Clinical Services

Inpatient Services
The Hematology in-patient service is staffed by Drs Matthews, Dudebout, Lee and James from the Department of  Medicine. The service is allocated 7  beds on Kidd 9 and provides specialized care for patients with  hematological disorders and those undergoing autologous stem cell transplantation.

Hematopoietic stem cell transplant program
Dr. Matthews is the current director of the stem cell transplant program, which began operation in late 2004. The stem cell unit is located on Kidd/Davies 4 extension 6627. The current stem cell cordinator is Rose-Marie Boyd. Approximately 25 patients are transplanted annually for multiple myeloma, lymphoma and testicular cancer.

Outpatient Services
All referrals are triaged and can be faxed to 613.533.6855, or telephoned to 613.533.6641

General Hematology

Seven hematology clinics per week are held in the Fraser Armstrong Patient Centre by Dr Matthews, Dr Lee, Dr Dudebout and Dr James. Secondary-care referrals are taken from family physicians in Kingston and the Region. Tertiary care referrals come from the regional hematologists in Belleville, Oshawa and Peterborough. An urgent clinic is run by the training residents once weekly.

Hemostasis & Thrombosis

Subspecialty clinics are held by Dr Lillicrap and Dr James.  A regional Anticoagulation Management Service has been operational since 2005.  It is staffed by Rhonda RN, and is under the directorship of Dr. Lee.

Malignant Hematology
Patients with leukemia, multiple myeloma, and lymphoma are split between the Fraser Armstrong Patient Centre, and the Cancer Centre of Southeastern Ontario. Dr Matthews, Dr Lee and Dr Dudebout care for all patients with leukemia, myeloma, myeloproliferative disease, and a proportion of patients with lymphoma. Chemotherapy services are conducted in the Cancer Centre of Southeastern Ontario in seven clinics per week. Supportive blood transfusions and other procedures are conducted in the Out Patient Procedures Unit and elsewhere.

 

General Hematology
(Matthews, Lee, Dudebout)

Hemostasis & Thrombosis
(Lillicrap/James)

Out Patient Procedures Unit
(Matthews,Lee,Dudebout)

Kingston Regional CancerCentre
(Matthews,Lee,Dudebout)

Number of Patients

Approx 3000

Approx 300

Approx 500

Approx 3600

Case-Mix (most common only)

1. Anemia
2.Thrombocytopenia
3. Chronic Lymphocytic Leukemia
4. Coagulopathy
5. Myeloma
6. Polycythemia
7. Lymphoma

1. Coagulopathy
2. Thrombophilia

1. Blood transfusion for bone marrow failure
2. Pamidronate for multiple myeloma

1. Lymphoma
2. Myeloma
3. Leukemia
4. Other


Pediatric Hematology/Oncology
The Division of Pediatric Hematology/Oncology, chaired by Dr. Silva, provides services in outpatient and inpatient pediatric hematology, and a comprehensive children's cancer service.

Hematopathology
Hematopathology services are provided by the Department of Pathology, which includes Drs Lillicrap, Rapson, Shepherd, Rauh and LeBrun. Together they comprise the Division of Hematopathology.

Palliative Care
The Palliative Care Medicine Program provides consultative services to Kingston General Hospital, Kingston Regional Cancer Centre, St. Mary's of the Lake Hospital, the local community, and the region. There are 6 inpatient beds at St. Mary's of the Lake Hospital. Beds for complex palliative cases exist on Connell 10 at KGH.