today she came for  follow up 
creatinine  1.47  increased 
c3    0.58  improving 
c4   0.089  improvein 
ESR   83   improving 
urine   protein  showed 2440  improving 
na   142 
k  4.8   cl 108 
urine analysis  showed   40-45   wbc      80   rbc     albumin  =2 


plan 
stop  forxiga 
rizacef   400 mg once daily 
acamol
rtc after  10  days 