today he came for  follow up 
creatinine  1,1 
protein/creatinine  ratio  has  imprved to  240 

he  found to have irone deff  anemia 

plan 
referrral  =to  dr sameer  for  colonoscpy   as  he ahs    family hx  for  colon ca 
iron 
j dee 
rtc after one anad half  month