Nephrology

The Department of Nephrology provides a spectrum of care for people with kidney disorders throughout Victoria. The team comprises specialist nurses, renal consultants, transplant and vascular access surgeons, social work, mental health support, dietician and nurse practitioners. 


Our Services 

Specialist Clinics

Our specialist clinics provide care for patients;

  • with chronic kidney disease
  • receiving dialysis (home dialysis, in-centre or satellite dialysis)
  • receiving supportive treatment for end stage kidney disease
  • before and after kidney transplant
  • needing vascular access for dialysis

Kidney Transplantation

A 'one stop shop' outpatient clinic for patient transplant assessment and work-up for:

  • deceased donor and live donor assessment and coordination
  • pre-dialysis transplant assessment and coordination
  • paired kidney exchange assessment and coordination
  • combined kidney and pancreas post operative care
  • transplant surgical assessment

For patients needing more information on kidney transplant please follow this link to the Kidney Health Australia website

Home Dialysis

Home dialysis refers to either peritoneal dialysis (PD) or home haemodialysis (HHD). Peritoneal dialysis can be considered a 'first line treatment' for kidney failure, offering some lifestyle benefits. Home haemodialysis offers flexibility around your dialysis time and gives you the opportunity to have more dialysis than the standard hospital dose.The home dialysis unit has:

  • dedicated specialist nursing staff and doctors
  • purpose built training facilities and clinic
  • in home training where practical
  • regular home visits (metropolitan and regional) and 24/7 telephone support

For patients needing more information on home dialysis please follow this link to the Kidney Health Australia website

Renal Supportive Care

Renal supportive Care (RSC) aims to improve the quality of life of patients with advanced kidney disease.

The current service at St Vincent's is integrated within the existing renal service and includes a weekly outpatient clinic coordinated and staffed by Palliative care and Nephrology clinicians. Renal Supportive Care can be a useful addition to GP and nephrology care for people; 

  • with advanced kidney disease managed conservatively (or without dialysis)
  • receiving dialysis needing further symptom management
  • with renal transplants needing further symptom management

Referrals
Referrals to the RSC outpatient clinic can be made by nephrologists, renal nurses and nurse practitioners, general practitioners and other medical specialists. Referrals can be faxed on 9231 3489 to the SVHM specialist clinics attention "Nephrology Clinic (Renal Supportive Care)"

Acute and satellite haemodialysis

Acute haemodialysis is provided during and out of hours (via an on call service) and covers 10 East renal ward, ICU, cardiology and emergency. Non-acute dialysis is provided to dialysis inpatients during their hospitalisation both at St Vincent's public and private hospital. 
Satellite haemodialysis refers to patients receiving their care in the community. The Renal Unit in partnership with local health care providers delivers dialysis to patients living in Werribee, Sale, Shepparton, Kyabram, Swan Hill and Warrnambool. Metropolitan patients are cared for by community dialysis unit in Fitzroy and St Georges, Kew.

Partnership with regional healthcare providers

The St Vincent's Renal Unit has a strong partnership with our regional healthcare providers. Around 50% of our dialysis patients live in regional areas of Victoria and the care of these patients is focused locally. In collaboration with local nephrologists and nurses our regional patients are able to access specialist care which allows them to stay in their community.

Regional healthcare partners:

  • Shepparton, Kyabram, Sale, Warrnambool and Swan Hill

Research

Pexivas 
SHARP-ER
Kidney Optimal Health Program: A trial assessing the effectiveness of a well being program on the mental health of patients with severe chronic kidney disease
ReDUCCTION: A nationwide trial examining the use of central lines,complications arising from their use and the best methods of reducing these complications. 

The nephrology team

Our medical team

Professor Frank Ierino (Head of Nephrology)

Dr Kathryn Ducharlet 

Dr Doreen Fang 

Dr Sharon Ford

Professor Hilton Gock

Assoc. Professor David Goodman

Dr John Kastoulis

Dr Marc Lanteri

Dr Petrova Lee

Dr Yogeshwar Rajaram

Dr Veena Roberts

Our nursing team

Ms Nuala Barker (Nurse Unit Manager Dialysis)

Ms Dolores Greenleaf (Nurse Practitioner)

Mr David Jones (Associate Nurse Unit Manager)

Mr Stephen Loughlin (Associate Nurse Unit Manager)

Ms Melissa Stanley (Nurse Practitioner)

Ms Gwen Still (Associate Nurse Unit Manager)

Ms Angela Wignell (Nurse Unit Manager St Georges Dialysis Unit)

Our surgical and interventional team

Mr Ashu Jhamb (interventional radiologist)

Mr Yahya Lahham (vascular access and renal transplant surgeon)

Mr Raoul Mayer (vascular access and renal transplant surgeon)

Mr Ian Michell (renal transplant surgeon)

Mr Mark Westcott (vascular access surgeon)  

Our allied health team

Ms Sophia Lee (renal dietitian)

Ms Madeline Green (renal dietitian)

Ms Katey Grainger (renal social worker)



Health Pathways

HealthPathways Melbourne is an online portal designed to be used by general practice at the point of care to guide best practice assessment, management and referral of common clinical conditions.

 

Please Note:
This is a public outpatient service. All patients need to be referred to us by a GP. Please see your GP if you believe you would benefit from a referral to this clinic. Many doctors have private consulting suites as well as working in the public hospital system. This is entirely separate from St Vincent’s and our staff do not have any information about the private consulting practices of doctors.