West Orange

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OUR SERVICES

Kidney Disease

Dr. Awosika sees patients that have various types of primary and secondary kidney problems. These include protein in the urine, blood in the urine, acute kidney injury. He will do the necessary diagnostic tests to determine your condition. Incorporating his preventive care approach helps effectively manages these problems.

Dr. Awosika has been able to reverse Kidney Disease by means of diet and exercise.

What Do Kidneys Do?
Your kidneys are two bean-shaped organs, each about the size of your fist. They’re located behind your abdominal organs, one on each side of your spine. Their primary role is to help maintain the body in a state of balance by controlling the make-up and volume of blood. They do this by removing excess fluid and electrolytes from your blood. The kidneys also control the production of red blood cells as well as activation of Vitamin D, and regulates your blood pressure. Inside each kidney are more than a million small filtering units called nephrons. As blood circulates through your kidneys, the nephrons filter out waste products as well as unneeded minerals and water. This liquid waste — urine — flows through two narrow tubes (ureters) into your bladder from the kidneys, where it’s stored until it’s eliminated from your body through another tube, the urethra.

Why Do Kidneys Fail?
Most kidney diseases attack the nephrons, causing them to lose their filtering capacity. Damage to the nephrons can happen quickly, often as the result of injury or poisoning. But most kidney diseases destroy the nephrons slowly and silently. Only after years or even decades will the damage become apparent. Most kidney diseases attack both kidneys simultaneously.

Healthy kidneys take wastes out of the blood but leave protein. Impaired kidneys may fail to separate a blood protein called albumin from the wastes. At first, only small amounts of albumin may leak into the urine, a condition known as microalbuminuria, a sign of deteriorating kidney function. As kidney function worsens, the amount of albumin and other proteins in the urine increases, and the condition is called proteinuria.

The two most common causes of kidney disease are diabetes and high blood pressure. People with a family history of any kind of kidney problem are also at risk for kidney disease.

Diabetic Kidney Disease

Diabetes is a disease that keeps the body from using glucose, a form of sugar, as it should. If glucose stays in the blood instead of breaking down, it can act like a poison. Damage to the nephrons from unused glucose in the blood is called diabetic kidney disease. Keeping blood glucose levels down can delay or prevent diabetic kidney disease. Use of medications called angiotensin-converting enzyme (ACE) inhibitors or angiotensin receptor blockers (ARBs) to treat high blood pressure can also slow or delay the progression of diabetic kidney disease. Click here to learn more about Diabetes.

High Blood Pressure

High blood pressure can damage the small blood vessels in the kidneys. The damaged vessels cannot filter wastes from the blood as they are supposed to.

High blood pressure can lead to kidney disease. It can also be a sign that the kidneys are already impaired. The only way to know whether a person’s blood pressure is high is to have a health professional measure it with a blood pressure cuff. The result is expressed as two numbers. The top number, which is called the systolic pressure, represents the pressure in the blood vessels when the heart is beating. The bottom number, which is called the diastolic pressure, shows the pressure when the heart is resting between beats. A person’s blood pressure is considered normal if it stays below 120/80, stated as “120 over 80.” The NHLBI recommends that people with kidney disease use whatever therapy is necessary, including lifestyle changes and medicines, to keep their blood pressure below 130/80. Click here to learn more about high blood pressure.

Dr. Awosika treats various kidney disorders like acid-base disorders, electrolyte disorders, uncontrolled high blood pressure, nephrolithiasis (kidney stones), acute kidney disease, chronic kidney disease and end-stage renal disease…

Dr. Awosika will run diagnostic tests including blood and urine tests and kidney ultrasound on site to determine your condition and the appropriate treatment.

Don’t hesitate to contact us to discuss any aspect of your health. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your blood pressure, and kidneys.

Hypertension:
Consult with Dr. Awosika to bring down your blood pressure.

Dr. Awosika will run diagnostic tests including blood and urine tests and kidney ultrasound on site to determine your condition and the appropriate treatment.

Don’t hesitate to contact us to discuss any aspect of your health. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your blood pressure, and kidneys

We also perform vascular ultrasounds which includes evaluations of dialysis access, vein mapping, circulations studies and evaluations for blood clots.

Kidney Dialysis

Dr. Awosika sees patients that have various types of primary and secondary kidney problems. These include protein in the urine, blood in the urine, acute kidney injury. He will run diagnostic tests to determine your condition. Incorporating his preventive care approach helps effectively manages these problems.

Dialysis Treatment for Kidney Failure
Healthy kidneys clean your blood by removing excess fluid, minerals and wastes. They also make hormones that keep your bones strong and your blood healthy. When kidneys fail, harmful wastes build up in your body, your blood pressure may rise, and your body may retain excess fluid and not make enough red blood cells. When this happens, you need treatment to replace the work of your failed kidneys.

Dialysis is a procedure that is a substitute for many of the normal duties of the kidneys by performing the functions of failed kidneys. It is a process that cleanses the blood by passing it through a special machine. Dialysis can allow individuals to live productive and useful lives, even though their kidneys no longer work adequately. In the United States, there are over 200,000 people who use dialysis techniques on an.

There are two types of dialysis:

Peritoneal dialysis:
In peritoneal dialysis the patient’s own body tissues inside of the belly (abdominal cavity) acts as a filter. The intestines lie in the abdominal cavity, the space between the abdominal wall and the spine. A plastic tube called a “dialysis catheter” is placed through the abdominal wall into the abdominal cavity. A special fluid is then flushed into the abdominal cavity and bathes the intestines. The intestinal walls act as a filter between this fluid and the blood stream. By using different types of solutions, waste products and excess water can be removed from the body.

Hemodialysis:
In hemodialysis, your blood is allowed to flow, a few ounces at a time, through a special filter in a dialysis
machine that removes wastes and extra fluids. The clean blood is then returned to your body. Removing the harmful wastes and extra salt and fluids helps control your blood pressure and keep the proper balance of chemicals like potassium and sodium in your body.

Dr. Awosika treats various kidney disorders like acid-base disorders, electrolyte disorders, uncontrolled high blood pressure, nephrolithiasis (kidney stones), acute kidney disease, chronic kidney disease and end-stage renal disease.

Dr. Awosika will run diagnostic tests including blood and urine tests and kidney ultrasound on site to determine your condition and the appropriate treatment.

Don’t hesitate to contact us to discuss any aspect of your health. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your blood pressure, and kidneys.

Ultrasound can detect cysts, tumors, abscesses, obstructions, fluid collection, and infection within or around the kidneys. A kidney ultrasound is a non-invasive diagnostic exam that produces images and it may be used to assess the size, location and shape of the kidneys and related structures such as the uterus and bladder.

It may be performed to assist in placement of a kidney biopsy. It can also be used after a kidney transplant to evaluate the transplanted kidney.

We also perform vascular ultrasounds which includes evaluations of dialysis access, vein mapping, circulations studies and evaluations for blood clots.

Other Services

We offer preventive care and life style coaching specifically directed at the following…

  • High Cholesterol
  • Lupus
  • Multiple Sclerosis
  • Heart Disease
  • Stroke
  • PAD
  • COPD

Diabetes

Dr. Awosika has been able to reverse Diabetes, Hypertension / High Blood Pressure by means of nutrition and exercise.

Dr. Awosika will do the necessary diagnostic tests to determine your condition. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your diabetes, blood pressure, and kidneys.

What is Diabetes?
Diabetes mellitus, often simply referred to as diabetes—is a condition which affects the body’s ability to use blood sugar for energy resulting in high blood sugar. This occurs either because the body doesn’t produce enough insulin, or because cells don’t respond to the insulin that is produced. Insulin, a hormone that is made in your pancreas, moves the sugar (supplied by foods and drinks) from the bloodstream into muscle, fat, and liver cells, where it can be used as fuel.

High blood sugar produces the classical symptoms of frequent urination, increased thirst, increased hunger and blurred vision.

The main types of diabetes include:
Type 1 diabetes (most often affecting children) – the body cannot produce insulin. People with type 1 diabetes require insulin injections.

Type 2 diabetes the most common form of the disease. Typically, with type 2 diabetes, the body still makes insulin, but its cells can’t use it. This is called insulin resistance. Over time, high levels of sugar build up in the bloodstream. Being overweight and inactive increase the chances of developing type 2 diabetes.

Gestational diabetes which occurs in some pregnant women. The condition usually goes away after delivery but such individuals are at risk for developing type 2 diabetes.

Treating Type 2 Diabetes

Weight Loss: You can take good care of yourself and your diabetes by learning what to eat, how much to eat, when to eat. Healthful eating helps keep your blood glucose, also called blood sugar, in your target range. This food pyramid can help you make wise food choices. It divides foods into groups, based on what they contain. Eat more from the groups at the bottom of the pyramid, and less from the groups at the top. Our dietitian will help make a meal plan that fits the way you usually eat, your daily routine, and your diabetes medicines.

Click here to learn more

Exercise Program: There’s no one perfect exercise, so do something you like. Try anything that gets you going, from walking the mall to pumping iron. Dr. Awosika can suggest activities for you. You don’t need to spend hours in the gym every day to benefit. Simply adding moderate physical activities to your daily routine will help: climbing stairs, walking, jogging, bicycling and swimming.

Weight Loss

Dr. Awosika has been able to reverse Kidney Disease and Hypertension / High Blood Pressure by means of nutritional counseling and exercise.
Dr. Awosika and his team at West Orange Nephrology’s mission is to render quality healthcare to patients and maintain wellness by the empowerment of education.

The Relationship Between Weight and Your Health

Being overweight or obese increases your risk of developing high blood pressure, diabetes and high blood cholesterol. In fact, your blood pressure rises as your body weight increases. Losing even 10 pounds can lower your blood pressure, and losing weight has the biggest effect on those who are overweight and already have hypertension.

Help From West Orange Nephrology

With obesity on the rise and the chronic illness that results from it, there is more and more focus being placed on eating healthy and sensibly. Dr. Awosika, the nurse practitioner and the Registered Dietitian on staff can help guide you into a healthy lifestyle. During an initial dietitian consult, your individual needs will be assessed, and ideas on how to achieve the recommended nutrition plan, which includes fruits, vegetables, as well as whole grains, will be discussed. Many clients are often surprised at how much they are encouraged to eat.

Dr. Awosika believes that overall health and disease management (not your pant size) should be your main motivator to change your lifestyle. Weight loss is a desired side benefit of this goal. Changing your lifestyle will insure your overall health. Lifestyle includes food consumption, physical activity and stress management.

Changing your lifestyle behaviors will result in:

  • Improved glucose control
  • Lower cholesterol levels
  • Reducing blood pressure
  • Stabilized or Improved Kidney function
  • Reducing need for medication
  • Improved energy
  • Decrease plaque formation in the arteries

Dr. Awosika will run diagnostic tests including blood and urine tests and kidney ultrasound on site to determine your condition and the appropriate treatment.

Don’t hesitate to contact us to discuss any aspect of your health. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your blood pressure, and kidneys.

Wellness

Dr. Awosika has been able to reverse Diabetes, Hypertension / High Blood Pressure by means of nutrition and exercise.

Dr. Awosika will do the necessary diagnostic tests to determine your condition. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your diabetes, blood pressure, and kidneys.

What is Diabetes?
Diabetes mellitus, often simply referred to as diabetes—is a condition which affects the body’s ability to use blood sugar for energy resulting in high blood sugar. This occurs either because the body doesn’t produce enough insulin, or because cells don’t respond to the insulin that is produced. Insulin, a hormone that is made in your pancreas, moves the sugar (supplied by foods and drinks) from the bloodstream into muscle, fat, and liver cells, where it can be used as fuel.

High blood sugar produces the classical symptoms of frequent urination, increased thirst, increased hunger and blurred vision.

The main types of diabetes include:
Type 1 diabetes (most often affecting children) – the body cannot produce insulin. People with type 1 diabetes require insulin injections.

Type 2 diabetes the most common form of the disease. Typically, with type 2 diabetes, the body still makes insulin, but its cells can’t use it. This is called insulin resistance. Over time, high levels of sugar build up in the bloodstream. Being overweight and inactive increase the chances of developing type 2 diabetes.

Gestational diabetes which occurs in some pregnant women. The condition usually goes away after delivery but such individuals are at risk for developing type 2 diabetes.

Treating Type 2 Diabetes

Weight Loss: You can take good care of yourself and your diabetes by learning what to eat, how much to eat, when to eat. Healthful eating helps keep your blood glucose, also called blood sugar, in your target range. This food pyramid can help you make wise food choices. It divides foods into groups, based on what they contain. Eat more from the groups at the bottom of the pyramid, and less from the groups at the top. Our dietitian will help make a meal plan that fits the way you usually eat, your daily routine, and your diabetes medicines.

Click here to learn more

Exercise Program: There’s no one perfect exercise, so do something you like. Try anything that gets you going, from walking the mall to pumping iron. Dr. Awosika can suggest activities for you. You don’t need to spend hours in the gym every day to benefit. Simply adding moderate physical activities to your daily routine will help: climbing stairs, walking, jogging, bicycling and swimming.

Hypertension: Consult with Dr. Awosika to bring down your blood pressure.

Dr. Awosika will run diagnostic tests including blood and urine tests and kidney ultrasound on site to determine your condition and the appropriate treatment.

Don’t hesitate to contact us to discuss any aspect of your health. We can advise and consult with you on your nutrition, level of activity, and other things that can have an effect on your blood pressure, and kidneys.

Read More

What Our Patients Say…

I just finished my 4th appointment with Dr. Awosika today and another prescription drug has been reduced to halfthe daily amount! Also, within 3 months of following his diet and exercise directions my GFR went from 44 up to 60! I know of others who’ve had such success. He and his staff are very professional, friendly and easy to talk to. I highly recommend Dr. Awosika.

Douglas P.

My back story is that I had a non-functional kidney for many years, which symptoms has been misdiagnosed as GI problems until I ended up in the ER with severe pain, and required emergent removal of that kidney. My experience with my previous Nephrologist was not the greatest, mostly because any time I would discuss my concerns about my kidney health, he simply said that I’m young and have nothing to worry about. A friend referred me to Dr. Awosika, and I have never been happier about her suggestion to see him. He always listens to my concerns, sends me for testing related to those concerns, and looks at my test results before saying everything is ok. He considers lifestyle changes before suggesting medication, if appropriate. I truly appreciate his dedication to patient care and would recommend him to any of my friends and family.

Kenia R. Orlando, FL

I met Dr. Awosika about 4 years ago when I was a patient at Health Central Hospital in Ocoee, Florida. At the request of my doctor, I followed up with a visit to his office. He provided me with detailed information regarding the issues with my kidneys and set a goal for me to achieve. Over the years my kidney functions have greatly improved due to the diet, medication and instructions he provided. I have encountered nothing but professionalism from Dr. Awosika over the years I have visited him and his staff has exercised nothing but the same.

Mervyn G. Apopka, FL

I have every confidence that I am receiving the best care available from Dr. Awosika. He is very knowledgeable and cares about his patients, and he is very easy to talk to and answers all of my questions. Because his office staff is very nice and always helpful, it’s a pleasure to work with them. I am very grateful to be in Dr. Awosika’s care.

Donna T. Orlando, FL

When my doctor told me I was being referred to a kidney specialist I was very nervous and apprehensive for my first appointment. From the moment I entered Dr. Awosika’s office I was greeted with the most cheerful and fun people that made me feel like I had been there many times before. I cannot tell you how much this helped me get passed that initial fear. Thank you all….you are the very best!

Barbara P. Ocoee, FL
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