today  the pt was see N AND HER CHART WAS Reviwed 
she looks better 
bp  128/77   hr  90 


labs showed   creatinni1.2 
urine  pcr  2 
c3c4  not  done 
she was  referred  from  dr  saed  for  rituximab 

plan 
add  empa 
do  ppd  test 
consider  retuximab  if not  response 