Chronic Conditions

Recent studies show that chronic conditions now affect nearly one in two Americans. Our board-certified physicians are specially trained to diagnose, treat and help prevent chronic health conditions. To help ease the impact a chronic condition might have on your life and to help you enjoy a higher quality of life, we offer comprehensive and expert medical care with compassion. Our physicians and staff have extensive training and provide support, treatment and management of these chronic medical conditions:

High Blood Pressure

High blood pressure, or hypertension, is a chronic condition that if left untreated can lead to serious heart problems like a stroke or heart attack. High blood pressure occurs when the blood is pushing too hard through the arteries. A normal blood pressure is 120 over 80 (120/80). High blood pressure is a consistent reading of anything above 140/90.

High blood pressure is an easily detectable and highly manageable condition. Simple lifestyle changes and medications may be used to control your blood pressure. A personalized treatment plan will be created by your doctor to ensure optimal health.

Kidney Disease

The kidney's main function is to filter out the waste products and excess water from the blood, as well as help control the levels of sodium, potassium and calcium. Chronic kidney disease occurs when one gradually loses kidney function over a course of time. There are five stages of kidney disease, increasingly becoming more severe as it progresses.

  • Stage 1 – Slight kidney damage with normal/increased filtration
  • Stage 2 – Mild decrease in the function of the kidney(s)
  • Stage 3 – Moderate decrease
  • Stage 4 – Severe decrease
  • Stage 5 – Kidney failure

As the kidney loses the ability to excrete substances properly, water, waste and toxic substances begin to accumulate in the body. In addition to kidney failure, this can lead to other conditions like anemia, high cholesterol and high blood pressure.


There are a number of risk factors that can increase one's ability to develop kidney disease, such as family history, diabetes, high blood pressure, kidney stones, kidney cancer and bladder cancer.


The symptoms of kidney disease are often imprecise making it easy for them to be accredited to other illnesses. If the damage to the kidney slowly progresses, the symptoms of kidney disease will gradually develop over time. With the symptoms being nonspecific and slow to develop, often times, patients aren't diagnosed with kidney disease until it is irreversible.

Some signs of kidney disease include:

  • Fatigue
  • Nausea
  • Frequent urination
  • Vomiting
  • Loss of appetite
  • Changes in urination
  • Swelling feet
  • Insomnia
  • Muscle cramps
  • Unrelenting itching


Early diagnosis is the key to managing kidney disease. Routine tests are the only way to detect kidney disease at its earliest stages since symptoms develop so slowly. Blood and urine tests, as well as X-rays are used to detect kidney disease and keep track of its progress.

  • Lifestyle Changes: While self-treatment is not the key to managing kidney disease, there are some lifestyle changes you can make to help slow the progression of the disease, including reducing the consumption of salt, protein, phosphorus and potassium. Stopping smoking and losing excess weight may also help slow the progression of kidney disease. Although it is assumed that increasing your intake of water will help, in some instances, it may be recommended to restrict your intake of water.
  • Medical Treatment: Unfortunately, there is no known cure for kidney disease; however, there are medical therapies used to manage the disease and treat underlying causes for the disease, including managing your diabetes and high cholesterol.
  • Dialysis and Transplantation: Dialysis and transplantation are considered once a patient has reached Stage 4. Dialysis is a process that filters salt, waste and other fluids from your blood when your kidneys are no longer able to do so. There are two types of dialysis: hemodialysis (the most common type which is done in office and requires a strict treatment schedule) and peritoneal dialysis (an at-home method that has some treatment and diet flexibility).

Kidney transplants are the best option for ensuring the best quality of life. While these transplants are performed every day, not everyone is a candidate for a transplant. It's a very complex process that requires many tests and preparation. It will also require the patient to take lifelong immunosuppressant medications to prevent the body from rejecting the new kidney.

We promise to work with you individually to create a personalized treatment plan catered to your specific needs.