The way in which your kidney problem will be managed at Addenbrooke’s will depend on what condition you have and the extent of your kidney function at the time of your diagnosis. You will probably be seen in one of the following clinics:
General Nephrology Clinic (Clinic 12)
If your kidney problem is stable you are likely to be monitored in the General Renal Clinic. If your condition is genetic you may be seen by the specialist genetics clinic instead.
The doctors will see you on a regular basis and monitor your kidney function by a number of blood tests. They will also keep a careful check on your blood pressure. If any of the normal function of your kidneys is affected they may prescribe you certain medications that can control your blood pressure or counteract some of the effects of your lack of kidney function.
Low Clearance Clinic (Clinic 12)
If your kidney function deteriorates you may eventually be referred to the “Low Clearance Clinic” or LCC. It is so called because, when your kidney function drops this low (15 - 20%), you start to clear only low amounts of toxins from your blood and you may start to feel unwell as a consequence.
This special clinic will more carefully monitor your progress and you will meet specialist nurses who are trained to deal with specific problems you may encounter as a result of your poorly functioning kidneys. For example you may need to alter your diet and will see a dietitian, or you may see a specialist anaemia nurse if your body cannot make enough red blood cells. You may also be given more medication to help counteract the effects of your kidneys not working.
This clinic will prepare you for dialysis if it becomes necessary. They will also put you in touch with the renal transplant team if a new kidney transplant is an option for you.
Renal Genetics and Tubular Disorders Clinic (Clinic 33)
For patients who have certain inherited or genetic kidney disease, you may be seen in this specialist clinic. Again, you will be monitored on a regular basis as long as your condition is stable.