Clinical | Department of Medicine | School of Medicine

Inpatient Services
The Hematology in-patient service is allocated 8 inpatient beds on Kidd 9 and provides specialized care for patients with malignant hematologic disorders and those undergoing autologous stem cell transplantation. Inpatient consults are also seen around the hospital.

Complex Malignant Hematology Program

Dr. Janique Dyba is the Medical Director of the Leukemia Program and Drs Climans and Dudebout are the current directors of the hematopoietic stem cell transplant program, which began operation in late 2004. The Complex Malignant Hematology Day Unit is located on Kidd 9 (KGH extension 6627), where three programs operate: 1) The Hematopoietic Autologous Stem Cell Transplant Program, 2) Outpatient Leukemia Care (i.e. consolidation chemotherapy), and 3) 100 day+ and Allogeneic Survivorship Clinic. Approximately 50 patients are transplanted annually for multiple myeloma, lymphoma, and testicular cancer. Approximately 40 patients undergo induction therapy for acute leukemia and approximately 30 patients per year are repatriated to the 100 day+ clinic post allogeneic transplantation from Ottawa.

Outpatient Referrals

All Hematology referrals (benign, thrombosis and malignant) are triaged and can be faxed to the central Hematology referral fax 613-533-6855 or emailed to hematology.referrals@kingstonhsc.ca. For referral questions please contact 613-533-6329.

Additional information, Hematology Primary Care Management Pathways, and dedicated referral forms may be found at the following link.

General Hematology

10-15 General Hematology clinics per week are held at the Hotel Dieu Hospital (HDH) by Drs James, Lee, Leung, Lui, and Satkunam. A Red Blood Cell Disorders clinic, providing care for patients with hemoglobinopathies and thalassemias in conjunction with the Red Blood Cell Disorders Program at the Toronto General Hospital, also runs once monthly.

Phlebotomy services are also provided twice a week at HDH. Supportive transfusions, iron infusions, etc. are performed in the Out Patient Procedures Unit at KGH and elsewhere.

Secondary care referrals are received from family physicians in and around Kingston and the Southeast LHIN region. Tertiary care referrals come from the regional hematologists in Belleville, Oshawa, Cobourg, and Peterborough.

Malignant Hematology

Patients with leukemia, lymphoma, myeloma, myeloproliferative diseases, and other undifferentiated hematologic disorders are seen in the Cancer Centre of Southeastern Ontario (CCSEO). There are at least 20 clinics a week. The CCSEO also provides outpatient chemotherapy services, supportive blood transfusions, and a procedure clinic (primarily for bone marrow aspirates and biopsies, as well as lumbar punctures with intrathecal chemotherapy). An additional procedure clinic is located in the Malignant Hematology Day Unit on Kidd 9.

The longitudinal resident clinic is also run out of the CCSEO; each resident is under the direct supervision of a staff hematologist.

Residents also have ample opportunity to master lumbar punctures and bone marrow aspirate/biopsy procedures in the procedure clinics.

Hemostasis & Thrombosis

Subspecialty hemostasis clinics are held by Drs James, Leung, and Lillicrap. More information about the Inherited Bleeding Disorders Program may be found here.

Dedicated thrombosis clinics are held by Drs de Wit and Satkunam, and a Thrombosis Nurse Practitioner.

A regional Anticoagulation Management Service has been operational since 2005, under the directorship of Dr. Lee.

General Hematology - Number of Patients - Approx 3000
(Lee, Leung, Lui, James, Satkunam)

Hemostasis & Thrombosis - Number of Patients - Approx 300
(James, Leung, Lillicrap)

Complex Malignant Hematology Day Unit - Number of Patients - Approx 120
(Climans, Dudebout, Dyba, McKeever NP)

CCSEO- Number of Patients - Approx 3600
(Climans, Dudebout, Dyba, Hay, Lee, Leung, Lui, Monteith, Piliotis, Satkunam, Jodoin NP)

Case Mix (most common only)

Anemia
Thrombocytopenia
Chronic Lymphocytic Leukemia
Coagulopathy
Myeloma
Polycythemia
Lymphoma
Coagulopathy
Thrombophilia
Autologous Stem Cell Transplantation
Allogeneic Stem Cell Transplantation Follow Up, Short and Long Term
Inpatient and Outpatient Leukemia
Other

Pediatric Hematology/Oncology
The Division of Pediatric Hematology/Oncology, chaired by Dr. Wheaton, 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 and Molecular Medicine, Division of Hematopathology, which includes Drs Good, Farmer, Lebrun, Lillicrap, Quest, Rauh and Xu. Dr. Jeannie Callum, a Transfusion Medicine Specialist and lead for the QUEST transfusion research program at the University of Toronto, has also recently joined the Department.

Referring Physician Information

The Division of Hematology at KHSC / Queen’s University has a central referral system, in order to simplify outpatient benign and malignant Hematology clinic referrals, and minimize waiting time.

Referrals are assigned to the most appropriate hematologist/clinic according to urgency, expertise, and clinic wait time (first available appointment).

Your office will receive a fax advising you of your patient’s appointment date and time, the hematologist who will be seeing your patient, and their office contact information. We will notify the patient directly of their appointment.

Our fax number for new referrals is: 613-533-6855.

https://kingstonhsc.ca/hematology

Emergency referrals
For emergency referrals and requests for in-patient transfers, please contact the Hematologist assigned to the Consult Service/on call through the Kingston General Hospital switchboard at 613-548-3232.

eConsult service
For straight-forward questions that you feel do not necessarily require a formal face-to-face consultation, we encourage you to consider using the new eConsult service. The eConsult service is only available to practitioners registered with the eConsult service. You may find more information at https://otnhub.ca.

Patient Information

Hematology is the science of blood, blood-forming organs and blood diseases, and the medical treatment of benign blood disorders and blood malignancies. This includes types of hemophilia, thalassemias and hemoglobinopathies (such as sickle cell anemia), leukemia, lymphoma, and plasma cell disorders such as multiple myeloma. A hematologist is a specialist in hematology, whose practice focuses on disorders of the lymphatic organs (particularly the the lymph nodes, and spleen) and bone marrow. Hematologists may diagnose and treat blood count irregularities, blood clots, bleeding disorders, and blood cancers. Hematologists may prescribe phlebotomy (blood letting), iron infusions, and transfusions of blood and blood products. Hematologists may work in various settings, including in the hospital, in private clinics, in blood banks (to monitor the safety and use of blood products), and/or in pathology laboratories.