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SJHH / Health Services/ Chest Program/ Esophageal Diagnostic Assessment Program

Esophageal Diagnostic Assessment Program

What this program does...

The Esophageal Diagnostic Assessment Program (EDAP) at St. Joseph’s Healthcare Hamilton (SJHH) is an innovative program designed to shorten wait times for patients with suspected esophageal and gastric cancer in the Hamilton, Niagara, Haldimand and Brant communities.

The goal of the esophageal DAP is to reduce the worry and the wait time from suspicion of esophageal and gastric cancer to diagnosis and treatment. The primary point of contact in the EDAP is a nurse navigator who will contact all patients referred within 48 hours.

The Esophageal DAP will coordinate and arrange for all diagnostic tests (which may include Gastroscopy, CT scans, Pet scans, Pulmonary Function tests and Echocardiogram) and provides physical and emotional support.

After a person is diagnosed with esophageal or gastric cancer, the care team collaborates with other healthcare specialists such as thoracic surgeons, medical oncologists, radiation oncologists, gastroenterologists, palliative care, dieticians, pharmacists, occupational therapists, social workers and physiotherapists to determine the best course of treatment. The nurse navigator will continue to be the primary point of contact and provide ongoing support and guidance as patients receive treatment.

How this program helps...

  • Reduce the worry and wait - patients will be called within 48 hours of referral by the nurse navigator
  • Reduce the time from referral to consultation and diagnosis (patients will be seen within 7-10 days of referral)
  • A diagnosis of cancer is made or ruled out in a timely fashion
  • To provide a consistent contact person (nurse navigator) and on-going support from members of the healthcare team for the entire cancer journey
  • Improved access to information, education and resources for patients, families and referring healthcare providers

Your Care Team

The Nurse Navigator is the patient’s primary point of contact and guides each person through the diagnostic and treatment phases, coordinates appointments, and provides information on what to expect each step of the way. Compassionate care is provided by a dedicated team of Thoracic Surgeons, Medical Oncologists, Radiation Oncologists, Gastroenterologists, Palliative Care and a Nurse Navigator.

Thoracic Surgeons: 
Dr. Yaron Shargall
Dr. C. Finley
Dr. C. Schieman
Dr. W. Hanna
Dr. D. Morgan, Gastroenterologist

Jennifer Pocock - Nurse Navigator
Jillian Mortan - Clerk

Contact

50 Charlton Ave East
Firestone Institute for Respiratory Health
Hamilton, ON

Tel 905-521-6190 or 1-877-801-4822
Fax 905-540-6581 or 1-877-803-4422

Email: esophagusDAP@stjoes.ca

Referral Process

Patients, family doctors, healthcare providers, and specialists complete a referral by downloading the referral form here.

A referral can also be made by calling or sending a fax to the EDAP clinic (contact info provided above).

Preparing for Your Visit

Please bring a copy of all imaging (i.e. CT scan) on a disc to your first appointment and a list of all medications, vitamins, any herbal remedies that you are currently taking.

Please contact the diagnostic imaging department where you had the CT scan done to obtain a copy before your first appointment.

We ask that you do not bring any valuables with you as the hospital cannot be responsible for lost or stolen personal items. 

Maps and Directions

Entering through the Charlton St. Main entrance the Firestone Clinic is located to the right on the main floor of the Juravinski Innovation Tower.

Please see the following map of the Hospital for further reference.

Registration Procedures

Please enter the Firestone Institute for Respiratory Health (FIRH) level 1, take a number and please be seated until your number is called.  FIRH is located in the Juravinski Innovation Tower, level 1 close to the main lobby and Tim Horton’s.

After Your Visit

If you have any questions after your visit, please contact your nurse navigator Jennifer Pocock at Tel 905-521-6190 or 1-877-801-4822.

If you are interested in learning more about peer support please go to the Canadian Cancer Society website for more information or speak to the nurse navigator.

The Canadian Cancer Society’s website can be accessed here.

We also encourage you to view this video regarding their peer support program (http://www.youtube.com/watch?v=UAXPUinDXuI).

If you require assistance with driving to your appointments, please contact your local Canadian Cancer Society for more information at 1-888-939-3333 or visit their website http://www.cancer.ca/en/support-and-services/support-services/transportation-on/?region=on&acc=true.

To visit Cancer Care Ontario, please go to https://www.cancercare.on.ca/cms/one.aspx?objectId=8133&contextId=1377.

Please download these references for additional information regarding organizational standards for diagnostic assessment programs:

Evidence Based Series - Organizational Standards for Diagnostic Assessment Programs

Organizational Standards for Diagnostic Assessment Programs