Centres of excellence
Nephrology
Kidney disease before and after it reaches failure — sudden injury, inherited disease, dialysis, and the point at which transplant becomes the question.
Nephrology is the medical care of the kidneys: the conditions that damage them, the tests that measure how much function is left, and the treatments that either recover it or replace it. Kidney disease is unusual among serious illnesses in how quietly it starts — a great deal of function can be lost before anything is felt.
Sudden and gradual are different problems
Acute kidney injury arrives over hours or days, usually because of something else — dehydration, infection, a medication, an obstruction — and is often reversible if the cause is found quickly. Inherited and chronic disease works the other way: polycystic kidney disease may be silent for decades before pressure, pain or blood in the urine gives it away. Both end in the same place if they are not managed, which is why the distinction matters more for treatment than for prognosis.
What to send us
Recent creatinine and eGFR results, a urine test, any ultrasound or CT of the kidneys, and — if the condition runs in the family — whatever genetic testing has already been done. If you are on dialysis, the schedule and the type. Those few things decide almost everything about what can be advised.
Treatments in Nephrology
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Acute Kidney Failure Treatment
Kidneys that stop over hours or days rather than years. Often reversible — which is why finding the cause quickly matters more than anything else.
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Polycystic Kidney Disease Treatment
An inherited disease with no cure, but a great deal that can be done to slow it. Managed for decades before transplant becomes the conversation.