I am asking for advice on behalf of my brother who was dx with ACR 3 weeks ago as a result of prostate problems. He was admitted with I believe a creatinine of 2,000+ which has come down to 570 with an egfr of 45. What does this mean? He was discharged on Monday with a line & catheter in circumstances akin to wacky races. We are going from being told things will improve after the prostate operation and then as the creatinine has hardly changed from 570 in 3 weeks further improvement is unlikely. Yesterday he was visited by someone from Renal unit who talked about the need for a fiscular, dialysing at home etc all within 3 days of discharge from hospital. Any ideas, advice that anyone could give would be wonderful. We are at our wits end to try and help him.