What is a Nephrologist?



A nephrologist is a physician who is a subspecialist in the field of internal medicine who has completed medical school, a three year residency in internal medicine, and a two year (or longer) fellowship in nephrology. Nephrologists have been specially trained in the diagnosis and management of kidney diseases. This often involves the regulation of blood pressure, electrolytes, acid-base balance, and bodily fluids/water. For patients with progressive renal dysfunction, nephrologists can administer renal replacement therapy/dialysis, hopefully until a renal transplant from a living or cadaveric donor becomes available.  Many kidney diseases are not isolated to the kidneys, often requiring coordination with internists and a multitude of specialists.


 



What conditions do nephrologists treat?


  • Chronic kidney disease- an elevation in a blood test called a creatinine level for at least 3 months
  • Acute kidney injury- a rapid rise in creatinine
  • Hematuria- blood in the urine
  • Proteinuria- protein in the urine
  • Hypertension- elevated blood pressure, especially those cases resistant to initial treatments or where a secondary cause might be possible
  • Electrolyte Imbalances- usually elevated or low sodium, potassium, calcium, phosphorous, or magnesium levels
  • Acid-Base Imbalances
  • Recurrent Kidney Stones- often to search for a metabolic cause that could be corrected with diet or medications
  • Rheumatologic or Autoimmune conditions- examples include lupus or ANCA vasculitis, often these can involve the kidneys
  • Recurrent/Chronic Urinary Tract Infections (UTIs)
  • Kidney Transplant- will provide referrals when indicated as well as post-transplant care

*Urologists are kidney specialists who are surgically trained. They treat patients with kidney disease which might be amenable to surgery. Examples include diseases of the bladder and prostate such as malignancy, stones, or obstruction of the urinary tract.


 



Why choose our practice?


  

  • Over thirty years of experience providing top-notch care to the greater Boca Raton area
  • Your choice of one of four physicians who trained at high-level academic institutions

  • *NEW* In-office laboratory to improve efficiency of blood and urine testing and get accurate results to your doctors faster
  • Top-notch support staff including a nurse practitioner and medical assistants who will return phone calls and answer questions expediently