today she came for follow up 
anti pla2 r  was enagtive 
ana  postive  in low titer 
c3 c 4    nromal 
albumin 4,2 
creatinien  0.7 
she has     mostly  lupus   and she  has  to be  on the following 


plan 
valsan    80 mg ocne 
plaquneil   200 mg 1x2 
j  dee    5000  once weekly 
novitropan  at  bed  time 


rtc afer  2 weeks 