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Do you or a loved one have advanced CKD stage 4 or stage 5?  If so, it is essential to be educated on what this means to you and what treatment options are available. With the wellbeing of our patients in mind, at NY Kidney Specialists we offer a comprehensive kidney disease educational program (KDE), for patients with more advanced CKD (stages 4, estimated kidney function (eGFR )  = 15-30 cc/min and stage 5 CKD, eGFR = 10-15 cc/min).

This program is led by physicians and skilled nurse practitioners. It is aimed to provide all necessary education to help you improve your health and slow progression of this condition, and also teach you how to effectively participate in your care.

CKD is a major public health problem, and it is estimated that more than 13 million Americans are affected. The treatment goals are to reduce and treat the complications associated with CKD and when needed, to prepare the patient sufficiently in advance for kidney replacement therapy.

Besides medical approaches, a person may prevent or delay some complications of CKD by eating the right foods. Limiting protein intake and avoiding foods high in sodium or phosphorus is important. Learning about calories, fats, proteins, fluids, and a kidney-friendly diet, including allowed fruits and vegetables is vital for a person with advanced CKD. Consulting a dietitian can help those with advanced CKD to find healthy ways to improve their diet and wellbeing, and we do offer onsite dietary services.

We have developed a Chronic Kidney Disease clinic, specifically geared to treat CKD and related conditions. We are here for all of our patients and can help you navigate through CKD stages, help reduce the progression of the disease, and help you manage advanced CKD if this occurs. We are here for you to make sure you know your options and what treatment is right for you.

NY Kidney Specialists, Division of NY Health

Contact us for more information, or call us to set up an appointment.

2500 Route 347, Bldg. #14A

Stony Brook, NY 1170

Tel: (631)-689-7800

The physicians and staff at New York Kidney Specialists, a division of New York Health, are committed to the best quality kidney care. We strive for early diagnosis and treatment of kidney-related health conditions to prevent or postpone the progression of chronic kidney disease (CKD) to kidney failure (end-stage renal disease) and its complications. If you or a loved one currently have CKD, provided is some information on this medical condition and steps which can be taken to reduce progression and complications.

CKD results with gradual loss of kidney function. The purpose of the kidneys is to filter waste products and excess fluids and salt from your blood, which are then excreted in the urine. If not diagnosed early or not treated, CKD can be a progressive condition to advanced stages, when dangerous levels of electrolytes and metabolic waste products build up in your body. Salt and fluid excess build up too. This can lead to complications such as high blood pressure, anemia, electrolyte imbalance, weak bones, poor nutritional health, and is associated with worsening cardiovascular disease.

There are many causes of chronic kidney disease. The main causes are Diabetes, and uncontrolled high blood pressure, which encompass about two-thirds of the cases. Early detection and treatment of such conditions, can often keep chronic kidney disease from occurring or worsening. Optimal control of such conditions, and avoiding certain painkiller medications is important. Keeping a healthy weight and being active is also essential. If you are a smoker, it is crucial to seriously consider quitting, since smoking can accelerate kidney damage.

How can NY Kidney Specialists help?
It is important to see a nephrologist even with early stages of chronic renal insufficiency stage I, II or III, or if you have protein in your urine. The kidney specialists will work with your primary care physician, to appropriately diagnose, and treat your condition.

In addition, we have developed a Chronic Kidney Disease (CKD) clinic, specifically geared to treat CKD and related conditions. Continuity of care, and best quality care, is provided over a wide range of kidney-related related services.

Contact us if you have more questions or to set up an appointment.

NY Kidney Specialists, Division of NY Health
2500 Route 347, Bldg. #14A
Stony Brook, NY 1170
Tel: (631)-689-7800

At New York Health Center for Urology, our physicians are experts on low testosterone and male health disorders. They are able to diagnose the root of the problem and restore your vitality.

Testosterone levels can decline naturally in men over their life, especially after their 40’s. Symptoms of low testosterone may be subtle and go unrecognized.

Symptoms include:

• fatigue and reduced energy,
• low libido,
• loss of mental clarity,
• erectile dysfunction,
• weight gain
• body/facial hair loss,
• decreased muscle mass,
• depression, irritability, and anxiety

There are many forms of testosterone replacement therapy (TRT), including injections, topical skin and nasal gels, patches and testosterone pellets. All forms of TRT are considered FDA schedule III controlled substances and cannot be bought without a prescription. Only men with symptoms of low testosterone and confirmed blood tests should consider testosterone replacement.

A relatively small number of men may experience side effects of testosterone treatment Possible side effects of testosterone therapy include: increased acne, fluid retention, increased urination, breast enlargement, decreased testicular size, decreased sperm count, increased aggressive behaviors, sleep disturbances.   Doctors also watch out for high red blood cell counts, which could increase the risk of clotting. The benefits of TRT usually outweigh potential risks. Talking with your doctor is the only way to know if testosterone therapy is right for you.

Our Brooklyn-based urologists can determine if TRT is recommended for you.

• Dr. Iván Colón
• Dr. Brent Yanke
• Dr. Edward Zoltan

If you have any other questions about TRT or would like a healthier heart; less fat; stronger bones and improved mood, memory, spatial abilities and your vitality back, don’t hesitate to contact us.

Contact Us

175 Remsen St Suite 1225

Brooklyn, NY 11201

(718) 696-0186

Patients with advanced kidney disease often face significant health challenges. This requires intensive care and education, ideally before kidney failure develops.

Different treatment options are available when the kidney is failing such as dialysis and kidney transplantation. Unfortunately, there is a shortage of kidney transplants, so dialysis modalities are often used.

Dialysis, in general, is a treatment that replaces the work of your kidneys to clear wastes and extra fluid from your body. Hemodialysis accomplishes this using a dialysis machine, and a filter called the dialyzer or artificial kidney. The dialysis machine pumps your blood through the dialysis system and cleans it from impurities, and excessive salt and fluid in the body.

Peritoneal dialysis is the process of using the peritoneal cavity in your stomach, via a special catheter called the peritoneal dialysis catheter, while also using a variety of solutions to achieve the same purpose.

You can do hemodialysis at a center three times a week, or you can do it in the comfort of your own home.

Because of advantages in survival and the convenience of doing such treatments at home, there have been recent advancements in kidney care, strongly supported by the Centers for Medicare and Medicaid Services (CMS), and also reinforced by the Advancing American kidney Health (AA KH) executive order, which endorses a significant increase in patients dialyzing at home, and receiving kidney transplants. 

There are two types of home dialysis: Home hemodialysis (blood cleaning with a small dialysis machine, which can stay at your home), and home peritoneal dialysis (where supplies for this modality are also kept at your home).

Studies have shown that survival in end-stage renal disease and overall health is better with home dialysis.

The more you know about your treatment and the more you do on your own, the better you are likely to do on dialysis. Patients who choose home dialysis notice increased energy, improved appetite, fewer hospitalizations, and better sleep.

There have been advances in-home dialysis technologies that have simplified hemodialysis, allowing it to be performed in the comfort of a patient’s home. There are smaller dialysis machines and more uncomplicated blood tubing that make it easier to manage. You can do your treatment on your own time by having short daily sessions or a more extended session at night. Other advantages of home hemodialysis are gentle fluid removal and better phosphorous control.

At New York Health Kidney Specialists we realize that these decisions are often complicated. Therefore, we have developed a chronic kidney disease clinic, and incorporated a kidney disease education program, with a series of educational sessions in a 1: 1 format, so that the patient can make the most informed choice.

Part of this educational process is also what to expect with kidney transplantation, and educate the patient on this process. 

If you or a loved one may benefit from home hemodialysis or peritoneal dialysis, contact us and we can help you make the choice which is best for you.

New York Health Center For Nephrology

2500 Route 347, Bldg. #14A

Stony Brook, NY 11790

(631) 689-7800

 At New York Health Center for Urology, our physicians are experts on low testosterone and male health disorders. They are able to diagnose the root of the problem and restore your vitality.

Testosterone levels can decline naturally in men over their life, especially after their 40’s. Symptoms of low testosterone may be subtle and go unrecognized.

Symptoms include:

•         fatigue and reduced energy,
•         low libido,
•         loss of mental clarity,
•         erectile dysfunction,
•         weight gain
•         body/facial hair loss,
•         decreased muscle mass,
•         depression, irritability, and anxiety 

There are many forms of testosterone replacement therapy (TRT), including injections, topical skin and nasal gels, patches and testosterone pellets.  All forms of TRT are considered FDA schedule III controlled substances and can not be bought without a prescription. Only men with symptoms of low testosterone and confirmed blood tests should consider testosterone replacement.

A relatively small number of men may experience side effects of testosterone treatment Possible side effects of testosterone therapy include: increased acne, fluid retention, increased urination, breast enlargement, decreased testicular size, decreased sperm count, increased aggressive behaviors, sleep disturbances.   Doctors also watch out for high red blood cell counts, which could increase the risk of clotting. The benefits of TRT usually outweigh potential risks. Talking with your doctor is the only way to know if testosterone therapy is right for you.

Our Brooklyn-based urologists can determine if TRT is recommended for you. 

• Dr. Iván Colón
• Dr. Brent Yanke
• Dr. Edward Zoltan

If you have any other questions about TRT or would like a healthier heart; less fat; stronger bones and improved mood, memory, spatial abilities and your vitality back,  don’t hesitate to contact us. 

Contact Us

175 Remsen St Suite 1225

Brooklyn, NY 11201

(718) 696-0186