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In
the very early 1970’s it became apparent to physicians in the U.S. that
hemodialysis was an effective technique for keeping patients alive who had
kidney failure. Southwestern
Medical School and the Dallas County Hospital District (Parkland Memorial
Hospital), under the guidance of Dr. Alan Hull, had participated in a
federally funded program to determine if patients could indeed survive for
long periods of time with this procedure.
At this time, there were no dialysis facilities in Dallas.
Dr. Hull began to explore options in constructing and managing such
a facility that would provide long-term outpatient care to patients with
end-stage renal disease.
In
1971, Dr. Hull and fellow Nephrologists opened the first dialysis facility
in Dallas, “Southwestern Dialysis Center”.
In 1973, a group of four Nephrologists formed Dallas Nephrology
Associates (DNA). Shortly
thereafter, in 1975, the second dialysis facility in Dallas opened,
“Dallas Kidney Disease Center. At
the time this was the largest dialysis center in the world, with 53
dialysis stations.
Over
the next thirty years, DNA became the largest Nephrology practice group in
the U.S. Some of the most
highly trained and qualified Nephrologists from all over the United States
became a part of this progressive group.
They understood the vision and the possibilities of health care
delivery. The physicians of
DNA have been very involved in all of the major aspects of Nephrology,
including complicated renal related diseases, prevention of progression of
kidney disease, hemodialysis and peritoneal dialysis patients, as well as
kidney transplant patients. They
have active consultation practices in all of the major hospitals in
Dallas, many having chairmanship and leadership responsibilities in the
Nephrology departments. The physician group has four office practice locations
located throughout the city, and two locations for accounting, billing,
transcription, human resources, support services, and other administrative
type functions.
Dialysis
facilities were eventually built throughout the Dallas-Metroplex area.
These facilities are owned by Fresenius Medical Care, with DNA
physicians serving as Medical Directors and staff physicians of those
facilities.
Simultaneously,
DNA physicians assisted in the initial development of the transplantation
program at Parkland Memorial Hospital in the early 1970’s. They then
developed the Methodist Medical Center transplant program, which performed
their first kidney transplant in 1981.
DNA physicians also serve as Medical Directors in the Baylor
University Medical Center transplantation program which opened a few years
later. The Baylor transplant
program expanded to include kidney transplants performed at Baylor
Grapevine Hospital in 1999 and is now adding Baylor All-Saints in Fort
Worth, where DNA will provide nephrologic support. Medical City Dallas
Hospital expanded their transplant program to include kidney transplants
in 1999, with DNA physicians being Medical Directors of that program also.
Additionally, DNA physicians participate in immunosuppressive and
medical management in the liver and heart transplant programs throughout
the city.
Dallas
Transplant Institute (DTI), owned and operated by DNA, opened in June
1981.
Dallas Transplant Institute provides one of the most complete and
up-to-date transplant programs in the world.
Patients who are being considered for a kidney transplant are
evaluated in that facility through the Pre-Transplant Department and,
following a kidney transplant, patients are provided with follow-up care
in DTI.
DTI has all of the laboratory, imaging, and support services that
are unique to the care of a patient who will undergo or has undergone
transplantation.
Additionally,
DNA has a very active Research Department. The physicians in this group have published in excess of five
hundred papers and textbook chapters.
The Research Department has a full-time staff devoted to research
projects. Many of the DNA
physicians take a very active role in research.
They have teaching positions at Southwestern Medical School,
holding professorships, and also teach at all of the major teaching
hospitals in Dallas. Furthermore,
hardly a week passes without a DNA physician speaking nationally or
internationally at scientific symposia.
Dallas
Nephrology Associates has been able to accomplish this reputation for
excellence with the support of a loyal and supportive non-physician staff,
some of whom have been with DNA since their beginning in 1971 and others
who have been staff members ten to twenty years.
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