Nephrologist Visit

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Jenny S.
Regular Member

Date Joined Oct 2007
Total Posts : 80
   Posted 10/13/2010 6:42 AM (GMT -6)   

I went to the Nephrologist yesterday for my swelling feet & ankles.  I thought this visit would give me answers to the sever swelling & pain I’ve been having for several months.  Instead, I spent 2 hours in this doc’s office listening to old stories and him lecturing as a professor to the med student on duty.  All in all, I received about 20 minutes in medical assessment.  After that, he proceeded to tell me that I am too health & doesn’t want to see me back.  I thought that would be it; but no, he proceeded with multiple tests (blood work & X-rays).  So I asked the question ‘why do the tests if I’m not coming back?’  He said he’d mail me a letter with the results.  These tests seem unnecessary.  To top it all off, the Nephrologist suspects the problem is some meds my Rhumy prescribed … which were increased when I started having foot/ankle swelling.    

At the end of the appointment (totaling 3 hours with the exam & tests), I felt like I was at the circus.  Nobody knew what they were doing & the doc was having extreme difficulty with the computer system – who knows what tests they really ran on me!    I was so disgusted with this incident that I have half a notion to tell my insurance to refuse payment.  Does that sound crazy?

Regular Member

Date Joined May 2009
Total Posts : 27
   Posted 10/13/2010 4:47 PM (GMT -6)   
Hi Jenny - it does sound like an odd visit. I was recently referred to a nephrologist by my rheumy. The red flag symptoms were
protein in urine and white/red blood cells in the urine. So in order to check my kidneys, off I went to the nephrologist. They did
a renal panel which is bloodwork to test kidney function, which was fine. Then we waited a month or so to test urine/blood again.
He still did not like the way my urine looked so then I had a biopsy. Results will indicate treatment. I do know that any kidney
issues must be managed aggressively. This is just my opinion, but were I you, I probably would have started with either
rheumy or PCP. And gotten a good nephrologist referral from them if needed,but only after some monitoring of the urine.
But now, were I you, if you still need to see a nephrologist, I wouldn't go back to him. Take care.
SLE, vasculitis, methotrexate, plaquenil, & the usual supplements

Jenny S.
Regular Member

Date Joined Oct 2007
Total Posts : 80
   Posted 10/14/2010 5:46 AM (GMT -6)   

Thank you for your suggestions. My urine looks ok so I won't have to go back. My Rhumy was actually who gave the referral, which concerns me.


Veteran Member

Date Joined Jun 2008
Total Posts : 1470
   Posted 10/14/2010 8:40 AM (GMT -6)   
ok, I have a question...your rhuemy referred you to a nephrologist based only on swelling in your feet or am I missing something?
Kidney Diseases & Disorders and Lupus Moderater
Cyclosporine, Prednisone, Lisinopril, Integra Plus, Vitamin D 50,000 units
PRN: Imitrex, hydrocodone, Ambien, Flexeril, Ultram, Darvocet, Zofran

If God brings you to it, he will get you through it!!
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