Sierra Nevada Nephrology Access Center

Internal Medicine

Sierra Nevada Nephrology Access Center is an Internal Medicine practice in Reno, NV with healthcare providers who have special training and skill in the diagnosis, treatment, and care of adults across the spectrum from health to complex illness. Internists specialize in puzzling medical problems and in the ongoing care of chronic illnesses. Internists also specialize in preventing disease by promoting health, and are trained to manage multisystem disease conditions that single-organ-disease specialists may not be trained to address. Internal Medicine Doctors at Sierra Nevada Nephrology Access Center perform assessment, diagnosis, prevention, and treatment therapies for diseases and disorders in adult patients. Internal Medicine is a medical specialty focused on study, prevention, assessment, diagnosis, and treatment of short and long term multi-organ conditions. Significant diseases and conditions treated at Internal Medicine practices include cold and flu, heart disease, hypertension, diabetes, obesity, and chronic lung disease. Internists generally act as personal physicians and often develop long-term relationships with their patients. Medical tests, procedures and therapies provided by Internal Medicine practices include medical history reviews, physical exams, blood tests, scans, and other diagnostic tests, as well as specialist referrals. Internists may choose to practice only in the hospital, only in an outpatient clinic, or in both.

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Nurse Practice

A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nephrology / Renal Medicine

Sierra Nevada Nephrology Access Center is a Nephrology / Renal Medicine practice in Reno, NV with healthcare providers who have special training and skill in diagnosing and treating diseases of the kidney. Nephrologist / Renal Doctors at Sierra Nevada Nephrology Access Center perform kidney maintenance and treatment of kidney dysfunctions. Nephrology / Renal Medicine is a specialty of medicine and pediatrics that studies, diagnoses, and treats kidney dysfunction while preserving optimal kidney health. Significant diseases and conditions treated at Nephrology / Renal Medicine practices include acid-base disturbances, glomerular diseases (such as glomerulonephritis or the nephrotic syndrome), tubulointerstitial kidney diseases, tubular defects, vasculitis, autoimmune disease, and the effects of toxins on the kidney. Medical tests, procedures and therapies provided by Nephrology / Renal Medicine practices include managing hypertension, managing fluids, electrolyte therapy, renal replacement therapy, dialysis, kidney transplantation, plasma exchange, and immunosuppression. Commonly used agents are prednisone, mycophenolate, cyclophosphamide, ciclosporin, tacrolimus, everolimus, thymoglobulin and sirolimus. Newer, so-called biologic drugs or monoclonal antibodies.

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Vascular Surgery

Sierra Nevada Nephrology Access Center is a Vascular Surgery practice in Reno, NV with healthcare providers who have special training and skill in diagnosing and treating diseases and disorders of the vascular system. Vascular Surgeons at Sierra Nevada Nephrology Access Center perform diagnostic tests and surgical procedures to diagnose and treat vascular disease. Vascular Surgery is a medical specialty centered on diagnosing, preventing, and treating diseases and disorders of blood vessels, arteries, and veins. Significant diseases and conditions treated at Vascular Surgery practices include aneurysm, atherosclerosis, carotid and peripheral artery disease, deep vein thrombosis, spider veins, varicose veins, venous ulcers, dialysis access, diabetic wounds, and thoracic outlet syndrome . Medical tests, procedures and therapies provided by Vascular Surgery practices include x-ray, MRI, ultrasound, and CT imaging, catheter ablation, angioplasty, artery stenting, compression therapy, sclerotherapy, and surgical procedures to correct diseases and disorders related to the circulatory system.

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Endocrinology / Diabetes & Metabolism Medicine

Sierra Nevada Nephrology Access Center is an Endocrinology / Diabetes & Metabolism Medicine practice in Reno, NV with healthcare providers who have special training and skill in maintaining and treating the endocrine system (the network of glands and hormones that regulates human metabolism, growth, musculature, and sexual and reproductive function). Endocrinologist / Diabetes & Metabolism Doctors at Sierra Nevada Nephrology Access Center perform diagnostic and treatment procedures to identify and treat hormonal metabolic dysfunctions. Endocrinology / Diabetes & Metabolism Medicine is the study, diagnosis, and treatment of endocrine and metabolic dysfunctions to achieve patients' healthy hormone balance. Significant diseases and conditions treated at Endocrinology / Diabetes & Metabolism Medicine practices include hormone imbalance, hypo and hyperthyroidism, thyroiditis, goiters, diabetes, pituitary gland tumors, osteoporosis, lipid disorders, hypogonadism, and Cushing's syndrome. Medical tests, procedures and therapies provided by Endocrinology / Diabetes & Metabolism Medicine practices include blood, saliva, and urine hormone level testing, insulin management, Bioidentical Hormone Replacement Therapy, CT scans, thyroid biopsies, and endocrine tumor radiation or surgery.

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

Dietetics

Sierra Nevada Nephrology Access Center is a Dietetics practice in Reno, NV with healthcare providers who have special training and skill in assessing, diagnosing, and treating dietary and nutritional problems. Registered Dietitians at Sierra Nevada Nephrology Access Center perform nutritional counseling for people who wish to lose weight, have an eating disorder, need a customized diet for health reasons, experience food allergies or intolerances, suffer a digestive disorder, or wish to improve athletic ability. Dietetics is a medical specialty focused on the use of food and nutrition to promote health and manage disease. Significant diseases and conditions treated at Dietetics practices include anorexia, bulimia, diabetes, high blood pressure, cardiovascular disease, acid reflux, cancer, obesity, pregnancy, food allergy and intolerance, and celiac disease. Medical tests, procedures and therapies provided by Dietetics practices include creating exclusion diet plans, advising patients on supplement use, creating specialized diet plans for diabetic patients, offering patient and parental nutrition education, prescribing some types of medication, and referring patients to other specialists as needed.

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Physician Assisting

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.