Services 2017-07-05T13:40:39+00:00

We Are Here To Serve You

Welcome to DaVita Kidney Specialists of Fredericksburg! Our mission is to deliver state-of-the-art patient care while focusing on the individual health needs of our patients in the greater Fredericksburg area. We pride ourselves on being able to develop unique treatment plans for our patients while using Electronic Medical Record systems to provide complete, updated health and treatment information to the entirety of our patients’ healthcare team.

Our experienced physicians are specialists in chronic kidney disease and kidney related diseases. This includes treatment for Chronic Kidney Disease (CKD), End Stage Renal Disease (ESRD), Hypertension, Anemia, Kidney Transplantation, Dialysis and more. Below are more details on some of the common conditions we manage at DaVita Kidney Specialists of Fredericksburg. For more information, please visit our Patient Education page or give us a call at 540-899-3107. We would be happy to schedule an appointment for you with one of our nephrologists. We look forward to working with you.

What sets us apart?

At DaVita Kidney Specialists of Fredericksburg our mission is to deliver state-of-the-art patient care while focusing on individual health needs. To help achieve this goal, we have developed core values that guide our approach to clinical excellence and the well-being of our patients.

  • Integrity
  • Compassion
  • Accountability
  • Respect
  • Excellence

CKD is the abbreviation for Chronic Kidney Disease which is a gradual and progressive decline in kidney function over an extended period of time. As we become older and our body ages, our kidneys start to lose function. This is a slow and gradual process. However, some conditions in patients, especially those like Diabetes and High Blood pressure, can cause damage to the internal structure of the kidney, leading to decease of function.

While kidneys have many functions, one of the most important is processing and filtering waste products from the blood.  When CKD progresses, the kidneys do not work as well and waste products and toxins, normally filtered out by the kidney, start to accumulate in the body.

The following list includes some of the signs and symptoms of decreased kidney function or CKD:

  • Weight loss or excessive weight gain
  • Fatigue
  • Decrease in appetite
  • Swelling of the body (especially of the feet and legs)
  • Increased tendency to bruise or bleed
  • Paleness
  • Seizures

When you are diagnosed with CKD it is managed and treated by a Nephrologist or kidney doctor. The Nephrologist will work with you to help preserve your kidney function and to prepare you for kidney dialysis or kidney transplant, if indicated.

Please consider calling our office for a nephrology (kidney) consultation if you or your patient has any of the following conditions.

  1. Elevated Creatinine Level in Lab work (Creatinine >1.5mg/dL or GFR< 45 ml/min)
  2. Hypertensive Urgency
  3. Proteinuria (Protein found in your Urine ) or Hematuria ( Blood found in your Urine)
  4. Severe edema (swelling) or volume overload
  5. Recurrent Kidney Stones

Dialysis is a form of renal replacement therapy.  Many patients with CKD will lose their kidney function and may need to start dialysis, to rid the body of waste products.  Dialysis can be done two ways.

  1. Hemodialysis – blood is taken from the patient’s body and transferred to a machine that will act as an artificial kidney. The machine can remove excess fluid, correct the balance of electrolytes, remove the waste products from the blood and buffer acid production. It then returns the clean blood to the patient’s body.
  2. Peritoneal Dialysis – fluid enters into the abdominal cavity of a patient, where the abdominal cavity acts as a natural filter and helps remove all of the same elements and waste products that Hemodialysis does, but through the abdomen vs blood.

Hemodialysis is often done in a dialysis unit, where the patient will go to 3-4 times a week.  Peritoneal dialysis, however, can be done comfortably in the home by the patient.

Home Dialysis, whether hemodialysis or peritoneal dialysis, focuses on training patients to perform these tasks independently in the comfort of your own home and at your own convenience.

If you need to go on dialysis your Nephrologist will work with you to determine which option is best for you and your life style.

For patients with advanced CKD, a kidney transplant is often the best option. A kidney transplant is from a donor and is placed alongside existing kidneys and will take over the functions of your own kidney. A kidney transplant can provide an improved quality of life over dialysis.

Patients who receive a kidney transplant typically have more energy, more freedom and a less strict diet.

Our physicians are experienced and trained to help guide patients through the kidney transplant process.

Hypertension is the medical term for High Blood pressure.

High Blood Pressure is a condition in which the force of the blood against the artery walls is too high.

  • Normal Blood pressure is less than 120/80 mmhg
  • Prehypertension is greater than 120/80 mmhg
  • Hypertension is Greater than or equal to 140/90 mmhg
    • Treatment (medication therapy)is needed if blood pressure is consistently above 140/90 mmhg

Types of Hypertension

Essential Hypertension – The cause of this type of hypertension is unknown. Some factors that contribute are genetics, race, diet and obesity.

Secondary Hypertension – High Blood pressure that may have a specific underlying cause that is different from essential hypertension.

Causes of Secondary Hypertension:

  • Sleep Apnea
  • Chronic Kidney Disease (CKD)
  • Adrenal gland disorders
  • Narrowing of the kidney arteries
  • Medications

Resistant Hypertension – High blood pressure that is not changing towards the goal of a lower blood pressure reading despite being treated with three medications. Out of those three medications one has to be a diuretic.

Anemia is a common condition in patients with CKD. Anemia occurs when there are not enough red blood cells in your body. Red blood cells carry oxygen through the blood stream, helping your bones, muscles and organs work properly. Your kidneys help with this production of red blood cells by producing a hormone called erythropoietin (EPO).

  • Signs and symptoms of anemia include:
    • Chronic fatigue and tiredness
    • Paleness of skin
    • Decreased appetite
    • Shortness of breath (due to decreased available oxygen)

If you have CKD your body will not make enough of this hormone which causes a decrease in the creation of red blood cells. Your Nephrologist and healthcare team can work with you to help manage your anemia with medication