today she was seen and her chart wasa reviewed 
she looks the sme 
she is complaining from lower   limbs edema and she  has   chest  discomfort 
she has  fever and mild  chills 

no nausea  or  vomitign 
she has   joint pain 
no  dyuria   or  flank pain 

she has   creatinine       5 
bun 73 
ldl   90 
urine analysis+2  protein 
alt  ast  normal 
cyclosporin level  550

plan 
decrease the cyclosporin level 
make prendiosne   5 mg  2x1 
calcium 1x2 
lasix   eod 
rtc after  2 weeks 