Providing Top Quality Care to Patients Across Nassau County, Long Island, Queens, and Surrounding New York, NY Areas

Chronic Kidney Disease

Do I Need A Primary Care Doctor To Work With My Kidney Specialist?

If you are experiencing issues related to kidney disease, you should be working with a specialist who knows your problems and deals directly with your particular needs. While that doctor is key to your health regarding your kidneys, that doesn’t mean that he or she should be your only medical practitioner. Nor should your primary doctor be the person who is solely in charge of your renal disease issues.

Too often, kidneys are overlooked in general practice. Issues can be mistaken or ignored. Too often, patients and their primary care providers can be unaware of renal problems. By failing to understand or recognize underlying kidney issues, a patient can be in stage 3 chronic kidney disease, which can quickly dwindle to stage 4 before it is caught and dealt with. In general practice, kidneys are often ignored not because of negligence but because of a lack of understanding and communication with a kidney health specialist.

 

How a Primary Care Doctor Creates a Path with Nephrologists?

Communication must be set up between the primary care doctor and the nephrologist. A nephrologist doctor specializes in the diseases and conditions that affect the kidneys. Their job is to understand and treat chronic kidney disease, kidney infections, and, ultimately, kidney failure. The hope is to catch such ailments long before reaching the situation of kidney failure and the need for dialysis. When the primary care doctor works hand in hand with the nephrologist, the patient may be able to see a far better outcome regarding his or her kidney and overall health.

There is a shortage of nephrologists in the field, and thus having a primary care doctor who is savvy and better educated about the signs of renal issues, can help catch issues before they escalate. This is not an uncommon concept. Primary care doctors have become adept at diagnosing other diseases such as cancer, diabetes, and heart disease. Collaborative care is the best hope for patients who need both the input of a specialist and the care of a primary physician who often knows the person’s medical history more intimately. Working together is the key to health success.

 

What is the best way to merge the care of a general practitioner and a kidney specialist when facing renal health issues?

The goal of any doctor is to create the best possible quality of life for his or her patients. Whether a specialist or a primary care doctor, information is the most critical factor. It is often difficult for doctors who are not working in the same practice to communicate effectively. However, we need to have these severe and intricate problem-solving conversations. The sooner a nephrologist is involved in the care of the patient-facing kidney disease, the better the chance for less stressful long-term outcomes. It will often fall upon the primary care doctor to help the patient make difficult lifestyle changes, including changes in eating habits and diet, stress management, exercise regimens, and even sleep habits. These doctors are often tasked to offer a form of psychological counseling about these difficult changes. The cross-over benefits for patients’ other diagnoses are well known.

In return, the family physician understands the importance of the guidance and planning the consulting nephrologist brings to the table as the expert on this pathology. They need to agree on the things that are of utmost importance for patients in both their care and help the patients they are working with, collaborating to succeed in making those necessary life changes. Together, they can motivate the patient to reach the best possible health outcome.

When a medical practice includes both primary physicians and nephrologists in the same environment, collaboration is far easier to achieve. Time may be of the essence with many patients. Having doctors who work well together and communicate easily is the best-case scenario when dealing with patients facing arduous treatments for kidney disease (CKD). This kind of communication between PCPs and specialists has proven track records of improved clinical outcomes when dealing with chronic illnesses. Too often, this collaboration doesn’t happen, so when it is part of the practice, the patient benefits exponentially.

PRINE Health has physical offices in the Manhasset and Hicksville, New York area that include both primary care doctors and nephrologists. They also offer telemedicine. If you’re seeking a nephrologist and primary care collaborative team, the professionals at PRINE Health would love to speak with you and assist you in your health success.

The Importance Of Kidney Care For Diabetics

If you have diabetes, taking care of your kidneys should be a top priority. Your kidney’s main function is to filter out and remove any waste and extra water from your blood. Diabetes is the most common cause of both kidney disease and kidney failure, due to the fact diabetes can lead to your kidneys no longer functioning. Speak with a professional at a medical group in Nassau County if you are concerned with how your diabetes could affect your kidneys. At PRINE Health we can provide you with the proper care and information to help you take care of as well as protect your kidneys.

 

How Diabetes Damages Your Kidneys:

Diabetes is characterized by high blood sugar, which means the kidneys have to work even harder to filter out the waste in your blood.  Your kidneys are overworked and damaged protein starts to leak into your urine. Soon after your blood pressure rises, waste builds up in the blood, and kidney function will continue to decrease until you reach kidney failure.  If there is no treatment before the kidneys reach kidney failure, a kidney transplant or regular dialysis will be needed to filter out your blood.

 

Symptoms of Kidney Disease:

Various signs point to kidney disease.  Here are some things to look for if you think you could have kidney damage:

  • High blood pressure
  • Blood test shows a poor estimated glomerular filtration rate (eGFR)
  • Urine tests show high protein levels
  • Urinating more often than normal
  • Swollen ankles
  • Weight gain
  • Decrease in appetite
  • Feeling weak

 

Ways to Treat Kidney Disease:

If you have diabetes and kidney damage, there are a few ways a medical group in Nassau County may suggest to help you treat your kidney damage or slow down its progression.  Here are some of those ways:

  • Lifestyle changes – Regular exercise and healthy eating habits can help manage your cholesterol, blood glucose, and blood pressure and help your kidneys not have to work too hard.  Lifestyle changes including eating less protein, salt, or fat, limiting alcohol consumption, and quitting smoking are also recommended.
  • Medication – Limiting the consumption of painkillers can help slow down kidney damage.  If you have diabetes your doctor might prescribe ACE Inhibitors or angiotensin receptor blockers to also help slow kidney damage and manage blood pressure.
  • Regular monitoring – Check your blood glucose often to keep your diabetes in check and also check your blood pressure often to make sure it isn’t too high.

 

How a medical group in Nassau County Can Help You:

If you are diabetic and need guidance on taking care of your kidneys, consider visiting a medical group in Nassau County.  At PRINE Health, there are plenty of experienced doctors who can answer questions, keep you informed, and help you take care of your kidneys to ensure that you are in the best health possible. Contact us for more information on how we can help you.

Skip The Salt

Facts About Salt And Hypertension In The United States

High blood pressure (also known as hypertension) is associated with three leading causes of death, cardiovascular disease, stroke, and kidney disease. Hypertension is extremely prevalent around the world. About half of adults (45%) with uncontrolled hypertension have a blood pressure of 140/90 mm Hg or higher. This includes 37 million U.S. adults. In 2017, the American College of Cardiology and the American Heart Association published new guidelines for hypertension management and defined high hypertension as blood pressure at or above 130/80 mm Hg. Stage 2 hypertension is defined as blood pressure at or above 140/90 mm Hg.  One notorious contributor to hypertension is excessive dietary salt intake.

Blood Pressure Category Systolic Blood Pressure Diastolic Blood Pressure
  Normal <120 mm Hg and <80 mm Hg
  Elevated 120-129 mm Hg and <80 mm Hg
Hypertension
  Stage 1 130-139 mm Hg or 80-89 mm Hg
  Stage 2 ≥140 mm Hg or ≥90 mm Hg

Salt and Hypertension

Salt is perhaps the most popular flavoring added to food. Unfortunately, there is a downside. Too much salt can lead to fluid retention and worsen hypertension. How much is too much? Well, we need salt. We need about 500 mg per day. Americans consume much, much more than that. We take in on average closer to 3,500 mg, more than 7 times what is necessary. The Dietary Guidelines for Americans by the FDA advise we stick to a diet of fewer than 2,300 mg per day (about one teaspoon).

Salt is ubiquitous and added to all sorts of foods you consume on a daily basis. Moreover, the is often a salt shaker around to add even more. If you already have hypertension you are at risk for extra salt worsening your hypertension. So, when you can help it, skip the salt! For more tips, check out our health and nutrition page.

Click here to find out about vascular health, or schedule an appointment with a professional by contacting us here.

PRINE Health Selected By CMS For Kidney Care First Initiative

 

Kidney Care First Initiative – CMS

PRINE Health is happy to announce our preliminary acceptance by CMS to participate in the upcoming Kidney Care First program, a new offering from CMS – CMMI under the Kidney Care Choices initiative. This is a program that stems from the Executive Order, Advancing American Kidney Health, and championed by HHS. We will make a final decision in Fall 2020 as to whether we will participate in the first performance year which is set to kick off, on April 1, 2021. The start was initially set for January 1, 2021, but was delayed due to COVID-19.

PRINE is excited to partner with CMS and other managed care payors on value-based kidney care initiatives. We feel this important, high-cost, complex patient population has been overlooked for too long. There is a great deal we can do together to raise the level of care and improve alignment between payors, patients, providers, and other caregivers.

In the meantime, PRINE is investing in technology and care management resources to further prepare for value-based contracting with various strategic partners.

PRINE Health IPA Partners With Empire Blue Cross Blue Shield

Empire Blue Cross Blue Shield has entered into an agreement with the PRINE Health Medical Group and PRINE Health IPA. The contracts are based on our commitment to Value-Based Kidney Care with our shared mission to:

  • Increase Home Dialysis
  • Facilitate more Kidney Transplantations
  • Improve Quality ESRD Starts outside the hospital setting with AV Fistuals
  • Lower overall cost
  • Improving the quality of care and Quality of Life for the advanced chronic kidney disease patient.

We look forward to developing this relationship further as we continue to build our infrastructure and capabilities toward providing an even better level of care for this important patient population.

For Nephrologists and complimentary physicians who take part in the care of Chronic Kidney Disease patients, please contact us to learn more about joining the IPA.

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