Nephrology & Hypertension
Dr Schwartz is passionate about managing chronic kidney disease and supporting his patients to achieve the best clinical outcomes.
Areas of clinical focus & experience
Chronic Kidney Disease
Dr Schwartz works with his patients to aggressively manage risk factors for progression of disease, with a focus on lifestyle modification & evidence-based pharmaceutical intervention.
As part of chronic kidney disease care, Dr Schwartz addresses difficult to control hypertension.
Kidney disease is part of a spectrum of a cardio-metabolic disorder. Dr Schwartz addresses the entire spectrum of disease through direct management or appropriate referral.
As director of the Fraser Health home dialysis program, Dr Schwartz is a passionate supporter of independent dialysis.
Dr Schwartz performs procedures for patients within the kidney program.
Acute Nephrology Care
Dr Schwartz provides on-call nephrology services as part of the Fraser Health Kidney program.
Consultations require a referral from your primary care provide or specialist
Virtual visit, or in person at #100-200 Keary Street, New Westminster, BC | Map
P (604) 516-7774
F (604) 516-7764
Kidney Care Centre
Requires a referral from Dr. Schwartz’s outpatient office
#217 – 610 Sixth St (Royal City Centre Mall), New Westminster, BC
Royal Columbian Hemodialysis Dialysis Unit | Map
Abbotsford Regional Hospital Peritoneal Dialysis Unit | Map
Royal Columbian Peritoneal Dialysis Unit | Map
Dr Schwartz has a wide-range of professional interests & experience.
Dr Schwartz is a nephrologist and medical lead of the Fraser Health home dialysis program. He is also Clinical Assistant Professor of Medicine at the University of British Columbia. His clinical interests are focused on peritoneal dialysis, interventional nephrology and late stage chronic kidney disease (CKD) management.
He also has a keen interest in knowledge translation at the point of care and the intersection of information technology with clinical medicine. He is the creator of many online and mobile medical education offerings including QxMD.
- Chronic Disease Management
- Medical Information Technology
- Procedural MEDICINE
Offering remote & virtual consultations to allow more convenient access to kidney care.
Tips for starting an SGLT2 inhibitor
SGLT2i inhibitors (eg empagliflozin, dapagliflozin, canagliflozin) have a phenomenal evidence base and have been shown to be beneficial in diabetes, heart disease (particularly heart failure) and kidney disease.
Achieving a good start is important.
10 Opportunities to increase access to physicians through IT efficiencies
In Canada we are facing unprecedented barriers in accessing physicians (both primary care & specialty care. Many barriers exist, but lack of time is a major one.
Huge opportunity to enhance & modify IT processes to give healthcare providers back time that can then be reinvested in patient care. HCP time is a zero-sum game.
Should patients w/ diabetes, CKD and proteinuria despite RAASi & SGLT2i be considered for add-on therapy with finerenone (triple therapy)?
Would you add finerenone to patients with diabetes, CKD and persistent proteinuria despite RAASi & SGLT2i & lifestyle changes (ie offer triple therapy)?
Most impactful clinical trials: slowing progression of chronic kidney disease
This is a highly subjective list, but these trials have been included as they have had a meaningful impact on guidelines, patients and clinicians at a global scale.
7 ways the EMPA-KIDNEY trial will impact clinical care in CKD
EMPA-KIDNEY was a clinical trial testing whether taking a single pill of empagliflozin every day prevents worsening of kidney disease or deaths from heart disease in people who have chronic kidney disease (CKD). The trial was stopped early due to evidence of efficacy and was reported in November 2022 at the American Society of Nephrology ‘Kidney Week’ meeting and simultaneously published in the New England Journal of Medicine
Personalized decision support and the move from NNT to iNNT
The SPRINT trial made waves in the field of hypertension, showing evidence for reduced hard clinical endpoints (a combined outcome of myocardial infarction, acute coronary syndrome not resulting in myocardial infarction, stroke, acute decompensated heart failure, or death from cardiovascular causes) in those patients with a BP target of 120 mm Hg systolic.
Will SPRINT Change Our Systolic BP Target in Hypertensive Patients from 140 to 120 mm Hg?
At last week’s Medicine rounds at the Royal Columbia Hospital, I presented the results from the recently published SPRINT trial. In short, my thoughts are that…
Preventative Foot Care Project May Reduce Amputations, Hospitalization and Length of Stay in ESRD
At the 2015 BC Kidney Days, Dr. Shaoyee Yao and Sarah Lacroix present the preliminary results from a quality improvement project designed to reduce preventable complications from lower extremity wounds in patients on dialysis.
Temporary Visitor Visas for Donating a Kidney
As a resident in the newly created Vancouver-Granville riding and a nephrologist (internal medicine doctor specializing in kidney medicine), I’m asking the following of my political candidates:
Immigration Canada should offer expedited approval for a Visitors Visa to those individuals coming to Canada for living kidney donation to a Canadian or permanent resident (with the requirement for documentation from a Canadian nephrologist).