A Local Approach to Slowing CKD Progression in Richmond Hill
Chronic Kidney Disease (CKD) is a serious yet often silent condition, affecting over 1 in 10 Canadians. Without early diagnosis and consistent management, CKD can progress to kidney failure—requiring dialysis or a transplant. At Viva Health Centre in Richmond Hill, we believe that awareness, expert guidance, and accessible care can make all the difference.
Our in-house nephrologist, Dr. Hamed Pashaei, is committed to helping patients slow the progression of kidney disease and live healthier lives. Whether you’ve been recently diagnosed or are managing an advanced stage, here’s how we can support you every step of the way.
What Is Chronic Kidney Disease (CKD)?
CKD refers to progressive loss of kidney function over months or years. It’s usually detected via:
- eGFR (estimated Glomerular Filtration Rate)
- Urine tests for protein (albuminuria)
Common Causes:
- Diabetes (Type 1 & 2)
- Hypertension
- Autoimmune diseases (e.g., lupus)
- Polycystic kidney disease
- Recurrent kidney infections or stones
CKD is often asymptomatic in early stages, but untreated, it may lead to:
- High blood pressure
- Fatigue, swelling
- Heart disease
- Anemia
- Eventually, kidney failure (end-stage renal disease)
CKD Stages at a Glance
| Stage | eGFR Range | Symptoms |
|---|---|---|
| 1–2 | >60 | Often no symptoms |
| 3a–3b | 30–59 | Fatigue, mild swelling |
| 4 | 15–29 | More noticeable symptoms |
| 5 | <15 | Kidney failure (dialysis or transplant needed) |
Why Early Detection Matters
Ontario’s KidneyWise Toolkit helps family physicians and nurse practitioners identify CKD early and refer to nephrologists when appropriate. At Viva Health Centre, we use these same tools to:
- Monitor kidney function regularly
- Check for high blood pressure, protein in urine, and risk factors
- Refer to nephrology at Stage 3 or earlier when needed
Meet Our Nephrology Expert: Dr. Hamed Pashaei
With years of experience in internal medicine and nephrology, Dr. Pashaei is recognized across Richmond Hill for his patient-centred approach and attention to prevention. He treats a wide range of kidney conditions, including:
- CKD
- Proteinuria
- Edema
- Hypertension related to kidney disease
- Kidney stones
How We Manage CKD at Viva
Our nephrology care focuses on slowing progression and avoiding complications through a holistic model that includes:
1. Medical Management
- Blood pressure control (using ACE inhibitors or ARBs)
- Blood sugar & cholesterol management
- Adjustments to medication regimens that may harm kidney function
2. Lifestyle and Nutrition Support
- Low-sodium, potassium, and protein diet (renal diet)
- Hydration tracking
- Smoking cessation and physical activity
Our on-site dietitian provides personalized meal planning for patients with CKD.
3. Routine Monitoring
- Regular eGFR and creatinine testing
- Urinalysis
- Blood pressure logs
- Medication reviews
4. Specialist Collaboration
Viva’s integrated care model allows family physicians, specialists, and pharmacists to work together. This means:
- Unified medical records
- Streamlined lab ordering
- Reduced wait times
- Better health outcomes
When CKD Advances: What Are Your Options?
If CKD reaches Stage 4 or 5, early nephrology intervention can help patients avoid emergency dialysis. We coordinate referrals to:
- Mackenzie Health Dialysis Program
- Ontario Renal Network Home Dialysis Support
- Pre-transplant assessment programs
Dr. Pashaei provides counselling to help you make informed choices about:
- Hemodialysis vs. peritoneal dialysis
- Home-based vs. hospital-based treatment
- Palliative nephrology in select cases
FAQs
When should I see a nephrologist?
If your eGFR is below 60 or you have protein in urine for 3+ months, or if you have diabetes + hypertension with fluctuating kidney values.
Is nephrology care covered by OHIP?
Yes, consultations and follow-ups with Dr. Pashaei are covered.
Do I need a referral?
Yes. Your family doctor or a walk-in clinic physician can refer you.
Can I be treated at Viva if I also go to Mackenzie Health?
Absolutely. We can coordinate your outpatient follow-ups.
Why Choose Viva Health Centre for Kidney Care?
✅ In-house nephrology & family medicine
✅ On-site pharmacy and labs
✅ Renal dietitian available
✅ OHIP-covered care
✅ Shorter wait times than hospital systems
✅ Personalized care in Farsi or English
- Book a Nephrology Consultation
- Learn more about our Nephrology Services
- Ontario KidneyWise Toolkit: ontariorenalnetwork.ca
- Mackenzie Health CKD Program: mackenziehealth.ca
Ready to Take Control of Your Kidney Health?
Whether you need a consultation or want to transfer your care, we’re here to support your kidney journey—from early screening to advanced care planning.
📍 9580 Yonge Street, Unit #6, Richmond Hill
📞 905‑237‑8482
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