@rosemarya Thanks for your kind note. My transplant was almost exactly six years ago at Mayo Clinic Jacksonville. I have an appointment with a new nephrologist who is known for his care for post transplant patients. I am hopeful because he will be the fourth nephrologist I have had in this area (Macon,Georgia). Not one of the four have had experience in post transplant care. I am in the midst of my second rejection scare, and my current nephrologist did nothing, not even explain my labs to me. Honestly, I know more than she does, and that is frightening.

I have made annual visits to Mayo and have bern in contact with them regarding labs that show the possibility of rejection. We have kept my Prograf level steady, and my levels were difficult to regulate. For at least three years, I have fluctuated greatly on my Tacrolimus.

Thank younfor your kind welcome and your suggestions for getting this latest crisis under control.