I am a board certified clinical nephrologist in Detroit.

I am a partner at St Clair Nephrology and am part of the faculty that teaches the nephrology fellows, residents, and medical students that use St John Hospital and Medical Center to hone their clinical skills.

I am an Assistant Clinical Professor at Oakland University William Beaumont School of Medicine and have been teaching M2s about sodium, potassium and acid-base balance since there was M2s at that medical school (2011).

I have an offices at St Johns Moross, Roseville and Farmington Hills.

I am the medical director of St Clair Nephrology Research where we enroll patients with hypertension, CKD and ESKD to participate in clinical trials in order to improve the care we are able to provide to patients.

MedEd Maker


I am  @Kidney_boy.


I began writing this blog in May of 2008. This was the third nephrology blog after Kidney Notes and Renal Fellow Network (PBFluids was only a few months behind Nate Hellman’s Renal Fellow Network)


I am the co-creator, with Matt Sparks, of NephMadness


I am the co-creator, with Swapnil Hiremath, of NephJC

NSMC Internship

I am the program director of the Nephrology Social media Collective Internship.

Visual Abstracts

I am a member of CJASN’s Visual Abstract Editorial Team. I also contribute visual abstracts to AJKD and American Journal of Nephrology

Nephrology Secrets

I am a co-editor, along with Matt Sparks and Edgar Lerma, of the forthcoming, fourth edition of Nephrology Secrets

Fluid, Electrolyte and Acid-Base Companion

I am the co-author of this now (unfortunately), out-of-print, programed text.


I am an instructor for the Fluid and Electrolyte MedMastery section.

Conflicts of Interest

I have an ownership stake in a few Davita run dialysis clinics and a vascular access center. Takeda Oncology made a donation to MM4MM the program that is taking me to Mount Everest in 2018.