About
Dr. Mohsen Agharazii is a dedicated Nephrologist, committed to providing exceptional medical care for adult patients with kidney conditions. Practicing at CHUQ - Hôtel-Dieu de Québec in Québec, QC, he is a trusted provider of specialized kidney care in the community. His practice adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring that each patient receives safe, effective, and compassionate treatment. As a Nephrologist, he specializes in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders. The clinic offers comprehensive care for a wide range of kidney conditions, from early detection and prevention to advanced disease management, including support for patients on dialysis.
Dr. Agharazii earned his Medical Degree in 1999. Following his medical training, he completed a residency in Internal Medicine, then pursued specialized fellowship training in Nephrology. With over 25 years of experience practicing as a Nephrologist, he has developed a deep expertise in managing complex kidney conditions and providing personalized patient care. He holds the necessary certifications to practice nephrology in Québec, demonstrating his commitment to maintaining the highest standards of medical practice and ongoing professional development.
His professional philosophy centers on preserving kidney function and improving the quality of life for patients with kidney disease. Dr. Agharazii is dedicated to educating patients and their families about kidney health, empowering them through shared decision-making. He utilizes evidence-based medicine and advanced therapies to achieve optimal patient outcomes. His approach emphasizes early detection, prevention of disease progression, and comprehensive management of kidney-related complications. Committed to collaborative care, he works closely with primary care physicians, dietitians, social workers, and other healthcare professionals to ensure holistic, patient-centered treatment. Dr. Agharazii provides nephrology consultations and treatments in French, ensuring clear communication and compassionate care for his patients in Québec.
Dr. Mohsen Agharazii provides expert diagnosis and management for a wide range of kidney conditions, including:
Chronic Kidney Disease (CKD)
Dr. Agharazii addresses a progressive loss of kidney function over months or years, affecting the body's ability to filter waste and maintain fluid balance.
- Hypertensive Nephrosclerosis (Kidney Disease due to High Blood Pressure): Effective blood pressure management is key to slowing progression.
- Diabetic Nephropathy (Kidney Disease due to Diabetes): Requires strict blood glucose and blood pressure control, along with specific kidney-protective medications.
- Advanced CKD (Stages 4-5, Non-Dialysis): Severe reduction in kidney function, often accompanied by symptoms like fatigue, swelling, and changes in urination.
Acute Kidney Injury (AKI)
Dr. Agharazii addresses causes kidneys to lose their filtering ability, leading to a build-up of waste products and fluid imbalance.
- Post-renal AKI: Caused by an obstruction in the urinary tract (e.g., kidney stones, enlarged prostate, tumors) that prevents urine from draining.
- Pre-renal AKI: Caused by reduced blood flow to the kidneys, often due to severe dehydration, blood loss, heart failure, or sepsis.
- Contrast-Induced Nephropathy: A form of AKI that can occur after exposure to iodinated contrast media used in imaging procedures.
Glomerular Diseases (Glomerulonephritis)
Dr. Agharazii addresses can be primary (originating in the kidneys) or secondary to systemic diseases like lupus or vasculitis.
- Nephritic Syndrome: Characterized by hematuria (blood in urine), hypertension, oliguria (reduced urine output), and some degree of proteinuria and edema.
- Nephrotic Syndrome: Common causes include Minimal Change Disease, Focal Segmental Glomerulosclerosis (FSGS), and Membranous Nephropathy.
- Lupus Nephritis: Kidney inflammation caused by Systemic Lupus Erythematosus (SLE), an autoimmune disease.
This list is not exhaustive. For a comprehensive evaluation of your kidney health, a consultation with Dr. Mohsen Agharazii is necessary.
- Glomerular Disease (Glomerulonephritis) Diagnosis and Treatment: May involve kidney biopsy for diagnosis and immunosuppressive therapies.
- Hemodialysis Program Management (In-Centre and Home): Training and support for patients opting for home hemodialysis, promoting independence.
- Management of Diabetic Kidney Disease (Diabetic Nephropathy): Close collaboration with endocrinologists and primary care physicians.
- Peritoneal Dialysis Program Management (CAPD/APD): Home-based therapy allowing for greater lifestyle flexibility.
- Anemia and Mineral & Bone Disorder Management in CKD: Treatment of anemia associated with chronic kidney disease using iron therapy and erythropoiesis-stimulating agents (ESAs).
- Polycystic Kidney Disease (PKD) and Other Genetic Kidney Disorders Management: Comprehensive care for patients with inherited kidney diseases such as Autosomal Dominant Polycystic Kidney Disease (ADPKD).
Note: This list provides an overview. Specific treatments are determined after a thorough evaluation and consultation with Dr. Agharazii.
All nephrology services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) 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. Agharazii practices at the nephrology clinic located within CHUQ - Hôtel-Dieu de Québec, situated in the historic Vieux-Québec (Upper Town) neighborhood, specifically in the Saint-Jean-Baptiste area. The clinic is conveniently close to the Basilique-cathédrale Notre-Dame de Québec, making it easily accessible for residents and visitors alike. Patients can reach the clinic via the Réseau de transport de la Capitale (RTC), with several bus routes servicing the vicinity. The facility is designed to be accessible and comfortable for all patients, offering a professional environment dedicated to comprehensive kidney care. Ample parking options are usually available nearby, ensuring ease of access for those coming for appointments or treatments. The clinic provides a welcoming setting for individuals seeking expert nephrology services in Québec.
- How does Dr. Agharazii help manage high blood pressure (hypertension)?
- Dr. Agharazii, 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 the difference between a Nephrologist like Dr. Agharazii and a Urologist?
- A Nephrologist like Dr. Agharazii is a medical specialist who focuses on diagnosing and managing diseases that affect kidney function, such as chronic kidney disease, kidney failure, dialysis, and medical aspects of kidney transplantation. Urologists are surgical specialists who treat anatomical or structural problems of the kidneys and urinary tract (e.g., kidney stones requiring surgery, bladder issues, prostate problems, cancers of the kidney/bladder/prostate). While both deal with kidneys, Nephrologists manage kidney function and disease medically, whereas Urologists manage surgically and address urinary tract structures.
- What are some common kidney conditions treated by Dr. Agharazii?
- As a Nephrologist, Dr. Agharazii manages numerous conditions affecting the kidneys. These frequently include different stages of Chronic Kidney Disease, high blood pressure affecting the kidneys, fluid and electrolyte imbalances, kidney stones (medical management), and advanced kidney failure requiring renal replacement therapy (dialysis or transplant). specializing 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. Agharazii?
- For most consultations with Dr. Agharazii that are medically necessary and covered by Régie de l'assurance maladie du Québec (RAMQ), 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 (418) 691-5757.
- Are services from Dr. Agharazii covered by provincial health insurance?
- Most specialized medical care for kidney diseases provided by Dr. Agharazii is covered under Régie de l'assurance maladie du Québec (RAMQ). 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 Régie de l'assurance maladie du Québec (RAMQ). Preventive counseling for high-risk individuals referred by a physician is also typically covered. It's always best to confirm coverage specifics with Dr. Agharazii's office or Régie de l'assurance maladie du Québec (RAMQ) directly, as some specific tests or newer adjunctive therapies might have varying coverage.
- When should I see a Nephrologist like Dr. Agharazii?
- You should see a Nephrologist like Dr. Agharazii if you have been diagnosed with kidney disease, have significant risk factors (like diabetes or uncontrolled hypertension with signs of kidney impact), or experience symptoms such as persistent swelling, changes in urination, blood or protein in urine, or unexplained fatigue that your family doctor suspects is kidney-related. A referral from your primary care physician or another specialist is typically required.
- What does a Nephrologist like Dr. Agharazii specialize in?
- Dr. Agharazii 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. specializing in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders.
CHUQ - Hôtel-Dieu de Québec
11 Côte du Palais
Québec, QC G1R 2J6
Office Phone: (418) 691-5464 | Office Fax: (418) 691-5757
Dr. Agharazii is a licensed Nephrologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or another specialist is generally required for a consultation with Dr. Agharazii, particularly for services covered by the Régie de l'assurance maladie du Québec (RAMQ).
Verify Dr. Agharazii's registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=99030