### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
SIR MY FATHER AGED 70 YRS ,HYPERTENSIVE WITH STUNT 5 YRS BACK,,,TAKING TELMA 40 MG,METXL 50 AND ASPRIN . ALL OF A SUDDEN HE WAS WITH LIGHT PAIN IN LEFT SIDE OF ABDOMEN AND DOCTOR(PHYSICIAN ) ADVISE TOTOAL ABDOMEN U/SONOGRAPHY...THE IMPRESSIONS ARE ............ VASCULAR CALCIFICATION IN BOTH KIDNEYS.,, SERUM CREATIN (1.0)...SIR PLEASE ADVICE US WILL THIS CALCIFICATION IS A VERY SPEEDY PROCRESS AND WILL HIS KIDNES AND HEART GET DAMAGED SOON OR WILL IT TAKE TIME AT LEAST 5 YRS ....WAHT SHOULD BE OUR NEXT STEP,,,,PL ADVICE US WE DONT WANT TO LOOSE HIM.

### output:

Hi Andy, Thanks for writing in. Vascular calcification of the kidneys could be due to old age, chronic kidney disease and diabetes. I would like to know the size of the kidneys in the ultrasound report. Also, I would like to know the electrolyte level renal function test report and the complete blood count. This will help us know whether he has chronic kidney disease. Also, I would like to know if he is diabetic. If this is only because of old age, then it will not progress rapidly. However, regular monitoring of renal function is required. Your next step should be to consult a nephrologist. He would be the best person to guide you. Hope that helpsRegards