Dr. Vishesh Puri, MD

About Dr. Vishesh Puri, MD

Dr. Vishesh Puri, MD is a Nephrology specialist practicing at our Orange Park, FL clinic, dedicated to providing high-quality, comprehensive, and patient-centered care. He is registered with The Florida Board of Medicine and practices under the Florida Statutes, Title XXXII, Chapter 458 (Medical Practice). With over 20 years of dedicated experience in Nephrology care, he brings a wealth of clinical knowledge and compassionate care to his patients and their families. He is experienced in the field of medical conditions related to kidney, blood pressure and electrolytes and is passionate about making a difference in people's lives. He is also board certified in Internal Medicine by the National Board of Physicians and Surgeons, and Board Certified in Nephrology by the American Board of Internal Medicine, and Board Certified in Nephrology by the National Board of Physicians and Surgeons. He earned his medical degree from Government Medical College Patiala in 2002 and completed his fellowship at the Albert Einstein Medical Center in Philadelphia. He is fluent in Hindi and Punjabi, and welcomes all ages.

I provide comprehensive diagnosis and management of chronic kidney disease, hypertension, electrolyte imbalances, dialysis, and kidney transplantation, ensuring patient-centered care throughout all stages of kidney health. Dr. Puri's commitment to his patients extends to their well-being beyond the clinical setting. He strongly believes that being healthy is the only real wealth and has made a significant impact on the lives of thousands of patients. He is currently welcoming new patients. Please call (904) 593-5333 to schedule an appointment. Dr. Puri completed his residency at Loyola Macneal internal medicine program and has been named one of Cincinnati Top nephrologists for the last three years. He has moved from Cincinnati and intends to continue his work in Jacksonville.

Nephrology Conditions Addressed

Dr. Vishesh Puri addresses a wide range of Nephrology health concerns, including:

• Vascular Disease: Vascular disease in the kidneys can affect blood flow and filter function.
• Chronic Kidney Disease Stage II: Chronic Kidney Disease Stage II means your kidneys are showing some early signs of damage, but they're still working fairly well.
• Nephrogenic Diabetes Insipidus: Because of a problem with how your kidneys respond to a key hormone, NDI causes you to produce a lot of dilute urine and feel very thirsty.
• Chronic Kidney Disease Stage IV: With a Chronic Kidney Disease Stage IV diagnosis, your kidneys are losing their ability to filter waste effectively, necessitating careful medical attention.
• Blood in Urine (Hematuria): If you notice your urine is pink, red, or brown, it's important to consult a doctor as soon as possible.
• Acidosis: Acidosis is a condition where your body has too much acid.
• Hyperparathyroidism: Hyperparathyroidism is a condition where your parathyroid glands produce too much parathyroid hormone, potentially affecting your calcium and bone health.
• Chronic Kidney Disease Stage V: Stage V Chronic Kidney Disease indicates that your kidneys have lost most of their function, requiring dialysis or a kidney transplant.
• Hypertensive Heart and Chronic Kidney Disease: Chronic kidney disease can cause or worsen high blood pressure, leading to damage to the heart and kidneys.
• Vitamin D Deficiency: Vitamin D deficiency can cause weakened bones and muscle problems.
• Hypotension: When your blood pressure drops too low, it's called hypotension, and it can be serious.
• Vasculitis: Kidney problems can arise from vasculitis, a condition causing inflammation and narrowing of blood vessels, reducing blood flow to the kidneys.

Please note: This list highlights some common health concerns that Dr. Vishesh Puri addresses and is for informational purposes only; it does not constitute medical advice. The range of conditions a Nephrology manages is broad, and this list is not exhaustive. For a comprehensive understanding of how he can assist with your Patient's specific health needs or to discuss any particular symptoms, it's always best to schedule a consultation. Accurate diagnosis and personalized treatment plans are developed based on individual patient evaluations.

Nephrology Services Provided

Dr. Vishesh Puri offers a range of services to support your Patient's health and well-being, such as:

• End-Stage Renal Disease Related Services: End-Stage Renal Disease Related Services covers medical care for patients whose kidneys have failed and require dialysis or a transplant.
• Hemodialysis: Hemodialysis involves connecting you to a dialysis machine for several hours at a time, several times a week, to cleanse your blood.
• Peritoneal Dialysis: In peritoneal dialysis, a cleansing fluid is infused into your abdominal cavity, filters waste, and is then drained, offering an alternative to hemodialysis.
• Plasmapheresis: Plasmapheresis is a procedure that removes and replaces blood components, often used to treat certain kidney conditions.
• Renal Scan: This test uses radioactive material to check blood flow and function within your kidneys.
• Ultrasound: An ultrasound is a painless test that uses sound waves to create images of your kidneys and other organs.
• Ambulatory Blood Pressure Monitoring: ABPM involves wearing a small device that automatically measures your blood pressure at regular intervals, providing a detailed record of your blood pressure patterns.

Please note: This list highlights some of the key services that may be offered by Dr. Vishesh Puri. Service availability can change and not all services listed may be appropriate or offered to every patient. The scope of services provided by a Nephrology can vary. For a comprehensive understanding of all available services or to discuss your Patient's specific healthcare needs, it's always best to schedule a consultation. Some specialized procedures or advanced diagnostic tests may require referral to a subspecialist.

All medical services are provided in accordance with the standard scope of practice for Nephrology in Florida and adhere to the ethical and professional guidelines set forth by The Florida Board of Medicine.

Frequently Asked Questions

Here are answers to some common questions about care with Dr. Vishesh Puri:

What is a Nephrologist?

A nephrologist is a doctor specializing in kidney diseases. They are experts in managing conditions like chronic kidney disease, high blood pressure, and electrolyte imbalances, and provide care for patients on dialysis or who have had a kidney transplant.

What should I expect during my first visit with Dr. Vishesh Puri?

Your first visit with Dr. Puri will involve a comprehensive review of your medical history, a detailed discussion of your kidney-related symptoms, and a physical exam. Please bring a complete list of all medications, and any recent lab results or imaging reports to help ensure a thorough evaluation.

Does Dr. Vishesh Puri accept my insurance?

Insurance acceptance can vary. Please call our office directly with your insurance information to confirm coverage for nephrology services before your appointment.

How important is diet in managing kidney disease?

Diet is a cornerstone of kidney disease management. A specialized renal diet helps reduce the workload on your kidneys by managing protein, sodium, potassium, and phosphorus levels. Dr. Puri's practice works closely with renal dietitians to support you.

I have recurrent kidney stones. How can a nephrologist help?

Dr. Puri specializes in preventing kidney stones from recurring. We'll perform metabolic testing to pinpoint the cause, then recommend dietary changes, hydration strategies, and potentially medication to help keep stones from forming again.

How is Polycystic Kidney Disease (PKD) managed?

Dr. Puri's practice manages PKD as a long-term strategy focused on controlling symptoms and slowing cyst growth. Key elements include strict blood pressure control, pain management, treatment of urinary tract infections, and discussion of newer medications that may slow disease progression. We work closely with patients to develop personalized plans for optimal health.

What's the difference between hemodialysis and peritoneal dialysis?

Hemodialysis uses a machine to filter blood, typically done at a dialysis center. Peritoneal dialysis (PD) uses the lining of your abdomen to filter blood, often performed at home.

How do you know when a patient needs to start dialysis?

The decision to start dialysis is a shared one, considering multiple factors, including your overall symptoms, kidney function (GFR), and ability to manage daily life. We carefully evaluate these aspects together to determine the best course of action.