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Nephrology
How does Nephrologist diagnose kidney disease?
Symptoms of chronic kidney disease (CKD) often don’t develop until a patient’s kidneys are severely damaged. Therefore, at risk individuals, which includes diabetics and individuals with high blood pressure or a family history of kidney disease, should be tested. Tests include:
- Blood tests, which measure the level of waste products present in the blood.
- Urine tests, to check for abnormalities and help determine the cause of kidney disease.
- Ultrasound, an imaging test that allows the doctor to view the size and structure of the kidneys.
- Tissue biopsy, in which a small sample of kidney tissue is removed with a thin needle and tested in a lab.
How does First MedCare manage kidney disease and its complications?
Several methods are used, including:
- High blood pressure medicine. Patients who suffer from CKD often experience increased high blood pressure.
- Cholesterol lowering medications. CKD patients also often develop high levels of bad cholesterol, which increases the risk of heart disease.
- Anemia medication. This is used to aid the body’s production of red blood cells, to help with fatigue and weakness caused by anemia.
- Medications to relieve swelling. CKP patients frequently retain fluids, which cause legs to swell, and blood pressure to rise.
- Bone strengthen medications. Calcium supplements, vitamin D and phosphate binders may be prescribed.
What is dialysis?
When CKD becomes so severe that the kidneys are unable to filter blood and make urine, a process called dialysis is used to do so. There are two types of dialysis:
- Hemodialysis. This entails the use of a machine and filter, called an artificial kidney, that cleans the blood. For the artificial kidney to access a patient’s blood, the doctor makes an incision into blood vessels, usually through minor surgery in the arm or leg.
- Peritoneal dialysis. In this process, a catheter is surgically inserted into the abdomen through which a special solution is slowly filled. The solution filters extra fluid and waste out of the blood, which flows out of the catheter and is discarded.
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Nephrology, Internal Medicine