Conversation: The conversation between human and AI assistant.
[|Human|] my mom was having some kidney problem started in the year of 2006 at that time she was having 3.4 creatine then we met a doctore nephro she started treatmet we trust her today my mom is not well she is having 13.8 creatine i want to know that we had given proper treatment then its whose mistake patient or doctor? age 58 year
[|AI|]  Hithanks for posting in ChatDoctorI have understood your concern1.first diagnosis of kidney disease in 2006, but you have not mentioned the cause of kidney disease at that time whether it is because of diabetes or hypertension or any other causes. There are so many causes to aggravate the kidney disease like1.uncontrolled diabetes2.uncontrolled hypertension3.use of NSAID group of pain killers4.use of nephrotoxic antibiotics5.uncontrolled diet6.urinary tract infection7.bladder outlet obstruction some patients response to the medications is not complete. We cant blame neither doctor nor patient. I can suggest you to get done1.hemogram2.urine routine and culture3.USG abdomen and pelvis4.arterial blood gases5.cardiac evaluation with ECG and ECHO she is in a situation that she needs renal replacement therapy like1.hemodialysis or2.peritoneal dialysis or3. Kidney transplant hope this helps you any further questions please let me know thanks