Nephrology

About Kidney Disease

One in nine Americans – or approximately 20 million people – suffers from one of several forms of chronic kidney/renal disease according to the National Kidney Foundation. Another 20 million face an increased risk.

Kidney disease is any disease or disorder that affects the function of the kidneys. Kidneys filter the blood, removing waste from the body and helping maintain its proper chemical balance. In addition, the kidneys produce:

  • Renin, a hormone that helps regulate blood pressure
  • Erythoprotein, a hormone that stimulates the production of red blood cells
  • Vitamin D, which the body needs to absorb calcium

Many medical conditions, diseases or injuries can lead to a loss of kidney function or even chronic kidney failure.

Because the warning signs of kidney disease can remain silent for years, it's important that you get regular checkups, especially if you have diabetes or high blood pressure. If you have some of the symptoms of kidney disease, your physician may order blood tests and a kidney biopsy test to assist in your diagnosis.

Our Services

At Baylor Scott & White, personalized care for kidney patients extends across a continuum of care that includes nephrology and hemodialysis clinics throughout Central Texas.

Our multidisciplinary team of specialists include nephrologists, social workers and dietitians. Our nephrologists are board certified in nephrology by the American Board of Internal Medicine and experienced in renal biopsy.

Commonly treated renal diseasesCommonly treated renal diseases

  • Severe or difficult to control hypertension
  • Kidney stones
  • Recurrent urinary tract infections
  • Diabetic renal disease
  • Amyloidosis
  • Renal artery stenosis
  • Electrolyte disorders
  • Chronic kidney disease
  • Obstructive/reflux nephropathy
  • Polycystic kidney disease
  • Interstitial nephritis
  • Acute kidney injury
  • Abnormal urinalysis
  • Glomerulonephritis

Hospital servicesHospital services

Our hospital service provides care for dialysis and clinic patients who require hospitalization. We offer a full range of hospital consultative nephrology for Scott & White.

  • Acute dialysis units
  • Citrate anti-coagulation for a no-heparin dialysis
  • Dedicated acute dialysis nurses
  • Hemofiltration for drug overdose
  • Continuous arterio-venous Hemofiltration (CAVH) for acute renal failure
  • Continuous veno-venous hemofiltration for kidney dysfunction accompanied by low blood pressure
  • 24-hour availability for consultation and dialysis

Nutrition servicesNutrition services

Most kidney patients may not realize the important role diet plays in their treatment. Dietitians work with patients to educate them about what foods they can and cannot eat.

Renal biopsyRenal biopsy

Renal biopsies are guided and directed by ultrasound. Tissue samples are then viewed by a nephrologist and pathologist.

Transplant servicesTransplant services

Transplantation is one type of renal replacement therapy that can help patients return to a normal life. Baylor Scott & White Health is among the nation's top three percent for excellence in kidney transplantion (HealthGrades, 2009).

Learn more

Kidney Patient Education

Baylor Scott & White offers a three-part education course for patients with Stage IV Kidney Disease (GFR 15-29). Featuring the National Kidney Foundation's "Your Treatment, Your Choice"education program, participants can learn different options for treatments that replace the kidneys and make the best choices for them.

View course topicsView course topics

The three class series includes the following topics:

Class one

  • Session 1: Understanding Kidney Disease - What You Need to Know
  • Session 2: Managing Kidney Disease - What You Can Do

Class two

  • Session 3: Choosing Transplantation
  • Session 4: Choosing Dialysis

Class three

  • Session 5: Choosing the "No Treatment" Option
  • Session 6: Living Well with Your Choices

Physician referral is required. To participate in these classes, let your physician know you are interested. Physicians will connect you with a nephrologist in the Division of Nephrology. The nephrologist will refer interested and eligible patients.

Find an upcoming class


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Appointments


Providers


Physicians

Luis A. Concepcion
Nephrologist
Mark S. Duke
Nephrologist
Roshny George
Nephrologist
Nimrit Goraya
Nephrologist
Tony Issac
Nephrologist