Department of Medicine

Division of Renal-Electrolyte
A919 Scaife Hall
3550 Terrace Street
Pittsburgh, PA 15261
Phone: (412) 647-3118

Clinical Practice

Chief: Thomas R. Kleyman, MD

• Inpatient Services at UPMC Presbyterian
• Clinical Practice
• General Renal Clinic
• Renal Transplant Clinic
• Lupus Clinic
• Diabetes and Kidney Care Center
• Out-Patient Dialysis Programs
• VA Pitsburgh Healthcare System

INPATIENT SERVICES AT UPMC PRESBYTERIAN

Clinical Director: James R. Johnston, M.D.

Renal Inpatient Rounds: In-patients with renal and/or electrolyte disorders are cared for by 2 rounding teams, each consisting of an attending physician, renal fellow, physician extender, residents, and medical students. Patients who are awaiting or have received a kidney transplant are cared for by a team consisting of an attending physician, renal fellow and physician extender. The transplant team also provides for the management of patients in the liver transplant ICU who are awaiting or have received a liver transplant. Weekend coverage is provided by 2 attending physicians and 2 fellows.

Consultations: Consults are seen on the same day a consult has been requested, and are available 24 hours a day, seven days a week. The number of in-patient consults seen each month varies between 190 and 230.

Dialysis: The 11th floor dialysis center performs approximately 10,000 dialysis treatments per year in the ICU setting. In addition, a large number of continuous renal replacement therapies are administered in the various intensive care units under the supervision of nephrology attendings and fellows. Mary Hrinya, BSN, MSN, serves as the director of this unit and Dr. Jose Bernardo, MD, serves as the Medical Director.

A fourth renal service composed of a renal attending and renal fellow also provide nephrologic management and dialysis services at the Select Specialty Hospital and Magee Women's Hospital.

CLINICAL PRACTICE

The Renal-Electrolyte out-patient clinics provide the specialized needs of the renal patient. Referring physicians are provided with rapid feed-back on their patients through the use of the EPICCare software program and the centralized transcription service of UPMC.

• General Renal Clinic: A wide variety of renal and hypertensive problems are treated at this clinic. Nephrologists and staff coordinate all aspects of patient testing and care, with continuity of patient care being a primary goal. A new clinic focusing on the care of patients with chronic kidney disease has recently been established.
• Renal Transplant Clinic: Nephrology physicians adjust the immunosuppression and manage medical/nephrologic problems related to pre- and post-transplantation and renal failure, including the medical management of kidney patients and participants in the Living Donor Program.
• Lupus Clinic: Nephrology consultative care is provided for patients with SLE.
• The Diabetes and Kidney Care Center is a multidisciplinary clinic involving Nephrologists, Endocrinologists, diabetes and kidney disease nurse educators, and dieticians to tackle and reduce complications associated with diabetes and didney disease.

Additional Clinical Programs include:

• Outpatient Dialysis Programs (Dialysis Clinics, Inc. (DCI)): Renal-Electrolyte physicians and physician extenders care for patients at the Oakland DCI on a daily basis and the Squirrel Hill DCI on Mondays, Wednesdays and Fridays.
• VA Pittsburgh Healthcare System (VAPHCS): Both in-patient and out-patient services are provided for veterans with renal disease at the University Drive Division of the VAPHCS.

General Renal Clinic

UPMC Kidney Clinic at University Center / 412-802-3043
Hours: 8:00 am - 4:30 pm on Monday, Tuesday, Thursday and Friday; 8:00 am - 12 noon on Wednesday.
We will make every attempt to see that urgent new referrals are seen within 48 hours
Attending Physicians:

• Khaled Abdel-Kader MD
• Filitsa Bender MD, FACP
• Jose F. Bernardo MD
• Robert Denshaw MD
• Kevin Ho, MD
• John P. Johnson, MD
• James R. Johnston, MD
• Hoda Kaldas MD
• Kelly Liang MD
• Christopher Passero MD
• Beth Piraino, MD
• Raymond Rault, MD
• Nirav Shah, MD
• Mark Unruh, MD
• Christine Wu, MD

UPMC Kidney Clinic at Monroeville-Oxford Center/ 600 Oxford Drive, 2nd Floor/ 412-802-3043
Attending Physicians:

• Jose F. Bernardo MD
• Robert Denshaw MD
• Laurence Friedman, MD, CCSP, FACP
• Nitin Kamat, MD

UPMC Kidney Clinic at Shadyside/ Shea Medical Center, Suite 509/412-802-3043
Attending Physician:

• Nitin Kamat, MD

UPMC Kidney Clinic at McKeesport, McKeesport Hospital, John Painter Building, Suite 6/412-802-3043
Attending Physician:

• Robert Denshaw MD

UPMC Kidney Clinic at Mercy, 1400 Locust Street, Suite 2100, Building D/412-802-3043
Attending Physicians:

• Laurence Friedman, MD, CCSP, FACP
• Nitin Kamat, MD

Renal Transplant Clinic: Thomas E. Starzl Transplant Institute

Montefiore Hospital / 7 South / 412-647-5800
Hours: 8:30 am - noon, Tuesday, Thursday and Friday from
Renal Medical Director: Jerry McCauley, MD, MPH
Attending Physicians:

• Jose F. Bernardo MD
• Geetha Chalasani, MD
• Fadi Lakkis, MD
• Jerry McCauley, MD, MPH
• David Rothstein, MD
• Nirav Shah, MD
• Mark Unruh, MD
• Christine Wu, MD

Physician Extenders:

• Reneé Burr, PA-C
• Alison Kaprove, PA-C
• Kelli Logue, PA-C
• Joan Marszalek, PA-C

Lupus Clinic

Magee Women's Hospital / 1st Floor / 412-641-7600 Hours: 8:30 am - noon, every Wednesday
Attending Physicians:

• Jose F. Bernardo MD
• Hoda Kaldas MD
• Kelly Liang MD

The Diabetes and Kidney Care Center

University Center/412-802-3043.
Attending Physicians:

• Kevin Ho, MD
• Jodi Reider, MD
• Nirav Shah, MD
• Christine Wu, MD

OUT-PATIENT DIALYSIS PROGRAMS

UPMC-Affiliated Dialysis Units

DCI (Dialysis Clinics, Inc) Central Admissions 412-647-3700 (Iris Hayes) FAX: 412 647-6980	Clinic Location	Medical Director(s)	Administrator Clinical Manager(s)
DCI Banksville 412 341-7410 FAX: 412-341-7420	2727 Banksville Road Pittsburgh, PA 15216	(Joseph Dejonckheere, MD - non-UPP)	James Long Ann Hall
DCI Five Points 412 823-6041 Fax: 412 823-6067	2534 Monroeville Blvd Monroeville, PA 15146	Jose Bernardo, MD	Robert Kraynik Robert Amend
DCI HarmarVillage 724-275-7801 Fax: 724 275-7806	725 Freeport Road Cheswick, PA 15024	Kevin Ho, MD	Robert Kraynik Diane Hantz
DCI Oakland 412 647-3700 Fax 412 647-6980	3260 Fifth Ave. Pittsburgh, PA 15213	Filitsa Bender, MD Kevin Ho, MD	Bonnie Carnes Laurie Zickgraf, Incenter Carol Dacko, Home
DCI Squirrel Hill 412 521-4370 Fax 412 521-4371	6314 Forbes Ave. Pittsburgh, PA 15217	Hoda Kaldas, MD Mark Unruh, MD	Bonnie Carnes Laurie Zickgraf
DCI Monroeville 412 372-3455 Fax: 412 372-6649	4445 Old William Penn Hwy Monroeville, PA 15146	Jose Bernardo, MD Hoda Kaldas, MD	Robert Kraynik Maureen Hanekamp Diane Gallagher, Asst Mgr
DCI North Versailles 412 675-0960 Fax: 412 675-0965	613 East Pittsburgh-McKeesport Blvd North Versailles, PA 15137	Nirav Shah, MD	Robert Kraynik Michele McMahan
DCI Wilkinsburg 412 247-5223 Fax: 412 247-5878	7620 Meade Street Pittsburgh, PA 15221	Jose Bernardo, MD Kevin Ho, MD	Robert Kraynik Shari Strawins
FMC (Fresenius Medical Care)Central Admissions 866 449-1120, 724 449-1120 FAX: 866-4491180	Clinic Location	Medical Director(s)	Administrator Clinical Manager(s)
FMC Penn Hills 412 244-3931 Fax: 412 244-3961	11624 Keleket Drive Pittsburgh, PA 15235	Nirav Shah, MD	Dennis Himes Kathy Brenner
FMC Pittsburgh 412 683-8814 Fax: 412 683-7760	5301 Fifth Avenue Pittsburgh, PA 15232	Nitin Kamat, MD	Dennis Himes Kathy Brenner
FMC West Penn 412-682-0205 Fax: 412-682-3954	5124 Liberty Avenue Pittsburgh, PA 15224	Nitin Kamat, MD	Dennis Himes Dawn Kessler

VA PITTSBURGH HEALTHCARE SYSTEM

UNIVERSITY DRIVE DIVISION / 412-688-6000
Chief of Renal Section: Paul M. Palevsky, MD Attending Physicians:

• Linda Fried, MD director of the Peritoneal Dialysis Program
• John Hotchkiss MD
• Paul M. Palevsky, MD
• Mohan Ramkumar, MD director of the transplant program
• Arohan Subramanya
• Steven Weisbord, MD

Dialysis Program (Director: Mohan Ramkumar, MD): The VA Dialysis Program at the VAPHCS provides in-center hemodialysis and home peritoneal dialysis for veterans with end stage kidney disease, as well as in-patient dialysis services for hospitalized patients with chronic kidney disease or acute renal failure. The dialysis program serves as the primary venue for providing renal fellows instruction in outpatient dialysis management.

Renal Clinic (412-360-6242): The VA Renal Clinic provides out-patient management of patients with all forms of kidney disease. The clinic serves as a major teaching venue for internal medicine residents and renal fellows.

Consult Service: The VA Renal Consult Service provides in-patient management services for patients with acute and chronic renal failure, transplant patients, hypertension, electrolyte disorders, glomerulonephritis and a variety of other nephrologic problems. The service is staffed by a renal fellow who rounds with an attending. Medical students may also rotate on this service.

Renal Transplant Program: The VA Pittsburgh Healthcare System was designated as a VA regional renal transplant program as of January 2, 2002. As one of four VA renal transplant centers, the program provides renal transplant services for veterans with ESRD throughout the Northeastern United States.