Last reviewed by Dr. Leena Joshi, MD, August 2026
A first nephrologist appointment is an initial consultation with a kidney specialist to evaluate kidney function, diagnose potential kidney conditions, and develop a treatment plan. Dr. Leena Joshi conducts comprehensive evaluations at her Burlingame and Daly City offices, reviewing medical history, ordering diagnostic tests, and creating personalized management strategies to protect kidney health and address underlying conditions affecting kidney function.
What is a first nephrologist appointment?
A first nephrologist appointment is a comprehensive evaluation with a kidney specialist who focuses on diagnosing and treating conditions affecting the kidneys. During this initial visit, Dr. Joshi reviews the patient’s complete medical history, current medications, and any symptoms that may indicate kidney problems. The appointment typically includes a physical examination and discussion of recent laboratory results. Dr. Joshi uses this time to understand why the patient was referred, whether for abnormal kidney function tests, high blood pressure affecting the kidneys, or other concerns. The goal of a first nephrologist appointment in Burlingame is to establish a baseline understanding of kidney health and determine what additional testing or treatment may be needed. Dr. Joshi explains test results in clear terms and answers questions about kidney function, helping patients understand their condition and what steps come next.
Signs and symptoms
Patients may be referred for a first nephrologist appointment when experiencing:
- Changes in urination patterns, including increased frequency, decreased output, or foamy urine
- Swelling in the legs, ankles, feet, or around the eyes
- Persistent fatigue or weakness that does not improve with rest
- Unexplained nausea, vomiting, or loss of appetite
- High blood pressure that is difficult to control with medication
- Abnormal blood or urine test results showing reduced kidney function
- Blood in the urine or persistent protein in urine tests
How Dr. Joshi manages first nephrologist appointments
Dr. Joshi begins each first nephrologist appointment in Burlingame by reviewing all available medical records, including laboratory results, imaging studies, and referral notes from the primary care physician. During the consultation, Dr. Joshi asks detailed questions about symptoms, family history of kidney disease, medication use, and lifestyle factors that may affect kidney health. A focused physical examination may include checking blood pressure, assessing for fluid retention, and examining for signs of underlying conditions. Dr. Joshi typically orders or reviews blood tests to measure kidney function, including creatinine and estimated glomerular filtration rate (eGFR), as well as urine tests to check for protein, blood, or other abnormalities. Based on these findings, Dr. Joshi may recommend additional testing such as kidney ultrasound or specialized blood work. Dr. Joshi then discusses the results with each patient, explaining what the findings mean and outlining a personalized treatment plan that may include medication adjustments, dietary modifications, or further monitoring to protect kidney function.
When to see a nephrologist for a first appointment
Dr. Joshi recommends scheduling a first nephrologist appointment when:
- Your primary care doctor detects abnormal kidney function on routine blood tests
- You have been diagnosed with chronic kidney disease or declining kidney function
- Blood or protein appears repeatedly in urine tests
- You have diabetes or high blood pressure with signs of kidney involvement
- You experience unexplained swelling or changes in urination
- You have a family history of kidney disease and concerning symptoms
- Your blood pressure remains high despite multiple medications
Frequently asked questions
What should I bring to my first nephrologist appointment in Burlingame?
Dr. Joshi recommends bringing a list of current medications, recent laboratory results, imaging reports, and a summary of your medical history. Bringing a list of questions can help ensure all concerns are addressed during the visit.
How long does a first nephrologist appointment take?
A first nephrologist appointment with Dr. Joshi typically lasts 45 to 60 minutes. This allows time for a thorough review of medical history, physical examination, discussion of test results, and development of a treatment plan.
Will I need blood tests at my first appointment?
Dr. Joshi may order blood and urine tests if recent results are not available or if additional testing is needed. Some tests can be done at the office, while others may be scheduled at a laboratory.
Do I need a referral to see Dr. Joshi?
Many insurance plans require a referral from a primary care physician to see a nephrologist. Dr. Joshi’s office can verify insurance requirements and help coordinate referrals when needed.
What questions will Dr. Joshi ask during the appointment?
Dr. Joshi will ask about current symptoms, medication history, family history of kidney disease, dietary habits, and any previous kidney problems. These questions help Dr. Joshi understand the complete picture of kidney health.
When will I know the results and next steps?
Dr. Joshi discusses available test results during the appointment and explains what additional testing may be needed. Follow-up appointments are scheduled based on the severity of the condition and the treatment plan developed.
Dr. Leena Joshi sees patients at two convenient San Mateo County locations: 1750 El Camino Real, Suite 301, Burlingame, and 1800 Sullivan Ave, Suite 507, Daly City. To schedule a consultation for your first nephrologist appointment, call (650) 355-5551.
This page is for general education and is not a substitute for medical advice. Always consult your physician about your specific situation.
Medically reviewed by Leena Joshi, MD.