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.)
Three days per week
Either Monday, Wednesday and Friday or Tuesday, Thursday and Saturday
Three to four hours per session
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
Chairs or sometime stretchers
Television and speaker pillow available for each patient
One pillow and one blanket provided for each patient
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
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
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 are welcome once treatment is initiated, but not during initiation and discontinuation
One to two visitors are permitted due to limited space
Computers, mobile phones, and other devices may be used but MGH is not responsible for the loss of these items or any other valuables
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: