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New procedure helps kidney stone patients get In and out Sierra View Medical Center's USC Keck Urology Clinic offers non-invasive procedure to quickly detect kidney stones, remove them and release patients in the same day t e x t b y k e n t s o r r e l l s, p h d. A cross the nation, over half a million people suffer the pain and helplessness that come with having kidney stones each year according to the National Kidney Foundation. It is estimated that one in ten people will have a kidney stone at some time in their lives. Fortunately for valley residents, a new procedure has been de- veloped by Gerhard Fuchs, M.D. and is performed at Sierra View Medical Center in Porterville. Dr. Fuchs and Virinder K. Bhadwaj, M.D. are both on the faculty of the Keck School of Medicine, USC Institute of Urology and have extensive backgrounds in Urology care. Both doctors are also associated with the Sierra View Medical Center's USC Keck Urology Clinic of which Dr. Bhadwaj is the Medical Director. This original procedure was developed by Dr. Fuchs to quickly locate kidney stones and thoroughly remove them with no hospi- tal stay required for patients who experience kidney issues. Kidneys serve a vital role in the body by eliminating byprod- ucts of metabolism which come from food that is eaten or from processes during food digestion. When kidneys allow for excess amounts of these same byproducts to collect, they form kidney stones. The stone-forming chemicals are calcium, oxalate, urate, cystine, xanthine, and phosphate. After it is formed, the stone may stay in the kidney or travel down the urinary tract into the ureter. Sometimes, tiny stones move out of the body in the urine without causing too much pain. But stones that don't move may cause a back-up of urine in the kidney, ureter, the bladder, or the urethra. This is what causes the pain. Possible causes include drinking too little water, exercise (too much or too little), obesity, weight loss surgery, or eating food with too much salt or sugar. Infections and family history might be important in some people. Eating too much fructose correlates with increasing risk of developing a kidney stone. Fructose can be found in table sugar and high fructose corn syrup. The primary goal of doctors when treating kidney stones is to control infection and relieve obstructions caused by the stones. Virinder K. Bhadwaj, M.D. Keck School of Medicine, USC Institute of Urology 22 | CENTRAL VALLEY MEDICAL | WINTER 2017-18 HeAltHy living

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