The Liver-Kidney service, referred to as the "Epstein-Trey" service, is so
named for two famous BIDMC physicians: Dr. Charles Trey, a gastroenterologist/ hepatologist, and Dr.
Franklin Epstein, a nephrologist. On this rotation, housestaff manage
patients with end-stage liver disease under the guidance of an attending
hepatologist. Residents also care for undergoing evaluation for renal or
liver transplant, or that have recently undergone transplantation. Commonly
encountered diagnoses include acute and chronic graft rejection, acute
renal failure, hepatic encephalopathy, spontaneous bacterial peritonitis
and refractory ascites. Residents frequently perform diagnostic and
therapeutic paracenteses on this service, with the Hepatology fellow
overseeing all procedures.