Renal (Kidney) Disease
The Renal Medicine Practice at Boston Medical Center offers expert, personalized care for all forms of acute and chronic kidney diseases and specializes in complex clinical problems ranging from consultative nephrology to management of end-stage renal disease (ESRD). Care provided includes:
- Chronic kidney disease collaborative management with development of a personalized clinical plan for patients with progressive renal failure;
- Hematuria and proteinuria consultations by faculty recognized internationally for expertise in glomerular disease, autoimmune diseases, amyloidosis and vasculitis;
- Diabetic nephropathy diagnostic and therapeutic services to detect incipient renal disease in diabetic patients and identify those who would benefit from early therapy;
- Complete evaluation and treatment of renal stone disease consisting of a thorough metabolic evaluation, anatomic and surgical evaluations when appropriate, and development of a case-specific report of risk factors and therapeutic options;
- Evaluations of renovascular hypertension and other secondary causes of hypertension making use of magnetic resonance angiography and other state-of-the-art diagnostic imaging and biochemical techniques;
- Evaluation and management of patients with hypertension that is difficult to control or is associated with renal insufficiency.
Patients who need dialysis can receive it through one of many centers in the region. A list of centers is available at http://www.medicare.gov/dialysisfacilitycompare/. Some of these centers also offer a peritoneoal dialysis program which is performed by patients at home, enabling them to remain independent and continue working. The BMC team can assist patients in finding a center that meets their unique needs and can coordinate with primary care physicians and dialysis centers to meet ongoing needs.
Should it become necessary, Boston Medical Center provides patients with kidney transplantation. In fact, in the last decade, BMC has performed more than 450 cadaver and living-related-donor kidney transplants. Physicians provide medical support from the initial evaluation, through peri- and post-operative management and long-term transplant follow-up.