OUR SERVICES

CONDITIONS WE EVALUATE AND TREAT 

Our nephrologists provide evaluation and treatment for the following diseases:

• Chronic Kidney Disease

• Kidney Transplant

• Kidney Stone Disease

• Dialysis – hemodialysis or peritoneal dialysis

• Diabetic Neuropathy

• Hypertension

• Acid Base disturbance

• Hematuria

• Proteinuria

• Glomerular Diseases

• Polycystic Kidney Disease

• Electrolyte disorders

• Inherited Kidney Disorders

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MANAGING CHRONIC KIDNEY DISEASE

According to the National Kidney Foundation, 26 million Americans have chronic kidney disease (CKD) and millions of others have increased risk.

Those considered to be at increased risk include people with hypertension, diabetes, or a family history of kidney disease.

 

Early detection and treatment can help keep CKD from progressing. As the disease progresses wastes build to high levels in the blood; complications such as high blood pressure, anemia , hyperkalemia(High potassium level in the blood) , and acidosis (High acid level in the blood)  can occur and increase the risk of heart and blood vessel disease. Chronic kidney disease may eventually lead to kidney failure, requiring dialysis or kidney transplant.

 

Kidney disease is measured in stages 1-5.

ANEMIA OF CKD

Patients with CKD are prone to low red blood cell count, also known as anemia. Anemia starts in the third stage of kidney disease; as the kidneys become more compromised and the cells responsible for producing a hormone called erythropoietin (EPO) die. We monitor patients for anemia and depending on the   severity of anemia epogen or iron infusions are arranged for the patient.

HYPERPARATHYROIDISM

The parathyroid glands produce a chemical called parathyroid hormone (PTH). PTH is helps to control calcium, phosphorus, and  vitamin D levels in the body. When the parathyroid glands are overactive, it is called hyperparathyroidism. Kidney disease is a common cause of secondary hyperparathyroidism (parathyroid glands are overactive). Kidney failure can interfere with the body’s ability to remove phosphate, and too much phosphate causes changes in calcium levels. When the calcium levels in the body are too low, the parathyroid gland responds by producing extra PTH which extracts calcium from the bones to be reabsorbed by the kidney and intestines hence causing the bones to become weak and brittle. As part of our CKD clinic, we help patients manage calcium,PTH and vitamin D levels, and help them to keep them in target with certain medications.

HYPERTENSION

High blood pressure, also known as hypertension, is a major factor in the development of kidney problems in patients with diabetes.

 

Hypertension not only causes kidney disease, but can also occur as a result of damage  created by kidney disease. As kidney disease proceeds, physical changes in the kidneys lead to increased blood pressure. Therefore, a dangerous spiral involving rising blood pressure and factors that raise blood pressure, occurs. Early detection and treatment of hypertension is essential for people with diabetes. We offer close blood pressure monitoring and medication adjustments to help manage blood pressure.

HYPERKALEMIA

Hyperkalemia is the medical term that describes a potassium level in your blood that's higher than normal. Potassium is a chemical that is critical to the function of nerve and muscle cells, including those in your heart.A high potassium level can be dangerous to the heart and can also in extreme cases cause cardiac arrest. Hyperkalemia is a serious electrolyte disorder complication of CKD especially in the advanced stages. As part of our CKD clinic, we help patients manage hyperkalemia, and help them to keep them in target with certain medications.

METABOLIC ACIDOSIS

Metabolic acidosis is a serious electrolyte disorder characterized by an imbalance in the body's acid-base balance and ahigher acid level in your blood. Acidosis can be dangerous to the heart and can in extreme cases cause cardiac arrest. Acidosis is a serious electrolyte disorder complication of CKD especially in the advanced stages. As part of our CKD clinic, we help patients manage acidosis, and help them to keep them in target with certain medications.

KIDNEY TRANSPLANT MANAGEMENT

TRANSPLANT TEAMS

We work closely with Las Palmas Medical Center transplant team, and with the Mayo Clinic, Scottsdale transplant team

POST-TRANSPLANT CARE

THE KIDNEY MD will help you manage all        aspects of you post transplant care.

Once you are released from the hospital, we will be in close contact with you to monitor your recovery and the function of your new kidney. You will be assigned a care team including your nephrologist to monitor medications and recovery.

The National Kidney Foundation estimates that about 350,000 people in the United States have end-stage renal disease.

According to the National Kidney Foundation, more than half a million people go to the emergency room for kidney stone problems each year.

 

At THE KIDNEY MD, we work with patient who are at increased risk for kidney stones, helping them to manage their diet and medications to lower their risk for developing kidney stones.

 

For patients who have a history of kidney stones, or are at increased risk for kidney stones, it is important to

  • Drink plenty of water

  • Avoid eating foods with excess salt or sugar

  • Low oxalic acid diet

  • High citric acid diet

PREVENTING KIDNEY STONES

We order a comprehensive 24 hour urine metabolic evaluation to assess the chemical imbalances you have in your urine so that we can fix any specific abnormalities to PREVENT further stone formation and to assist in dissolving existing stones.

KIDNEY TRANSPLANT MANAGEMENT

DIALYSIS SERVICES

Our practice is equipped to manage all aspects of dialysis care. Features of the dialysis program at THE KIDNEY MD include:     

  • Hemodialysis management

  • Peritoneal dialysis management

  • Nephrologist Visits to the dialysis clinic on a frequent basis

  • Medications Renewal

  • Dialysis parameters monitoring

TYPES OF DIALYSIS

Healthy kidneys clean the blood by removing excess fluid, minerals, and wastes. When the kidneys are compromised, a process called dialysis is used to filter waste, extra salt and water from the blood. There are two types of dialysis:

HEMODIALYSIS

The patient is hooked up to a machine that filters the blood. A session of hemodialysis takes about 3-4 hours, and is generally           required 3 times per week.

PERITONEAL DIALYSIS

The lining of the abdomen, called the peritoneal membrane, is used to filter the blood. Peritoneal dialysis can be done at home, usually needed 7 days of the week.

GLOMERULAR DISEASES

Glomerular disease may be caused by an infection or a drug that is harmful to your kidneys. In other cases, it may be caused by a disease that affects the entire body, like diabetes or lupus. Many different diseases can cause swelling (inflammation) or scarring (sclerosis) of the glomerulus.We here at THE KIDNEY MD attempt to diagnose these conditions at an early stage to prevent its progression and to treat a systemic disease to decrease its effects on the Kidney(Ex: Lupus)