I specialise in the treatment of chronic kidney disease and associated heart and blood vessel diseases in kidney patients. I have an interest in diabetes and how it affects the kidney, as well as kidney diseases secondary to raised blood pressure or as a result of other renal conditions. In addition I also consult on hyperparathyroidism, calcification syndromes, and calciphylaxis. For information on my specialist clinical and research interests, please click here.
CKD does not usually cause symptoms until it reaches a reasonably advanced stage. It is usually detected at earlier stages by blood and urine tests.
It can be extremely damaging to the kidneys over time; the earliest manifestations of such long-term progressive damage being leakage of albumin from the blood into the urine (micro-albuminuria).
High blood pressure can also cause heart and kidney disease.
Calcification is usually a response to chronic injury; it can be simply a marker of a problem, or, itself, can become associated with poor outcomes over time (e.g. arteriosclerosis, or "hardening of the arteries"). These systems are usually significantly deranged in CKD.
Welcome, I am David Goldsmith, MA MB BChir FRCP(Lond) FRCP(Edin) FASN FERA.
In May 2015 I was very honoured to be the Congress President of the 52nd ERA-EDTA Congress in London, where we had 2496 abstracts submitted (a record), and 8190 attendees (4th highest attendance since 1964).
My current positions include Consultant Nephrologist at Guy’s & St Thomas’ NHS Foundation Trust Hospital.
In addition to my clinical duties I have, or have held, several honorary academic positions, including Cardio-Renal Medicine, King’s College London, Visiting Professor at St George's University of London, and G.I. Popa School of Medicine and Pharmacy, Iasi, Romania.
I have both undertaken teaching duties, and performed research, at these institutions, often in fruitful collaborations with very many others, around the World, helping to drive and shape clinical excellence through research collaborations. As a passionate research-driven clinician I am determined and committed to harnessing ever more successful approaches to improving the treatment of renal conditions. I have published extremely widely in my field covering clinical scientific and medico-political topics, as I seek to ensure that we can continue to move renal treatments ever further forward. For a full list of publications, please click here.