School of Medicine
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Clinical Instructor, Medicine - Nephrology
Current Research and Scholarly Interests As a nephrologist working in diverse practice settings including the intensive care unit (ICU), I regularly face the limitations of current clinical tools for assessing a patient's volume status and for guiding patient selection for diuretic therapy. I work with a large, detailed clinical database (MIMIC-III) to study current patterns of diuretic use in the ICU, estimated effects of diuretic use, and clinical features that may predict outcomes in critically ill patients receiving diuretics.
I am also involved in quality improvement. I lead the Draw on Dialysis project, which aims to draw non-urgent inpatient labs on dialysis rather than by peripheral phlebotomy in order to save patient pain and peripheral veins for future dialysis access. I am also interested in leveraging nationwide databases such as Optum claims data to assess adherence to guidelines in kidney care.
Stanford University Professor of Nephrology
Current Research and Scholarly Interests Inadequate removal of uremic solutes contributes to widespread illness in the more than 500,000 Americans maintained on dialysis. But we know remarkably little about these solutes. Dr. Meyer's research efforts are focused on identifying which uremic solutes are toxic, how these solutes are made, and how their production could be decreased or their removal could be increased. We should be able to improve treatment if we knew more about what we are trying to remove.
Professor of Medicine (Nephrology), Emeritus
Current Research and Scholarly Interests A novel approach is used to evaluate glomerular disease in humans, and its progression. A combination of physiologic techniques, a morphometric analysis of glomeruli obtained by biopsy, and mathematical modeling of glomerular ultrafiltration is used to quantify the extent of glomerular injury in humans for the first time.