Patient Pathway - BAP

Organization Chart showing a patients circle of care.

Abnormal finding by General Practioner

You or your family physician has detected a change in your breast that requires further testing. The BAP at HDH will notify you of a date & time for your appointment.

Ontario Breast Screening Program

The Ontario Breast Screening Program is a program of Cancer Care Ontario that provides breast screening services for women 50~>74 years of age as well as high risk women ages 30~>69. During your recent mammogram, a change has been detected that requires further testing. The Breast Assessment Program at Hotel Dieu Hospital will notify you of a date & time for your appointments.

Diagnostic Imaging

Further imaging that may be ordered includes:

  • Cone compression/magnification~>a mammogram that looks specifically at one area of the breast.
  • Breast ultrasound~>sound waves are used to produce pictures of the breast
  • Magnetic resonance imaging (MRI) ~>further evaluates breast abnormalities that are first seen on the mammogram

Normal: No worrisome features were detected, you may return to follow-up with your family physician and routine screening. Your family doctor will receive a copy of the results: you should always review all results with him/her. 

Abnormal: If your test results are not normal, a biopsy (sample of tissue) will be arranged for you. If you haven’t heard about your test results, please call 613-544-3400 ext. 3434. While details cannot be given over the phone, the report can be faxed to your family doctor so he/she can explain them to you.

Biopsy

Your imagining has shown an area that the Radiologist would like to biopsy; this will be performed with either the help of the mammogram or ultrasound machine. It is very important that you inform the BAP secretary if you are on any type of blood thinning medication (aspirin, Coumadin, or Plavix) as your will need to stop taking them before your biopsy. 

Negative Biopsy: Your biopsy results are benign. The Radiologist will review your pathology report and imaging. In most cases, you may return to routine screening. However, sometimes, short-term follow up will further imaging is recommended. Your will receive a letter in the mail with an appointment if follow up is necessary. 

Positive Biopsy: Your family doctor will contact you and suggest an office visit. At the time of the visit (or call), your diagnosis will be discussed with you. You should also receive 2 appointments; the first appointment will be with your Nurse Navigator and the second appointment will be to meet with your breast surgeon. 

Nurse Navigator

You will have an appointment with the Nurse Navigator before you meet with your surgeon. The Nurse Navigator will support you & your family throughout your treatment. The main focus of your initial meeting is to provide you with information to help you make an informed treatment decision. Allow up to an hour. Contact information for the Nurse Navigator is provided. 

Surgical Consult

You will meet with a breast surgeon to discuss surgical treatment options. Part of the surgical consult will involve a brief history/physical as well as a breast exam. As HDH is a teaching hospital, you may come across doctors in training. You will, meet your surgeon during your appointment. Paperwork for surgery will be completed once you have a clear understanding about your treatment. During your appointment, you will receive a date for your surgery, which is generally within 2-3 weeks after you meet your surgeon. 

Surgery

Breast surgery is generally Day Surgery; you will have surgery and go home once you are awake and stable. The surgeon will come to speak with your family after your surgery. If you need a follow up with community nurses, this will be arranged before you are discharged from the hospital. It will take 10~>12 business days for your pathology to be ready. Your surgeons’ office will contact you with an appointment to discuss your pathology results and further treatment plans.

Regional Cancer Clinic

The treatments offered to you at the Cancer Centre depend upon your final pathology report. Treatment may include chemotherapy, hormone therapy, radiation therapy or a combination. Following your visit with the surgeon, it usually takes up to 2 weeks before you meet with the specialist at the Cancer Centre. During your appointment, the doctor will discuss the benefits/risks associated with each treatment that is offered to you.

Access to Supportive Care

There is a nursing telephone line at the BAP; patients are encouraged to call with their questions or concerns any time. We can be reached at 613-544-3400 ext. 3449. Please leave your full first & last name, your date of birth, contact information and your questions. The Nurse Navigator will make every attempt to return your call either the same day or the next business day. Office hours are Monday to Friday 8 am to 4 pm, the office is closed weekends and holiday. 

Community Referral

Your Nurse Navigator can provide you contact information for local community supports such as Bea’s Mastectomy Boutique, Breast Cancer Action Kingston, The Get Well Gang and many more. We want to help you in any way we can, please call the nursing line 613-544-3400 ext. 3449 for further information.