A 55yrs old Male patient, with complaints of Shortness of breath, snoring, delusions, blurred vision, pedal edema, Abd distension, and lab values are creatinine 9mg/dl BUN 25mg/dl.Ultrasound shows that right contracted kidney. No calculi.undergone hemodialysis for 3tyms in a single week. The serum creatinine level down to 2.9mg/dl. Allowed him to drink more water and discharged. After 3months his creatinine levels are 3.9mg/dl. Is that patient maintaining well are not.?