64   years old male pt 
knonw to have COPD  with low     functional capacity   33%   and he had    bronchoscopy 
he laos known to have  ishcemic heart disease    with multiple  stent 


he is on reguler follow up  at   sueer  hospital 
creatinine   1,4 
hba1c  10.7   
DM       one week 
NO HTN ARTICARIA 
ALLRGY TO MEDICATION   TO  NSAID 

medications 
conconr   5 mg once 
lipidex  40 mg once 
plavix   75 mg ocne 
alllergy to  asa 
lorax 

plan 
add  dee  desen 
add  biosolve 
rtc after doing labs and to bring the labs  with him 