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Dr. Sara Gebremariam Kibrom, MD is an internist in Walnut Creek, CA specializing in internal medicine (adult medicine), pediatric nephrology and general pediatrics. She graduated from Dartmouth Medical School. Dr. Sara Gebremariam Kibrom, MD is affiliated with Stanford Medicine Children's Health, Brown and Toland Physicians, Sutter Health, John Muir Health, Lucile Packard Children's Hospital Stanford, Stanford Health Care, LPCH MEDICAL GROUP DIV OF LUCILE and John Muir Medical Center - Walnut Creek.
John Muir Health
Stanford Medicine Children's Health
Dialysis
Dialysis is a procedure that replicates renal (kidney) function by filtering patients' blood. When kidneys do not work properly, waste can accumulate in the blood and unbalanced chemicals can impair the body's critical functions. In order to stay healthy, a person without proper kidney function must receive dialysis. There are two forms of dialysis treatment: hemodialysis and peritoneal dialysis. Both forms of dialysis are recurring treatments that in many cases last throughout the lifetime of the affected patient. Patients who briefly lose renal function may slowly reduce the frequency of dialysis sessions until their kidneys recover. However, most patients who start on dialysis remain on dialysis for the rest of their lives or until they receive a kidney transplant.
A number of conditions can worsen renal function and lead to end-stage or acute kidney failure. When kidneys fail (i.e. nearly 90 percent of their function is lost), dialysis is typically prescribed. Conditions that cause chronic kidney failure (eventually requiring dialysis) include:
For hemodialysis (the more common form of dialysis), a patient will visit a hospital or clinic and be connected to a dialysis machine by a needle attached to a tube that draws blood from the arm. The drawn blood is transferred to the dialysis machine, where it is filtered and separated until clean. Waste products from the blood pass into a fluid called dialysate, which is pumped out of the machine into a waste receptacle. The machine also measures and helps ensure the blood has the appropriate level of fluid, electrolytes, and pH. A tube delivers the cleaned blood back into the patient's body. A dialysis session like this will typically last for three to four hours, with a patient undergoing dialysis around three times per week.
A second method of dialysis is known as peritoneal dialysis. Unlike hemodialysis, peritoneal dialysis can be performed at home by oneself after an initial surgery. To start, a physician (generally a surgeon) will make a small incision in the lower abdomen and insert and surgically attach a catheter (thin tube). At home, the patient connects a pump to the abdomen catheter, delivering dialysate (dialysis fluid) from a bag hanging on a wheeled stand. This fluid enters the peritoneal cavity (greater abdomen area containing the stomach, liver, and intestines) and collects waste through osmosis, where waste in the blood moves across a membrane and into the dialysate. This process continues for several hours until the fluid concentration is equal between the blood and dialysate, at which point the fluid can be drained. The fluid can then be passed through a machine called a cycler, which removes waste and allows for the dialysate to be reused. This process is repeated about four times per day. Dialysis patients must limit the amount of fluid they consume prior to receiving dialysis and should also avoid eating salty foods. The cycler cannot filter more than a certain amount of waste products from the blood.
Kidneys are important organs, and dialysis treatments are vital for those with renal dysfunction. For many, dialysis is not so much a medical procedure but a part of their normal life.
Dr. Sara Gebremariam Kibrom, MD graduated from Dartmouth Medical School. She completed residency at Westchester Medical Center. She is certified by the Pediatric Nephrology, American Board of Pediatrics, Pediatrics, American Board of Pediatrics and has a state license in California.
Medical School: Dartmouth Medical School
Residency: Westchester Medical Center
Board Certification: Pediatric Nephrology, American Board of Pediatrics, Pediatrics, American Board of Pediatrics (2022)
Licensed In: California
Dr. Sara Gebremariam Kibrom, MD is associated with these hospitals and organizations:
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These charts describe general payments received by Dr. Sara Gebremariam Kibrom, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.
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$366
ULTOMIRIS $244 |
$122 |
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Dr. Sara Kibrom's areas of specialization are pediatric nephrology and general pediatrics; she sees patients in Palo Alto, CA, Walnut Creek, CA, and San Francisco, CA. In addition to English, she speaks Ethiopian Semitic. She is especially interested in intracranial hypertension (pseudotumor cerebri), kidney problems, and pulmonary hypertension. Dr. Kibrom is professionally affiliated with Brown and Toland Physicians, Lucile Packard Children's Hospital Stanford, and Sutter Health. She is a graduate of Dartmouth Medical School. For her residency, Dr. Kibrom trained at Westchester Medical Center. She welcomes new patients at her office inPalo Alto, CA as reported by Brown and Toland Physicians.
