Most children from San Diego and Imperial Counties with kidney diseases are hospitalized at Rady Children’s Hospital San Diego (RCHSD). In addition, the division provides consultations for inpatients with kidney diseases, hypertension and fluid and electrolyte abnormalities. The average inpatient census is 10-15.
There are nine half-days of outpatient clinics weekly, each staffed by one to two faculty members. One clinic is primarily for the follow-up of patients after renal transplantation. In the other seven clinics, the division sees new and established patients with kidney diseases. In addition, there is a fellows’ continuity clinic, which is staffed with an attending. The Division has started a weekly CCS kidney team clinic with a renal dietician and social worker every Thursday for the management of children with congenital anomalies and chronic kidney disease. A monthly joint lupus clinic in conjunction with the Division of Rheumatology has also been started and is already fully booked. We have plans to initiate a second monthly lupus clinic. The division has a contract with Kaiser Permanente to see new and established patients with kidney diseases in three weekly half-day clinics. The division performs 8-10 transplants annually and follows more than 80 transplantation patients. The division also sees inpatient consults at Kaiser Permanente and in the Newborn Intensive Care Units at UCSD Medical Center and Sharp Mary Birch Hospital.
Children are treated with either chronic hemodialysis or peritoneal dialysis at UCSD Medical Center and RCHSD. There are daily hemodialysis unit rounds. There are two monthly peritoneal dialysis clinics. The average census of patients on chronic dialysis is 25. We have also taken over the acute dialysis services previously provided by UCSD Medical Center. We are also taking over the apheresis services previously provided by an outside company. The dialysis/apheresis unit is being renovated and expanded. This is now adjacent to the outpatient nephrology clinics so that we are moving towards our long-term goal of a Comprehensive Kidney Care Center. We have established multi-disciplinary clinics in the context of kidney stones, tuberous sclerosis & lupus nephritis.