76   years old female 
DM   for the last   17  years 
htn   for the last    20   years 
dld 
conlon surgery    with incinional hernia    after  intestinal obstruction 
mastectomy on the left  side 
not  known to have  ischemic heart disease 

medications 
ribocinib  for  brest malignancy 
crestor  20 mg ocne
pantover  20 mg ocne 
lasix  40 mg ocne 
letrozole      2.5 mg once daily
nifidipin  30 mg 1x1 
aldactone  stopped 
concor   5mg ocne 
alloril  100 mg ocne 
asa  100 mg once 
tramal   drop  once needed
alfacal 0.25 mg ocne
laxadin   tab  prn
xigdue  x r     10/1000  once daily

insulin    apidra   6    8    6 
lantus    30 


labs  showed 
creatinine  1.8      11/2/2026
hbac  7.6 
uric acid   3,5
creatinine   1.6   in 2023

plan 
add  normalax 
add   vitamix 
add biosolve 
make   nifispin   30 mg  x2 
