today he came for follow up 
creatinine   1,5 
fter  karendia   he  has  cough and  sputum production 

othersie  he  is   doing well 
no new complains 


vital signs   showed   160/67


creatinien  1.5 
urien protein/creatine  ratio  3900 

inr  2 

plan 4coumadin  1     and half  for  5  days 
stop  karendia 