If possible attach your lab report. My nephrologist is over 100 miles away. With the help of my dr IT team they have connected all of my dr. Maybe you can see if this is possible for you. Try to create a team approach where you can link all of your dr’s together. Thanks to technology, and depending on your location, this maybe possible. Most of my visits are now telemedicine. I provide my vitals, my weight any changes in my symptoms. My labs are ordered from my local clinic. If I have a change in my status, it’s easy for my team to review. It’s also easy to question new medication orders. I have learned not to take any medications that have not been approved by my pharmacist or my nephrologist . CKD requires a team approach. I’m so thankful for this website, I have learned so much from reading about other people journey. You are your best advocate. All the best to you