Conversation: The conversation between human and AI assistant.
[|Human|] I am a 75 year old woman whose last blood work-up showed high creatinin levels, my physician had me repaet the test this month and levels still high.  Today I had an ultra-sound of my kidneys. I mentioned to my Dr that a few months ago my bladder prolapsed and my physician gave me a urogynecology referral to a OBY-GYN  and I feel I should be seeing a urologist -- sure dont want to go through that exam twice. What do you suggest--I am in Katy, TX.
[|AI|]  Hello, Thanks for the query to Chat Doctor. Forum. As you mentioned that your serum creatinine level was elevated first time. Repeated and again came same reading. Serum creatinine is if very high (high) , it means kidneys are not functioning well i.e. protein may pass in urine. In my opinion first get in urine examination complete. If protein found in urine (micro albumin) then at once consult a urologist. If protein don't find in urine then once again get in serum creatinine examination, if level elevated then you must consult urologist. Good luck.