How it works.

Eight active orders, from three prescribers in two systems. Three things stand out:

SAME DRUG, TWO SYSTEMS
  Norvasc 5 mg          cardiology    hospital A
  amlodipine 5 mg       nephrology    hospital B
  (a third order, 2.5 mg, is also still open)

CHANGED 34 DAYS AGO
  furosemide 40 mg      nephrology    hospital B
    ← replaces 20 mg, same prescriber

OPEN SINCE 2003
  naproxen 220 mg       hospital A

Norvasc is a brand of amlodipine, so two of those are the same drug under two names, from doctors in hospitals that don't share records. The naproxen order has sat open for 23 years — that may just be a list nobody closed, but NSAIDs matter in kidney disease, and hers is stage 3.

This is what the record says was prescribed, which is not the same as what she takes. Bring it to whichever doctor she sees next — I can print it by prescriber, with a link to each order.

Each of your results was read as “normal,” but one number has been climbing across your last three physicals:

A1c   5.4 %   →   5.7 %   →   6.0 %
      2023        2024        2025

The most recent value crosses into the prediabetes range, and the steady upward slope matters more than any single reading. No one visit flagged it because each was looked at on its own. This is worth raising with your PCP — caught here, it's often reversible with changes you already know how to make. I can pull the three results together and draft a short portal message for her.