EXPERT
Dr. Amit Patel, M.D.
Internist
Dr. Amit Patel is an internist/nephrologist practicing in Kansas City, MO. Dr. Patel specializes in the medical treatment of adults. Internists can act as a primary physician or a consultant to a primary physician. They manage both common and rare diseases. Dr. Patel provides comprehensive care and manages treatment with surgeons as well. Internists establish long-term relationships with their patients and incorporate disease prevention and mental health care into their practice. Dr. Patel also provides specialty kidney/nephrology care. Dr. Patel manages complex conditions with a humanistic and compassionate approach to patient care.
20 years
Experience
Dr. Amit Patel, M.D.
- Kansas City, MO
- UMKC
- Accepting new patients
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Discharge plan for ckd
Discharge planning is always important. The considerations must take into account the level of kidney function. The more significant the kidney disease the more detailed follow READ MORE
Discharge planning is always important. The considerations must take into account the level of kidney function. The more significant the kidney disease the more detailed follow up is needed. Generally speaking though, discharge planning should incorporate evaluations of medications, diet, lab and clinical follow up with the nephrologist in a timely manner.
Creatine levels and gfr
Thank you for the question. Kidney function can be compromised in a number of ways including from chemo drugs or direct effect of the tumor to the kidney. Different drugs cause READ MORE
Thank you for the question. Kidney function can be compromised in a number of ways including from chemo drugs or direct effect of the tumor to the kidney. Different drugs cause different problems. Seems like your creatinine has stabilized, which is good, however you still should see an nephrologist for in depth evaluation.
AV Fistula
It would not be an medical emergency unless the extremity develops pain/swelling/numbness. Typically a functioning fistula of that duration without any intervention would not READ MORE
It would not be an medical emergency unless the extremity develops pain/swelling/numbness. Typically a functioning fistula of that duration without any intervention would not start randomly clotting. This would indicate there is a flow limiting issue that is causing blood to back up and subsequently clot. I would recommend that you have further evaluation with the vascular surgeon/radiologist/nephrologist
Kidney failure
Life duration is a difficult question to answer. However with advanced kidney disease stage 4 more care is required to preserve kidney function. If the blood pressure is continuously READ MORE
Life duration is a difficult question to answer. However with advanced kidney disease stage 4 more care is required to preserve kidney function. If the blood pressure is continuously elevated >160/100 for even a couple years, this could very well progress to stage 5 kidney disease and need for dialysis. Taking medications to control BP, protein levels in the urine and a following a kidney diet would undoubtedly lead to a longer life lived without dialysis.
Microliths appropriate diet
I would recommend to limit the beer consumption to about half of what your current intake is. If your kidney function is normal then you should be fine. However the microliths READ MORE
I would recommend to limit the beer consumption to about half of what your current intake is. If your kidney function is normal then you should be fine. However the microliths may need further evaluation. This would include kidney US, calcium levels, creatinine levels and evaluation by a nephrologist.
