Dr. Sylvain Brunet – Nephrologist | Saint-Hyacinthe, QC

Dr. Sylvain Brunet is a dedicated Nephrologist, committed to providing exceptional medical care for adult patients with kidney conditions. Practicing at Hôpital Honoré Mercier, Service de néphrologie in Saint-Hyacinthe, QC, he is a trusted provider of specialized kidney care in the community. His practice adheres to the standards set by the Collège des médecins du Québec (CMQ), ensuring high-quality, ethical, and comprehensive care. 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 a comprehensive approach to kidney health, from early detection and prevention to advanced disease management, including support for patients on dialysis.

Dr. Brunet obtained his Medical Degree in 1997 and completed his residency in Internal Medicine. Following his residency, he undertook specialized fellowship training in Nephrology, allowing him to develop extensive expertise in the field. He has been practicing as a Nephrologist since 1998, accumulating over 26 years of dedicated experience. His certifications are in line with the rigorous standards of the Collège des médecins du Québec (CMQ), ensuring his qualifications meet provincial requirements for nephrology practice.

His professional philosophy centers on preserving kidney function and enhancing the quality of life for his patients. Dr. Brunet is committed to educating patients and their families about kidney health, empowering them through shared decision-making. He utilizes evidence-based medicine and advanced therapies to optimize patient outcomes. With a focus on early detection, prevention of progression, and comprehensive management of kidney-related complications, he collaborates closely with primary care physicians, dietitians, social workers, and other specialists to provide holistic care. Dr. Brunet provides nephrology consultations and treatments in French, ensuring clear communication and personalized care for his patients in Saint-Hyacinthe.

Dr. Sylvain Brunet provides expert diagnosis and management for a wide range of kidney conditions, including:

Chronic Kidney Disease (CKD)

Dr. Brunet addresses a progressive loss of kidney function over months or years, affecting the body's ability to filter waste and maintain fluid balance.

• Hypertensive Nephrosclerosis (Kidney Disease due to High Blood Pressure): Often coexists with other forms of kidney disease.
• Diabetic Nephropathy (Kidney Disease due to Diabetes): A common complication of diabetes where high blood sugar levels damage the kidneys' filtering units.
• Anemia of Chronic Kidney Disease: A common complication where damaged kidneys don't produce enough erythropoietin, a hormone that stimulates red blood cell production.

Acute Kidney Injury (AKI)

Dr. Brunet addresses a sudden episode of kidney failure or kidney damage that happens within a few hours or a few days.

• Pre-renal AKI: Treatment focuses on restoring kidney perfusion by addressing the underlying cause (e.g., fluid resuscitation).
• Contrast-Induced Nephropathy: A form of AKI that can occur after exposure to iodinated contrast media used in imaging procedures.
• Intrinsic AKI (Renal AKI): Kidney biopsy may be needed for diagnosis in some cases.

Glomerular Diseases (Glomerulonephritis)

Dr. Brunet addresses disorders that affect the glomeruli, the tiny filtering units within the kidneys, often leading to proteinuria, hematuria, and impaired kidney function.

• Lupus Nephritis: Regular screening for kidney involvement is crucial for lupus patients.
• IgA Nephropathy (Berger's Disease): Clinical course varies; some progress to kidney failure. Treatment may include blood pressure control and immunosuppression.
• Nephritic Syndrome: Characterized by hematuria (blood in urine), hypertension, oliguria (reduced urine output), and some degree of proteinuria and edema.

This list is not exhaustive. For a comprehensive evaluation of your kidney health, a consultation with Dr. Sylvain Brunet is necessary.

• Comprehensive Nephrology Consultation: Evaluation for patients with abnormal kidney tests, proteinuria, hematuria, or suspected kidney disorders.
• Hypertension (High Blood Pressure) Management related to Kidney Disease: Lifestyle modification advice to support blood pressure control.
• Electrolyte and Acid-Base Disorder Management: Often crucial in hospitalized patients or those with advanced kidney disease.
• Dialysis Access Planning and Coordination: Evaluation and planning for optimal long-term dialysis access, including arteriovenous fistulas (AVF), grafts (AVG), and peritoneal dialysis catheters.
• Management of Dialysis Complications: Proactive care to improve quality of life and outcomes for dialysis patients.
• Hemodialysis Program Management (In-Centre and Home): Regular monitoring of dialysis adequacy, nutritional status, and management of related complications.

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

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. Brunet practices primarily at the nephrology clinic located within the Hôpital Honoré Mercier in Saint-Hyacinthe. The clinic is situated in the vibrant neighborhood known for its proximity to various medical facilities and diagnostic services, making it convenient for patients to access comprehensive kidney care. Easily reachable via local public transit routes, the facility is designed to be accessible and comfortable for all patients. On-site or nearby public parking is generally available, ensuring ease of access for those visiting for consultations, treatments, or follow-up appointments. The environment fosters a professional and welcoming atmosphere dedicated to supporting patients' kidney health in a holistic manner.

What are some common kidney conditions treated by Dr. Brunet?

Dr. Brunet treats a wide range of kidney-related conditions. Common ones include Chronic Kidney Disease (CKD) from various causes (like diabetes and hypertension), Acute Kidney Injury (AKI), Glomerulonephritis (inflammation of kidney filters), Polycystic Kidney Disease (PKD), electrolyte and acid-base disorders, and complications requiring dialysis or kidney transplantation. specializing in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders.

Are services from Dr. Brunet covered by provincial health insurance?

Medically necessary services provided by a Nephrologist like Dr. Brunet, such as consultations, diagnostic tests for kidney disease, management of chronic kidney disease, dialysis treatments (hemodialysis and peritoneal dialysis), and kidney transplant-related care, are generally covered by your provincial health plan, Régie de l'assurance maladie du Québec (RAMQ). 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. Brunet'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 does a Nephrologist like Dr. Brunet specialize in?

A Nephrologist, such as Dr. Brunet, is a medical doctor (MD) who specializes in the diagnosis and treatment of kidney diseases. This includes managing conditions like chronic kidney disease (CKD), acute kidney injury (AKI), hypertension (high blood pressure), electrolyte imbalances, and providing care for patients requiring dialysis or kidney transplantation. a Nephrologist, specializing in the diagnosis, treatment, and comprehensive management of kidney diseases, including chronic kidney disease, acute kidney injury, hypertension, and electrolyte disorders.

When should I see a Nephrologist like Dr. Brunet?

A consultation with Dr. Brunet 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 are the main types of dialysis Dr. Brunet might discuss?

Dr. Brunet 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. Brunet would help determine suitability based on individual patient needs.

Do I need a referral to see Dr. Brunet?

Yes, a referral from your family physician or another specialist is generally required to see a Nephrologist like Dr. Brunet for services covered by provincial health insurance (e.g., Régie de l'assurance maladie du Québec (RAMQ)). This ensures that Dr. Brunet receives important medical history and that the consultation is appropriate for your condition. The clinic's fax number for referrals is typically (450) 771-3498.

Hôpital Honoré Mercier, Service de néphrologie
2750 Boul Laframboise
Saint-Hyacinthe, QC J2S 4Y8

Office Phone: (450) 771-3333 | Office Fax: (450) 771-3498

Dr. Brunet 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. Brunet, particularly for services covered by the Régie de l'assurance maladie du Québec (RAMQ).

Verify Dr. Brunet's registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=97201