Nephrology

The Department of Nephrology provides a spectrum of care for people with kidney disorders throughout Victoria. The team comprises specialist nurses, nephrologists, 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 kidney failure
  • before and after kidney transplant
  • needing vascular access for dialysis

For referral guidelines, please click here.

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

Kidney Supportive Care

Kidney Supportive Care (KSC) 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 nephrology service and includes a weekly outpatient clinic coordinated and staffed by Palliative Care and Nephrology clinicians. Kidney 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 kidney transplant patients needing further symptom management

Referrals:
Referrals to the KSC outpatient clinic can be made by nephrologists, nephrology 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 (Kidney Supportive Care)"

Acute and satellite haemodialysis

Acute haemodialysis is provided during and out of hours (via an on call service) and covers 9 West nephrology ward, ICU, cardiology and emergency. Non-acute dialysis is provided to dialysis inpatients during their hospitalisation both at St Vincent's public and private hospitals. 

The Nephrology Unit, in partnership with local health care providers, delivers community dialysis to patients living in Werribee, Sale, Shepparton, Kyabram, Swan Hill and Warrnambool.

Metropolitan patients are cared for by community dialysis units in Fitzroy (St Vincent's Hospital Melbourne), East Melbourne (St Vincent's on the Park) and Kew (St Georges Health Service).

Partnership with regional healthcare providers

The St Vincent's Nephrology 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

The nephrology team

Our medical team

  • Professor Nigel Toussaint (Director of Nephrology)
  • Dr Matthew Damasiewicz (Deputy Director of Nephrology)
  • Dr Emily Butler
  • Dr Doreen Fang
  • Assoc. Professor Hilton Gock
  • Assoc. Professor David Goodman
  • Professor Frank Ierino
  • Dr John Kastoulis
  • Dr Marc Lanteri
  • Dr Petrova Lee
  • Dr Yogeshwar Rajaram
  • Dr Veena Roberts
  • Dr Christine Sammartino
  • Dr Priyanka Subramani
  • Dr Rory Wallace

Our surgical team

  • Mr Aaron Hui (Kidney Transplant and Access Surgeon)
  • Mr Yahya Lahham (Kidney Transplant and Access Surgeon)
  • Mr David Soon (Kidney Transplant and Access Surgeon)

Our nursing and allied health team

  • Ms Nuala Barker (Dialysis and Nephrology Services Manager)
  • Ms Angela Wignall (Nurse Unit Manager - St Georges Dialysis Unit)
  • Ms Lori Greenleaf (Nurse Practitioner)
  • Mr Kye Manefield (Nurse Practitioner)
  • Ms Amy Atkinson (Chronic Kidney Disease CNC)
  • Ms Jessica Dempsey (Dialysis Access CNC)
  • Ms Kim Mullins (Kidney Transplant CNC)
  • Ms Allyson Manley (Kidney Transplant CNC)
  • Ms Sophia Lee (Nephrology Dietitian)
  • Ms Angela Breeze (Nephrology Dietitian)

Kidney Transplant Waitlist for Indigenous Australians

Indigenous Australians, Kim and Trent share their stories about receiving a kidney transplant.
If you have kidney disease, ask your doctor: Am I On The List?
To learn more, go to Am I On The List?

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.