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Think of your kidneys as two volunteers, quietly dedicated to your overall health and wellness. These life-sustaining organs are located in your abdominal cavity on either side of your spine—right in the middle of your back just above the waist. Their jobs involve cleaning your blood by removing waste and excess fluid, maintaining the balance of salt and minerals in your blood, and helping to regulate blood pressure. As a field of medicine, nephrology focuses on keeping them healthy, and on supporting patients dealing with kidney disease or other disorders.

A nephrologist is a medical doctor who specializes in kidney care and treating diseases of the kidneys. Nephrologists are also called kidney doctors. They are educated in internal medicine and then undergo more training to specialize in treating patients with kidney diseases. In the United States, after completion of medical school, a nephrologist needs to complete a three-year residency in internal medicine which is to be followed by two-year (or longer) fellowship in nephrology. Nephrologists commonly treat chronic kidney disease (CKD), polycystic kidney disease (PKD), acute renal failure, kidney stones and high blood pressure and are educated on all aspects of kidney transplantation and dialysis.


One of the great challenges with recognizing kidney disorders is that symptoms typically show up in other parts of the body. For instance, when the kidneys are damaged, waste products and fluid that build up in the body will cause swelling in your ankles. Patients may have episodes of vomiting, experience fatigue or poor sleep, or find themselves short of breath. In such instances, a person’s first instinct may be to examine the localized issue—ankle swelling—rather than the root cause. Our job is to provide comprehensive care for all types of kidney issues—and to do so quickly and effectively. If misdiagnosed or left untreated, diseased kidneys may stop functioning all together, leading to a very serious—and potentially fatal—condition.

The kidneys may become diseased or damaged in a number of ways, including

  • Diabetes (the most common cause of end-stage renal disease)
  • High blood pressure (hypertension) - the second most common cause of end-stage renal disease.
    Decreased blood flow
  • Obstruction or narrowing of the renal artery (renal artery stenosis)
  • Toxic injury to the kidney or direct injury to the kidney


Meet Our Providers

At Green Clinic we strive to be the provider of choice for Kidney Disease in our community. We are committed to providing the best in service, quality, and outcomes in kidney disease care and management. This is all accomplished with our dedicated nephrologist, Michael Nammour, M.D., who is board certified in Internal Medicine and Nephrology by the American Board of Internal Medicine.