I have been a steady 18 EGFR for the last 16 months and I had my latest blood test on Tuesday and I have dropped three more % points in the last two months which now takes me down to 15% EGFR and so just going into CKD stage 5. I don't have my next appointment with the nephrologist till end of December although presumably she will see my latest blood results. Do you think I should see if I can get the appointment with her brought forward or just leave things as they are? Aside from feeling tired I am generally well most of the time and still work full time. I really have no idea what to do (if anything) as I enter this stage so any advice will be most welcome.