Experts in Chronic Kidney Disease and Hypertension

From the moment you schedule an appointment with the Chronic Kidney Disease and Hypertension Program at Scripps Clinic, you will be in caring, capable hands.

Our nephrology team is comprised of experts in kidney disease, hypertension, transplantation, and nutrition. We provide care for all stages of kidney disease. Together, we will partner with you to manage your condition, offering evidence-based treatments, consultations and one-on-one educational seminars to help you make the best decisions for your health.

Using the most advanced treatments available, our team focuses on minimizing progression of kidney disease and preventing complications associated with it such as:

  • Acidosis
  • Anemia
  • Cardiovascular disease
  • Fluid and electrolyte disorders
  • High blood pressure
  • Metabolic bone disease (weak bones)
  • Nerve damage
  • Poor nutrition

We partner with you to develop an individualized treatment plan for the following:

Complex hypertension

Following strict guidelines established by the Joint Commission, the Chronic Kidney Disease and Hypertension Program at Scripps Clinic provides care for people with severe or resistant hypertension. By employing evidence-based practices designed to better control high blood pressure, the medical team collaborates with you to reduce the risk of kidney failure, stroke, and heart disease. Successful treatment may include identifying lifestyle factors and treating secondary causes of hypertension, including obesity and sleep apnea.

Prevention of kidney stones

After you receive acute care for kidney stones, the nephrologist helps determine the metabolic basis of the disease. He/she will provide tailored medical treatment and nutritional advice aimed at preventing future kidney stone formation.

Kidney transplantation

The chronic kidney disease program is an integral part of the Scripps Organ Transplantation Program, which performs cadaveric, living related/unrelated and paired donor exchange kidney transplants. We are strong advocates for early referral and preemptive kidney transplantation, to minimize or avoid the need for dialysis. We collaborate closely with transplant surgeons and support staff, ensuring comprehensive care is provided at every step of the transplant process, from the time of the initial referral to donor selection and through the post-transplant period.


For those with advanced kidney failure, also known as end-stage renal disease, dialysis may be needed when the kidneys do not function well enough to keep you healthy. Dialysis replaces the work of the kidneys to clean the blood and maintain your fluid balance.

We offer several treatment options to ensure you have the type of dialysis that fits best with your life. Different forms of dialysis are available and include peritoneal dialysis or hemodialysis. We will carefully consider your lifestyle decisions and medical needs in order to find the most suitable therapy.

  • Peritoneal dialysis — This form of dialysis cleans your blood using a small catheter that is surgically inserted in the abdomen. During treatments, your abdominal area is slowly filled with dialysate fluid through the catheter. Your blood is cleaned as toxins and waste products are drawn out from the arteries and veins that line your peritoneal cavity. Peritoneal dialysis is usually done at your home, but can be done at work, or even while traveling. Many people do peritoneal dialysis at night while they are sleeping.
  • Hemodialysis — This form of dialysis cleans the blood outside the body using a machine. To get the blood into the dialysis machine, you will need an access, or entrance, into your blood vessels. Typically, this requires a small surgery to join an artery to a vein, which is known as a fistula. If your blood vessels are not adequate to create a fistula, then we may use a soft plastic tube to join the artery and vein, which is known as a graft.

    You and a care partner can be trained to do your own hemodialysis at home. Home hemodialysis allows you more flexibility to fit the dialysis treatments around your daily activities. Hemodialysis can also be performed by nurses at a dialysis center. In-center dialysis units are located at multiple locations across San Diego County, with daytime and evening hours available.