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Clinical

Inpatient Services
The Hematology in-patient service is staffed by Drs Bhella, Hay, James, Lee, Lui, and Dr. Satkunam from the Department of Medicine, and Dr. Dudebout from the Department of Oncology. The service is allocated 7 inpatient beds on Kidd 9 and provides specialized care for patients with malignant hematological disorders and those undergoing autologous stem cell transplantation. Inpatient consults are also seen around the hospital.

Complex Malignant Hematology Program

Dr. Bhella is the current director 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 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 at the Hotel Dieu Hospital (HDH) by Drs James, Lee, Lui, and Satkunam. Phlebotomy services are also provided twice a week at HDH. Supportive transfusions, iron infusions, etc. are performed in the Out Patient Procedures Unit 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, multiple myeloma, lymphoma, and other undifferentiated hematologic disorders are seen in the Cancer Centre of Southeastern Ontario (CCSEO). Drs Bhella, Dudebout, Hay, Lee, Lui, Matthews, and Satkunam care for all patients with leukemia, myeloma, myeloproliferative disease, and a proportion of patients with lymphoma. There are at least tweleve clinics a week. The CCSEO also provides outpatient chemotherapy services, supportive blood transfusions, and a procedure clinic.

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 clinic.

Hemostasis & Thrombosis

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

General Hematology
(Lee, Lui, James, Satkunam)

Hemostasis & Thrombosis
(James/Lillicrap)

Complex Malignant Hematology Day Unit

(Bhella, Dudebout, McKeever NP, Foulkes NP)    

CCSEO
(Bhella, Dudebout, Hay, Lee, Lui, Matthews, Satkunam)
    

Number of Patients

Approx 3000

Approx 300

Approx 120

Approx 3600

Case Mix (most common only)

  1. Anemia
  2. Thrombocytopenia
  3. Chronic Lymphocytic Leukemia
  4. Coagulopathy
  5. Myeloma
  6. Polycythemia
  7. Lymphoma
  8. Coagulopathy
  9. Thrombophilia
  10. Autologous Stem Cell Transplantation
  11. Allogeneic Stem Cell Transplantation Follow Up, Short and Long Term
  12. Inpatient and Outpatient Leukemia 
  13. 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 Good, Farmer, Lebrun, Lillicrap, Quest, and Rauh. 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, Providence Care Hospital, the local community, and the region. Beds for complex palliative cases exist on Kidd 9 at KGH.

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.

 

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

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.