About
Dr. James William Scholey is a dedicated Nephrologist, committed to providing exceptional medical care for adult patients with kidney conditions. Practicing at a specialized nephrology clinic in Toronto, ON, he is a trusted provider of comprehensive kidney care within the community. His practice adheres strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, ethical, and patient-centered care. Dr. Scholey’s role as a Nephrologist involves the diagnosis, treatment, and management of a wide spectrum of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders. The clinic offers a welcoming environment designed to provide thorough and compassionate kidney care for patients at all stages of their condition, from early detection to advanced disease management, including support for those on dialysis.
He graduated with a Medical Degree from the University of British Columbia Faculty of Medicine in 1980, in Canada. Following medical school, he completed a residency in Internal Medicine, and subsequently pursued specialized fellowship training in Nephrology. With over 38 years of experience practicing as a Nephrologist since 1986, he brings extensive expertise and a nuanced understanding of kidney health. Dr. Scholey is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his commitment to maintaining the highest professional standards and staying current with the latest advancements in nephrology.
Dr. Scholey’s professional philosophy centers on preserving kidney function and enhancing the quality of life for his patients. He is dedicated to educating patients and their families about kidney health, empowering them through shared decision-making. Utilizing evidence-based medicine and advanced therapies, he focuses on early detection, preventing disease progression, and managing complications comprehensively. His approach involves collaborative care with primary care physicians, dietitians, social workers, and other specialists to ensure holistic patient well-being. All communication and care are delivered in English, with a commitment to compassionate, patient-focused service in Toronto.
Dr. James Scholey provides expert diagnosis and management for a wide range of kidney conditions, including:
Hypertension and Electrolyte Disorders
Dr. Scholey addresses management of high blood pressure, especially when it's difficult to control or related to kidney disease, and disorders of body salts and minerals.
- Acid-Base Disorders (Acidosis, Alkalosis): Kidneys play a key role in regulating acid-base balance. Disorders can be respiratory or metabolic.
- Disorders of Sodium and Water Balance (Hyponatremia, Hypernatremia): Imbalances in the body's sodium and water levels, which can lead to serious neurological and systemic complications.
- Resistant Hypertension: Often requires specialized nephrology input.
Chronic Kidney Disease (CKD)
Dr. Scholey addresses management focuses on slowing progression, treating underlying causes like diabetes and hypertension, and managing complications.
- Advanced CKD (Stages 4-5, Non-Dialysis): Severe reduction in kidney function, often accompanied by symptoms like fatigue, swelling, and changes in urination.
- Hypertensive Nephrosclerosis (Kidney Disease due to High Blood Pressure): Kidney damage caused by long-term, poorly controlled high blood pressure, leading to scarring of kidney tissue.
- Early Stages of CKD (Stages 1-3): Focus on controlling risk factors (blood pressure, blood sugar), lifestyle modifications, and avoiding kidney-damaging medications.
Glomerular Diseases (Glomerulonephritis)
Dr. Scholey addresses can be primary (originating in the kidneys) or secondary to systemic diseases like lupus or vasculitis.
- Nephrotic Syndrome: Common causes include Minimal Change Disease, Focal Segmental Glomerulosclerosis (FSGS), and Membranous Nephropathy.
- IgA Nephropathy (Berger's Disease): A common glomerular disease caused by deposits of the antibody IgA in the glomeruli.
- Focal Segmental Glomerulosclerosis (FSGS): A disease characterized by scarring in some glomeruli, often leading to nephrotic syndrome and progressive kidney damage.
This list is not exhaustive. For a comprehensive evaluation of your kidney health, a consultation with Dr. James Scholey is necessary.
- Polycystic Kidney Disease (PKD) and Other Genetic Kidney Disorders Management: Genetic counseling and family screening coordination.
- Glomerular Disease (Glomerulonephritis) Diagnosis and Treatment: Evaluation and management of various glomerular diseases like IgA nephropathy, FSGS, lupus nephritis, and membranous nephropathy.
- Medical Management of Kidney Stones (Nephrolithiasis): Evaluation for underlying causes of recurrent kidney stones.
- Acute Kidney Injury (AKI) Diagnosis and Management: Identification of underlying causes and implementation of supportive care to promote kidney recovery.
- Management of Dialysis Complications: Nutritional counseling and psychosocial support coordination.
- Electrolyte and Acid-Base Disorder Management: Often crucial in hospitalized patients or those with advanced kidney disease.
Note: This list provides an overview. Specific treatments are determined after a thorough evaluation and consultation with Dr. Scholey.
All nephrology services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) 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. Scholey's primary nephrology clinic is located at a specialized facility in Toronto, situated within the Sinai Health System Hospital in Toronto's Bay Street Corridor, also known as the Discovery District. The clinic's proximity to the US Consulate makes it convenient for international patients and visitors. Easily accessible via TTC subway, streetcar, and bus routes, the clinic provides a professional and welcoming environment designed to be accessible and comfortable for all patients. Patients can find convenient parking options nearby, ensuring ease of access for comprehensive kidney care and consultations.
- What does a Nephrologist like Dr. Scholey specialize in?
- Dr. Scholey is a Nephrologist, a physician with specialized training in kidney health and disease. He manages the full spectrum of kidney disorders, from early detection and prevention to advanced therapies like dialysis and post-transplant care. specializing in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders.
- What are the main types of dialysis Dr. Scholey might discuss?
- If your kidney function declines significantly, Dr. Scholey may discuss renal replacement therapies, primarily hemodialysis and peritoneal dialysis. Hemodialysis involves filtering your blood using an external machine, usually at a dialysis center (or sometimes at home). Peritoneal dialysis uses the lining of your abdomen (peritoneum) and a special solution to filter blood inside your body, and is typically done at home. Dr. Scholey will explain the benefits and drawbacks of each, helping you choose the best option for your lifestyle and medical condition.
- Do I need a referral to see Dr. Scholey?
- For most consultations with Dr. Scholey that are medically necessary and covered by Ontario Health Insurance Plan (OHIP), a referral from a family doctor or another specialist (like an internist or endocrinologist) is typically needed. This helps in coordinating your care effectively. In urgent situations, your referring doctor will facilitate an expedited consultation. The clinic's fax number for referrals is typically (416) 340-4999.
- Are services from Dr. Scholey covered by provincial health insurance?
- Most specialized medical care for kidney diseases provided by Dr. Scholey is covered under Ontario Health Insurance Plan (OHIP). 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 Ontario Health Insurance Plan (OHIP). Preventive counseling for high-risk individuals referred by a physician is also typically covered. It's always best to confirm coverage specifics with Dr. Scholey's office or Ontario Health Insurance Plan (OHIP) directly, as some specific tests or newer adjunctive therapies might have varying coverage.
- When should I see a Nephrologist like Dr. Scholey?
- A consultation with Dr. Scholey 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.
- What is involved in the kidney transplant process with a Nephrologist like Dr. Scholey?
- As a Nephrologist, Dr. Scholey 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.
- What are some common kidney conditions treated by Dr. Scholey?
- As a Nephrologist, Dr. Scholey manages numerous conditions affecting the kidneys. These frequently include different stages of Chronic Kidney Disease, high blood pressure affecting the kidneys, fluid and electrolyte imbalances, kidney stones (medical management), and advanced kidney failure requiring renal replacement therapy (dialysis or transplant). specializing in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders.
a specialized nephrology clinic in Toronto
200 Elizabeth Street
Toronto, ON M5G 2C4
Office Phone: (416) 340-5093 | Office Fax: (416) 340-4999
Dr. Scholey is a licensed Nephrologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or another specialist is generally required for a consultation with Dr. Scholey, particularly for services covered by the Ontario Health Insurance Plan (OHIP).
Verify Dr. Scholey's registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Scholey-James-William/0032847-44827