today she came for follow up 
remnal  graft us  showed normal  finindng 

38  years old female pt 
known to have kidney tx  since long period of time 
she has proteinuria 
and found to have dyslipidemia 

she is  doing  well 

labs  showed 
bun  26
creatinine  1.2 
ldl  56 
hdl 70 
wbc 8.7  hgb   11.7  plt  145
esr 10
na 139
alt13   ast  16
hepatitis  negative  
crp less 1
ferritine 25
pth  147
tsh0.7
tacrolimus 4.7

medciation 
prograf  4   +4 
lolip  40 mg  2eod  and   consider   stop  if   ldl   stable 
myfortic   360 mg 1x2 
prednisone  5 mg  1x1 
exford  160/5
concor 5 mg oc

add  multivitmin 
add zimical  every  3  days 
add  aquacream 
add pseroderm   for  the skin eczema 