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Clinical

Clinics

Time:
Alternate Thursdays 9:00-11:30




Purpose:
This is a multi-disciplinary clinic, accredited
by the Canadian Cystic Fibrosis Foundation.
Adults with cystic fibrosis receive
comprehensive care from a team of health
care progessionals with expertise in CF care.
 
Location:
C.O.P.C
Hotel Dieu Hospital
Kingston, ON K7L 3N6
Contact:
For referrals and appointments
Lisa Smith
Phone: 613 544 3400 ext 3147 
 
Staff:
Diane Lougheed, MD MSc FRCPC, Respirologist
Lisa Smith, RN, Nurse Coordinator
Kristy Brundage, BScPT, MSc, Physiotherapist
Julie Nedvedek, BASc, RD, Registered Dietician
Monica Stary Stein, MSW, RSW, Social Worker
Instructions to Patients:
Please bring a list of your current medications
to clinic. Check with the nurse coordinator at the
time your appointment is mafde to find out if you
need to go for breathing tests, an  x-ray or bloodwork
before your appointment.

Time:
Regular (non urgent)
Every Wednesday morning 9am - noon
Urgent
Alternate Tuesday mornigs 8:30 am - 11:30 am





Purpose:

The regular clinic sees patients with asthma. 
This includes patients, who are being assessed
for possible asthma and those with diagnosed 
asthma who require additional investigations or 
management. Assessment includes evaluation
by a respiratory physicianand asthma nurse. 
The urgent asthma clinic  sees patients with
known asthma who require urgent  assessment 
of unstable asthma symptoms, such as following
a hospitalization or visit to an emergency 
department for an asthma attack. 

Location:
Fraser Armstrong Patient Centre,
Level 4 south
Kingson General Hospital
76 Stuart Street
Kingston, ON 

Contact:
For referrals and appointments
Fraser Armstrong Patient Centre Booking Office
Phone: 613 548 2342
Fax: 613 549 1459
 

Staff:
Diane Lougheed,
MD MSc FRCPC, Respirologist

Denis O'Donnell,
MB. FRCPC. Respirologist

Jennifer Olajois-Clow.
BA/BPHE. BNSc, MSc. RN, CAE, 
Advanced Practice Nurse

Time:
Tuesday 1:30-4:00pm
Wednesday 9:00 am – noon 

Purpose:
The comprehensive evaluation and management
of COPD patients by a Respirologist and COPD 
Advanced Practive Nurse. Appropriate patienrs, 
who remain symptomatic despite optimal
pharmacotherapy, are offered admission to the
inpatient or outpatient Pulmonary Rehabilition
Program at St. Mary'sof the Lake Hospital. Most
patients will be approached about participation
in studies through the Respiratory Investigation Unit.  



Location: 
Fraser Armstrong Patient Centre, Level 2 south
Kingston General Hospital
76 Stuart Street
Kingston, ON

Staff:
Denis O’Donnell, MB, FRCPC, Respirologist
Elizabeth Hill, RN, BSc, MN, GNC(C), COPD
Advanced Practice Nurse 

 

Time:
Alternate Tuesday 9:00-11:30
Purpose:
Patients are investigated and managed, who have a 
cough for more than 2 months duration. 
Location:
Fraser Armstrong Patient Centre,
Level 4 south
Kingston General Hospital
76 Stuart Street
Kingston, ON
Contact:
For referrals and appointments:
Fraser Armstrong Patient Centre Booking Office 
Phone: 613 548 2342
Fax: 613 549 1459


Staff:
Diane Lougheed, MD MSc FRCPC

Instructions to patients:
Please bring your medication, including
inhalers, and any x-rays, CT scans or
breathing test results done at other institutions
to your clinic appointments. 

Time:
Monday: 1:00-4:00pm
Tuesday 8:30-4:00pm
Wednesday 9:00 am – 11:30am/1: 00 - 4:00pm
Friday: 1:00 - 4:00pm 

Purpose:
This is an undifferentiated clinic in which
patients with all types of respiratory
problems are seen 

Location: 
F.A.P.C, Level 4 south or 2 south
Kingston General Hospital
76 Stuart Street
Kingston, ON

Contact:
For referrals and appointments: 
Fraser Armstrong Patient Centre Booking
Office
Phone: 613. 548. 2342
Fax:  613. 549.1459

Staff: 
Dr. Susan Moffatt (Monday)
Dr. Onofre Moran-Mendoza (Alternate Monday afternoon)
Dr. Lutz Forkert (Tuesday morning)
Dr. Diane Lougheed (Wednesday morning)
Dr. Onofre Moran-Mendoza (Wednesday morning)
Dr. Denis O’Donnell (Wednesday morning)
Dr. Christine D'Arsigny (Wednesday afternoon)
Dr. Ronald Wigle (Wednesday afternoon)
Dr. Onofre Moran-Mendoza (Friday afternoon)
Dr. Chris Parker (Friday afternoon)

Instructions to Patients:
Please bring your medication, including
 inhalers, and any x-rays, CT scans or 
breating test results done at other
institutions to your clinic appointments.



What is the ILD Clinic:

The ILD clinic was created in May, 2013 by Dr. Onofre Moran-Mendoza, with the support and approval of Dr. Michael Fitzpatrick, then Head of the Division of Respirology and Critical Care Medicine.   Before the creation of the ILD clinic, no such clinic was in existence. 

This clinic was created due to the demand for a specialty clinic for patients suffering with interstitial lung disease (ILD) for diagnosis and management of these complex diseases.  

In 2014, the ILD clinic rapidly evolved into an Interstitial Lung Disease Program that now includes:

  • ILD Clinic
  • ILD Nurse
  • ILD Multidisciplinary Rounds
  • ILD Fellowship Program
  • ILD Research Program
  • ILD Program Collaborators

ILD Clinic Protocol Creation:

The ILD clinics are currently held at Hotel Dieu Hospital on Thursdays and Mondays. In order to better understand the approach and procedures for the ICD clinic, Dr. Moran Mendoza attended the ILD Program at the University of Toronto to learn the approach and procedures used by Dr. Shane Shapera, Director of their ILD program. 

All diagnostic and management protocols used in the ILD clinic are in compliance with the Guidelines for the Diagnosis and Management of Idiopathic Pulmonary Fibrosis (IPF), published by the American Thoracic Society (ATS, European Respiratory Society (ERS), Japanese Respiratory Society (JRS), and Asociacion Latino Americana de Torax (ALAT) as well as the International Guidelines for the Diagnosis of Idiopathic Interstitial Lung Diseases and the Guidelines on Bronchoalveolar Lavage (BAL) in ILDs.

The ILD clinic works collaboratively with Chest Radiology, Thoracic Surgery, Rheumatology, Palliative Care and Pulmonary Rehabilitation and several protocols for patient assessment and referrals have been created and implemented. 

Patient Flow in ILD Clinic:

All patients attending the ILD clinic undergo the following standardized assessments to properly investigate the most common groups of ILDs: Hypersensitivity pneumonitis, Connective Tissues Diseases (CTD), and drugs, as  per guidelines:

Questionnaires: 

o  American College of Chest Physicians (ACCP) ILD questionnaire

 

o  Dyspnea questionnaires: MRC dyspnea questionnaire and University of California at San Diego Dyspnea Questionnaire

 

o  Quality of Life (QOL) questionnaire: St George’s QOL questionnaire

 

o  Connective Tissue Diseases Screening questionnaire

 

o  High Resolution Chest CT (HRCT) with routine inspiratory and expiratory views

 

o  Pulmonary Function tests (PFTs), and 6 minute walk test (6MWT)

 

o  Laboratory work-up for CTD and Vasculitis

 As per the ILD protocol, patients with either clinical or laboratory abnormalities suggestive of a connective tissues disease are referred to Dr. Clements-Baker in the Division of Rheumatology who assess the ILD patients within 2-4 weeks to determine if their ILD is related to a CTD. 

Patients who have, as per the American College of Chest Physicians questionnaire, environmental exposures associated with hypersensitivity pneumonitis or have exposure to drugs reported to cause ILD, are routinely offered bronchoscopy with bronchealveolar lavage +/- transbronchial biopsies.

Once diagnosis is established, if anti-fibrotic treatment is required, patients are re-scheduled in clinic to discuss pros and cons of treatment, as well as the need to refer them to:

 

  • Dyspnea Clinic to be assessed and managed by Dr. Ingrid Harle, Palliative Care, who has agreed to collaborate with the ILD clinic and manage the dyspnea patient population. 
  • Pulmonary Rehabilitation Program with Dr. Denis O’Donnell, to assess suitability for enrollment in the rehabilitation program at Providence Care. 
  • Lung Transplant Programin Toronto: Eligible patients diagnosed with IPF or with another advanced or progressive ILD despite treatment are referred to the lung transplant program in Toronto

 

After diagnosis and treatment are established, ILD patients are followed by the clinic every 3-6 months depending on the severity of their disease or presentation and progression.

Nursing Support for the ILD Clinic:

In 2015 the ILD clinic hired nursing support (Mrs. Lynda McCarthy).

Roles of the ILD Nurse:

  • Before each appointment the ILD nurse ensures patients have the appropriate chest CT, Pulmonary Function Tests, and blood work.  
  • As patients arrive to clinic the ILD nurse collects information from all questionnaires that have been mailed to patients before their appointment, reviews all tests, updates medication lists etc. 
  • Post-appointment the nursing support enters all clinically relevant information into an electronic research database
  • The ILD nurse also provides patients with the ILD Clinic Patient Recommendations form and anti-gastroesophageal reflux disease measures. The patient recommendations address environmental exposures of risk that patients should avoid, as well as the monitoring and proper titration of their oxygen (if applicable).

To refer to the ILD Clinic please fax your referral to: 613 549-1459

Purpose:

This program coordinates the care for patients being worked up for possible lung malignancies. This includes patients who are being assessed for possible lung cancer and those with diagnosed lung cancer for whom treatment or further diagnostic decisions are made.

Contact:

Lung Diagnostic Assessment Program (LDAP) Referral Form 

Please fax completed form and CT chest report along with any other pertinent information (i.e. other imaging, PFTs, blood work)

 

Patient Navigator: Christine Noseworthy RN

Tel: 613.544.3400 ext 2474

Toll Free: 855.544.3400 ext 2474

Fax: 613.546.8225

Email: Christine.Noseworthy@KingstonHSC.ca

 

DAP Administrative Assistant:  Abigail Murano

Admin Tel: 613.544.3400 ext 2410

Toll Free: 855.544.3400 ext 2410

Fax: 613.546.8225

Email: Abigail.Murano@KingstonHSC.ca

 

Instructions to Patients:

The LDAP Patient Navigator, Christine Noseworthy, will be in contact with you. If you have not been contacted, please contact her at 1 (613) 544-3400 ext 2474

Time:
Every third Tuesday: 1:00 - 4:30pm





 

Purpose:
This is a multidisciplinary clinic that assesses
and manages patients with neuromuscular
disorders. Expertise is provided by Physiatry,
Neurology, Respirology, Cardiology, Occupational
Therapy, Physiotherapy, Speech Pathology,
Nursing, Pulmonary Function technology and Social
Work. 

Location: 
St. Mary's of the Lake Hospital


 

Contact:
Mary Felix, Coordinator for Neuromuscular Clinic
Tel: 613.544. 1894
Fax: 613. 544. 8640
Email: felixm@pccchealth.org 

Staff: 
Dr. Joy Wee - Physiatrist
Email: weej@pccchealth,ca
Phone: 613. 544. 2143

Richard Lenart - OT
Email:lenartr@pccc.kari.et
Phone: 613. 548. 7222 ext 2355

Dr. Michael Fitzpatrick - Repirology
Email: mf19@queensu.ca
Phone: 613. 548. 2379

Shari Brown - PT 
Email: browns@pccc.kari.net
Phone: 613. 548. 7222 ext 2245

Dr. Michel Melanson - Neurology
Email: melansonm@kgh.karl.net
Phone: 613. 548. 6666 ext 2601

Teresa Whalen Speech/Pathologist
Email: whalent@pccchealth.org
Phone:613. 548.7222 ext 2255



 


Jane Verner – Social Work 
Email:vernerk@pccchealth.org
Phone: 613.548.7222 ext 2221

Sandy Fodey – Respiratory Therapy 
Email: fodeys@kgh.kari.net
Phone: 613. 549. 6666 ext 4228

Cathy Muir - PFT Lab
Email: muirc@kgh.kari.net
Phone: 613. 549/ 6666 ext 2439

Dr. Gary Burggraf – Cardiology 
Email:burggrag@hdh.kari.net
Phone: 613. 549.6666 ext 3722

Heather O’Meara – Clinic Nurse 
Email: omeareh@pccc.kari.net
Phone: 613. 548. 7222 ext 2273






 

 

Time:

Tuesday afternoon
Friday afternoon 

 

Contact:
For referrals and appointments:
Kirsten Babcock
Kingston General Hospital
Phone: 613. 548. 2371
Fax: 613.  549. 1459

Location:
Kington General Hospital, F.A.P.C 
Level 4 south 



 

Instructions to Patients:
Please bring your medication, any x-rays,
CT scans and results on electrocardiograms,
echocardiograms or breathing tests done at
otgher institutions to your clinic appointments.


Staff:
Dr.Christine D'Arsigny
Email: cld1@queensu.ca
Phone: 613. 548. 2371
Fax: 613. 549. 1459  
 

 

Time:
Every second Monday: 1:00 - 4:00pm






 

Purpose:
To evaluate patients for suitability for
entrance into the inpatient or outpatient
pulmonary rehabiliation program at St.
Mary's on the Lake Hospital. Also, patients
who have graduate from the program are
followed up, and patients who develop
clinical problems while in the program are
often assessed at  this clinic.

Location: 
St. Mary's of the Lake Hospital
First Level 






 

Contact:
Dr. D.E. O'Donnell
Phone: 613. 548. 2339 
Fax: 613. 549. 1459
Email: odonnell@queensu.ca

Ms. Gail Whiteside
Phone: 613. 548. 2339
Fax: 613. 549. 1459
Email: whitesig@kgh.kari.net 

Staff: 
Denis E O'Donnell, MD, FRCPI, FRCPC
Physiotherapits: Lorelei Samis,
Jennifer Patelli, Linda Lefevere
Occupational Therapist: Heather Faris
Physiotherapy Assistants: Karon Warren,
Sally Dawe, Judy Gray, Charlie Popovic 

Instructions to Patients:
Wear running or walking shoes and loose 
clothing (track suit) 

 

Time:
Every second Monday: 1:00 - 4:00pm






 

Purpose:
To evaluate patients for suitability for
entrance into the inpatient or outpatient
pulmonary rehabiliation program at St.
Mary's on the Lake Hospital. Also, patients
who have graduate from the program are
followed up, and patients who develop
clinical problems while in the program are
often assessed at  this clinic.

Location: 
St. Mary's of the Lake Hospital
First Level 






 

Contact:
Dr. D.E. O'Donnell
Phone: 613. 548. 2339 
Fax: 613. 549. 1459
Email: odonnell@queensu.ca

Ms. Gail Whiteside
Phone: 613. 548. 2339
Fax: 613. 549. 1459
Email: whitesig@kgh.kari.net 

Staff: 
Denis E O'Donnell, MD, FRCPI, FRCPC
Physiotherapits: Lorelei Samis,
Jennifer Patelli, Linda Lefevere
Occupational Therapist: Heather Faris
Physiotherapy Assistants: Karon Warren,
Sally Dawe, Judy Gray, Charlie Popovic 

Instructions to Patients:
Wear running or walking shoes and loose 
clothing (track suit) 

 

Time:
Monday 8:30am-12:30pm
Monday 1:00 - 4:30pm (2 clinics)
Tuesday  1:00-4:30pm
Thursday 1:00-4:30pm
Friday 1:00 - 4:00pm 

Purpose:
These clinics exclusively see patients with 
sleep disorders. This includes patients with
respiratory sleep disorders, patients requiring
non-invasive nocturnal ventilation, and patients 
with non-respiratory sleep problems. 

Location: 
Hotel Dieu Hospital
Jeanne Mance 4
Brock Street
Kingston, ON 

Contact:
Please fax referrals to 613. 549.1459
Enquiries to Jackie Shea @ 613 548 - 2379 or Julie Viau @ 613 - 548 - 2525

Staff: 
Julia Viau
Administrative Assistant, 613.548.2525


 

Instructions to Patients:
Wear running or walking shoes and loose 
clothing (track suit) 
If you have a CPAP or BiPAP machine, please
bring it with you to clinic. This will faciliate any
adjustments that may be required after your
clinical consultation. 

 

Time:
Every other Monday: 1:00-4:30pm

Purpose:
This clinic exclusively sees patients with a
postive P.P.D. skin test or with either
suspected or active TB. 

Location: 
Fraser Armstrong Patient Centre
Level 2 south
Kingston General Hospital
76 Stuart Street
Kingston, ON 

Contact:
For referrals and appointments: 
Fraser Armstrong Patient 
Central Scheduling
Phone: 613. 548. 2342
Fax:  613. 549.1459

Staff: 
Onofre Moran - Mendoza
MD, FRCPC, Respirologist

G. Evans
MD, FRCPC, Infectious Disease Specialist 

R. Zoutman
MD, FRCPC, Infectious Disease Specialist 

Wendy Wobeser 
FRCPC, Infectious Disease Specialist 

Instructions to Patients:
Please bring your medication, and any x-rays,
CT scans or microbiology results done at
other institutions to your clinic appointments.

 

Time:






Purpose:
Patients with urgent problems requiring
attention within a week are seen in this
clinic. Please note that the following
specific clinic are also available for
urgent problems. 
Asthma Clinic and Lung Clinic

Location: 
Fraser Armstrong Patient Centre,
Level 2 south
Kingston General Hospital
76 Stuart Street
Kingston, ON

Contact:
For referrals and appointments: 
Fraser Armstrong Patient Centre Booking
Office
Phone: 613. 548. 2342
Fax:  613. 549.1459

Staff: 
Respirologists attend on a rotational basis. 


 

Instructions to Patients:
Please bring your medication, including
 inhalers, and any x-rays, CT scans or 
breating test results done at other
institutions to your clinic appointments.

 

Clinical Programs

The Asthma Program is a comprehensive disease management program which includes diagnostic, therapeutic, educational and research components. The clinical program encompasses ambulatory, emergency and inpatient clinical care. Ambulatory services include multi-disciplinary Asthma Clinics, staffed by respirologists and a nationally certified asthma nurse educator, an Asthma Education Centre, and Pulmonary Function and Allergy Skin Testing Service. Inpatient services include a Collaborative Care Plan for the care of adult asthma patients in the Emergency Department and Inpatient settings, a spirometry service for asthma patients in the Emergency Department, Respirology consultation service for adult asthma inpatients, and Asthma Nurse Educator consultation for adults and parents of pediatric asthma inpatients. The Asthma Research Unit conducts research in asthma symptom perception and lung mechanics, asthma epidemiology, asthma management (clinical trials and asthma education), and asthma guidelines dissemination. The Asthma Research Unit is also affiliated with the hospital’s Clinical Research Centre.

Patients aged 16 years or older may be referred by a physician to the Asthma Clinic, Urgent Asthma Clinic or Asthma Education Centre for assessment. The Asthma Clinic assessments are completed by an asthma specialist (physician) and asthma nurse. Patients may require additional investigations, such as pulmonary function or allergy skin tests. Patients with confirmed asthma will be enrolled in the Asthma Education Program also. The Asthma Education Centre provides education to patients aged 16 years or older, or parents of children with asthma, referred by family physicians, emergency physicians or other specialists. Following an initial assessment by a certified asthma nurse educator, the person with asthma will receive asthma education tailored to their individual needs.

Contacts:

Ms. Jennifer Olajos-Clow, Asthma Nurse
Phone: 613 549 6666 ext 3779
Fax: 613 549 1459
Email: olajosj@kgh.kari.net


Dr. D. Lougheed, Medical Director

Phone: 613 548 2348 
Fax: 613 549 1459 
Email: mdl@queensu.ca

Asthma Research Unit
Phone: 613 549-6666 ext 2645
Pulmonary Function and Allergy Skin Testing
Phone: 613 549 6666 ext 2439
Fax: 613 547 2069

 Links:
Asthma Education Centre:
http://www.kgh.on.ca/kgh/asthma%20education/ae_Home.htm

Asthma Guidelines:
http://www.asthmaguidlines.com/

Asthma Action Program:
http://www.on.lung.ca/asthmaaction/asthmaaction.html

Living with Asthma:
http:///www.lung.ca/asthma/index.html 

Respirology: 
Dr. D. Lougheed 
 
Respiratory Therapy: 
Ms. Cathy Muir
 
Nursing: 
Ms. Jennifer Olajos-Clow
Ms. Patti Moyse
Ms. Nicola Thomas
Research: 
Mr. Thomas Fisher 
Ms. Janice Minard
Ms. Patti Moyse 

The Cystic Fibrosis (CF) Program is a multi-disciplinary program which provides comprehensive care to patients with CF. The team includes a pediatrician (pediatric program) and respiratory physician (adult program), nurse coordinator, physiotherapist, dietician, social worker, pharmacist, pulmonary function technologist and (for the pediatric program) a child life worker. The CF Program provides ambulatory care in separate Pediatric and Adult Clinics, provides inpatient services for hospitalized patients, and participates in CF research. The CF Clinics are accredited by the Canadian Cystic Fibrosis Foundation.

Patients with suspected cystic fibrosis may be referred directly to the appropriate physician for evaluation. Patients with confirmed CF are enrolled in the CF Program and followed regularly by all members of the team in either the Pediatric or Adult CF Clinic, in keeping with current practice guidelines. Patients typically enter the Adult Clinic at about age 18. Routine follow-up visits occur approximately every 3 months. Patients may be seen between regularly scheduled appointments for acaute illnesses. Consultative services are provided to hospitalized patients as required. Patients in the CF Program may be invited to participate in ongoing research studies. Currently, we are participating in several multi-centre CCFF-funded studies, including a genetics study (children and adults) and osteoporosis study (adults only).

Contacts:

Dr. R. van Wylik, Pediatric Clinic Director
Phone: 613. 544. 3400 ext 3359
Fax: 613. 544. 3559
Email: vanwylir@hdh.kari.net
Dr. D. Lougheed, Adult Clinic Director
Phone: 613. 548. 2348
Fax: 613. 549. 1459
Email:  mdl@queensu.ca
Ms. Lisa Smith, Nurse Coordinator
Phone: 613. 544. 3400 ext 3347
Email: smithl@hdh.kari.net
 
Ms. Kristy Brundage, Physiotherapist
Phone: 613. 544. 3400 ext 3187
Fax:613. 544. 8320
Email: brundagk@hdh.kari.net
Ms. Julie Nedvedik, Dietician
Phone: 613. 544. 3400 ext 2170
Fax: 613. 544. 1661
Email: nedvidej@hdh.kari.net
 Ms. Mary Wilson, Pharmacist
Phone: 613. 544. 3400 ext 2159
Fax: 613. 531. 8260
Email: wilsonm@hdh.kari.net  
Ms. Monica Stary Stein, Social Worker
Phone: 613. 544. 3400 ext 3157
Fax: 613. 544. 1661
Email: starystm@hdh.kari.net 
Ms. Cathy Muir, Pulmonary Function Lab
Phone: 613. 548. 3232 ext 2439
Fax: 613. 547. 2069
Email: muirc@hdh.kari.net 

Links:
Canadian Cystic Fibrosis Foundation
http://www.ccff.ca

Cysctic Fibrosis Foundation:
http://www.ccff.org

The Lung Diagnostic Assessment Program (LDAP) is a patient- and family-centred program, developed to improve the experience of diagnostic care for patients with suspected lung cancer.

Patients who are referred to the Lung DAP are first triaged by the Nurse Navigator, in preparation for their first clinic visit with either Respirology or Thoracic Surgery. The Nurse Navigator support the patient  throughout the course of the diagnostic work-up, provides ongoing care and education. Referrals to the LDAP are accepted by a central fax (1 (613) 546-8225). Respirologists and Thoracic Surgeons see patients at the Hotel Dieu Hospital or Kingston General Hospital, and the Oncologists see patients at the Cancer Centre of Southeastern Ontario. The LDAP coordinates diagnostic investigations, maintains contact with the patient and the clinician’s/ consultant’s office for discussions about the diagnosis and related issues. The LDAP also oversees timely staging investigations and/or referral to surgery or oncology.

The Lung Disease Site Group meets weekly as the Lung Multidisciplinary Cancer Conference (Dr. R. Gregg, chair; Dr. K. Reid, co-chair) to discuss patient cases, treatment, diagnostic and therapeutic issues.

Contacts:
Christine Noseworthy, Lung DAP Nurse Navigator
Phone: 613.544.3400 x2474
Fax: 1.613.546.8225 

Links

Cancer Care Ontario (CCO):
http://www.cancercare.on.ca

 

Cancer Care Ontario (CCO): Diagnostic Assessment Programs
https://www.cancercare.on.ca/pcs/diagnosis/diagprograms/

 

Cancer Care Ontario (CCO): Lung Disease Pathway Management
https://www.cancercare.on.ca/cms/One.aspx?portalId=1377&pageId=253765

 

Canadian Cancer Society:
http://www.cancer.ca

American Cancer Society:
http://www.cancer.org/docroot/home/index.asp

Respirology:
Dr. C. D’Arsigny
Dr. D. Lougheed  
Dr. S. Moffatt  
Dr. D. O’Donnell  
Dr. R. Wigle 
Dr. Onofre Moran-Mendoza
Dr. Chris Parker
Dr. P. Heffernan
Dr. J. A. Neder-Serafini
Dr. J. Garvey

Oncology:
Dr. R. Gregg  
Dr. A. Tomiak
Dr. C. Falkson
Dr. K. Thain
Dr. C. DeMetz
Dr. A. Ashworth
Dr. M. Mates



Thoracic Surgery:
Dr. D. Petsikas  
Dr. K. Reid  

Lung Diagnostic Assessment Program:
Ms. Christine Noseworthy, RN
Ms. Marsha Ruddock, DAP Admin
Mr. Jordan Beattie, DAP Lead

Radiology: 
Dr. J. Flood
Dr. R. Dhillon


 

This is a supervised, multidisciplinary rehabilitation program for patients with ventilatory insufficiency. Patient referrals are accepted from physicians and the COPD Education Centre. Typical patients for referral include those who remain symptomatic despite pharmacotherapy, who do not have significant co-morbid illness interfering with their ability to exercise (i.e., who do not have significant ischemic heart disease or musculoskeletal problems that limit their ability to participate), who preferably are non-smoking (although exceptions are made), and who are able to arrange transportation to this multi-modality exercise endurance training program. The 3 week inpatient program is for patients who meet entry criteria, but who are geographically displaced. The outpatient program is an 8 week program where patients attend clinic on three afternoons a week (Monday, Wednesday and Friday), and begin a customized, individualized exercise training program of various exercises including walking stair climbing, treadmill exercise, stationery bicycle, strength training, breathing exercises, stretching, etc. There is also an educational component, which comprises of eight lectures.

The aim of the program is to maximize functional capacity in patients with respiratory impairment so as to improve shortness of breath, exercise performance, and quality of life. Patients leaving the program enter a home-based program where they will continue regular exercises. Multidisciplinary services are also available for selected individuals, i.e., psychology, nutritional support, social work, pharmacy, as well as instruction from specialized COPD educators. This rehab program interfaces with the Better Breathing program, which helps people to continue home-based training, as well as avail of the exercise facilities at St. Mary’s of the Lake Hospital. 

Contacts:

Dr. O'Donnell
Phone: 613. 548. 2339
Fax: 613. 549. 1459
Email: odonnell@queensu.ca
Physiotherapist:
Phone: 613. 548. 7222 ext 2245
Fax:  613. 544. 1023
Physiotherapists:
Lorelei Samis
Jennifer Patelli  
Linda Lefevere  
 
Physiotherapist Assistants:
Karon Warren
Sally Dawe
Judy Gray
Charlie Popovic 
Occupational Therapists:
Heather Faris



Patients are referred to the Kingston General Hospital, Sleep Disorders Office via fax (613-549-1459) from their Family doctor, medical specialist or from a medical doctor at a walk-in clinic or ER.

SLEEP REFERAL FORM -     http://deptmed.queensu.ca/assets/Sleep Referral Feb2013.pdf

 

The referrals are prioritized by a sleep specialist. Typically, patients are scheduled to be seen in clinic by a sleep specialist physician at Hotel Dieu Hospital (HDH) before being scheduled for an overnight sleep study at Kingston General Hospital, Sleep lab.   Appointments are mailed to patients from the Sleep Disorders Office or may be scheduled by phone.

 

The Sleep Disorders Laboratory has six private bedrooms and is located at KGH on Kidd 6, Rm 22-6-005. Sleep studies are conducted by registered polysomnographic technologists (RPSGT). Overnight sleep study appointments are for arrival times between 8 PM and 11 PM with departure in the morning usually between 6 AM and 7 AM. When ordered by a sleep specialist, daytime test may be conducted either immediately after the overnight study, or for 8 AM arrival time.

 

Contact:

 

Secretary: Maureen Obreiter    Phone: 613-548-2382 and Fax: 613-549-1459

 

Sleep Technologists at the KGH Sleep Laboratory             Phone: 613-549-6666 x3347

Department of Medicine, Division of Respirology

SLEEP DISORDERS PROGRAM

Physicians:

Sleep Specialists and Respirologists:
Dr. Michael Fitzpatrick 
Dr. Effie Fanaras
Dr. Nicholas Vozoris

Sleep Specialist and Neurologist: Dr. Lysa Boisse Lomax 





 
Sleep Disorders Laboratory
KGH Kidd 6, Room 22-6-005
Medical Director: Dr. Michael Fitzpatrick

Co-ordinator: Dr. Helen Driver, PhD, RPSGT, DABSM 

Sleep Disorders Education Centre (SDEC)
Hotel Dieu Hospital  M4A-008 
Co-ordinators: Nancy Farr and Alison Devlin
Hours: Monday-Thursday  8:00 am to 4:00 pm

Phone: 613-548-2478  Fax: 613-548-1359

 

Referring Physician & Patient Information