ASK, ANSWER, LEARN
What is Nephrology?
Gerald C. Groggel, MD answered:Nephrology is the subspecialty of internal medicine devoted to the study, diagnosis and treatment of kidney disease. Inside each kidney 1,000,000 tiny structures called nephrons filter blood. They remove waste products and extra water from the body, which become urine. Damage to the nephrons results in kidney disease.
At Bozeman Deaconess Nephrology I treat acute kidney disease and chronic kidney disease, particularly diabetic nephropathy. I have a special interest in immunological injury in the kidney, difficult to control hypertension and various forms of autoimmune kidney diseases.
I also practice critical care nephrology. Before a transplant operation can take place, medical problems such as diabetes or high blood pressure must be well controlled. And, after the operation, nephrologists see patients for long-term follow-up care, and we handle medical problems that may arise, such as rejection of the kidney.
When kidneys fail, the patient has to go on, and remain on, some form of dialysis. During dialysis the patient’s blood is being cleansed. There are three types of dialysis—outpatient hemodialysis, home hemodialysis and peritoneal dialysis. Bozeman Deaconess is developing a kidney care program that will offer comprehensive care without leaving the Gallatin Valley.
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