Dr. Melissa Ray Isbell MD
Nephrologist (Kidney Specialist) | Nephrology
7434 Louis Pasteur Dr Suite 109 San Antonio TX, 78229Rating
4/5
About
Dr. Isbell completed her internship at Baylor College of Medicine in Houston, Texas. Dr. Isbell is affiliated with Methodist Specialty & Transplant Hosp,Methodist Hospital,Northeast Methodist Hospital ...
Education and Training
The University of Texas School of Medicine at San Antonio 1990
Board Certification
Internal MedicineAmerican Board of Internal MedicineABIM- Nephrology
Provider Details
Dr. Melissa Ray Isbell MD's Expert Contributions
I would like to get a second opinion for my prostate operation. Please help.
I am a nephrologist and not a urologist. I am unable to give you a proper perspective on whether you should have a prostate operation or not. I would recommend discussing with a urologist who knows your unique medical information, who can help you make an informed decision regarding proceeding with the operation or not. Thank you. READ MORE
Why was I referred to a nephrologist?
Often, the nephrologist will do testing to determine the types of stones you are passing and make suggestions to help avoid formation of further stones. Some urologists will do this workup also but some defer the evaluation of the type of stones formed and the treatment to the nephrologist. I hope this information helps you. READ MORE
Prognosis?
1st off, I would try to get your doctor to do a 24 hr urine for creatinine clearance. You MIGHT have better than 14% kidney function if that number is based on the eGFR. If in fact your % function is 14% then you may have increased fatigue, mild nausea and generally don't feel great. Depending upon the cause of your decreased kidney function it may continue to worsen over the next 3-12 mos and you may need to start dialysis, depending upon your doctor's recommendation. Avoid all meds hard on your kidneys particularly over the counter meds such as ibuprofen/aleve/advil. Acetaminophen is ok. READ MORE
Is there any way to pass a kidney stone more quickly?
Increased oral fluids may help. There is also a medicine, Tamsulosin, some urologists use to help the stones pass. All the time, follow a low salt diet and modify the things in your diet associated with the stones, based on your doctor's recommendation. READ MORE
Protein in urine question
There are lots of reasons for protein in the urine. Underlying illnesses, hydration status, infection and aggressive exercise all can lead to protein in the urine (proteinuria). A repeat test which continues to show protein necessitates initial tests by a primary care physician to see if you are at risk for kidney disease. READ MORE
Awards
- 2010-2011 Texas Super Doctors
Dr. Melissa Ray Isbell MD's Practice location
Practice At 7434 Louis Pasteur Dr Suite 109
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