Have lupus & moderate microscopic blood on the past 3 uas this year.no rbc in urine.trace ketones.normal blood rbc count. md didn't seem concerned.

Trust your doctor: S/he knows your case, and would interpret the findings in the context of the clinical situation and degree of control/symptoms, if any. Keep the the follow up and take your medicines as prescribed. Although a second opinion is your right, but you need to have full evaluation with good history and physical examination, not suitable on this platform, wish you all the best