today    she came  for  follow up 
she  looks  nbetter 
no new complains 

labs showed  
creatinine  1.1 
albumin       3.7 
protein /creatinine  ratio     4256     from  2  gram 
c3  0.474      normal range   0.9-1.8 
c4   0.075      normal rang   0.1-0.4 


plan 
add   forxiga   10 mg once 
myfortic      5  tab 
contineu   prednisone   30 mg once 
exforg   160/10
concor 5 mg once 
continue  vit  d  and calcium 