Kidney Care (Nephrology)

The nephrology (renal) program provides a range of renal disease care and services, including:

  • General Nephrology Clinic
  • Multidisciplinary Kidney Care Clinic (MCKC)
  • Vascular Access Clinic
  • In-centre Hemodialysis
  • In-patient Peritoneal Dialysis

MGH will be offering nocturnal in-centre hemodialysis in the Fall/Winter 2018.

An interdisciplinary team of doctors (nephrologists), nurses, social workers, dietitians, pharmacists plus clerical and support staff work with patients to help them manage their renal conditions.

Nephrology (Renal) Outpatient Services

General Nephrology Clinic

The General Nephrology Clinic serves patients with all types of renal disease including diabetes, high blood pressure, electrolyte disorders, kidney stones, cysts (polycystic kidneys), auto-immune disorders and infections. The goal of the clinic is to identify, educate and delay the progression of kidney disease. Referrals are accepted from family practice and other sub-specialists.
*Referrals should be faxed directly to the nephrologist’s office.

Multi-Care Kidney Clinic (Kidney Care Clinic)

This inter-professional clinic sees patients with advanced kidney disease. The care team includes a physician, registered nurse or renal clinician, dietician, pharmacist, and social worker. The goals of the clinic are to reduce progression of kidney disease, manage complications of advanced kidney disease, and prepare patients and their families for dialysis, pre-emptive transplantation, or conservative management.
*Referrals only accepted by nephrologists.

In-Centre Haemodialysis Clinic

Haemodialysis is a way of cleansing the blood of toxins, extra salt and fluids through a dialysis machine. It helps maintain proper chemical balance such as potassium, sodium and chloride and keeps blood pressure under control.

  • Treatments at MGH performed by hemodialysis nurses
  • Inter-professional team members available on-site
  • Individuals assigned to a specific hemodialysis shift
  • Regularly seen by a nephrologist

Vascular Access Clinic

Vascular access refers to a rapid, direct method of introducing or removing devices or chemicals from the bloodstream. In hemodialysis, vascular access is used to remove the patient's blood so that it can be filtered through the dialyzer. In preparation for hemodialysis, individuals will be referred to the Vascular Access Clinic to:

  • Be assessed for creation of vascular access
  • Have an ultrasound of both arms to assess the size and quality of veins
  • Have an ultrasound of the heart
  • Meet with the vascular surgeon and dialysis vascular access coordinator to discuss options

This clinic is held monthly.

Preparing for Haemodialysis at MGH

Hours of Operation

Monday to Saturday 7 a.m. - 11 p.m.

Open all holidays except Christmas Day and New Year's Day

Three shifts: morning (7:30 a.m.), afternoon (12:30 p.m.) and evening (5:30 p.m.)

Hemodialysis Schedules

Three days per week

Either Monday, Wednesday and Friday or Tuesday, Thursday and Saturday

Three to four hours per session

 

Schedules

Based on availability, an appointment time and schedule for treatments will be assigned

Temporary or permanent schedule at anytime

Please bring your health card to every appointment

Treatment Environment

Chairs or sometime stretchers

Television and speaker pillow available for each patient

One pillow and one blanket provided for each patient

Before Treatment

Please arrive 15 minutes ahead of treatment time

Use hand sanitizer upon arrival

Wait in designated seating area to be called for treatment; please do not enter the treatment area before you are called

Vital signs and weight are assessed prior to treatment

During Treatment

Continuous monitoring throughout treatment is provided

You are required to remain in your chair during the treatment

Watching television, listening to music, reading, etc. are possible when on hemodialysis

It is recommended to eat before or after treatment rather than during your treatment; a light snack is permitted for diabetic patients

After Treatment

Vital signs and weight are assessed

Vascular access is observed for bleeding after needle removal

It may not be safe to drive if you feel unwell

Visitors 

Visitors are welcome once treatment is initiated, but not during initiation and discontinuation

One to two visitors are permitted due to limited space

Electronic Devices

Computers, mobile phones, and other devices may be used but MGH is not responsible for the loss of these items or any other valuables

Nephrology Resources

Renal disease and end-stage renal disease can be overwhelming. We understand that a lot of the information you are hearing is unfamiliar. Many trusted organizations have created resources to help you through your journey. Here are a few links to assist you:

Hemodialysis Clinic
Phone
416-469-6580 ext. 6167
Fax
416-469-6168
Multi-Care Kidney Clinic (Kidney Care Clinic)
Phone
416-469-6580 ext. 3037

Physicians:

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