Why do renal transplant patients need to see “drug concentration” for follow-up?

  Renal transplant follow-up examinations require long-term persistence. Some patients may complain that they have to wait for a long time to register, but the doctor glances at the list and then says “it’s fine” and dismisses them in two minutes. No one wants the doctor to look at the list and frown and say, “I suggest you have an outpatient system checkup as soon as possible, or even hospitalization for a kidney puncture.  Local patients should be able to follow up once a month, and out-of-town patients can do so once every 2-3 months. Kidney transplant patients can usually come for an additional appointment, or make the next appointment directly at the time of consultation. Each follow-up visit requires routine blood and urine tests, liver and kidney functions, and blood glucose and lipids, which are all basic tests. For transplant patients, one of the most important tests is the “drug concentration” – if the drug concentration is not enough, organ rejection will easily occur; if the concentration is high, infection and toxicity will be aggravated, which requires the doctor to make timely adjustments according to the results of each examination. This requires doctors to make timely adjustments according to the results of each examination, to master the most appropriate drug and the amount of drug for the patient, and to ensure the stability of creatinine. At Peking University Third Hospital, we require patients to take their medication on the day of the check-up. The medication is usually taken at 8:00 a.m., but should never be changed to 7:00 or 9:00 a.m. because of the check-up.  Patients can also consult with the doctor through the Internet after the consultation, when consulting must upload the drug concentration test results, preferably within a month; in addition to submit the blood and urine routine and other test reports, and fill in the description of your condition, tell the doctor your blood pressure, weight control, urine protein, and whether there is edema in the legs and feet during this period, which are closely related to the transplant kidney function.