Patient Care

The Division of Nephrology provides primary care and consultative care for patients with various renal diseases. These services are offered in inpatient and outpatient settings at both the Froedtert Hospital (FH) and Clement J. Zablocki VA Medical Center, as well as through Fresenius and DaVita outpatient dialysis units. All of our physicians and midlevel providers are committed to delivering quality care for all renal patients. Many of them are recognized and renowned clinicians, clinical science researchers, and basic science researchers. They provide care for a wide range of renal failure patients, including acute renal failure, chronic renal failure, chronic kidney disease, diabetic kidney disease, hypertension and hypertensive kidney disease, electrolyte imbalance, glomerulonephritis, cystic kidney disease and medical management of renal and pancreas transplantation.

Inpatient care for renal patients at the FH is provided through dedicated inpatient service. Comprehensive medical care is provided for renal patients, including treatment for chronic kidney disease, end stage renal failure and transplant recipients. Consultative service at the FH and VA medical center is available throughout the year for all renal and electrolyte issues for all patients admitted to our institution. Through inpatient services, specialized nephrology procedures such as hemodialysis, peritoneal dialysis, continuous veno-venous dialysis and renal biopsies are offered.

Outpatient clinical activities are performed at FH, several Froedtert satellite clinics, the dialysis centers and VA Medical Center. Through these clinics, primary and consultation services are available for patients with various renal diseases. Comprehensive medical management of chronic kidney disease with special focus on anemia, hypertension and bone disease treatment is provided through the CKD clinic at FH. Through this clinic, education and preparation for end stage renal failure, including information on dialysis access and selecting mode of therapy for ESRD, is provided to patients with renal failure.

View our Guide to Patient Care (PDF)

Anemia

Anemia is a condition that happens when your blood is lacking in healthy red blood cells. Red blood cells are the main transporter of oxygen to the body’s organs. If red blood cells are lacking in hemoglobin (red, iron-rich protein) your body will not get enough oxygen.

Chronic Kidney Disease

Your nephrologist may use a classification system to describe what stage of chronic kidney disease you are at (such as Stage I, Stage II, etc.). These are universally-used, based on clinical practice guidelines on chronic kidney disease published in 2002 by the National Kidney Foundation (NKF) in the U.S., as part of its Kidney Disease Outcome Quality Initiative (K/DOQI). Patients with diseases of the kidney fall within stages 1 to 5.

Diabetic Mellitus

Diabetes mellitus, usually called diabetes, is a disease in which your body does not make enough insulin or cannot use normal amounts of insulin properly. Insulin is a hormone that regulates the amount of sugar in your blood. A high blood sugar level can cause problems in many parts of your body.

Diet for Renal Patient

Kidneys help control the amount of fluid that leaves your body. If your kidney disease progresses, your kidneys may be unable to regulate the removal of fluid from your body and as a result your doctor may ask you to limit your fluid intake. Too much fluid may cause swelling, shortness of breath, or high blood pressure.

Electrolyte Disorders

The kidneys are involved in regulation of several key electrolytes in the body. These include potassium, magnesium, phosphorus, and calcium. These electrolytes may be too high or too low in certain settings. Key electrolyte abnormalities are discussed here.

Glomerulonephritis

Glomerulonephritis is the term used to describe a group of diseases that damage the part of the kidney that filters blood. When the kidney is damaged, it cannot get rid of wastes and extra fluid in the body. If the illness continues, the kidneys may stop working completely. Some other terms you may hear used are nephritis and nephrotic syndrome.

Hemodialysis

Hemodialysis removes wastes and excess fluid OUTSIDE your body. During a hemodialysis treatment, blood is removed from your body and pumped by a machine through a DIALYZER. The dialyzer acts like a filter and is the semipermeable membrane that cleans your blood.

High Blood Pressure

Your kidneys play a key role in keeping your blood pressure under control. Blood pressure, in turn, can damage your kidneys. High blood pressure, also called hypertension, can damage the kidneys.

Kidney Stones

A kidney stone is a solid piece of material that forms in the kidney out of substances in the urine. A stone may stay in the kidney or break loose and travel down the urinary tract. A small stone may pass all the way out of the body without causing too much pain. A larger stone may get stuck in a ureter, the bladder, or the urethra. A problem stone can block the flow of urine and cause great pain.

Nocturnal Dialysis

We offer an improved form of hemodialysis, which is done at night, for eight hour sessions, three times a week. This is done at the dialysis center in Milwaukee. The increased time of the dialysis session permits slower fluid removal, which greatly improves the tolerance of the treatment. In addition, the longer dialysis time leads to better removal of the waste products of kidney failure. Reports by patients on this treatment are favorable, and results of monthly blood testing are very good.

Peritoneal Dialysis

Peritoneal dialysis or PD cleans your blood and removes extra fluids using one of your body’s own membranes, the peritoneal membrane, as the filter. The peritoneal membrane is the lining that surrounds the peritoneum or abdominal cavity, which contains your stomach, spleen, liver and intestines.

Polycystic Kidney Disease (PKD)

Polycystic kidney disease is a genetic condition where fluid-filled cysts develop in both kidneys. As the cysts grow and multiply, the kidneys are damaged and lose function over time.

Renal and Pancreas Transplant

A simultaneous kidney-pancreas transplant (SKP) is an operation to place both a kidney and a pancreas – at the same time – into someone who has kidney failure related to type 1 diabetes. In many cases, both transplanted organs may come from the same deceased (nonliving) donor (someone who died recently). However, it is also possible for the kidney to come from a living donor (a family member or friend) and the pancreas from a deceased (nonliving) donor.

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Milwaukee, WI 53226
(414) 955-8296
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Page Updated 05/16/2015
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