Conversation: The conversation between human and AI assistant.
[|Human|] reanal transplant done 0n 22-2-2010.medicne going on as followstacrolimus 1.5mg twiceazaron 50 mg oncewyslon 5 mg after one year serum creatnine is coming 1.5. biopsy test carried out result as followschronic allograft nephropathy.medicene changes everolimus 0.5 mg given instead of tacrolimussuggest what to do & any other treatment
[|AI|]  Dear Patient, in general we decide treatment after an accurate review of the renal biopsy. Was rejection extensive? How much severe? Chronic allograft rejection is a general diagnosis since it does not allow distinguishing a predominant antibody or t cell mediated process. By the way, I assume the therapy that you took before the renal biopsy was not appropriate to stop rejection. Please report the levels of the Chat Doctor.  Moreover, report the levels before the renal biopsy and the biopsy report. Then, we will help you find out if everything is ok. Remember also that if you have high levels of antibodies against donor and 7 years of transplant, you may see some chronic changes.