Question: Hello sir,
My name is XXXX,My father was undergoing a treatment for the kidney disease crescentic glomerulonephritis and we would like to check with you about the treatment approach we are following is the right approach or not ,and we would need your valuable suggestions and expertise on the treatment approach .
If needed we can meet you in person.

Below is my Nephrologist explaining the current condition and tretment:

mr XXXXXXX XXXXXXX was admitted with acute kidney injury class 3 about 6 to 8 weeks back
at the time he had severe sepsis with bilateral pneumonia and dialysis dependent acute kidney injury class 3. is initial serum creatinine wasvery high and urine output was nil
he has been on thrice per week dialysis since past 6 to 8 weeks
he was advised renal biopsy after the first two weeks in view of and resolving acute kidney injury. by then his sepsis had settled and urine output started increasing. however he deferred his decision regarding kidney biopsy the hope that acute kidney injury would resolve gradually as the urine output was increasing. however is serum creatinine remained high about 7 to 8 milligrams per deciliter after6 weeks also.
kidney biopsy shows crescentic glomerulonephritis. more than 50 % of kidney is already damaged permanently
is chances of becoming dialysis independent are less
in view of his elderly age and diabetes and possibility of severe sepsis again heavy immunosuppression cannot be given. hence he was given modified methylprednisolone pulse therapy and is now on tapering dose of steroid