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Nephrology

Nephrology Services

Geisinger’s Nephrology specialists provide inpatient and outpatient consultations, sharing their expertise in the diagnosis and treatment of kidney disorders, and long-term monitoring for those with advanced-stage kidney disease. We provide education, preventive care, lifestyle instruction and one-to-one support for patients through the dialysis process, and guide those who will be receiving transplantation.

Among the kidney services we offer and disorders we treat are:

Chronic kidney disease and diabetic nephropathy — our specialists have advanced experience in diagnosing and treating diabetic nephropathy, a condition in which too much protein accumulates in the urine and can damage the kidney. The kidney’s ability to function begins to fail if left untreated.

Glomerular disease — glomerulonephritis — this type of disease can develop gradually, or patients may suffer an acute bout of kidney inflammation. The kidneys begin to lose their ability to remove excess wastes, resulting in fluid retention, fatigue and even kidney failure.

Stone Clinic — we offer a multidisciplinary approach to management of kidney stones and gallstones, which are minerals that crystallize into hard stones along the surface of the kidneys or gallbladder.

Hypertension — Geisinger’s specialists work with patients whose blood circulation through the kidneys has been damaged by hypertension (high blood pressure). Complications to the arteries and veins, as well as the tissues of the kidneys, may result from hypertension. Our nephrologist uses a multidisciplinary approach for treatment of patients who have a difficult time managing high blood pressure on multiple medications, family history of hypertension, and high-risk women with hypertension during pregnancy.

Renal vascular disease — this disease refers to a number of different conditions affecting the renal arteries and veins, including renal artery thrombosis (a clot in a vein, blocking blood flow); a renal artery aneurysm (a weakened bulge in the wall of a kidney artery); and renal artery stenosis (a narrowing of the artery wall caused by a blockage). Symptoms for renal vascular disease include the sudden incidence of hypertension before or after age 50, kidney failure or increased waste from the kidneys (called urea).

Kidney disease in pregnancy (preeclampsia) — preeclampsia generally begins sometime after 20 weeks of pregnancy, and is a condition that can be very dangerous if left unchecked. Symptoms include high blood pressure and excess protein in the urine, and these symptoms may be mild or severe. The condition is not cured until the baby is delivered, and Geisinger nephrology specialists consult with our obstetrician/gynecologists to ensure that this very serious situation is monitored throughout the pregnancy, or with early delivery if possible.

Dialysis — Geisinger provides hospital-based inpatient and outpatient dialysis services, including in-center hemodialysis and peritoneal dialysis. Dialysis is provided to end-stage renal disease (ESRD) patients, when kidney function is reduced to a small percentage of its normal function. This can be caused by long-term hypertension, diabetes (the leading cause of chronic kidney failure) or other kidney disorders.