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  Wednesday, 13 March 2019
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Good morning sir.
Age. 68 Have checked. Creatinine twice from two Labs
And the results are 6.3 and 5.89
But he has got no other physical complications such as fever, breathing problem,swallowing problem,. Urine is normal.
Please suggest whether treatment is possible without dialysis. Local doctors are suggesting for dialysis.
I am forwarding
the reports herewith
Please suggest accordingly .
Thanks and regards
Debmalya Bhakat

Unfortunately this represents extremely low kidney function. I don't have enough information to guide treatment - such as a urinalysis, renal biopsy, ANCA levels, complements or an abdominal ultrasound. The results of these tests would be important in order to give any meaningful recommendations at this point, I'm afraid.

Dr. Jordan Weinstein
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