Dr. Chi Zhang – Nephrologist | Trail, BC

Dr. Chi Zhang is a dedicated Nephrologist, committed to providing exceptional medical care for adult patients with kidney conditions. Practicing at a specialized nephrology clinic in Trail in Trail, BC, he is a trusted provider of specialized kidney care in the community. He adheres strictly to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that every patient receives high-quality, evidence-based treatment. His role as a Nephrologist involves the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders. The clinic offers a wide range of services and comprehensive care tailored to individual patient needs, from early detection and prevention to advanced disease management, including support for patients on dialysis.

With extensive medical education and training, Dr. Zhang graduated with an MD from China in 1992. Following medical school, he completed a residency in Internal Medicine, followed by specialized fellowship training in Nephrology. He is a board-certified Nephrologist with over 27 years of specialized experience since 1997. His certifications include Certification by the Royal College of Physicians and Surgeons of Canada, reflecting his commitment to maintaining the highest standards of medical practice and continuous professional development.

Dr. Zhang's professional philosophy centers on preserving kidney function and enhancing the quality of life for his patients. He is dedicated to educating patients and their families about kidney health, empowering them through shared decision-making. Utilizing evidence-based medicine and advanced therapies, he aims to achieve the best possible outcomes. His approach emphasizes early detection, prevention of disease progression, and comprehensive management of kidney-related complications. Collaboration with primary care physicians, dietitians, social workers, and other specialists ensures holistic care. Additionally, Dr. Zhang is proficient in Mandarin, which helps facilitate clear communication with a diverse patient population in Trail.

Dr. Chi Zhang provides expert diagnosis and management for a wide range of kidney conditions, including:

Acute Kidney Injury (AKI)

Dr. Zhang addresses a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.

• Post-renal AKI: Treatment involves relieving the obstruction to allow normal urine flow.
• Intrinsic AKI (Renal AKI): Direct damage to the kidney tissues, such as acute tubular necrosis (ATN) from toxins or ischemia, glomerulonephritis, or interstitial nephritis.
• Contrast-Induced Nephropathy: Preventive measures are important in high-risk patients.

Glomerular Diseases (Glomerulonephritis)

Dr. Zhang addresses diagnosis often requires a kidney biopsy, and treatment may involve immunosuppressive medications.

• Focal Segmental Glomerulosclerosis (FSGS): Can be primary or secondary to other conditions. Treatment options vary.
• Lupus Nephritis: Kidney inflammation caused by Systemic Lupus Erythematosus (SLE), an autoimmune disease.
• IgA Nephropathy (Berger's Disease): A common glomerular disease caused by deposits of the antibody IgA in the glomeruli.

Chronic Kidney Disease (CKD)

Dr. Zhang addresses early detection and intervention can significantly improve outcomes for individuals with CKD.

• Mineral and Bone Disorder of CKD (CKD-MBD): Managed with dietary restrictions, phosphate binders, vitamin D supplements, and calcimimetics.
• Advanced CKD (Stages 4-5, Non-Dialysis): Discussions about dialysis options and kidney transplantation.
• Early Stages of CKD (Stages 1-3): Focus on controlling risk factors (blood pressure, blood sugar), lifestyle modifications, and avoiding kidney-damaging medications.

This list is not exhaustive. For a comprehensive evaluation of your kidney health, a consultation with Dr. Chi Zhang is necessary.

• Peritoneal Dialysis Program Management (CAPD/APD): Full support for patients on Continuous Ambulatory Peritoneal Dialysis (CAPD) or Automated Peritoneal Dialysis (APD).
• Management of Dialysis Complications: Addressing common complications of dialysis such as anemia, mineral and bone disorders, cardiovascular issues, and infections.
• Medical Management of Kidney Stones (Nephrolithiasis): Collaboration with urologists for stone removal procedures when indicated.
• Electrolyte and Acid-Base Disorder Management: Often crucial in hospitalized patients or those with advanced kidney disease.
• Glomerular Disease (Glomerulonephritis) Diagnosis and Treatment: May involve kidney biopsy for diagnosis and immunosuppressive therapies.
• Dialysis Access Planning and Coordination: Coordination with vascular surgeons and interventional radiologists for access creation and maintenance.

Note: This list provides an overview. Specific treatments are determined after a thorough evaluation and consultation with Dr. Zhang.

All nephrology services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant Canadian Society of Nephrology (CSN) and Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. A referral from a physician or another specialist is generally required for consultation.

Dr. Zhang's primary nephrology clinic is located in a modern, well-equipped facility in the heart of Trail's healthcare district, within close proximity to major medical facilities and diagnostic services. The clinic is easily accessible via local public transit routes and offers a welcoming environment for comprehensive kidney care. Patients can expect a professional setting designed for comfort and confidentiality. Parking is typically available nearby, with some accessible spots for those with mobility needs. The location ensures convenient access for residents of Trail and surrounding communities seeking expert nephrology services.

What are the main types of dialysis Dr. Zhang might discuss?

If your kidney function declines significantly, Dr. Zhang may discuss renal replacement therapies, primarily hemodialysis and peritoneal dialysis. Hemodialysis involves filtering your blood using an external machine, usually at a dialysis center (or sometimes at home). Peritoneal dialysis uses the lining of your abdomen (peritoneum) and a special solution to filter blood inside your body, and is typically done at home. Dr. Zhang will explain the benefits and drawbacks of each, helping you choose the best option for your lifestyle and medical condition.

How does Dr. Zhang help manage high blood pressure (hypertension)?

Dr. Zhang, as a Nephrologist, has expertise in managing hypertension, especially if it's severe, resistant to standard treatments, or caused by kidney disease. He can investigate underlying causes, optimize medication regimens, and provide guidance on lifestyle changes to effectively control blood pressure, which is crucial for protecting kidney health and overall cardiovascular well-being.

What is involved in the kidney transplant process with a Nephrologist like Dr. Zhang?

As a Nephrologist, Dr. Zhang plays a crucial role in the kidney transplant process. This includes evaluating your suitability for a transplant, managing your health while on the waiting list, coordinating with the transplant surgical team, and providing comprehensive medical care after the transplant to manage immunosuppressive medications and monitor for complications or rejection. He works as part of a multidisciplinary transplant team.

What does a Nephrologist like Dr. Zhang specialize in?

Dr. Zhang is a Nephrologist, a physician with specialized training in kidney health and disease. He manages the full spectrum of kidney disorders, from early detection and prevention to advanced therapies like dialysis and post-transplant care. He specializes in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders.

Do I need a referral to see Dr. Zhang?

For most consultations with Dr. Zhang that are medically necessary and covered by Medical Services Plan (MSP), a referral from a family doctor or another specialist (like an internist or endocrinologist) is typically needed. This helps in coordinating your care effectively. In urgent situations, your referring doctor will facilitate an expedited consultation. The clinic's fax number for referrals is typically (250) 368-3307.

What is the difference between a Nephrologist like Dr. Zhang and a Urologist?

The key difference lies in their approach: Dr. Zhang, as a Nephrologist, is an expert in the medical treatment of kidney diseases and functional kidney problems (e.g., how well kidneys filter blood, manage electrolytes, and produce urine). A Urologist is a surgeon who deals with physical problems of the urinary system, including surgical removal of kidney stones or tumors, and issues with the bladder, ureters, and male reproductive organs. They often collaborate on patient care.

Are services from Dr. Zhang covered by provincial health insurance?

Most specialized medical care for kidney diseases provided by Dr. Zhang is covered under Medical Services Plan (MSP). This includes appointments, prescribed kidney function tests, management of dialysis, and care before and after a kidney transplant. Medically necessary consultations, diagnostic tests for kidney disease, management of chronic kidney disease, dialysis treatments (hemodialysis and peritoneal dialysis), and medical care related to kidney transplantation are generally covered by Medical Services Plan (MSP). Preventive counseling for high-risk individuals referred by a physician is also typically covered. It's always best to confirm coverage specifics with Dr. Zhang's office or Medical Services Plan (MSP) directly, as some specific tests or newer adjunctive therapies might have varying coverage.

a specialized nephrology clinic in Trail
8100 Hwy 3B Rm 225, 8100 Hwy 3B, Dr. Chi Zhang Inc.
Trail, BC V1R 4N7

Office Phone: (250) 512-0554 | Office Fax: (250) 368-3307

Dr. Zhang is a licensed Nephrologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or another specialist is generally required for a consultation with Dr. Zhang, particularly for services covered by the Medical Services Plan (MSP).

Verify Dr. Zhang's registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/325809/Zhang%2CChi