dm   for the last   9  years 
htn for the alst  9  year s
no chf 
lymphoma 

creatine   2.6   mg /dl 
received  chemotheray 
pth crcinom
unresectble
chemotherpy 


plan 
medrol 
calcium 
sevelamer 
febostat 
uric   acid   10 
creatinien  3.6 
bun 55 