The MGH Nephrology Division offers a wide range of comprehensive and high-quality services to the patient with renal disease, through the in-patient, out-patient and TeleMedicine settings. These are delivered by a dedicated group of physicians, using state-of-the-art diagnostic techniques and treatment protocols. The consultative, dialysis and transplant services are coordinated through an End Stage Renal Disease (ESRD) Program, a multidisciplinary program staffed by members of the Renal and Transplant Units. The mission of the ESRD Program is to provide a comprehensive and cohesive quality care to the patient with renal disease, from its earliest manifestations to renal transplantation if necessary. The ESRD Program also emphasizes preventative care (through its Early Renal Failure clinic and the Center for Renal Education), and scientific synergy and collaboration among the Program's basic and clinical science investigators in the fields of immunology and transplantation biology. The outpatient services are provided through Renal Associates, a new renal and general medicine practice, located at the main campus in the Bigelow building, Suite 1003.
The Renal Division provides comprehensive in-patient consultative services at the Massachusetts General Hospital, Massachusetts Eye and Ear Infirmary, and Spaulding Rehabilitation Hospital. Consultations range from acid-base, water and electrolyte abnormalities to acute or chronic renal failure.
For more information, please contact
Hasan
Bazari,
MD, (617) 726-5050.
The dialysis program provides all the necessary services required for the optimal management of the patient with acute renal failure or end stage renal disease (ESRD). Specialized services include the placement of vascular or peritoneal dialysis catheters for the conduct of therapeutic hemodialysis, hemoperfusion, peritoneal dialysis, or hemofiltration. The experienced physician and nursing staff of the state-of-the-art in-patient hemodialsyis unit deliver, in conjunction with the Intensive or Critical Care unit personnel, the optimal medical support for the patient with acute loss of renal function. Patients with end stage renal disease requiring continuous replacement of renal function are initiated on hemodialysis or on continuous ambulatory peritoneal dialysis. Vascular and Transplant surgeons, nursing, social workers and nutrition teams assist the nephrologist in providing the long-term comprehensive care of the patient with ESRD.
For more information, please
contact
Nina Tolkoff-Rubin,
MD, (617) 726-3706.
The Renal Transplantation Service at MGH is a major national transplant center offering children and adults, renal and simultaneous renal -pancreas transplants. The MGH has been designated a Center of Excellence in Transplantation by Medicare and other leading private insurance carriers. A multidisciplinary team of senior transplant specialists provide comprehensive surgical, medical and psychological care, and state-of-the-art approaches to immunosuppression and infectious complications.
For more information, please contact Nina Tolkoff-Rubin, MD, (617) 726-3706.
Out-patient Services- Renal Associates: Suite 1003, Bigelow 10, Massachusetts General Hospital, Fruit Street, 02114.
David JR Steele, MD- Director, 617-726-5050.
Hasan Bazari,
MD
Judy Babitt, MD
Cecil
H. Coggins,
MD,
Loius Ercolani, MD
Nelson Goes, MD
Garner Haupert, MD
Choli Hartono, MD
Eliot Heher, MD
Michael Lazarus, MD
David JR Steele,
MD
Ravi Thadhani, MD,MPH
Winfred W. Williams, MD
Myles Wolf, MD
Steven Wu, MD
This Clinic provides services in General Nephrology including diabetes, water and electrolyte disorders, kidney disease in pregnancy, urinary tract infections, and primary and secondary diseases of the kidney.
To schedule an appointment, call (617) 726-5050.
For more information, please contact Hasan Bazari, MD, (617) 726-2863.
Garner
Haupert, MD
Hasan
Bazari, MD
Eliot Heher, MD
Ravi Thadhani, MD,MPH
Steven Wu, MD
The focus of this Clinic is to offer education and treatment for patients with high blood pressure of various causes. The Clinic also has a special interest in the management of young women with high blood pressure who are either considering pregnancy or who experienced high blood pressure in pregnancy. Patients are evaluated about possible causes, acquired or inherited, and are educated regarding all current forms of drug therapy. Social services and dietary support are included in this multidisciplinary approach.
To schedule an appointment, call (617) 726-5050.
For more information, please call Dr. Garner Haupert, MD,at 617-726-5050.
Autosomal Dominant Polycystic Kidney Disease (ADPKD) Clinic
M. Amin Arnaout, MD
Hasan
Bazari, MD
This monthly clinic provides medical care to patients with ADPKD.
To schedule an appointment, call (617) 726-5050.
Please Check the Genetics Program for more information about on our ongoing research.
Stephen
P. Dretler, MD
(Urology)- Director,
MGH Kidney Stone Center
Eliot Heher, MD
The MGH Kidney Stone Clinic focuses on the prevention of new kidney stone formation and the treatment of existing kidney stones. The medical and surgical approaches to stone treatment are highly integrated and complementary due to the close working relationship of the nephrology and urology physicians. The most advanced surgical techniques and instruments are available for the removal of existing stones. Patients are evaluated to determine the cause of their kidney stone and then are prescribed the optimal preventive therapies which may include dietary modification or medication. Research into the causes of stone formation and stone prevention are an active part of the clinic and of a very high priority.
To schedule an appointment, please call (617) 726-5050.
For more information, please contact Eliot Heher, MD, (617) 726-5050.
Nephritis and Vasculitis Clinic
Cecil
H. Coggins, MD
Nelson Goes, MD
David
JR Steele, MD
In this clinic, the patient
with lupus or other forms of nephritis or vasculitis is longitudinally managed,
and treated. Management involves a general evaluation of renal function using
several studies that include renal imaging, diagnostic serology, and percutaneous
renal biopsy. Treatment options are discussed and relevant literature provided.
Immunosuppressive and other forms of treatments are tailored to the patient's
specific needs.
To schedule an appointment, please call (617) 726-5050.
For more information, please contact Cecil H. Coggins, MD, (617) 726-5050.
David
JR Steele, MD,
Director
Eliot Heher, MD
Steven Wu, MD
Maria
Luongo, RN
The focus of this clinic is to slow progression of renal disease, while it is in its very early stages, by aggressive control of blood pressure, proteinuria, diabetes and lipid disorders, and the appropriate prescription of diet .
To schedule an appointment, call (617) 720-1317.
For more information, please
contact David
JR Steele, MD, (617)
726-5050.
Interventional Nephrology Clinic
Steven Wu, MD
This clinic offers complete evaluation and consultation for hemodialysis patients with complicated hemodialysis vascular access problems. The clinic also offers consultation for patients with renal artery stenosis, as well as peripheral arterial diseases related to vascular access. The pre-hemodialysis or hemodialysis patients with problematic hemodialysis fistulas or grafts are evaluated before further surgical and endovascular interventions.
To schedule an appointment, call (617) 726-5050.
For more information, please call Dr. Steven Wu, MD, 617-726-5050.Maria
Luongo, RN, Nurse Manager,
Team Leader
M. Amin Arnaout, MD, Nephrologist
Hasan Bazari, MD,
Nephrologist
Laurie Biel, RN, staff nurse
Lynne Brown, RN, Staff nurse
Lori Castaldo, RD, Dietitian
Susan Fitzgerald, LICSW, Social worker
Nelson Goes, MD, Nephrologist
Susan Grabar, RN, Staff
nurse
Choli Hartono, MD, Nephrologist
Eliot Heher, MD, Nephrologist
Kathlene Manganelli, Patient Services Coordinator
David Steele,
MD, Nephrologist
Nina
Tolkoff- Rubin, MD, Nephrologist
Eunice Wilson, RN, Staff
nurse
Waichi Wong, MD, MPH, Nephrologist
The MGH Center for Renal Education provides a support service for patients and families. In collaboration with MGH nephrologists, experienced renal nurses, a dietician, and a social worker, the Center provides education about chronic renal disease and its management and individualized plans of care that include nutritional counseling, blood pressure management, medication review and supportive services. The health team is dedicated to help patients live well with renal disease. Information concerning renal replacement options including hemodialysis, peritoneal dialysis and transplantation is offered as well. The Center has received the 2000 Partners in Excellence Award for its leadership and Innovation and quality treatment and service.
To schedule an appointment please call (617) 720-1317.
For more information, please contact Maria Luongo or Kathlene Manganelli, (617) 720-1317.
Continuous Ambulatory Peritoneal Dialysis
Nina
Tolkoff- Rubin, MD,
Director
Maria
Luongo, RN, CAPD Nurse Manager
Kathlene
Manganelli, Patient Services Coordinator
The Continuous Ambulatory Peritoneal Dialysis program is a chronic out-patient service for home peritoneal dialysis patients. The philosophy here is to provide a collaborative environment in which patients and families can be trained, supported and followed. This service is staffed by MGH nephrologists, renal nurses, a dietitian and a social worker who provide the support needed to the home peritoneal dialysis patient. Additional services provided are interventions for dialysis-related issues and in-patient consultations.
To schedule an appointment, please call (617) 720-1317
For more information, please contact Maria Luongo or Kathlene Manganelli, (617) 720-1317.
Nina
Tolkoff- Rubin, MD,
Medical Director
Benedict
A. Cosimi, MD,
Chief, Transplant Unit
Nelson Goes , MD
Choli Hartono, MD
Eliot Heher, MD
Winfred
W. Williams, MD
Waichi Wong, MD, MPH
Dicken Ko, MD, Surgical Director
Robert
Rubin, MD, Chief,
Transplant Infectious Disease
Susan Noska, R.N., Transplant Coordinator
Wendy DeMille, Office Manager
A multidisciplinary team of transplant physicians and surgeons provide the evaluation and selection of potential candidates and donors, post operative care, immunosuppressive management, and psychological and social support. Innovative approaches to immunosuppression as well as the prevention and treatment of infection in the transplant recipient have been pioneered at this institution.
Transplant Recipient Evaluation
All candidates are interviewed, the option for kidney transplantation including the risks and benefits are discussed and a full review of the candidate's history, physical examination and laboratory tests including tissue typing are performed. Nurse coordinators and social workers as well as the nephrologist, surgeon and psychiatrist play an active role in the recipient evaluation. A definitive plan regarding candidacy or need for further tests is made at the time of the Family Meeting, where the candidate meets with the entire Transplant Team.
Transplant Donor Evaluation
Prospective kidney transplant donors- Both related and unrelated donors are thoroughly screened by MGH staff nephrologists before they are accepted as donors. Potential donors have the opportunity to consider whether they wish to go forward with donation in an atmosphere of total confidentiality. In the appropriate anatomic situation, a laporoscopic surgical approach may be offered to the donor.
To schedule an appointment please call (617) 726-3706.
For more information, please contact Nina Tolkoff- Rubin, MD, 617-726-3706.
As a participant in the Partners TeleMedicine program, the MGH Nephrology Division provides a comprehensive range of consultations worldwide.
For more information, please contact Waichi Wong, MD, MPH, (617)-726-5050 or (617)-726-7484.