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When you are suffering from an unexpected illness with your kidneys and medical attention is needed without waiting for an appointment, we are the provider you need. Our professional team of board-certified nephrologists, nurses and staff is equipped to handle a comprehensive range of urgent renal conditions. Our clinics are located in Lexington, Georgetown, Paris, Winchester, and Irvine, Kentucky.

​You can be assured – we have a commitment to excellence when it comes to the level of care we provide


Twenty million Americans have chronic kidney disease (CKD), and large populations are at increased risk of developing CKD. Left untreated, CKD can progress to kidney failure, which necessitates renal replacement therapy (dialysis or kidney transplantation) to prevent death. Early intervention is effective in preventing or delaying the progression of CKD and the development of complications.


Goals of our CKD Program:


-Detect Renal disease early

-Delay progression

-Treat complications like anemia, bone disease,acid-base/Electrolytes abnormalities

-Treat comorbid conditions like Diabetes, Hypertension, and Heart Disease

-Early referral to Nephrologist

-Plan ahead for transition to ESRD



-Optimize the delivered dose of dialysis
-Improve vascular access care

-Ensure optimal management of complications of ESRD (i.e. anemia, bone disease)

-Ensure optimal management of comorbid conditions (i.e. diabetes, cardiovascular disease

-Coordinate care among various caregivers

-Reduce hospitalizations

-Improve survival


Anemia is a condition commonly associated with Chronic Kidney Disease (CKD). It frequently develops as renal function decreases to less than 50% of normal, and is caused primarily by a deficiency in endogenous erythropoietin, a glycoprotein hormone produced in the kidney. Another factor responsible for this anemia of CKD is increased red blood cell (RBC) destruction. Since non-CKD causes of anemia, e.g. occult blood loss with resultant iron deficiency, can also occur, screening for such conditions is also important in patients with CKD and anemia.Anemia can cause deterioration in cardiac function, result in the need for RBC transfusions and hospitalizations, and contribute significantly to a reduction in quality of life. Therefore it is very important to monit or CKD patients for anemia, recognize it early, evaluate the causes and provide appropriate treatment.


Kidney stones are a common health problem. It is estimated that 12 percent of men and 5 percent of women will develop a symptomatic stone by age 70. Fortunately, treatment is available to effectively manage most stones and steps can be takento prevent their recurrence. The Renal Stone Risk Profile is a new 24 hours urine comprehensive test that can identify thecause of your kidney stone disease. Our Physicians will order the test and analyze it and then discuss the results with you.


The main stay of the medical management of the kidney stone disease is diet modification and our dietitian will help you toachieve that goal. Few medications are also available in certain situations for the treatment of the Kidney Stone Disease. OurPhysicians will be glad to discuss these options with you.


A patient with advanced chronic kidney disease may choose kidney transplant as an option in lieu of dialysis. Transplantation is when a new kidney is received to provide adequate kidney function. Once you have decided to seek transplant evaluation, your BlueGrass Renal Care physicians will refer you to a UNOS-certified transplant center. Currently the nearest transplant centers are located in Lexington, Cincinnati and Louisville.

Osteoporosis is the most common skeletal disorder. It is characterized by a progressive decrease in bone density, causingbones to become brittle, weakened, and easily fractured. Bone mass naturally declines beginning at about age 35. However,women are particularly at risk for osteoporosis after their menopause due to accelerated bone loss that results from reducedproduction of estrogen. Early diagnosis and determination of bone loss and fracture risk are important due to the availabilityof treatments that may slow or even reverse osteoporosis.
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