today she came for follow up 
she  sought medical by dr  Ismaeel and    he stopped all the medication 
sought Medical Device  by  dr ala    with reassuring   Finding   including improvement on the  right  optic  neve and  the left  has  Milk   degree of edema 
however  the  report  is   not available now 

medication 
nexium   40 mg once 
myfortic  1x2  for  one wek  then 2x2 
carvidelol  1.5  2x2 
cadex  4 mg  1x2 
calcium  600 mg once 
j dee   once  monthy 
ferromedplus     1x1 
rtc after   2  months 


today she came  for   follow  up  creatinie  1.2  
urine  protein   760 
albumiun  3.4 
she is on  topiramate  for   psedue tumoe  cereberi
exforg   160/10 
she  has  falnk pain  and the us  normal 

plan 
add  balgesic  1x3   for  3  days 
discuase  uremix   with dr   jubran 