My creatinine level reach new record low!

This morning, Anim (my sis-in-law) pricked me to take blood sample. She did this at the leisure of her home, how cool is that!. She is actually working at Seri Manjung Hospital as Houseman (for me, she is already a certified doctor!). I am supposed to do my regular twice weekly visit to Prof Tan Clinic at Prince Court Medical Center today. But I feel so tired commuting, so I gave a call to staff nurse there saying I rather take blood sample here.

Anim brought the result just now, and I could not be happier. My creatinine level is 96, lowest so far since I came back from China in the end of May this year. My Creatinine level had been like 'yo -yo' during my first month after coming back from China. My creatinine level was very good before leaving China, It was 90. Even Prof Tan was quite surprised with the result. But then, It shot up to 118, then went down again to 108 and up again. I did a biopsy during this period but no sign of rejection. It was concluded that my creatinine level is stabilizing at 110.

All of that changed when I practice this routine. The routine is to be consistent every time my blood sample is taken.

1. No food after 9pm for tomorrow's blood sample.

2. Try as much as I can to be at clinic at 9am so that blood sampling time remain consistent

3. Drink 4.5 liter of water every day. To me, this is very significant. My experience tell me that if I drank less than that, the risk is my creatinine will shoot up a bit. It is not much, but inconsistency will alarm the doctor. Too much inconsistency will prompt any transplant doctor to perform biopsy. I heard many patient has undergone so many biopsy because of inconsistency issues.

There is one more possibility that might cause my creatinine level going down. I have changed anti rejection meds from Cyclosporin to Everolimus. It has been a month now with everolimus and this week is almost one week after transition from cyclosporin+everolimus to everolimus alone. From my reading and Prof Tan input, Cyclosporin may contaminate the new kidney which may reduce kidney function.