Nephrology & Kidney Diseases
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At Indiana University Health, our nephrologists provide high-quality care to diagnose and treat kidney diseases.
Because kidney diseases require lifestyle changes, our physicians provide comprehensive treatment that includes education about diet and medications. We offer dialysis in our hospitals, outpatient centers and even at home. Though kidney diseases are difficult to understand, we are committed to ensuring you know how to manage your condition and prevent it from progressing further.
Indiana University Health Methodist Hospital provides comprehensive nephrology services including:
- The largest home dialysis program in the state, and one of the largest in the country, sought out by physicians around the world as a benchmark for successful implementation.
- Kidney transplants from both living and deceased donors, including specialization in transplants for elderly and high-risk kidney patients.
- Hypertension management plans to help patients lower high blood pressure through medication and lifestyle changes in order to prevent or slow organ damage.
- Kidney stone management and treatment through the Indiana University Health Kidney Stone Clinic.
- The latest research advances in the management and treatment of acute and chronic kidney disease, hypertension, kidney stones, dialysis, transplant and other kidney-related conditions in conjunction with the Indiana University School of Medicine, one of the nation’s top-ranked academic teaching hospitals.
Our team of world-renowned nephrology experts is among the best in the country and includes leading physicians in acute kidney and renal failure, bone metabolism and kidney stone disease. We draw on years of research, clinical studies and extensive experience to provide comprehensive care. Using a multidisciplinary approach, we provide every patient with an individualized plan that includes a combination of medicines and preventive treatments for all aspects of kidney disease and related complications.
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The nephrology experts at IU Health Methodist Hospital work to minimize the effects of chronic kidney disease and slow its progression through a combination of medicine and preventive treatments. While some types of kidney disease can be cured, other types must be managed. Our physicians, nurses and nurse practitioners work with patients to preserve kidney function through dietary interventions, diabetes management, weight management and medicines to treat high blood pressure, anemia, bone disease and hormone deficiencies associated with chronic kidney disease.
The nephrology specialists at IU Health Methodist Hospital offer hypertension management plans to help patients lower high blood pressure through medication and lifestyle changes in order to prevent or slow organ damage. Lifestyle changes to manage hypertension can include weight management, healthy diet, regular exercise, limiting alcohol consumption and eliminating smoking. Managing hypertension through medication and lifestyle changes also reduces a patient’s risk of stroke, heart conditions and kidney disease.
Kidney Stones Management
Kidney stone management and treatment depends on the type of kidney stone and cause of the stone. The IU Health Kidney Stone Clinic is a preventive clinic where the cause of recurrent stones is determined through history, blood tests and specialized urine studies. Dietary and medicine therapies are then started and tests are utilized to monitor response. In the vast majority of patients, stones can be stopped or their frequency reduced.
Proteinuria and Hematuria Management
Proteinuria and hematuria are symptoms of underlying kidney disease. The kidney filters blood and when protein (proteinuria) or blood (hematuria) appears in the urine it is a sign of underlying kidney problems. Proteinuria is often associated with diabetes and hypertension, but diseases that are specific to the kidney may also be the cause. Hematuria is often a symptom of internal damage to the kidney. A kidney specialist can identify the cause of the proteinuria and determine what treatment is appropriate.
IU Health Methodist Hospital offers transplants from both living and deceased donors. We specialize in transplants for elderly and high-risk kidney patients. Our kidney desensitization program is one of only a few steroid-free programs in the U.S., enabling us to perform kidney transplants for patients who were once considered ineligible.
Our transplant surgeons personally review each potential donor, resulting in shorter wait times and better outcomes for our patients. Following kidney transplant, our dedicated nephrology transplant specialists monitor patients’ medicines, physical examinations, blood tests, urine tests and X-rays for the first few months to ensure complete recovery.
IU Health Methodist Hospital offers hemodialysis and peritoneal dialysis both in the home and at one of our hospital or clinic locations. As the largest home dialysis program in the state, and one of the largest in the country, patients are assured of top-of-the-line care with a world-renowned reputation. Our nephrology specialists develop individualized dialysis plans to help patients with chronic kidney disease live productive lives.
The medical professionals of the Indiana University Health Adult Renal Dialysis program work closely with you to help you explore and choose your treatment options.
We offer all modalities of dialysis––a full spectrum of choices. Whether you need inpatient, outpatient, or are eligible to take part in our innovative home therapy program (the largest in the country), we will be with you every step of the way to ensure the care you receive is not only the best, but the best for you.
The Indiana University Health home daily program (a type of home dialysis) is the largest in the country. For patients who are eligible for home dialysis, our nationally accredited staff provides the tools, training and on-call support necessary to help you take control of your treatment and increase your independence.
We will answer preliminary questions via phone and encourage you to schedule an appointment for a comprehensive assessment. You will meet one on one with our dialysis healthcare professionals to discuss all of your options and answer your questions. After your assessment session, you will be armed with resources and written materials to help you reach a decision about home dialysis.
To speak with one of our team members about home dialysis options, please contact us at 317.963.6850.
If you are in end-stage kidney failure, you often begin your treatment process with inpatient dialysis. Additionally, you may require inpatient dialysis while awaiting an organ transplant, or while making the transition to another form of dialysis, such as outpatient or home daily.
Whichever the case, you receive inpatient dialysis in a hospital setting, with full access to our staff of specialists, technicians and caregivers, all of whom are dedicated to ensuring your treatment process is comfortable, dignified and suited to your individual needs.
Hemodialysis is usually initiated when your doctor performs a simple blood test and determines your Glomerular Filtration Rate (GFR). Once this number falls below 15, it is considered chronic kidney disease and dialysis treatment is initiated.
When you participate in outpatient dialysis, you are taking a positive step toward treating end stage kidney failure and managing your life. Our staff will guide you toward a weekly routine that is convenient, conducive to good health and suited to your individual needs.
Receiving outpatient dialysis at either the North Capitol Avenue unit or Indiana University Health University Hospital is a suitable option if you are in end stage kidney failure and able to travel to the hemodialysis unit, but not yet eligible for home dialysis.
A suitable candidate for outpatient hemodialysis should plan on dialyzing three days a week for approximately three to four hours each day.
Many qualified professionals play a vital role in dialysis treatment including:
- Clinical operations manager. Oversees the entire dialysis program.
- Medical director. Performs patient care and ensures the overall functioning of the unit.
- Medical doctors. Perform patient care.
- Nurse practitioner. Assists medical doctors in patient health.
- Registered nurses. Oversee patient care technicians, administer medicines and consult with doctors when needed. Our nurses have over 100 years combined experience in dialysis.
- Patient care technicians. Assist with initiating dialysis treatment, track vital signs during session and ensure the patient's needs are met.
- Renal specialist. Enters and manages data regarding the patient's treatment.
- Social worker. Arranges discharge planning and needs, as well as patient transportation. Also assists with Medicare/Medicaid and provides a link to community resources. Assists with kidney transplant applications.
- Registered dietician. Provides nutritional support, educates about diet, provides recipes and monthly laboratory report cards and assists in meeting nutritional goals.
- Registration specialist. The first smile a patient or family sees in the lobby. Also schedules appointments and arranges patient transportation.
These websites and organizations can provide additional information. We encourage our patients to learn as much about their healthcare issues as possible.
National Kidney Foundation
ESRD The Renal Network
We are located at:
1801 N. Senate Blvd.
Indianapolis, IN 46202