Nephrology in United States

Nephrology is a branch of medicine that deals with the kidneys, specifically normal kidney function, the preservation of kidney health, kidney disease, and the treatment of kidney disease. A physician who specializes in the care and treatment of kidney disease is called a nephrologist. 

Some of the most common conditions nephrologist treat are as follows:

• Advanced or chronic kidney disease
• Tubulointerstitial kidney diseases
• Tubular defects
• Glomerular conditions, such as nephrotic syndrome and glomerulonephritis
• Kidney infections
• Kidney vascular conditions
• Kidney neoplasms
• High blood pressure
• Structural or functional abnormalities of the kidney, urine collection system, or bladder
• Vasculitis
• Electrolyte, fluid, and acid-base imbalances or disturbances
• Autoimmune conditions that involve the kidneys

Nephrologists can perform a wide range of tests, procedures, and treatments. These include:

• Blood tests, including serum creatinine, glomerular filtration rate, and blood urea nitrogen.
• Urine tests, including urinalysis, 24-hour urine test, creatinine clearance, and microalbuminuria.
• Imaging tests of the kidneys, such as CT scans, ultrasounds, or X-rays.
• Dialysis, including placement of the dialysis catheter.
• Kidney biopsy.
• Kidney transplants.

How Long Should I Stay in United States?

After laboratory tests (blood and urine tests) and imaging tests, you should be able to leave the hospital right away, while with biopsy, you may need to stay overnight. However, you may need to stay in United States for a few more days to wait for the results. Once the results are ready, your nephrologist will explain them during a follow-up appointment. After kidney transplants, you usually need to stay in the hospital for 5 to 10 days and stay for 7 to 14 more days in United States. During your stay, ensure to attend all of the scheduled follow-up checkups with your nephrologist. 

What's the Expected Recovery Time?

Recovery time depends on the type of procedure you underwent. For laboratory and imaging tests, you should be able to resume your normal daily activities immediately, though your nephrologist may advise you to rest for the remainder of the day. After a biopsy, avoid strenuous activity for 2 to 3 days. Since a kidney transplant is a major surgery, the recovery time until you can return to work and other normal activities may take around 8 weeks.

What Aftercare is Required?

Your nephrologist will give you aftercare instructions that you will need to follow and you will also need to make healthy lifestyle changes to maintain the health of your kidney after treatment. You will need to attend regular checkups to check how well your new kidney is working and also will be taking medication for the rest of your life, including drugs called immunosuppressant’s to help keep your immune system from rejecting and attacking your new kidney.

What's the Success Rate?

As the field of nephrology continues to advance, the outcomes of tests and treatments are constantly improving. This means that patients now have more chances to be diagnosed early and receive successful treatments. The success rate for nephrology procedures is proven to be generally high. For example, 93% of kidney transplants are working at the end of the 1st year. However, every procedure always comes with risks, such as infection, excessive bleeding, and damage to other organs.  

Are there Alternatives?

There is no alternative to seeing a nephrologist if you have kidney problems. If your condition is found to be caused by problems in other organs, your nephrologist may work with or refer you to the relevant specialist.

Nephrology in and around United States

About the United States

With a population of over 327 million people, the United States of America (USA) is the third most populous country in the world. It has endless options for visitors with beaches, snow-covered mountains, forests, big cities; travelers will have many different experiences. The country is also a top global destination for medical travel. Although procedures can cost a lot more when compared to Asian countries, people from all over the world come to the United States to get treated with advanced technology and competent medical professionals. The skilled and experienced doctors are mostly trained in world-renowned universities including Stanford and Harvard. Medical tourists come from the Caribbean, Europe, and Central America and almost any procedure can be done in the country, whether it is complex procedures or a difficult diagnosis.  

Popular Parts of the United States

• New York City is home to various iconic landmarks. Tourists will find world-famous sites around every corner and there are just so many things that tourists should not miss, such as the Statue of Liberty, Times Square, the Staten Island Ferry, Empire State Building, the Brooklyn Bridge, and MoMA. Art is an essential part of the city and museums devoted to every type of art is available from Japanese sculpture, medieval European treasures, to Himalayan textiles. The city is also known to have an incredible food scene. Tourists are welcome to dine at one of the city’s 74 Michelin-starred restaurants or try the food trucks. At night, the city comes alive with the legendary theater of Broadway, burlesque performance, ballet, music, and so many more.
• Los Angeles is home to Hollywood, natural beauty, and architecture. It is filled with movie stars, musicians, and surfers. Tourist who loves film will be delighted to tour TCL Chinese Theatre, the Hollywood Walk of Fame, the Paramount Picture Studios. Most tourists will enjoy relaxing in Venice Beach, Zuma Beach, and the Santa Monica Pier and Beach. Tourists can also take a day trip to the “Happiest Place on Earth,” Disneyland-Anaheim, wander around Griffith Park, or see the beautiful Getty Museum.
• Dallas is a cosmopolitan city that is overflowing with culture and pride. The city is famous for Cowboys, cheerleaders, and unique attractions. Museums are probably the best points of interest in the city, including the Sixth Floor Museum and Perot Museum of Nature & Science. Tourists also have many options to hang out in since the city is filled with trendy restaurants, boutiques, and cafes. If you want to see some beautiful flowers, visit the Dallas Arboretum. It is a beautiful botanical garden that showcases plants and flowers in themed gardens.
• Chicago is a city of many things. Whether you want to visit jazz clubs, fine dining, admire its skyscrapers, or go shopping, you will find something to do in this city. Some of the top attractions are Hancock Observatory, Shedd Aquarium, Millennium Park, and Lincoln Park Conservatory and Zoo. Everywhere you walk, you will find astonishing art and architecture, such as an abstract Picasso statue and the Museum of Mexican Art.

Weather and Climate in the United States

The United States has a wide variety of climates, which makes it a year-round destination. In general, the country experiences four distinct seasons. Summer starts in June and ends in August. During the summer, the northern states enjoy warm days and cool nights, and the southern states and tropical areas experience very hot temperatures. Autumn is from September to November and the season brings cooler temperatures to the country. December to February is the winter months and the northern areas will encounter snow and colder temperatures, but the southern areas experience mild temperatures. The temperatures all around the country will begin to warm up during the spring months from March to May and expect to find many thunderstorms and rainstorms during this season.

Getting Around in the United States 

The United States is well connected by plane since it has more than 375 domestic airports and numerous international airports. Most tourists will arrive in Hartsfield-Jackson Atlanta, John F. Kennedy International Airport, or O’Hare International Airport. These airports serve domestic and international flights to many parts of the world. The airports also operate many carriers such as Delta Air Lines, JetBlue, United, and American Airlines. 

The most affordable way to get around the USA is by bus. Many bus companies go across the country such as Greyhound, Mega Bus, Peter Pan, and Bolt Bus. However, it is important to note that long-distance travel can take a long time. The nicer option to travel around the country is by Amtrak trains. It is by no means fast, but tourists can relax and enjoy the landscape. If you wish to travel by train, tourists can purchase money-saving passes. The most popular way to travel around the USA is by car. Petrol is generally cheaper compared to the United Kingdom and it gives tourists the freedom to go wherever they want. Taxis are plentiful in most cities and can be very inexpensive. Many taxis are painted in bright yellow, making them easy to distinguish. Taxi can be hailed directly from the streets and the fare is run on a meter.

Tourist Visas in the United States

All visitors must obtain a visa to visit the United States of America unless they come from one of the visa-exempt or Visa Waiver Program countries. There are four countries and Bermuda that have visa exemption access to the US. Currently, citizens of 38 countries are selected for the Visa Waiver Program, including Australia, Japan, Singapore, and the United Kingdom. Other nationals not listed in the visa-exempt or Visa Waiver Program should apply and obtain a visa before entering the country. It is advisable to always check with your nearest US Embassy for the visa policy.

Additional Information

1. Local Currency: The official currency is the US dollar ($). It is known as a ‘global currency.’ Check XE.com for the current exchange rate to your local currency.
2. Money & Payments: ATMs are available almost everywhere around the country. Major credit and debit cards are universally accepted in restaurants, hotels, shops. Credit cards are required to book domestic flights. Tipping is not optional, so make sure to always leave some tips. 
3. Local Language: The main language in the country is American English. Many people will be able to speak Spanish.
4. Local Culture and Religion: The USA is home to many religions and most of the population follows Christianity, but there are small groups of Jews and Muslims. 
5. Public Holidays: Some of the most celebrated holidays in the USA are New Year’s Day, Independence Day, US Indigenous People’s Day, Thanksgiving, and Christmas Day.