit  d \n\nfree   review  since she  has   100  payment\nbiosolve \nherbex \n\n\ncreatinine   1.28 \nuric acid   5.6\n\n\nabdominal us  snowed  normal kidney size and echogenecity \n11 cm    in length   both  showed   heterogenous   increased   parenchymal  echogenecity   with numberous  of  punctat  cortical echogenecity  foci \nbilateral renal gravels \nfew   cortical   thickness being  around  10-111  cm \n\nwc   7   hgb    13    plt 215\ncreatinine  1.14\nwbc     5.5    hgb  13    plt    230\ncreatinine   1.3\nuric a cid   5.7\nurine analysis showed negative for protein  and   normal  wbc\n\n\n\nplan \ndo  work up for the autoimmne  disease \nr/o  rta \npth  disease \n\nrtc after doing labs \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1059,562,'2026-02-14','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1060,538,'2026-02-14','','','stopped  vlsn    due to ypotensdion\nurine pcr 0.6\ncretinine   0.7\nesr   10\n\nplan\n\nadd   betmiga   50 mg once\nadd   tritace  2.5 mg once \nzimical   once daily\n\nadd  deflazacort   30 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1061,524,'2026-02-14','','','uric   acid  8\nhgb  8 \n\ncreatinine  2.3 \nbun   50 \npotassium   5,1 \nna  140 \n\n\ncontinue  the same  rx \nlasix  tab  5  tab daily \nadd aloril \narannsp \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1062,524,'2026-02-14','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1063,563,'2026-02-14','','','56  years old female patient \nshe has recent upper respiratory tract infection and then she has  hematuria \nthen she ahs   abdominal us     that showed \ncreatinine   0.5 \nabdomominal  us showed kidney stone  \nurine analysis shwoed  plus  1 protein and plus  4   rbc \n\nno family history   for kdney disease \nno joint pain  no morning stiffness \nno oral ulceration \n\n\nplan \nabdominal us  report \ncadex  2 mg   pm \nrizacef   once daily \nrwatinex  x3 \nosteturine   1x1 \n\nreevalaution after labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1064,258,'2026-02-14','','','today he was seen and his chart was reviewed \nhe looks  fine \nno new complains \nno itching \nno joint pain \nno  sob  and  no  cough \n\nmedication \nmyfortic   once daily \ncalcium   1x1 \nalfacal  once    daily\nadd  deflazacort     10 days \nadd   j  dee \nadd sodium bicarbonate \n\nrtc afte rone month \ndo  cbc  if   low  consider  aransp ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1065,165,'2026-02-15','','','today she  was seen and   her chart wasa reviewed \n\nwbc  12   hgb     13,6   plt  91\ncrea  1,69\nrbs  139\nwbcwbc   18-20\n\nurine analysis shoed   many  wbc   and  she  was prescirbed   adcef \n\nexforg \ngalvus \ninflicta \nalfaca \ncalcium \ninsulin \nliponil  40 mg ocne \n\nconconr   5 mg ocne ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1066,564,'2026-02-15','','','alfacacal 0.25 mg  once\namicor  5 mg 1x2 \nlinaglibtin\nasa  \natozet  40/10\npantover   10 mg \nlorax\nlasix      one  daily \nplavix  75 mg  once\nhypocor   \ncalcium \nj  dee   once daily \n\n\nplan \nesr \nanca \nc3  c4 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1067,152,'2026-02-15','','','prograf  1x2 \nmyfortic   2x2 \nprendsione 2   tab  daily \ncarividelol    25 mg  1x\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1068,556,'2026-02-15','','','today she came for follow up \ncreatinine n2.1 \nlasix   once dialy \nalfacal \narandsp \namicor 5 mg once \nconcor  5 mg ocne \ngalvus  once daily \nrtc after one week ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1069,363,'2026-02-15','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1070,535,'2026-02-15','','','today she came  for  follow up \n\n\nto  do  creatinine  at the meddle  of ramadan  and to  send  ot  to me \nplan \namicor  5  mg  1x2 \nconcor   5mg once \nalfacal  once daily \nthyroxin \nmepral  20 mg once \n\n\nto  do   labs a fter   1  and  half  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1071,552,'2026-02-15','','','today   she was seen \nplan \nlasix  40 mg 1x2 \nlecardipin  10 mg  once \nlantus \nempa  10 mg once \nlasix  1x2 \nnexium  40 mg ocne \nconcor  5 mg ocne \nlecardipin \nliponil 40 mg once \nasa  100 mg ocne \nplavix  75 mg once \n\ncreatinine   2.5 \nurine protein/creaatinine  ratio   8,7 \nalbumin  3.1\n\n\nplan \nrtc after   2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1072,565,'2026-02-16','','','71  yEARS OLD MLE APTEINT \nDM  X  15 \nHTN FOR THE LAST  7  YEARS \nDLD\nNO ISCHEMIC EHART DISEASE \n\nREFERRED FROM  DR MAHMOUD ALLAN \n\nCREATININE   BEFORE     ONE YEAR  IT WAS 0.6 \nTHEN   11/2025 0.9 \n22/1/2026  IT  BECAME   1.98 \n\nYESTERDAY   IT  WAS  2.23\n\nHE HAS  NO ELEMENT OF   CONNETIVE TISSUE  DISEASE \nNOCTURIA   FOR THE LAST   2  MONTHS \n\nMEDICATION \nAMICOR   5 MG 1X1 \nLOZAR  50 MG ONCE \nASA  100 MG ONCE \nLIPONIL    HALF  TAB   20 MG ONCE \nMETFRMIN   850 MG ONCE \nSITGLU  50 MG  ONCE \nINFLICT  0 MG ONCE \n\n\nPLAN \nABDOMINAL US   \nLABS \n\nADD  DEFLAZOCORT \nCARVIDELOL  121.5  X2 \nCADEX  2 MG ONCE \nJ DEE  \nRTC AFTER  DOING LABS \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1073,566,'2026-02-16','','','67  Yers old mle ptinet \nbeofre    5 motnhs  he  has  storke  and he   had  dystonia \nand he received antibiotics    that  affect the kidney \nhe suffered from stok  that   affect    dysphagi and  hoarsness of  boice andf he  foundto have  vocal conrd paralysis\n\n\n\nhe  sought medical advide  by dr mahmoud allan  and he w as prescibed   betmiga  once daily \nand  omnic 0.4 mg once \n\n\n\npsa  2.2\nwbc     9,8  hgb     12   plt      235\nabdominalus  this months hosed  bothe kdineyh are   is found   in the lower limit of normal \nrigt kdiney 9,2   with parenchimal thickness   1.1   and showed increased parenchymal echoegenecity\nleft kdiey  showed 8,8  cm    in the length wt=ith parenchymal echogenecity     1,2  cm     and showed normla left  \n\n\ncreatinine   in 2024   was  1.1\nand the urine analysis normal \nbrain MRV  NORMAL19/1/2026  CREATIINE  1.46\n\n\nMEDICATION \nNEURO  B\nBETMIGA  50 MG OCNE \nOMNIC 0.4\nNEXIUM 40 MG ONCE \nAMICOR  5 MGMONCE\nB12 \nDELLAL\nCRP  NEGATIVE \n\n\\HE WAS   SEEN BY  DR  HAMZA  JUBRAN AND HE  ASKED FOR  WORK UP AS  ACASE OF PARANEOPLSTIC DOSEASE\nESR   12\nCREATININE  .5\nPSA  NEAGTIVE\n\n\nPLAN \nANCA  TEST AND ESR   C3  C4\nADD  DEFLAZORT \nJ DEE  \nURINE  PROTEIN/CREATIN  RATIO \nANCA   C3  C4',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1074,567,'2026-02-16','','','\n60  Years old male patient \nknown to have  hypernteison for the last  4  years\ndm for the last   4  years \nno ischemic heart   disease  \ndld   \n\nbefore one week  he  has   genralzed weakness and vmiting   and the n   he   sufffered  \nje  sought medical adice  and he had  uti and   foundto\n\n\nabdomina, us  normal, but  finindg  suggestive nephritis no echopattern\n\nmedication \njaneut  50/100p \nmacrofuran\nnexium  40 mg once \nvasadipoin   hct \ncadex \nconcor   5  mg once\ncadex  4 x2 \ncarvidelol 12.5 mg 1x2 \nlantus \ngalvus \nstop  valsadipin  hct \nstop  janeut \n\nrtc after one months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1075,128,'2026-02-18','','','today \ntoday he  came for  follow up \nexforg   160/5 \ndivinus  10 mg ocne \nkarendia   10 mg ocne \n\n\nplan\ncresor  10 mg once \ncontinue the same   medication',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1076,106,'2026-02-18','','','biosolve\nprednisone \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1077,274,'2026-02-18','','','today she was seen\ncreatnine   2 \nhgb 8.9   \naransp',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1078,504,'2026-02-18','','','asa \nconconr \nliponil \ntragenta   10 mg once \neliquis  2,5 mg 1x2\n\nplan  \nadd  aransp  60 mg once\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1079,53,'2026-02-18','','','today he   came with proiteinuria and hematuria \nplan \nadd  deflazacort \nhold  empa \nrevalaution after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1080,180,'2026-02-18','','','came for follow up \ncreatinine  1,6   \n\n\nplan \nstop  forxiga  19 \nadd  sitaglu  once daily \n\nrtc after   one  months \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1081,568,'2026-02-19','','','26   years old male patient \nkidney donor  before   2023   at rammallah \n  he found to have creatinien  1.56 and no proteinuria \n  mild hematuria \nno any new complains \n\n\nplan \nabdominla ct \nbiosolve \nj dee \nrtc after one week',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1082,199,'2026-02-19','','','today   she came for follow up \ncreatininen  1,5 \n\nplan \nadd metfmormin \nadd  cadex \nadd   alfacal \n\ndo labs after  2 weeks \nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1083,325,'2026-02-19','','','today he came for follow up \ncreatinine  2,5   bun   77\nwbc        6,5    hg  11  plt           275y\nurine  ANALYSIS NORMAL \n\n\nARANSP   INJECTION\nMEPRAL  20 MG ONCE \nCADEX   4  X 2\nCALCIUM \nASA   \nLASIX  40 MG ONCE \nCONCONR  5 MG ONCE \nLIPITOR  40 MG ONCE \nLOZAR   50 MG   1X2 \n\nLANTUS    20 ONCE \nAPIDRA   10  \nCALFACAL ONCE\n\n\nADD  METHYLDOPA    250 MG 2X2 \nCADEX  4 MG 1X2 \nRTC AFTER  2WEEKS \nLANTUS \nAPIDRA \nREEVLAUTION AFTER',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1084,26,'2026-02-19','','','TODAY HE CAME FOR FOLLOW UP\n\n\n\nADD  DEFLAZACORT    ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1085,397,'2026-02-21','','','TODAY HE CAME FOR FOLLOW UP \nCREATININE N  4.5    BUN   37   HGB  11.1    URIC ACID   5.7\n\n\n\nMETHYDOPA    2   AM AND  2  PM \nHYDRALAZIN  50 MG 1X3 \nCADEX  4  AM  AND  4   PM\nFERROUS FUMARATE\nOMEPRAZOL  20 MG ONCE\nCALCIUM 600 MG OCNE\nALFACAL   ONC DAILY\nASA  100 MG OCNE\nALLORIL  100 MG ONCE',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1086,397,'2026-02-21','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1087,565,'2026-02-21','','','TODAY HE CAME FOR FOLLOW UP \nABDOMINAL YUS  SHOWED MILD  INCREASE  IN RENAL ECHOGENECU-ITY \nNO STONE \nNO HYDRONEPHROTIS S\nNO  SIGNIFICNAT POST VOING  RESIDUALS \n\n\nWBC       8800   HGB    9   PL T  157\nESR   80\nPSA  0.2 \nPTH  468\nURIC  ACID      6.6    ALT      18    BUN    41   CREATININE     2     NA   1 38   K      5.8   CL    106\nC3  C4   NORMAL \nPROTIEN/CRTEATININE  RATION       1  GRAM/DAY\nURIEN ANALYSIS SOWED NO HEMATURIA \n\nPLAN \nADD   ARANSP   OCNE WEEKLY \nHOLD  LOZAR   \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1088,561,'2026-02-21','','','Today she was seen and her chart  was reviewed \ncreatiine  not  done today \nurine protein/creatinine  ratio   1.5 \ncalbumin  3.6 \npth  150 \nabg   normal \nbp  120/70\nuric    acid   5.6',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1089,566,'2026-02-21','','','today he came for follow up \nc3  c4  normal \nanca negative \nesr  20 \ncreatiine  1.4 \nhba1c    5,3 \nuric acid      9,2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1090,569,'2026-02-21','','','37  years old  male \nkidney  tx    at jordan  in 3/2/2026\nmatching  100% \nfrom  brother \n\ncreatinien  1.18 \n\ntoday  came with creatinine   1.3 \nprograf  7  am  and  7  pm \nmyfortic    360    2x2 \nprednsone   5 mg  2x1 \ncyst  0.4 mg 1x2 \nnifidipine  60 mg 1x2 \ncadex  4 mg  1x2 \nseptrim \n\nreevalaution after   2 weeks',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1091,544,'2026-02-21','','','today he came for follow up\ncreatinine  4,8  from  5.1 \nbun 102   from 136 \nhgb 9,6\n\nplan \nfor AVF \nOR  pd  ]',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1092,570,'2026-02-22','','','75  years old female patient \nknonw to have  DM  FOR THE ALST   20 YEARS \nHYPERTENSION FOR THE LAST  20  YEARS \nDLD \n\nWAS ADMITTED  BEFORE  2 WEEKS   TO  CCU    WITH ACUTE OCRONARY SYNDROME \nSHE      FOUND TO HAVE C REATININE  4.5  AND  I  SAW HER INT HE HSPIOTAL AND SHE WAS PRESCIPED   STERIODN \nCREATININE BEFORE ONE WEWK  WAS  2,7\n\n\n\n\nTODAY LABS SHOWED \nCREATIINE   TODAY  1.9 \n\nMEDCIATION \nAMCIOR 5MG  1C2 \nCADEX \nLASIX   40 MG ONCE \nASA  100 MG ONCE \nALFACAL 0.25 MG ONCE\nGALVUS    50 MG OCNE \nCALCIUM  600 MG ONCE\nSEVEL;AMER    800 MG ONCE \n\nLIPONIL  30 MG ONCE \nALLORIL  100 MG ONCE \n\n\nPLAN \nZIMICAL \nDEFLAZACORT  30 MG ONCE   DAILY  FOR ONW  WEEK THEN  EOD\nLAXADIN ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1093,571,'2026-02-22','','','58   YEARS OLD MALE PATEINT \nKNOWN TO HAVE DMN FOR THE ALST   20  YEARS \nNO HTN \nNO  IHD \n\nBEFORE      2    AND HALF  YEAR   CREATININE  WAS  1,6 \n\n\nRECENTLY HE  HAD  CREATININE  2,7\n\n\nABDOMINAL  US  SHOWED \n7X4   CM   SLIGHTLY DECRASE   IN SIZE   WHILE   THE  LEFT   LEFT  KDINEY  MEASURES  ABOYTN  10X  4        OTHERWISE    BOTH   KDINEY APPEARES NORMAL IN SHAOE AND EHDCOPATTERN  WITHNOUT  EVIDANCE ON HYDRONEPHROSIS \n\nOTHER  WISE NORMAL \nBEFORE ONE MONTH   HE  RECEIVED nsaid \n\n\nMEDICATION \nINSULIN   ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1094,533,'2026-02-22','','','for  dialysis',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1095,572,'2026-02-25','','','carex  4  \ncrvidelol    6.25 mg   x2 \namicor   once \nliponil  40 mg once \n\n\n\nplan \nlasix  40 mg once \ncadex   4 mg once \namicor  once  instead of tiwice \nalfacal \ncarvidelol  6.25  1x2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1096,573,'2026-02-25','','','59   years old male pateint \npresented with back pain and  generalzed wekaness \nhe  sought medical  advice    for many doctors \n  he received   manay treatement  for discopathy \nand he    sought medical advce  by dr imad  talahma and   he  found  to have MALTIYA    \nbefore one month \nhe  sought medical advice   at   seha and  he  found to have FMF \n\nHE  HAS  CREATININE   2   MG/DL FOR THE LAST  20 YEARS \n\nHE SOUGHT MEDICAL ADVICE   AND \n\n\nCREATININE    1.7\nCREATININE 1.9\nURINE ANALYSIS  SHOWED   NEAGTIVE\nBUT ANOTHER  ONE  SHOWED HEMATURIA \nCREATININE  15/2   2.33\n\n\nPLAN \nRTC AFTER  10 DAYS \nDO  ANA    C3 C 4   ESR \nNBALGISC \nCONTOINIUE   DOXAL   AND  RIFAMPIN \nHOLD  FOR GENTAMYCINA ND   STEREPTOMYCIN \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1097,574,'2026-02-25','','','83  Years old male patient \npresented  for  evalaution as  he  found to have    creatinien  1.5 \nbeofre one  year it was  2 \nhe is  knonw to have  hypertension \nbph \ndyslipidemia \n\nmedication \nanapril  20 mg    omnic  once as a      liponil \n\nplan \nadd  cadex and amicor   and  biosolve  s\ntop  omnic and  analpril  and lasix \n\nrtc after one month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1098,575,'2026-02-26','','','65   years old male patinetr \nreferred from dr sameer  a s  he  found to have   proteinuria  13  gram/day \n\nabdominal us  normal \nhypoalbuminemia   1 \n\ndyslipidemia \nesr  120 \nhgb  10 \n\nc3  c4    normla \n\n\nbp \n\n\nplan \ndo  anti   pla2r \n aabdomional us   done \nsolumedrol   1  gram  x3 \nprednisone   4 mg once \nvalsan   160 mg once \nnexium \nvit  d \ncalcium \nrtc after  2 weeks \nkidney biopsy',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1099,536,'2026-02-26','','','today the patient   was seen and his chart was reviwqed \n\ncreatinine  0.6 \nnormal c3 c 4 \nalbumin 4.2 \nurine analysis normal \n\nplan \nadcef \nj dee \nrtc after 2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1100,476,'2026-02-28','','','today she came for follow up \ncreatiine   1.01 \nplan \nhold  empa \nsadd     sitaglu \nadd j dee \n\nrtc after  2  moths',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1101,576,'2026-02-28','','','9   years old female patient \nhad  kidney tcx   from mother    10/1/2026 \ndr  riad  saed \nkidney disease   fsgs\nmatching  3/6\nnon  induction \ndjd   was  removed \nmatching    50% \ncreatinine 0.8\ndonor age  42 \n\nmedication \nprograf     2   am and 1  pm \nmyfortic   360 mg 2x2 \nprednsione  5 mg  2x1\nnexium  40 m g \ndactarin oral  gel  for  3  months \nvit \ncarvidelol   25  x2  \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1102,577,'2026-03-01','','','82  years old female patient \nbefore  6 months she  has  abdominal pain \nshe  sought medical advice   by dr  hazem alshhab and she has  diudinitis and she had  anal  fissure \nsince then she has  generalzed wekaness and    sob \n\nshe  sought medical  advice   by dr malik maswadah and   she  found to have af  and she needed  c cath and   found to have creatinine  2.5 \n\nfor  which she was sent  to us \n\nwbc    9.5  hgb    13   plt    205\ncreatiine   2.4 \nurea  106      from normal  up to  49 \nk  4.2 \nsodium     137\nuric acid     9.7  \nha1c     5.4\nldl  81\nurine analysis shwoed   trace protein and no    rbc\nferritin     285     tsh    50\n\n\necho  was dsinbe   normal size and  ejection fraction  55% \natrial fibrilation\n\n\nplan \nhold  diocan \nhold conconr \nadd c arvidelol \nadd  vit d \nadd zimical \nadd   biosolve\nrtc aafter  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1103,444,'2026-03-01','','','today he came   for  follow up \ncreatinine  1.5 \nplan \ncontinue  diovan \nhad  conconr half  tehn stop \ncontinue  crestor \nrtc after  2  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1104,556,'2026-03-02','','','today she came for follow up \ncreatinine    2.3 \nhgb  7.9 \n\nplan \nresume  telmistartan \nmake lasix   every otehr  day \nadd   zimical and  fusidin \nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1105,578,'2026-03-02','','','before   4  yers   she  found to hve  low  hgb     and she had  heavy mensis \n\nabdominal ct  was done    but  then after   that    she  check  creatinine   and it  was  1.5 \nthen 2 \n\nat  which she   askked to do kidney biopsy    but  she  refused at the begninig \nshe   sought medical advice  at   dr  albourini \ncreatnine   was  2   2021 \nshe was given  alfacal \nferrous  fumarate and varviodelol \nshe was given  modal \n\nbefore one month  she  had  hgb  5 \ncreatinine  5 mg/dl \n\npln \nto do r enl us \nto do creatinien and labs',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1106,486,'2026-03-02','','','todaay she came   for follow up \ncreatinine  0.8 \nhgb  21,5 \ntrigelceride \n\n\npln \nliponil  40 mg once c\nrvidelol  6.25 mg s2 \nj dee   once daily',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1107,53,'2026-03-02','','','tody he cme for    follow up \ncretinin',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1108,467,'2026-03-03','','','today he came for follow up \nno  enw labs \nplan \nadd  tegretol \n\nconsider doing  ct after the  insurance',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1109,464,'2026-03-05','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1110,579,'2026-03-07','','','SLE \nSCHEOPHRENI \nLUPUS NEPHRITIS \n\nMEDICATION \n\nLIPONIL    20 MG ONCE \nPROGRAF  1X2\nLASIX \nATACAND      8 MG ONCE \nREVILAX    7.5 MG ONCE \nPREDNISONE   5 MG ONCE  1X1\nMEPRAL  20 MG ONCE \nMYFORTIC      5  TAB  DAILY \nPLAQUNEIL 200 MG 1X2 \nCONCOR    5 MG ONCE \n/\n\nPLAN\nREPROT',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1111,580,'2026-03-07','','','27  YERS   SICNE  2018  SHE  RECURENT  UTI AND  SHE HAS   RECURENT  DYSURIA \n  BEFORE     4  YEARS  SHE  GOT  MARRIED \nSHE   SUFFERED FROM    HYPERETENSIO  DURING   PREGNANCY AND SHE WAS MAINTAIED ON  TRANDATE  AND SHE   WAS  DIAGNOED WITH PRECLAMPSIA \nSHE HAS   HYPERTNESION AFTER LABOUR   \nAND 80/5  MG ONCE  BUT SHE  DEVELOPED   INTOLERANCE \n  FOR   WHCIOH SHE WAS  GIVEN  VASODIP \n\n\n\nSHE   VISITED  DR  SAMEER  ZAWAHRA  AND SHE WAS      \nLEFT  KIDNEY  9  CM   WITH  11   THICKNESS \nRIGHT KDINEY  11 \n\nPTH   63\nESR 20\nURINE PCR   0.242\nTHESE IN 2024 \n\nDURING  THE  SECONDA  TRIMESTER    SHE   RECEIVED    TRANDATE \n DURING   CS   SHESUFFERED FROM WHICH  DESCIBED AS  HELPO  SYNDROME \n\n\nCREATININE   1.26  MG/DL   IN 28/1/2026\n\n\nLAST LABS SHOWED \nCREATININE  1.1\n\nPLAN \nRENAL DOPPLER AND US \nLABS  \nZIMICAL REEVLAUTION',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1112,223,'2026-03-07','','','TODAY SHE   CAME  FOR FOLLOW UP \nCREATINIEN  1.4 \nHGB  13 \nLDL  109 \nURINE ANALYSIS  NO  WBC  AND SHE HAS  PLUS  2  PROTEIN \nPLAN \nADD  ZIMICAL \nADD REVILAX \n\nRTC AFTER 2  MONTHS \n\n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1113,581,'2026-03-09','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1114,205,'2026-03-09','','','kidney  tx  16/6/2025 \ndonor   son \nmatching  80 \nmedication\nprograf   2  am  1  pm \nmyfortic   1x2 \nprednisone  5 mg \n\n\npresntred    c/o lower abdominal pain   \nno  dysuria \nshe reported  decrease   urine output \n0',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1115,537,'2026-03-09','','','TODAY SHE CAME FOR FOLLOW UP \nCREATIINE   0.7 \nURINE ANALYSIS  SHOWED TRACE PROTEIN  AND   NO  WBC AND NO WBC \n\n\n\nPLAN \nVALSAN  HCT  160/12.5 \nJ DEE   ONCE  WEEKLY \nMETFORMIN  TAB \nFLATEX  250 MG OCNE',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1116,58,'2026-03-09','','','TODAY SHE CAME FOR FOLLOW UP \nCREATININE   2.4  AND IT WAS   3,4 \nSHE WAS  FOLLOWED   BY DR  BILAL AND THEN BY DR  MUHAMMAD  ALBOURINI \nSHE HAS \n\n\nSHE HAD THE KIDNEY BIOPSY  11/2026\nMEDICATION \nPREDNSIONE  10 MG OCNE \nTRAGENTA \n\nALFACAL \nINFLICTA \nCADEX \nFERROUS FUMAREA\nNIFIDIPIN \nPEPTIUM \nFEBOXTATE \nLIPONIL 40 MG ONCE \nLASIX     40 MG OCNE \nALFACLA \n\n\nTHYROXIN \n\n\nCONCONR MG ONC E\n\n\nPLAN \nFOR  RITUXIMAB ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1117,582,'2026-03-09','','','60   Yearsw old male pateint \nfor the last   3  years   creatinien  1,6-7   but last  years   2.4  after   ramadan \nhe sought medical  advice    by d r  bourini and   ryad  saed   and visited italy \n\nand  then  he  said  it  is  due to  NSAID \nMEDICATION \nWBC   5.2   HGB       12.5  PLT      153\nCREATININE   2.25     NA  138   K      43.  CL      105    UREA    63    URIC ACID    7,32\nURINE ANALYSIS   NOR\nURINE PCR  10\nANCA   C3  C4    ESR   ALL WITHIN NORMAL \n\nMEDICAITGON \nJARDIANCE   10 MG ONCE \nATACAND  8 MG ONCE \nCARVIDELOL    12.5 MG 1X2 \nSITAGLU 50 MG ONCE',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1118,583,'2026-03-09','','','DIALYSIS  FOR THE LAST   6  YEARS \nKIDNEY TX    5/2/2025 \nMATCHING  WITH  THE DONOR  70% \nHIP  REPLACEMNT \nHYPOPARATHYROIDIDIM\n\nCREATIININE  0.8 \n\nMEDICATION \nCELLCEPT  1x2\nPROGRAF 4x4\nPREDNISONE 5\n\nMEPRAL  20 MG ONCE\nALFACAL   1  X1\nIVERBRADIN   5 MG ONCE\n\nPLAN \nPROGRAF   4X2 \nMYFORTIC  2X2 \nPREDNSIONE  5 MG OCNE \nCONCOR  5MG ONCE \nALFACAL 1  MG OCNE \nCALCIUM  600 GM 1X2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1119,584,'2026-03-09','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1120,585,'2026-03-10','','','62   years old female pateint \n2014   she had  kdiney biopsy and  it was  2.5   then   3.5  \n\nfor the last  2 weeks   4.5    and yesterdaqy  it was  5.5 \n\nmedication \nliponil  40 mg once\nalfacal 0.25\nnexium 40 mg once\nomega  3\nlorax\namicor   1x2\nasa  100 mg once\nhypocor\nglucosamine\nkarendia\nCLCIUM 600 MG 1X3\n\n\n\nplan \nadd  prednisone \nadd   biosplve \n\n\nrtc after  2weeks',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1121,436,'2026-03-10','','','make prograf    2  am and  1 pm \n\n\nrtc after   2  weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1122,586,'2026-03-10','','','beore   5  years    he  suffered from   vomting snf flank pain \nabdominal us  was one   and  showed    renal stone \n\nthen  his  consdition has  improved  \nhe had   diet  restriction \n\nbefore   5  months  he     repeted  imaging  was  done and it  showed \n9x4 mm     passed to the bladder \n\n\nbefore one week suffered from vomting and  he  suffered from  dehydration and abdominal pain \nright flank pain \n\n\nhe  sought medical  advice    at  dr  haalyga and  he   had abdominal ct  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1123,587,'2026-03-11','','','66  years odl male aptient \ndm for the last   5  years \nhtn  for the last   5  years \ndld \nstroke  with   with risual  right side ody weakness and   slurred speak\nhe was maitainen  on  stroke  before   3  weeks \n\nregarding the kidney   before  2  months he was admitted to the hospital  dr jad and he was trasferred  to the hospital   for  investiation   and  his c reatnine  was  2,3   mg/dl \nhe received  iv    untill  improved to  1.6 \n  then   he  repeated the tet   and it was 2,3-2.5 \nhe has    valvuler ehart disease \n\nhe needs  c cath   before   valve  surgery and he needs    to improe his  kidney fucntion \n\nabdomonal us  was done and showed  both kdiney  increase  in theit  parenchyma \n\nwith  decrease  corticomedullary diff   sufggestiv renal impaitement \n\nmedciation \ncadex\nnifidipin \ngalvus\nomnic \n\n\n\nplan \nrtc after 2 weeks\nadd  l carnitin \nadd   bioslove \ndo labs and rtc afer  2 weeks \nana  c3  c3  esr \n\ncreatinine   ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1124,534,'2026-03-11','','','for labs',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1125,523,'2026-03-12','','','LANTUS \nAPIDRA \nASA \nCALCIUM \nALFACAL \nLECARDIPIN \nSITAGLU \nALFCAL \nLIPONIL ASA \nCREATININE  2.8 \n\nPLAN \nADD  ARANSP \nRTC AFTER  2 MONTHS \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1126,220,'2026-03-12','','','TODAY HE CAME FOR FOLLOW UP \nCREATININE   2.3 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1127,588,'2026-03-12','','','46    \n2012  HE  NOTICE    PROTEINURIA   FOR WHICH    HE HAD KDINEY BIOPSY  \nBY DR RYAD SAED FSGS\nPROTEINURIA 3 GRAM\nIFTA AT THAT TIME  20%\n\nIN 2021  HE   THYROIOD  CARCIMONA   AND HE HAD  RADICAL THYROIDECTOMY \n\nBEFORE ONE MONTH HE HAD  C CATH    AND STENTING \n\nCREATIINE   WHEN HE   PRESENTED T OALAHLI HOSPTAL WAS  3,7   AND THEN    3,1 \n\nYESTERDAY HIS CREATININE  5,7 \n\nMEDICATIONS\nASPIRIN  100 MG ONCE \nPIOGLITAZONE \nCONCONR  5 MG OC NE N PLAVIX   75 MG OCNE \nCADEX    4 MG ONCE \nTHYROXIN  300  MCG ONCE DAILY \nCACLIUM  600 MG OCNE \nATOZET  40/10 \nTWYNSTA     TELMSARTAN AND AMLIDIPIN  OCNE DAILY \nFABURIC  ONCE DAILY \n\n\nPLAN \nSTOP  ARB\nSTOP  SGLTI \nADD CADEX \nANIFIDIPIN   60  MG  1X2 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1128,528,'2026-03-13','','','today she came for follow up \ncreatinine  0.6 \nurine protein /creatinine r ation    was   0/163 \n\nplan \nconsider adding magnexium   supplemintation',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1129,527,'2026-03-13','','','today he came for follow up \ncreatinine   1,5 \nfter  karendia   he  has  cough and  sputum production \n\nothersie  he  is   doing well \nno new complains \n\n\nvital signs   showed   160/67\n\n\ncreatinien  1.5 \nurien protein/creatine  ratio  3900 \n\ninr  2 \n\nplan 4coumadin  1     and half  for  5  days \nstop  karendia ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1130,589,'2026-03-13','','','75 years old male pateint \nknonw to have  \nDM     sicne  2005 \nhypertension \nopen heart  syndrome  and miultiple  stent \nlast one last  years \n2  discopathy operation  \ngour \ndiabetic \n\npresented with   rise in creatninein     2.3   for the last  one   years \nbph \nc/o  frequency \n\nmedication   quest    2.5 mg 1x2 \nconconr  5 mg ocne \necurease  50/1000 \nliponil  40 mg once \nalloril  100 mg once \ncadex   once daily \n\n\nplan \nadd  doudart \nadd   rapafin\nadd   res  q  \nadd   alfacal \nrtc after one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1131,166,'2026-03-13','','','today   she c ame  for follow \n\nhgb  11,6 \n\nbun  5.65   bun    29 \nurine pcr 0/83 \nserum lytes     4.6    po4       3.1   na  142    calcium    8.7\nurine analhyss   clear',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1132,530,'2026-03-13','','','today she came for follow up \ncretinine  1.1 \nc3   132  \nc4    16 \nurine protein/creatinine r ation     2.4 \n\ninr  4.9\ncbc   wbc  8.9   hgb        13   plt     223\n\n\nplan \nrtc after   one month \npramin \nscobutyl \nmake prednusoen   7.5 mg once daily \ncontinue other the same ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1133,557,'2026-03-13','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1134,565,'2026-03-14','','','TODAY   HE CAME FO ROLFOOLOW UP \nCREATININE  1.9  \nHGB  10 \n\nPLAN A\nDD  ALFACAL ONCE DAILY \nCONSIDER   SODIUM BICARBOANTE \nCONTINUE ARANPS \nRTC AFTER  2 MONTHS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1135,565,'2026-03-14','','','TODAY HE CAME FOR FOLLOW UP\nCREATININE  1.9 \nURINE ANALYSIS CLEAR \nHGB 10 \n\nPLAN \nADD  ALFACAL \nADD   ARANSP \nADD AZIMEX AND TUSSIBAL ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1136,383,'2026-03-14','','','Today he came for follow up \ncreatinien   came  with  1,58 \ncreatinirn  1.5 \n\nabdominal us   status post nephrectojy signe   normal kdiney \nnormal prosat \n\nplan \nlecardipin \nto send the labs after  2 dasy \nrtc after   one months \nadd  bioslove \nmedication \nasa   100 mg ocne \nliponil  40 mng once \nsitaglu \nmetformin \nmepral \nalloril 100 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1137,297,'2026-03-14','','','stsable kdiney function \n\nmild  elevation in live   rfucntion \nplan \nmake  myfortic  3  tabs',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1138,173,'2026-03-14','','','today she came for follow \ncreatinine  1,4 \nurine protein/creatinine r atio   6130 \n\nshe is on  prograf  beside  conservative measures \n\nplan \nprednsoione   5 mg  eod ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1139,567,'2026-03-14','','','today he came for   follow up \ncreatinine  1.9 \nurine analysis normal \nhgb   10.5 \ncrp  35 mg once \n\n\nplan \nadd  adcef   300 mg 1x2 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1140,232,'2026-03-14','','','today he came   for  follow up \ncreatinine  1.5 \nurine  analysis clear \nuric acid  5 \nabdominal hus     new  2 mm  stone \nmld  hydronephrosis \n\nplan \nalkasolve \nfebostat \nrwatinex \nrtc after  3 months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1141,566,'2026-03-14','','','today he came for follow up \ncreatinine  1.7 \nurine analysis  clear \n\nplan \nlevox \njn dee \nferrous   fumarate ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1142,590,'2026-03-15','','','61   years odl fm=  male pa \ndm  for the last      15 \nhtn  for the last    15  years \ncreatinine   was     2.3        before   2  years \nbefore  one  week  it  was    3,2 \n\nand  he  came  for  follow up \n\nmedication \neucrease   50/1000   1x1 \nlantus   36    \nlast  a1c  6 \ndiovan   160 mg once \nconcor  5 mng once \nasa  100 mg once \nquest  2,5   mg  1x2 \nliponil  40 mg once \n\n\n\nplan \nadd  galvus \nadd amicor \naddc  adex \n\nrtc after  2 weeksw \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1143,591,'2026-03-16','','','kidney donor ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1144,540,'2026-03-16','','','today he came for follow up \nhe  is better \nno new complains \nwbc   11.9  hgb   15    plt    262\nc3    95       c4 19 \ncreatinine  1.19 \nurine protein/crewatinine    3.5 \nalbumin   2,57\nanti pla2r     less than 0.6 \nana   2.18 \nanca  neagtiev\nurine analysis  showed   protein albumin',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1145,425,'2026-03-17','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1146,592,'2026-03-18','','','67    years old male patinetr \nknonw to have  dm for the last   3  years \nhypernteison for the last   4  years \nischemic cardiomyopathy\n\nreferredl  from  dr  abuallan   from alzahria   as  his creatinie n jumped to   3.9 \nwbc    7,1   hgb   13   plt     193\ncreatinine  2.7 \nalt   254\n0/2/2026   creatinine  2\nno proteinuria\n\nplan \nconcor   5 mg once daily \namoidarone    200 mgnonce \nasa  100 mg once \nclopedrorel   75 mg once \njuvesta \nliponil \nnexium \nlasix  40 \nhold entersto and ho,d  forxiga \n\nplan \nrtc after   2 weeks \nadd alfacal \nadd  rest  q \nadd  amcirot \nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1147,593,'2026-03-18','','','empa \nnifidipin \nasa \nliponil \ncalcium \nferrous  fumarate \nasa \nmepral \n\ncreatinine  1.6 \nhgb  12 \ninsulin as  neede ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1148,503,'2026-03-22','','','TODAY  HE CAME FOR FOLLOW UP \nSTABLE \nFOR THE LAST  10 DAYS HE HAS  LOWER LIMBS EDEMA \n\n\nPLAN \nELESTRIC  STOK \nLABS   TO BE  SENT  TO US    WHEN TO BE DONE \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1149,570,'2026-03-24','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1150,570,'2026-03-24','','','TODAY SHE CAME FOR FOLLOW UP \nCREATIN INE  0.9 \nSHE HAS   RISEIN   RBC   UP TO  500 \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1151,498,'2026-03-24','','','TODAY SHE  CAME FOR FOLLOW UP \nCREATININE  1.2 \nURINE PROTEIN /CREATININE RATIO    1.48 \nALBUMIN  3.78 \nURINE ANALYSIS   PLUS  1  PROTEIN AND SHE AHS    PLUS  1  BLOOD AND     15  RBC \nMEDICATION  \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1152,571,'2026-03-24','','','TODAY HE WAS SEEN AND HIS  CHART WAS REVIEWED \nCREATININE  2.6 \nURINE PROTEIN/CREATININE    4090  FROM 5700 \nMEDICATION \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1153,585,'2026-03-25','','','62 Years old female pateint \nthe   kidney disease   is  iga \ntoday  creatinine  4.6 \nhgb 11,9 \nbun 77 \nserum electrolyt  normal \n\nplan \ncontinue steriod \nabdominal us   renal  8.5  and then other  9 cc\n\nrtc after one month \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1154,157,'2026-03-25','','','today he was seen and his chart was reviewed\n\ncreatinine  1.4 \ntrigleceride   129 \n\n\nplan \nadd  cadex  4  mg   am \nand  cadex 2  mg  pm',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1155,594,'2026-03-25','','','45   years old   male patient \npresneted  for  evlaution of  his creatinine  1.5 mg/dl   for the last  1  and half year \nhe is knonw to have   hepatitis  b \n\nwas referred from dr  malik and  he w as askked to do the  c cath   for  which  he was   sent  to us \n\nhe  was  doing well \nno new complains \nno joint  pain \nstable  weight \nDM   in the family \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1156,28,'2026-03-26','','','today   he came  for follow up \nprennisone     7,5 \nprograf   3 \nmyfortic   1x2 \natacand  16 mg once \nempa  10 mg once \nliponil  20 mg once  daily \n\n\nstop vit  d \nstop  calcium \nrtc a fter   3  months  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1157,595,'2026-03-26','','','50   years old female patinet \nshe was dong well  \nfree past medical hisotory \npresented with flank pain for the last   one week \nshe has  family hsitory   for     renal dsiease \nFSGS \n\nshe   found to have   creatinine  1.  7 \nurine protein c/creatinienratio  was  more than 2 \n\nno joint pain \nno  morning stiffness \nno oral ulceration \nno  rheynoid  phenomenem \nshe  is  knonw to have   thyroxin  100   mcg once dailyh ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1158,538,'2026-03-26','','','esr    3\nc3   1,3\nc4   0.23\nalt  17\nurince pcr   2617\ncreatinine 0.8\n\nbemiga  50 mg once \nmake  plaqnil  200 mg once \nsedaprim  once daily ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1159,309,'2026-03-26','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1160,551,'2026-03-28','','','today  she came   for follow up \ncrweatinine  1.3 \nurine protein    plus  1 \n\nplan \nadd   valsadipin  hct  160/ 5 /12.5 \nhold  empa \nadd  ciprofloxacin \nadd   urostable \n\nrtc after    one and hald  month \nresistat   to  salph  and  cefro',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1161,561,'2026-03-28','','','today she came for follow up \ncreatininer  1.3 \nurine protein /creatinine ration  0.9 \nurine analysis showed      mild  uti\n\n\nmedication \nnorvasc \nalloril \n\nplan\nzinnat  for   5  days \ncolchcin    prn \nhalf  tab >>>    mostly steriod \n\nthanks \nrtc after  1,5  month',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1162,596,'2026-03-28','','','62 years old female pateint \nknown to have   have   dm for the last   30 years \nhtn for the last   10 years \n\nshe was     doing well untill   last month  wne she  found to ave creatinine  1.4 \nalt   14 \nfbs   180 \na1c   9,5 \nurea   27 \nuric a cid  7 \n\n\nmediation \ncodiovan      160/25 \nempa  10 mg once \nmultivitamin \n\nsitaglu    50 mg \nmixtard \n\natorvastatin     40 mg ocne \nmetformin  850 mg once \nconcor   5 mg ocne \nasa  100 mg once \nlasix    40   eod \nferrous  fumarate \ncalcium \nmultivitamin \n\nplan \nadd c adex \nstop  lasix \nmake  valsan    12.5 \nadd  apidra \nadd  bioslove \nrtc after one month  after doing labs ans urine analysis and urine protein \nrtc after one monthrt',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1163,576,'2026-03-28','','','today she came  for  follow up make  carvidelol  1x2 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1164,597,'2026-03-28','','','aortic  valve replacemnt  befr  27  years   and she was doing  well\nshe has  hematuria \nshe   found to have dm for the last   4  years \nshe was seen    by dr   abdulwadood   and    he stopped the  dm medication \n\n\nshe was admitted to the hospital  with acute kidney injury before  3  years and   the   creatinine improved from 7  to 4 \n creatinine   backed to  4  then  imprved  to  2,5 mg   after one months \n\nshe  sought dr  dwand  alarda   the      creatinine improved to  1.3  \nthen   she was maintied on prednisone \n\n9-2025   dr  rawand  askked her to continue s teriod  therapy \n\nbefore  1  months  she  suffered from dizziness and  then she  found to have   creatinien  5   mg/dl \nthen  car accidant \n\n5/3/2026  ahmad  atana asked to her to stop  prednisone \n\nnot allowed to fast  during  ramadan \n\nmedication \namicor 5 mg once \\warfarion   7.5 \nconcor   2.5 \nlipidex   40 mg once \\nexium    40 mg once \nsiran \nprednisone    40 mg once \n\n\nplan \nre\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1165,587,'2026-03-29','','','today he   came for follow up \ncreatinine  2 \nurine analysis   plus  one  protein \ncbc  hgb\n\nplan\n\n\npln \ndd  anepril add carvidelol \nadd   alfacal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1166,598,'2026-03-29','','','42   yers old female pateint \nbefore  2  years       she started to lose  weight   rapidely  from  95   to 65   over \nfew  month \nshe  found to have    gastric  problem \n\ninvestigation was  done and she    found to have creatinine  3  abd more  and on imaging   \nthe kidneys  are  small \n\nbefore   2  months  creatinine     4 \nfor the last  2  weeks she started to have       wer limbs edema and  she  has pain \n\n\nfamily history  for kidney  problem  with   2  brothers   has  kidney tx \nshe  is  sister  for  dua3  abu aam3a \nmariam     her  mother with   end stag  kidney disease \n\nmedicatoins \nlasix    40 mg   2x2 \nnifidilong    30 mg 1x2 \nalloril  100 mg once \n\n\nplan \nadd  sodium bicarboante \nadd   biosolve \ncarvidelol   12,5 mg 1x2 \ncadex    4 mg  1x2\nmepral  20 mg once \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1167,599,'2026-03-31','','','urine analysis    showed  no  protein \ncreatinine   1.3 \nprotein/creatinine   ratio   0.21\nesr 11\n\n\nthe   right kidney     12.5    left kdiney   12.7 \n\n\nright   upper  bold  calcifed  \n\n\njauet \nlantus    20 \nlipidex   40 \nvalsadipin     160/10/12,5 \ncadex  4 mg once \ncarvidelool  12.5 mg  1x2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1168,156,'2026-03-31','','','today   he came for follow up \nha1c  7.6 \n\nplan \ncontinue prograf  2x2 \nmyfortic  2  and 1 \nprednisone   5 mg once \n\nplan \nstrict   diet control',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1169,112,'2026-03-31','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1170,86,'2026-03-31','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1171,574,'2026-04-02','','','today he came for follow up \ncreatinine   1,6 \nurine analysis free \nha`1c  6,3 \n\nmedication \ncadex \namicor   lasix  prn \nliponil \n\nplan \nadd   j dee \nadd   basilix  and   add   syrup for cough \n\nrtc after  3  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1172,308,'2026-04-02','','','today the pateint was seen \nshe has lower limbs edem a\ncreatinine   1,69\na1c 10\nproteinuria   513\nhigh blood pressure\n\n\nplan \nadd  valsadipin   150/5/12,5  since her blod rpessure  was  180 \nadd  level \nmanesium \nj  dee \n\nrtc after  6  weeks \nto repeat     creatinine and to send  it    within 2 weeks \ncontinue  other the same \nif the proteinuria persist  then consider  kidney biopsy ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1173,569,'2026-04-04','','','today he came for follow up\nprednisone   1  mg once daily \nprograf   2  and  1  pm \nmyfortic   360  2  and 1 \namicor    5 mg  1x2 \ncarvidelol   12.5  2x2 \ncadex  2  mg once\nmedrol\nplan \n\nhe still have  high alt   and high ldl\n\nplan \nadd liponil afte4r improvement of the ldl \nrtc  after  2 weeks \nfollow up prograf level \n\n\nplan\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1174,546,'2026-04-04','','','referral to the hospital    as  she  found to  have creatinine  2 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1175,600,'2026-04-07','','','44 years old female pt \ndm  for the alst     10  years \nhtn for the last  18 years   after  preclmpsia \nttp    2009   at almakassed hospital    after pregnancy \n\n\nshe was  referred   from dr  laith \nshe has  vasculopathy \n before  one year   she has  littil  toe  pain and she   was diagnosed  with diabetic foor \nseen by dr humam  aldumiri  and  aputation \nshe has  rhymoid  phenomenmon \n\nshe was  seen by tamer shawer  and then she was refffered   for  dr laith \ncreatinien  1.8\nalt   8 \nldl  101 \nbun    43 \nast  16\na1c   7.2\nwbc 6.4  hgb10.8  plt  127\nesr  307/4    2.2 \nana   negative\nurine protein  plus 2 \nwbc  10-12\ncreatinine   7-4  2.2',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1176,601,'2026-04-08','','','73  years old male patient \nknown to have chronic kdiney disease and they asked  to do c cath  and   then he  found to have  creatinine    high \n\ndm for the last 20 years   or  more \nhtn for the last   30 years \ndld \ngouty arthitis \ncreatinine   reached  3.3    then  2.2   1.9 \n\n\n20  ramadan  he    suffered from   myocardial ifarction and  he lased for more than one week \n\nafter eid  he was  dmitted to  ccu as a case of   myocardial infaction and he needed dialysis   3  times   and then improved \n\nbase line creatinine  2   and more \nSignifiant  BPH \n\nTHE INDICATION FOR DIALYSIS WAS    VOLUME OVERLADED \n\nMEDICATION \n\nQUEST  2.5 MG 1X2\nAMICOR 5MG ONCE\nLIPONIL    40 MG ONCE\nALFACAL 0.35 MG ONCE \nASA   100 MG ONCE\nHYPOCOR  5 MG ONCE\nCALCIUM 600 MG \nDEMATOR  20 MG ONCE \nDULOU  5 MG ONCE\nCIPRALEX \nCADEX  4 MG ONCE \nINSULIN  \nLANTUS   20 \nAPIDRA  20 PM \n\n\nPLAN \nADD   BIOSOLVE \nADD DEFLAZACORT \nADD DOUDART \nRTC AFTER  2 WEEKS \nADD ARANSP ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1177,583,'2026-04-08','','','A1C 4.6\nHGB   16\nPLT  102\nURINCE11/67\nCREA1\nBUN23\nALT    73\nLDL   92\nNA136\nK4.9',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1178,205,'2026-04-08','','','MAKE PREDNISONE    7.5 MG ONCE \nMAKE  MYFORTIC   2  AND 1 \nTAC \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1179,386,'2026-04-08','','','TODAY   HE  CAME FOR FOLLOW UP \nCREATININE   3,5 \nHGB    9.4      WBC   5.2  PLT    188\nURINE ANALYSIS   POSITIVE 1PROTEIN\nCREATININE   3.5\nBUN   49 \nCALCIUM    8.3 \nPOTASSIUM    4.6 \nSODIUM  140 \n\nPLAN \nCADEX \nAMICOR \nCALCIUM \n\\ALFACAL \nARANSP \nRTC AFTER 2 MONTH',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1180,602,'2026-04-09','','','DM \nDLD \nHTN \nGOUT \nCKD  BAFORE  3 YEARS  1.4\n\nMEDICATION \nHCT \nALLORIL  300 MG ONCE \nSIMVASTATIN \nTHYROXIN \n\nC/O  EDEMA \nPLAN \nTO  DO LABS  AND  US \nADD  J DEE  AND   CALCIUM ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1181,586,'2026-04-09','','','ADD SODIUM BICARBONATE ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1182,30,'2026-04-09','','','TODAY   SHE IS  DOING WELL \nPLAN \nREPEAT  C3 C4 AFTER  2  WEEKS   AND IF LOW  CONSIDER  INCRASED THE  MYFORTIC \nPREDNISONE  10 MG OCNE \nCREATININE   1,3 \nRTC AFTER   2 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1183,603,'2026-04-09','','','dr alla    amro \nshe has    preganncy   22 weeks \nproteiuria \n\nurine  analysis   no protein \nurine  protein /creatinine   0.44 \ncreatinine  0.4 \nalbumin  4.1 \n\nplan \ndiscahr  after reassuring \nrepeat the test after 2 weeks and to send  it  to me  through social media  since it ws  surpisengly normal \nblod pressure  126/77',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1184,528,'2026-04-10','','','today she came for follow up \n\\creatinine  0.6 \nurine protein /creatinien ratio 0.06\n\n\n\nbood    [ressure   97/50     \n\nplan \nhold   zimical \nhold dee  dense  \nincrease   salt   n  and protein',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1185,604,'2026-04-10','','','congenita   sigle  kdiney  \nhe  develped  proteinuria \nsent  by dr  amjad alhawarin\n\n4-2025   1.5\ncreatinine   1,6\n3-2016    1.36\nprotien  plus 3\nnormal   c3   and c 4  esr  40 \n24  hour urine collection 2900\nana   negative \n2-2026   1.2   hgb      12    wb    10   plt     246\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1186,605,'2026-04-10','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1187,606,'2026-04-10','','','abdominal pain \nabdominal ct was  done   and showed     left   kdiney abscnstright  kidney  cis  normal \n\n\nplan \nsingle  kiney \ntp  do ;abs \nmag  3  ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1188,357,'2026-04-10','','','creatininein   2.5 \n\nplan \nadd    zinnat alfalca \nrtc after   one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1189,607,'2026-04-10','','','dm \nhtn \ngouthy arthritis \n\ncraetnine  1.46 \n\nplan  hold  tritace for  5  days  and  give amicor 5 mg 1x2 \nrtc after one months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1190,560,'2026-04-10','','','today she came for follow up \ncreatinine 1.8\nutin   protein \'creatiine rtio  0.07 \ntsh nomal \nurine analsis  snowed   wnc    and she needs  antibiiotic \nwbg     7,3   hgb    12.7 \n\n abdominal us  showed   small size kdiney \nno prteonuria \nblood pressure   still   high \n\nmedication \ncarvidelol  12.5   1x2 \namicor  5 mg once \nmixtard \nliponil lasix    40 mg once ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1191,589,'2026-04-10','','','today he came for  follow up \ncreatinien  2.4 \nurine analysis clear \ncbc  noral \nplan \nadd  sevemaler \ngiven  symbicort \ncitrazin  tab once daily \nrtc after one month  with doing labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1192,608,'2026-04-10','','','67 years old male patient \nknown to have dm  htn   ckd  base line creatinine  2.8 \npresented   after   being discharged from  the hospita; woith  creatinien   reached  4.1 \n\nmedication \ninsulin \nasa  100 mg once plavix   75 mg ocne \nhydralazin \ncarvidelol 4monocord \nliponil  calcium severmaler \nalfacal \n\n\nplan \nadd   feboxstate \nadd   biosolve \nadd    zimical \n\nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1193,124,'2026-04-11','','','today   she came for follow  up \ncreatinien 1  urine protein/creatinine  ratio    88\n\nplan \nrtc after   2 months \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1194,152,'2026-04-11','','','make  carvidelol   plus  6.25   bid \nadd j dee \nconsider  switch  myfortic  to  cellcept  if he still having loss  stool ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1195,152,'2026-04-11','','','',1,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1196,173,'2026-04-11','','','she  received   2  doses of  rituximab \n18/3      1/4 \n\nc/o \nbone pain \ngenraled weakness \nuncontrolled  blood pressure \nno lower limbs edema \ngeneralzed weakness \n\n\nmedications\nvalsadipin   160/12.5 \ncarvidelol  12.5  2x2 \nempsa  10 mg once \nprograf  1x2 \n\nliponil  40 mg once \n\n\nplan \nmake  prograf    1x2 \nnever  back to steriod  \njamission magnesium   once daily ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1197,173,'2026-04-11','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1198,609,'2026-04-11','','','17   years old male aptient \nhe is premature  and  presented with  bilaterwaql  flank pain radaited to the   back not  the  flank \n\nhe  has   recurrent   attacks     for the alst  2  weeks \n\ncreatnin    1.27   alt    47 \ntsh    2.6    free    t4    1.26 \ncrp  2 \nwbc    8.2    hgb     17       plt     243 \n\n\nplan \nto  do renal us \nto do  laa\nb \nrevilax \nparamil extra \nreevlaution tomorrow ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1199,512,'2026-04-12','','','today   she came for follow up \n\nmedications \nanapril   20 mg \neucreae \nforxiga \nlantius \napidra \nasa \nliponil \ncymbalata \n\n\nshe has recent hypoglycemia  but the creatinine  1,5  from 1.6 \nproteinuria improved\ncreatinine 1.6\nurine pct  0.18\n\nplan \ndeflazacort  for  genralzed weakness \ntelfast for the allergy \n\nrtc after  2  months ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1200,577,'2026-04-12','','','today she came for follow up \nstarted on demator \nplan \nadd pantover  instead of nexium \nadd  alfacal \nadd res  q 10 \n\ncreatinien  1.8 \ntsh improving  27 \nhgb 14,6\n\nplan \nshe is improving   we  added the medication  \nrtc after  2  months',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1201,610,'2026-04-13','','','abuadham \n\nSICNE  2018    HE HAS  HYPERTENSION    160/12,5   STARTED \nFOUND  TO HAVE   CREATININE  1.6 \nHE  SOUGHT MEDIAL  ADVICE     BY DR KAMEL  JEBREEN \nEXFORG \nLECARDPINE \nCARVIDELOL \nOPTALGIN \n\n  ON THESE MEDICATION \nHIS  BLOOD PRESSURE W AS   140/90 \n\nFOR THE LAST  20  DAYS HE   HAS  HEADACHE AND   HE  FOUND TO HAVE   DBP MORE\n\n\n\n THAN 100  AND   SBP  150 \n\nCREATININEIN  1.4 MG /DL \n\nFAMILY  HISTORY \nNO FAMILY HISTORY AT YOUNG  AGE \nNON SMOKER \nJOINT PAIN \nDISCAOPTHY \n\nWEIGHT  110 \nHIGHT  172 \n\nSALTY FOOD AND    MEAT \nBP   150/90 \nON THE LEFT SIDE   145/95\n\nPLQAN \nDO RENAL US \nDO LABS \nREEVALAUTION AFTER LABS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1202,595,'2026-04-13','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1203,78,'2026-04-13','','','SHE IS  IN REMISSION ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1204,461,'2026-04-13','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1205,611,'2026-04-14','','','past medical hisotry \ndm   MAINTAINED ON \nMETFORMIN  \nAMICOR \nCONCOR \nLIPONIL \nASA  100 MG \n\nOPEN HEAR  BEFORE  20 YEARS \n\nECHO WAS  DONE AND SHOWED  NORMLA  LV \n\nCREATININE   WAS NORMAL,BEFOPRE  2 WEEKS \nCT W AS ORDERED AND  \\FOUND  TO HAVE   CREATININE  1.5 \n\nAMICOR \nBIOSOLVE',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1206,451,'2026-04-15','','','stable \nno new complains \n\nplan \nadd  iron \nrtc safter   2  monthjs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1207,612,'2026-04-15','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1208,388,'2026-04-15','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1209,613,'2026-04-15','','','80 years  old female pateint \nknown to have dm for the last   20 years \nhtn for the last       20 years \ndl d\npericardiatis    s/p pericardial effusion  at  7/10/2023 \n\n\n  since   2011   1.6-  3 \nshe was  followed by dr naseem and  shoiki     1.6  -2.2 \n\n\ntoday  she   dod the labs and shwoed  creatinien  3 \n\nuric     4.5 trigleceride   136 \nwbc   16     hgb  11  plt 107\n\nmedciation \ngalvus   50 mg once daily   and  now  sitaglu \nliponil 40 mg once \nlasix  once daily \nalloril  100 mg once \nhba1c    6 \naspirin\n\nplan \nadd  calcium \nbiosolve \nadd   alfacal \n\n one week   to repeat the creatinine   and then to send  it  to  me \nnifidelolg   30 mg   once daily',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1210,614,'2026-04-15','','','44  years old femlae patinet \nduering the last  pregnancy before  9 years    she  suffered from  hypertensionand  dm \nthe   hypertnesion remains \n\n\nmedication \ncodiopvan 80/12.5  \nhypothyroidisk    200 mcg   once \n  \n\n  for the last    few years she  has  heamturia and  proteinuria   and she was  on \ndr  muhammed albiurini   and she   found   to have  congenetal anomalies  on the kidney  and she has  back pain \n\ncortisone  0.66\ncreatinine  0.8 \nast    27 \nalt  28 \nbun  14\ntsh  3,3\nwbc    16  hgb  11  plt     198\nurine anals\\ysis  sowed  proteinuria   plus  3 \nwbc   8-10 \nrbc   over  100 \n\n\nplan \nurine  for   cast \nurine protein/creatinine r ation \nesr \nto   brig   the old  file ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1211,558,'2026-04-15','','','hold  inflicta \nhold    valsadipin \n\n\nplan \n\ncaadex  4 mg  1x2 \namicor  5 mg 1x2 \n  to do mri ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1212,239,'2026-04-15','','','   wbc   12   hgb    7.9    plt     287\ncreatinine  2.49 \nldl  120 \nuric acid     6,8 \nurea  92 \nglucose    96\n\nmedciation \nliponil 40\nalfacal  1\namicor\ninflicta   10\nasa  100 \npepticum\nlozar  50 mg 1x1\nor empahypocor 5 mg once\ncalcium  magnesium and zinc \n\n\n\ntoday  morning  his  plan  bp   116/46 \n\n\nplan \nadd  omnic \natozet \nfolic acid \nferrosus \nlabs  consider  git  referral \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1213,615,'2026-04-16','','','58 years old female patient \nknown  to have 253\n\nHTN  FOR THE ALST   5  YEARS \nDM  SICNE  25  YEARS \nDLD \nCREATININE    1,2   BEFORE ONE  YEAR \nBEFORE  4  YEARS  SHE  SUFFERED FROM   PERICARDIAL EFFUSION  \nSHE HAS LOWER LIMBS EDEMA \nRINE PCR  966/51\nHBA1C   8.7\nWBC   9 HGB13  PLT\nCREAT1.8\nBUN35\nAST  ALT  NL\nESR  62\nLDL  120\nCALCIUM     8,7\nALBUMIN 3,3\nFERRITIN 28\nPTH   587\nURINE  NP WBC\nPROTEIN  2\nVIT  S  5',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1214,264,'2026-04-16','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1215,365,'2026-04-18','','','125  80 \nno postural changes \n\nlabs showed \n\nwbc 3.8  hgb    11.8   plt     150\na1c 5..7 \nldl  68 \ncreatininei   1.6 \nna  141   k   4,1   cl 103\nrsh  1,7\nurine analysios   no oriteub   no  wbc',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1216,569,'2026-04-18','','','bp 107/75 \n;labs\ncreatiine  1.26 \nbun 14 \nuric a cid  6.5 \nalt  86 \nast 36 \ncalcium9,6 \nalkaline phosphatase   242 \nalbumin 4.6\ntreigleceride   187\nna  139 \nk  4,2 \ncl 109\nurine analhysis    cear\nwbc   5,5    hgb     14   plt      189\n\nprednisone   1  mg once daily \nprograf   2  and  1  pm \nmyfortic   360  2  and 1 \namicor    5 mg  1x2 \ncarvidelol   12.5  2x2 \n\n\nplan \nstop  cadex ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1217,111,'2026-04-18','','','today she came for  follow up \n\n\nplan \nincrease plaqunil \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1218,474,'2026-04-18','','','today he was seen and is chart wa s revidwed \ncreatininr  \\3.9 \nhgb      12.4 \nesr   40\nurea    56 \nldl   104 \nha1c  6.7 \n\nmedication \ncrestor  20 mg cone \nasa  100 mg ocne a\nmcirot   5mg 1 x2 \ncadex  4  gm cone  sodium vbicarboabte \nmepral \ncalcium \nalfalca \n\n\nast  12 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1219,226,'2026-04-18','','','for kdikney tx ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1220,616,'2026-04-18','','','44  yearas  nold female oatient \npresented with uvitis \n  and she   found to have  proteinuria \n\n\nwbc   11  hgb    12.8   plt   350 \nesr  80\ncreatinine  0.8 \nast      21 \nalt   15\nra   neagtive \ncrp  72 \nurine  analyhsis  showed  plus  2  protein ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1221,614,'2026-04-18','','','today she came for follow up \ncreatinine  normla \nurine protein/creatinin   ration normal \nurien analhysis   hematuruja \nct  showed apprent  velles \n\nbp  still  uncotlrleed \n\nplan \nstop  asa  \nadd  rtawatinix \nadd   cocnor \nadd  betastin \nadd f erromed plus ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1222,58,'2026-04-19','','','today shre cme   for foplow up \nwbc  12   hgb     11.5   plt 256 \nesr   35\nurine analhysis showed   plus  i  protein\ncreatinine   2.5 \nalbumin   3.67\nprotein/creatinien r atio     86/69',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1223,60,'2026-04-19','','','today she was seen and her chart was revidweed \n\n\nwbc   13   hgb  5,6   plt  290\nurine analysis protein  plus  2 \nwbc   plus  2 \nno  wbvc\ncreatinine   1.8 \nuric acid    3.6 \nalbumnn   4.1 \nurine protein/creatinine      2.8\n\nmedication \ncalciu ,  vitamix \njardiac \natacand  16 \nnorvax  5 \nfoxuric  40 \nprolol  10',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1224,617,'2026-04-19','','','16   years old male patinet \npresneted with  flank pain and   hematuria \n\nabdomoia;l us  normal   except  for cystitis \nurien analysis showe edpblood \n\nplan \nzinnat   500 mg 12 \nurostable \nrtc after  2 weeks ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1225,618,'2026-04-19','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1226,619,'2026-04-19','','','polyuria \nno urgency \nno  dribling \n\naleef  alzaro  and he  found to have   prostatitis  a nd he was    given  medication \ncreatinien  1,26   and then       creatinien  1.45    after   iv    injection \n\n\nmamoun agawasmi  and he  found to have  protein \n\n\nurine analysis  shoed  protein n  plus  3  a dn    rbc   40-50\nurine  protein/creatinine  ration 1900\ncreatinine  1.54\ncreatinine  1.2\nwbc   8  hgb   17   plt  211\ncrea  1,3\nabdominalct  showed   normla   renal size and   left  remnal  cortical  3  dense  cyst     are s een  up  to  8  mm     \nbilateral    tiny simple  cyst \nnormal renal hydronephrosios and  urinary  bladde  are normal ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1227,619,'2026-04-20','','','today he was seen \ncreatinine  1.19 \nurine protein/creatiinine  ratio n  2.16 \n\nplan \noprednsioen  20  for   2 weeks then 10 mg   for  2  weeks \ndovan    160 mg once \nomega  3  1x2 \nrepeat the test after one month ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1228,582,'2026-04-20','','','today eh was sene and his chart was revidfwed \ncreatnine 1.,9 \nurine  proteion \ncreatinine r ation 01 \npth  49 \nurine analysis shoe     no protein and no   rbc \na1c  8,7 \nphosphruc  4.1 \ncalcium  9 \nurine protein /creatinine  ratio  0.1\nwbc    6   hgb   13  plt  182 \n\nGFR   37 \nESKD  RISK   9% \n\n\nMEDICATION \nATACAND   8 MG ONCE \nCARVIDELOL 12.5 MG  1X2 \nEMPA  10 MG ONCE \nADD  OZEPMIC \nSTOP  SITAGLU',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1229,167,'2026-04-21','','','today he came for follow up \ncreatinine  4 \ntri   500 \nadd    lantius  30  and  25 \nadd   bezofibrate \nadd omega  3 \nrtc afte rone omnth \nadd  feboxstat \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1230,53,'2026-04-21','','','exforg 160/10\n\nin recovery \n\nplan \nempa  10 mg nce \nexforg   160/10',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1231,620,'2026-04-22','','','17   years old   female pain \npresented with  flank pain \nurine analysis   showed  protien /creatinine  ratio   183/227 \ncreatinine  0.65 \nbun  11\n\nwbc 9.3   hgb  14,6  plt275\nshe has  mild prtein uria \n\nadd l  carnitin \n\nplan \nabdominal us \nlabs \nreevalaution \nl  carnitin \nzimical ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1232,621,'2026-04-22','','','45  years old male pateint \ndm for the last   18 years \nbefore  8 months  he   has  polyuria and gneralazied weakness \nhe has  nocuria \nhe has  numbness  on the lower limbs and he started    on nervantin \nhe  developed   perioribital eye puffness \n\n\nhe  found   to have  high blood pressure \n\natacand   8 mg once daily \nhe asked him to   take  atacand  16 mg once daily \naftrer  eating he has  abdoianl  bloating and lower limbs  edema \namicor   5mgonce \napidra   12   15  12 \nlantus  22  am a nd  22  pm \nglucomet  750 mg 1x2 \n\n\nplan\nstop amicor \ncarvidelol \natacand  plus \nacidphilus \nlaxadin \nj dee \nb12 \ndo echo \ndo labs \nreevlaution \nurine proteincreatinine  ratio  0.4',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1233,622,'2026-04-22','','','29    years old male patinet \nhe has   appendectomy before  2  months \nhe has  bilateral   flank pain   that increase don the first  2  days  \n\nhe   has  joint pain   with morning  stifness \ncold intolerance \nhe increase urine frothiness \n\nno lower   limbs edema \nno  hair   \nfamily history for   renal stone \n\nplan \nj dee  once weekly  zimical \nrtc after doing labs ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1234,593,'2026-04-22','','','empa \nnifidipin \nasa \nliponil \ncalcium \nferrous  fumarate \nasa \nmepral \n\ncreatinine  1.6 \nhgb  12 \ninsulin as  neede ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1235,565,'2026-04-25','','','today   he came for follow up \ncreatinine     1.5   hgba1   6,5 \nhgb  13 \n\nplan \nstop amicor\nmake c adex  2  tab \ncontinue    inflicta and  sitaglu and  metformin \nlantus   from 16    to 8 \napidra   as  needed \nstop  sodium bicarbonate \nstop    aransp \nasa  \nliponil 20 mg once \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1236,602,'2026-04-25','','','codiovan \nparamol  extra \ntegretol \n\n  continue asa   liponil   stop amicor and  stop  hct \nalloril    300 mg  once \nsimavastin',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1237,436,'2026-04-28','','','',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1238,623,'2026-04-28','','','before     months she suffered from   gstroenteritis   and she   found to have   differance  size  kdiney  right   side  12  and  then otehrs  9 cm \n\n\n\nplan \nfor  mAG  3 \nCREATINIEN  NORMAL \nNORMAL CPCR \nURINE ANALYSIS  SHOWED   WBC  AND HEMATURIA \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1239,70,'2026-04-28','','','TODAY SHE CAME FOR FOLLOW UP \nCOUGH   SOB \nCREATINIEN  1.9 \nURINE PRTEIN 400 \nHA1C  6,4 \nTSH 6 \nBP  140/77 \nHR  50 \n\nPLAN \nMAKE  CARVIDELOL   6.25 MG 1X2     INSTEAD   12.5 \nHOLD  CARVIDELOL  TODAY \nMAKE  AMICOR  5MG  1X2 \n\nADD    COFSPAN \nADD BASILOX \nFOLLOW   UP   BY  WHATSSAP  THE  URINE ANALYSIS \nFOLLOW UP   WHATSAP  HR \nCONSIDER  B\\AEROVENT  RESPIRATORY SOLUTION',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1240,153,'2026-05-02','','','TODAY SHE CAME FOR FOLLOW UP \nCREATINIEN  1.2\nLDFL    103 \nSHE HAS   SEVER  KNEE  PAIN \nLIGAMINET  TEAM AND SEVER  OA \n\nPLAN \nMEDROL  4 MG 2X1 \nMAGNESIUM  REVILAX \nRTC AFTER   2  MONTHS \nRECHECK WITH RHEUMATOLOGISIT',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1241,624,'2026-05-02','','','FREE  PAST MEDICAL HISTORYH \nABDOMINA  DISTENSION  FOR THE LAST  3  MOTNHS  GASSESS \nHE HAS  LOWER ABDOMINAL PAIN AND    HE HAD ABDOMINAL US \nSHOWED   DIFFUSE  FATTY LIVER  DISEASE \n\n\n\nPLAN \nPANKREATKOFLAT \nFLATEX \nNEXIUM \n\nRTC AFTER ONE MONTHS \n\n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1242,152,'2026-05-02','','','MAKE  CARVIDELOL  12.5   2X   AM AND 1  PM \n',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1243,625,'2026-05-02','','','  FREE PAST MEDICAL HISOTRY \n DM FOR THE LAST    14  YEARS \nCHEST PAIN \n\n\nCREATINIEN  1.6 \nVALPATRIN\nINFLICTA \nASA \nPLAVIX \n\nRTC AFTER   3  WEEKS  TO ADD  \nADD   MAGNEXIUM \nALFACAL \nRTC AFTER  3 WEEKS AFTER  DOING LABS ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1244,626,'2026-05-02','','','70  YEARS OLD  MALE APTEINT \nRA \n\nWAS SENT   TO   CONFIMRED  IF  HE NEED  MTX \n\nHE  CAN USE IT \n\nPLAN \nADD  ALFACLA \nADD  BIUOSOLVE \nAVIOD  NSAID \nUS  SHWOE DPOLYCYSTIF CKIDNEY DISEASE ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1245,538,'2026-05-02','','','Today she came for  follow up\nshe   has lower abdomialdistension   and  mild pain \nshe has   gyne  check up    normal \nradwan amor    urology   was  unremarkable \n\nplan \ndo abdom ina  us  or  ct \nrepeat  creatinien    and urine analysis after one week \ncreatinoine  1.1 \nurine pcr   550 \nblood pressure normal \n\nto call us back after  2 weeks  for the  imaging and lab resutl\nr/o sliding hernia ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL),
(1246,627,'2026-05-02','','','26 ',0,6,NULL,'',NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL,NULL);

--
