What we do
The renal medicine (nephrology) department at
Most patients meet us in the outpatients department – usually when their GP asks for a specialist opinion. We hold 3 general outpatient clinics a week (Monday morning, Tuesday afternoon, Thursday morning) and usually see about 70 new patients a month. The clinics are consultant led and we have both male and female staff.
In clinic we will try to establish why the patient’s kidneys are showing signs of damage, and what can be done to stop further deterioration. This process usually involves a number of blood and urine tests. We often arrange for special scans of the kidneys as well. Occasionally we recommend a test called a kidney biopsy that involves a few days in hospital.
Once we have an idea of why the kidney damage has happened we may be able to offer treatment to reverse the damage. Sometimes however all we can do is advise on how to prevent further decline. Most patients with kidney disease then need regular monitoring of kidney function (with blood tests) along with good control of blood pressure. We advise all kidney patients to stop smoking as we believe this helps kidneys last longer. Many patients with stable kidney disease can be monitored in this way by their general practitioner.
The renal department also runs a joint weekly clinic with the diabetic team (Monday afternoons) as diabetes can often lead to kidney disease. Similarly we also run a weekly high blood pressure clinic (Friday afternoons) to help general practitioners treat patients who have high blood pressure that is difficult to control.
Low clearance, Dialysis and Transplantation
A few patients with kidney disease will have steadily deteriorating kidney function despite our efforts. Once kidneys fail we offer dialysis treatment for most people. Some people may be suitable for transplantation, while others may decide to not be treated. In order to help people make these decisions and to deal with some of the complications of advanced kidney disease we hold a weekly “low clearance” clinic (Monday afternoons), along with a specialist nurse from St Helier Hospital.
For those patients who choose haemodialysis treatment when their kidneys fail, we have a large satellite dialysis unit (the Elizabeth Ward Dialysis unit) based near the X-ray and cardiology departments on the Mayday site. We also liaise with the peritoneal dialysis department at
Patients with advanced kidney disease often need treatment with iron injections to prevent anaemia. With the help of a specialist nurse from
We also help to look after those patients admitted to hospital who have kidney disease. Part of Purley 2 ward is allocated for this purpose and the doctors and nurses there are more familiar with the problems faced by kidney patients.
Who we are, and how to contact us:
Dr Vipula De Silva Renal consultant
Dr Mysore Phanish Renal consultant
Dr Beatriz Tucker Associate Specialist in Renal medicine
Dr Charles Soper Locum consultant physician and nephrologist
Mrs Shirley Davey Renal secretary 020 0401 3572
Ms Angie Fernandez Renal secretary 020 8401 3047
Sister Doris Khaw Dialysis unit sister 020 8401 3031
Renal fax number: 020 8401 3083
St George's website
Elizabeth Ward Dialysis unit - http://www.renal.org/unit/index.pl?c=mayday