30  years old female pt 
knonw to have FSGS  repeated kdiney biopsy at almakassed  hospital and showed   mesangioproliferative  gn 
she was   seen    today  she still have nephrotic range proteinuria 
creatinien  0.6 
albumin last time   3.8 

plan  
we started her on atacand    2  am and  1  pm 
she is on lipitor 
asa   100 mg 
prednisone  40 mg ocne 
calcium  600 mg ocne 
dee d ense     2000  iu  oce  daily 
i aksed her to come back to  hebron hospitalafter  2  weeks     for   evaluation  of prograf  level and 24 hour urine cillection for proteinuria