Nephrology Associates of Yakima provides diagnostic evaluation and ongoing care of patients with problems related to the kidneys, including chronic kidney disease (CKD Stages 2-5), diabetic kidney disease, complicated hypertension, congenital renal disease, inherited renal disease, such as polycystic kidney disease, kidney stone prevention, pre-and post kidney and pancreas transplantation, bone disease associated with kidney dysfunction, vascular disease associated with the kidney dysfunction, anemia associated with kidney dysfunction, excess fluid accumulation, and problems with electrolyte and mineral metabolism. We also supervise the provision of hemodialysis and peritoneal dialysis, inpatient and outpatient, to individuals whose kidneys have deteriorated to the point that their lives would be in jeopardy without renal replacement therapy, a problem commonly known as end stage renal disease or Chronic Kidney Disease, Stage 5 and 6.
Nutrition plays a big part in the rate of progression of kidney disease. Diet can be altered to provide better adaption to kidney disease and is important in the prevention of kidney stones.
Anemia is a common occurrence in individuals with kidney disease. A skilled and experienced nurse manager provides treatment of anemia in our Chronic Kidney Disease/Anemia Clinic, using Vitamin B12, and/or supplements of erythropoiesis stimulating agents (ESAs), such as Aranesp, under supervision of the medical director.