Clinical Assistant Professor
Internal Medicine; Nephrology
My breadth of clinical practice is broad; I care for patients with a wide range of both acute and chronic renal diseases. This includes patients with electrolyte abnormalities, autoimmune and/or secondary glomerulonephritides and polycystic kidney disease as well as those who have undergone kidney transplantation. My training at the Weill Cornell Hypertension Center has provided me with focused training in the management of refractory, secondary and perinatal hypertension. Therefore, I also see patients with refractory or difficult-to-control hypertension even though they may not have kidney dysfunction. As medical director of the Erie County Medical Center (ECMC) Living Donor Kidney Transplant Program, I see many prospective living donor kidney candidates during their donor evaluation process, and I follow them in the post-operative period. I am currently in the process of developing home peritoneal and hemodialysis programs for veterans with end stage kidney disease receiving care at the VA WNY Healthcare System.
My clinical research interests are wide-ranging. I have particular interests in medication, chemotherapy and toxin-induced kidney injury. I have worked on a project that investigated the long-term renal impacts of the chemotherapy agent ifosfamide in adult cancer patients. I also have a research interest in autosomal dominant adult polycystic kidney disease (AD-PKD) have been involved in a multicenter clinical trial to compare the efficacy and safety of the drug Tolvaptan which has been determined to slow the progression of renal cysts and thereby delay progression of end-stage kidney disease in people with AD-PKD.
I supervise and teach physicians at all stages of their training, including interns and residents from UB’s internal medicine residency program as well as fellows in UB’s nephrology training program. I supervise trainees on both the inpatient Medicine and Renal Consult services and in the outpatient Renal and Hypertension Clinic and the outpatient Transplant Clinic. In addition to bedside teaching, I facilitate small group nephrology seminars for third- and fourth-year medical students rotating on their medicine clerkships as well as first- and second-year medical students learning nephrology during their preclinical years. I also provide lectures for the internal medicine resident teaching program and for the nephrology fellowship teaching program.