KIDNEY TRANSPLANT CARE
Transplant Program Leadership
Nephrology Associates of Tidewater is proud to partner with Sentara Norfolk General Hospital in providing physician leadership and medical directorship for its kidney transplant program.
Under the leadership of Dr. Harlan Rust, Medical Director of the Kidney and Pancreas Transplant Program, our physicians play an integral role in delivering comprehensive transplant care to patients throughout the region. Through this collaboration, patients benefit from expert transplant-focused nephrology care, seamless coordination with the transplant team, and access to advanced kidney care close to home.

Comprehensive Transplant Care,
From EvaluationThrough Long-Term Follow-Up
Pre-Transplant Evaluation & Preparation
Early evaluation is key. Our team helps determine transplant readiness, optimize kidney health, and guide patients through referral and evaluation.
Pre-transplant care may include:
- Kidney transplant education and counseling
- Timing and referral for transplant evaluation
- Living donor and deceased donor transplant guidance
- Optimization of blood pressure, anemia, and CKD-related complications
- Coordination with transplant centers and specialty teams
- Support while awaiting transplantation
Kidney Transplant Waitlist Support
Patients awaiting transplant often require ongoing medical management and close monitoring.
We provide:
- Management of chronic kidney disease or dialysis needs
- Monitoring labs and overall health for transplant readiness
- Coordination with transplant teams regarding testing and updates
- Support while awaiting an organ offer
Post-Transplant
Care
Kidney transplant requires lifelong follow-up. We provide post-transplant management focused on protecting the transplanted kidney and supporting long-term health, including:
- Monitoring kidney function and transplant stability
- Management of immunosuppressive medications
- Surveillance for rejection, infection, and medication-related complications
- Blood pressure and electrolyte management
- Care coordination with transplant surgeons and transplant teams
- Long-term preservation of allograft function
Specialized Care for Complex Transplant Patients
We also help manage:
- Declining transplant kidney function
- Proteinuria or transplant-related kidney disease
- Resistant hypertension after transplant
- Electrolyte and fluid disorders
- Recurrent kidney disease after transplant
- Chronic transplant dysfunction
Transplant Program Leadership
Nephrology Associates of Tidewater is proud to provide physician leadership and medical directorship support for the kidney transplant clinic at Sentara Norfolk General Hospital.
Through the leadership of Dr. Harlan Rust, Kidney and Pancreas Transplant Program Medical Director, our physicians support comprehensive transplant care for patients across the region. This depth of involvement offers patients access to experienced transplant-focused kidney care close to home.

Why Choose NAT for Kidney Transplant Care
- Comprehensive pre- and post-transplant nephrology care
- Experienced management of complex transplant patients
- Close coordination with transplant specialists and surgeons
- Leadership involvement in the Sentara Norfolk Kidney Transplant Program
- Long-term focus on protecting transplant function and patient wellness

