Internal Medicine; Ion Transport; Nephrology
I work primarily at Roswell Park Cancer Institute, where I serve as Chief of Renal Services. I oversee the onco-nephrology program, primarily caring for cancer inpatients with acute kidney injury, fluid and electrolyte disorders, and end-stage kidney disease. Previously I worked for the Buffalo VA Medical Center (VAMC) where I served as the chief of nephrology for many years. We cared for patients with a variety of kidney diseases, including acute and chronic kidney disease, end-stage renal disease, glomerulonephritis, polycystic disease and hypertension. I have had a particular interest in the treatment of patients with resistant hypertension.
I have participated in a large number of clinical trials related to treatment of diabetic kidney disease, treatment of anemia in chronic kidney disease and hypertension. My past research focused on understanding the response of cells to conditions of hypo- and hyperosmolality. I have published on hyponatremia and hypernatremia, and continue to have a clinical interest in these areas.
I serve as the co-coordinator of the four-week, organ-based “renal module” for first-year medical students: I plan the curriculum, identify speakers, organize the case-based small group sessions and write test questions. I also give 12 lectures and participate in four small-group sessions each year. I am committed to teaching and devote significant time in the medical school teaching medical students. In addition, I hold an adjunct appointment in the Department of Pharmacology and Toxicology, and I give lectures on renal pharmacology and hypertension each year to students in that department. I previously served as the program director for the nephrology fellowship program for 18 years, which involved overseeing the nephrology fellowship training experience at the multiple clinical sites of UB’s Division of Nephrology, and contributing to the development of the curriculum.