Dr. Charles Trey and Dr. Franklin EpsteinThe 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.