I finally saw my nephrologist today after five months. I was supposed to see her every two months. The appointment was scheduled for early July, after our Europe trip. However, due to COVID, I had to cancel all my appointments and I am catching up now.
There was not much change. We went over my labs and talked about how after two and a half years, there is still a lot of confusion about COVID prevention and treatment. She has patients from many different transplant centers, and each has different guidelines on vaccinations and preventative antibodies treatments. In my case, we are going to wait a few months, check my antibodies levels, and get either the bivalent vaccine or Evusheld again.
Here are some important test results:
| Creatinine | 1.46 mg/dL |
| EGFR | 57 mL/min/1.73m2 |
| Urea Nitrogen (BUN) | 34 |
| Potassium | 4.7 mmol/L |
| Phosphate | 3.3 mg/dL |
| Calcium (two different tests) | 10.1 mg/dL or 10.9 mg/dL |
| PTH | 207 pg/mL |
| Hemoglobin | 17.6 g/dL |
| Hematocrit | 51.4% |
Bold items are out of range. Most of them have been borderline high since the transplant so my nephrologist was not worried. She is holding off on having me take Sensipar for the high calcium, but she did increase my Losartan dosage from 25 mg to 50 mg to deal with the high hemoglobin. My blood pressure is a bit higher too so more Losartan will help.
Next step is to schedule an appointment with UCLA transplant center since I have not talked to them since February. They were okay with six to twelve months between appointments so no I should be okay.