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Clinical

Inpatient Services
The Hematology in-patient service is staffed by Drs Bhella, Hay, James, Lee, and Lui 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/Davies 4 (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
Five hematology clinics per week are held at the Hotel Dieu Hospital (HDH) by Drs James, Lee, and Lui. 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, and Matthews care for all patients with leukemia, myeloma, myeloproliferative disease, and a proportion of patients with lymphoma. There are at least seven 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)

Hemostasis & Thrombosis
(James/Lillicrap)

Complex Malignant Hematology Unit

(Bhella & McKeever NP)    

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

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    

1. Coagulopathy
2. Thrombophilia

1.  Autologous Stem Cell Transplantation

2.  Allogeneic Stem Cell Transplantation Follow Up, Short and Long Term

3.  Outpatient Leukemia Management    

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 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, 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 Kidd 9 at KGH.