Based on appointments the outpatient clinic in block A covers the following areas: general medicine, diabetology, endocrinology, hypertension management, cardiology, lipid management, nephrology, obesity care and rheumatology. The general medicine outpatient clinic sees patients of the catchment area, who arrive for a general medical check-up.
Nephrology specialist consultation: Comprehensive check-up and care of primary kidney diseases or kidney problems (protein and or blood in the urine, rapidly or significantly reduced GFR, difficult to manage hypertension, recurrent kidney stone disease or urinary tract infection) or kidney diseases associated with other diseases (such as, immunological diseases, diabetes) are treated by the unit. Emergency kidney cases (such as, acute kidney failure, nephrosis) or challenging cases (for example, pregnancy) or complications (such as, calcium metabolism disorder) are also handled and medical second opinions are provided. Special treatments (such as, erythropoietin, immuno-suppressive treatments, dilation of the renal artery), preparation of kidney replacement treatments (transplantation, peritoneal dialysis, hemodialysis), continuing care and treatment of these patients (such as, insertion of a permanent large vein cannula or a percutaneously placed PD catheter) are offered and background inpatient care is available if needed.
The Extracorporeal Organ Replacement Centre operates within the Department of Nephrology. Renal replacement therapy (dialysis), hemodialysis for patients with chronic kidney failure takes place three times a week in three shifts per day (Monday, Wednesday, Friday or Tuesday, Thursday, Saturday). Patients receiving continuous ambulatory peritoneal dialysis (CAPD) are monitored monthly in an ambulatory room reserved for them alone. Selective LDL apheresis treatment of patients suffering from familial hypercholesterolemia is done in cooperation with the Department of Metabolic Diseases.
Endocrinology specialist consultation: Check-up and treatment of endocrine diseases (hypophysis gland, thyroid gland, parathyroid gland, and adrenal gland) recognized or suspected by the family doctor. Care of patients in progressive care referred from other partner medical institutions. Planning diagnostic panels and evaluation of results.
Diabetes specialist consultation: Check-up of patients with newly discovered diabetes mellitus, determination of diabetes type, diagnosing complications if any (microangiopathy /retinopathy, neuropathy, nephropathy/, macroangiopathy /coronariasclerosis, cerebral atherosclerosis, peripheral atherosclerosis/, diabetic foot) and selecting a therapeutic regimen. Care of patients with gestational diabetes in cooperation with the Obstetrics and Gynecology Clinic. Switching the therapeutic regimen if the patient does not show an adequate response to the previous regimen.
Lipid specialist consultation: Check-up of hyperlipidemia patients referred by family doctors to define the type of hyperlipidemia. Selecting the therapeutic regimen based on the patient’s cardiovascular risk status.
Obesitology specialist consultation: Exploring the reason for the obesity. Initiation of a life-style therapy and medicinal therapy, if necessary. If the obesity is severe and other cardiovascular risk factors are also present, recommendation for surgery may also be given.