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 referrals are triaged and can be faxed to 613-533-6855, or telephoned to 613-533-6641.
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.