Complex Disease Management

Managing What Others Find Difficult.

Patients with advanced kidney disease, resistant hypertension, cardiorenal syndrome, and other high-acuity chronic conditions require more than routine follow-up. PreserveHealth was built for exactly this — a practice where complexity is the expectation, not the exception.

The Standard of Care Is Not Enough.

In a traditional practice, a patient with stage 4 chronic kidney disease, uncontrolled hypertension, and heart failure may see three specialists who never speak to one another. Medications conflict. Tests are duplicated. Hospitalizations that could have been prevented are not. PreserveHealth exists to close that gap — with a physician who knows the full picture, coordinates every moving part, and has the time to act before a crisis develops.

Conditions & Complex Cases We Manage

  • 01Chronic Kidney Disease (CKD) — Stages 3–5
  • 02Resistant and Secondary Hypertension
  • 03Cardiorenal Syndrome
  • 04Hepatorenal Syndrome
  • 05Diabetic Nephropathy and Metabolic Kidney Disease
  • 06Glomerulonephritis, Lupus Nephritis, and Autoimmune Kidney Disease
  • 07Rheumatologic and Autoimmune Disease with Renal or Systemic Involvement
  • 08Dialysis Management and Transition Planning
  • 09Kidney Transplant Evaluation and Post-Transplant Care
  • 10Renal Co-Management for Heart, Lung, and Multi-Organ Transplant Recipients
  • 11Recurrent Hospitalizations Driven by Complex Chronic Disease
  • 12Coordination with In-State and Out-of-State Tertiary Care Centers
  • 13Infusion Therapy Coordination
  • 14Complex Multi-System Chronic Illness

Our Approach

Longitudinal Physician Oversight

Your case is managed by the same physician across every encounter — not a rotating roster of residents or mid-level providers. Continuity is not a feature. It is the foundation.

Specialist and Hospital Network

Our physicians maintain active relationships with leading specialists, tertiary centers, and transplant programs throughout Southern California — including Hoag Hospital, Cedars-Sinai, and UCLA. When a referral is needed, it is a warm handoff, not a cold fax.

Proactive Disease Progression Management

We do not wait for labs to worsen before adjusting a plan. Evidence-based protocols, close monitoring intervals, and direct physician access allow us to intervene early — slowing progression and reducing the likelihood of hospitalization.

Medication Reconciliation and Safety

Patients managing multiple chronic conditions are often on complex medication regimens prescribed by multiple physicians. We review the full picture — identifying interactions, redundancies, and gaps that a fragmented system misses.

Complex cases require a different kind of practice.

Or reach Kristi directly:

Kristi Klements

Concierge Clinical Coordinator

[email protected]949-807-0023

Please don't include detailed medical information here — we'll gather that securely after we connect.