Clinical | Department of Medicine | School of Medicine

Clinics

Adult Cystic Fibrosis

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.

Asthma

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

Bronchoscopy

The Division of Respirology at KHSC provides the vast majority of bronchoscopy services in the Southeastern Ontario health region. KHSC performs an average of 400 bronchoscopies per year, including close to 300 EBUS (Endobronchial Ultrasound) in addition to cryobiospy procedures.

Details of these procedures are summarized below:

Flexible Bronchoscopy

Flexible bronchoscopy is a procedure that allows physicians to examine the airways of the lungs. It is most commonly performed as a diagnostic procedure to find out more about a problem with the lungs but can also be used as a therapeutic procedure to treat a problem in the lungs.

Common reasons for performing bronchoscopy include: 1) diagnosis of symptoms related to the chest by examining the airways and taking samples of tissue (biopsies) or fluid to examine for infection or cancer; 2) examining lung collapse (atelectasis) which may reveal a blockage from thick mucous, a foreign body, or a tumour, at which point the physician can attempt to relieve the blockage; 3) facilitate special procedures in the lungs, such as performing biopsies for the evaluation of lung cancer or lung inflammation and scarring.

Endobronchial Ultrasound (EBUS)

Endobronchial ultrasound (EBUS) combines bronchoscopy with ultrasound to enhance the definition of mediastinal structures and aid in visualization of the lung and surrounding mediastinal structures. This equipment has emerged as a highly effective and minimally invasive technique for sampling peribronchial, mediastinal, and lung masses and lymph nodes for pathologic examination. It has been shown to be significantly cost-effective compared with prior gold standard techniques.

More specifically, EBUS plays a significant role in the diagnosis and staging of lung cancer, and is considered the standard of care for patients undergoing evaluation for a lung mass with mediastinal or hilar adenopathy. EBUS is also essential in the diagnostic evaluation of endobronchial lesions as well as hilar and mediastinal adenopathy for patients with malignant and non-malignant diagnoses, which can include sarcoidosis and infectious etiologies. It provides higher diagnostic yield than routine flexible bronchoscopy and is less invasive and resource intensive than mediastinoscopy. As medical diagnosis and therapy move towards less-invasive procedures that provide results equal or superior to those of more invasive procedures, EBUS has become the standard of care and the EBUS program has grown exponentially since its launch in 2014.

Cryobiopsy

Cryobiopsy is an advanced bronchoscopic procedure for obtaining lung tissue for the diagnosis of diffuse parenchymal lung disease, such as interstitial lung disease. It involves the bronchoscopic placement of a flexible cryoprobe inside the lung parenchyma, freezing the probe, and shearing out the lung tissue frozen around the tip. KHSC is one of only a few sites in North America providing this service.

COPD

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

General Respirology

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.

Interstitial Lung Disease Clinic

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 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

Lung Diagnostic Assessment Program (LDAP)

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

Neuromuscular

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

Pulmonary Rehabilitation Clinic

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)

Sleep Clinic

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.

TB Clinic

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.

Urgent Respirology Clinic

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

Asthma Program

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:
https://asthma.ca/get-help/understanding-asthma/asthma-guidelines/

Asthma Action Program:
https://asthma.ca/get-help/living-with-asthma/asthma-action-plan/

Living with Asthma:
https://asthma.ca/get-help/living-with-asthma/

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

Cystic Fibrosis Program

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:
https://www.cysticfibrosis.ca/

Cysctic Fibrosis Foundation:
https://www.cff.org/

Lung Diagnostic Assessment Program

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):
https://www.cancercareontario.ca/en

Cancer Care Ontario (CCO): Diagnostic Assessment Programs
https://www.cancercareontario.ca/en/cancer-care-ontario/programs/clinical-services/diagnostic-assessment

Cancer Care Ontario (CCO): Lung Disease Pathway Management
https://www.cancercareontario.ca/en/cancer-care-ontario/programs/clinical-services/disease-pathway-management

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

American Cancer Society:
https://www.cancer.org/

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

Pulmonary Rehabilitation Program

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

Sleep Disorders Program

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

Referring Physician Information

Patient Information

Info here