Dr. Alexandre Granger Vallée – Nephrologist | Montréal, QC

Dr. Alexandre Granger Vallée is a dedicated Nephrologist, committed to providing exceptional medical care for adult patients with kidney conditions. Practicing at CHUM in Montréal, QC, he is a trusted provider of specialized kidney care in the community. His practice adheres to the high standards of the Collège des médecins du Québec (CMQ), ensuring that patients receive safe, effective, and ethical treatment. As a Nephrologist, he specializes in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders. The clinic offers comprehensive care for a wide range of kidney conditions, from early detection and prevention to advanced disease management, including support for patients on dialysis.

Dr. Granger Vallée completed his medical degree in 2010, followed by a residency in Internal Medicine. He further specialized through fellowship training in Nephrology, accumulating over 14 years of experience in the field. He has obtained certification from the Collège des médecins du Québec (CMQ), which authorizes him to practice as a Nephrologist in Quebec. His rigorous postgraduate training and ongoing professional development ensure he remains current with the latest advances in kidney care and treatment modalities.

His professional philosophy emphasizes early detection, prevention of progression, and comprehensive management of kidney-related complications. He is dedicated to preserving kidney function and improving quality of life for his patients by educating them and their families about kidney health and empowering them in shared decision-making. Utilizing evidence-based medicine and advanced therapies, he provides personalized care tailored to each patient’s needs. Dr. Granger Vallée collaborates closely with primary care physicians, dietitians, social workers, and other specialists to deliver holistic and patient-centered care in Montréal. He offers nephrology consultations and treatments in French, ensuring clear communication and understanding.

Dr. Alexandre Granger Vallée provides expert diagnosis and management for a wide range of kidney conditions, including:

Hypertension and Electrolyte Disorders

Dr. Granger Vallée addresses nephrologists are experts in diagnosing and treating complex cases.

• Disorders of Potassium Balance (Hypokalemia, Hyperkalemia): Potentially life-threatening if severe.
• Resistant Hypertension: Often requires specialized nephrology input.
• Disorders of Sodium and Water Balance (Hyponatremia, Hypernatremia): Common in hospitalized patients and those with kidney, heart, or liver disease.

Chronic Kidney Disease (CKD)

Dr. Granger Vallée addresses early detection and intervention can significantly improve outcomes for individuals with CKD.

• Hypertensive Nephrosclerosis (Kidney Disease due to High Blood Pressure): Often coexists with other forms of kidney disease.
• Early Stages of CKD (Stages 1-3): Regular monitoring to track kidney function and progression.
• Advanced CKD (Stages 4-5, Non-Dialysis): Intensive management of complications (anemia, bone disease, electrolyte imbalance) and preparation for renal replacement therapy.

Acute Kidney Injury (AKI)

Dr. Granger Vallée addresses causes kidneys to lose their filtering ability, leading to a build-up of waste products and fluid imbalance.

• Pre-renal AKI: Treatment focuses on restoring kidney perfusion by addressing the underlying cause (e.g., fluid resuscitation).
• Post-renal AKI: Caused by an obstruction in the urinary tract (e.g., kidney stones, enlarged prostate, tumors) that prevents urine from draining.
• Intrinsic AKI (Renal AKI): Management involves treating the specific kidney injury, supportive care, and sometimes dialysis.

This list is not exhaustive. For a comprehensive evaluation of your kidney health, a consultation with Dr. Alexandre Granger Vallée is necessary.

• Electrolyte and Acid-Base Disorder Management: Addressing underlying causes and restoring normal physiological balance.
• Management of Diabetic Kidney Disease (Diabetic Nephropathy): Close collaboration with endocrinologists and primary care physicians.
• Hypertension (High Blood Pressure) Management related to Kidney Disease: Diagnosis and treatment of high blood pressure, particularly resistant or secondary hypertension linked to kidney problems.
• Management of Dialysis Complications: Addressing common complications of dialysis such as anemia, mineral and bone disorders, cardiovascular issues, and infections.
• Comprehensive Nephrology Consultation: Second opinion consultations for complex kidney conditions.
• Medical Management of Kidney Stones (Nephrolithiasis): Development of preventative strategies including dietary modifications and medical therapy.

Note: This list provides an overview. Specific treatments are determined after a thorough evaluation and consultation with Dr. Granger Vallée.

All nephrology services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant Canadian Society of Nephrology (CSN) and Kidney Disease: Improving Global Outcomes (KDIGO) guidelines. A referral from a physician or another specialist is generally required for consultation.

Dr. Granger Vallée practices primarily at the CHUM in Montréal, located in the vibrant neighborhood of Ville-Marie East, also known as Quartier Latin or Village. The clinic is conveniently situated near the Forum Pepsi (formerly Forum), making it easily accessible for patients. Patients can reach the clinic via the Société de transport de Montréal (STM) by metro and bus, with multiple transit options nearby. The facility is designed to be accessible and comfortable for all patients, offering a professional environment for comprehensive kidney care. Parking is generally available in the vicinity, with some accessible spots for those with mobility needs.

Are services from Dr. Granger Vallée covered by provincial health insurance?

Most specialized medical care for kidney diseases provided by Dr. Granger Vallée is covered under Régie de l'assurance maladie du Québec (RAMQ). This includes appointments, prescribed kidney function tests, management of dialysis, and care before and after a kidney transplant. Medically necessary consultations, diagnostic tests for kidney disease, management of chronic kidney disease, dialysis treatments (hemodialysis and peritoneal dialysis), and medical care related to kidney transplantation are generally covered by Régie de l'assurance maladie du Québec (RAMQ). Preventive counseling for high-risk individuals referred by a physician is also typically covered. It's always best to confirm coverage specifics with Dr. Granger Vallée's office or Régie de l'assurance maladie du Québec (RAMQ) directly, as some specific tests or newer adjunctive therapies might have varying coverage.

What are the main types of dialysis Dr. Granger Vallée might discuss?

Dr. Granger Vallée can explain various dialysis options if needed. The two main types are hemodialysis, where blood is cleaned outside the body by a machine, and peritoneal dialysis, where a solution is put into your abdomen to clean the blood internally. Both have different schedules and requirements, and Dr. Granger Vallée would help determine suitability based on individual patient needs.

What is involved in the kidney transplant process with a Nephrologist like Dr. Granger Vallée?

As a Nephrologist, Dr. Granger Vallée plays a crucial role in the kidney transplant process. This includes evaluating your suitability for a transplant, managing your health while on the waiting list, coordinating with the transplant surgical team, and providing comprehensive medical care after the transplant to manage immunosuppressive medications and monitor for complications or rejection. He works as part of a multidisciplinary transplant team.

When should I see a Nephrologist like Dr. Granger Vallée?

A consultation with Dr. Granger Vallée is recommended if your doctor detects abnormalities in kidney function tests, you have a strong family history of kidney disease, or you require specialized management for conditions like advanced chronic kidney disease, glomerulonephritis, or are being considered for dialysis or kidney transplant. Any sudden decline in kidney function also warrants urgent nephrology review.

How does Dr. Granger Vallée help manage high blood pressure (hypertension)?

Dr. Granger Vallée, as a Nephrologist, has expertise in managing hypertension, especially if it's severe, resistant to standard treatments, or caused by kidney disease. He can investigate underlying causes, optimize medication regimens, and provide guidance on lifestyle changes to effectively control blood pressure, which is crucial for protecting kidney health and overall cardiovascular well-being.

CHUM
1000 Rue Saint-Denis
Montréal, QC H2X 0C1

Office Phone: (514) 890-8000 | Office Fax: (514) 412-7831

Dr. Granger Vallée is a licensed Nephrologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. A referral from a family physician or another specialist is generally required for a consultation with Dr. Granger Vallée, particularly for services covered by the Régie de l'assurance maladie du Québec (RAMQ).

Verify Dr. Granger Vallée's registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=10007