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COVID-19: Changes to Appointments, Tests & Procedures

UHN has moved to a No Visitor policy, with exceptions on compassionate grounds and other special safety needs. This includes, no companions or family members for clinic and other treatment appointments without obtaining prior approval from the unit or clinic manager. This extremely difficult decision has been made to protect the safety of patients and health care workers.
Cancellations & Changes

Toronto Rehab – Outpatients

We are changing our outpatient services during the COVID-19 outbreak. This is for the safety of you, other patients and our health care teams. Your clinic will be in touch with you, to either reschedule your appointment for a later date, or to discuss options for continuing your therapy via video conference or telephone consultation. If your condition requires urgent attention, please call your clinic to discuss your care options. When we return to our regular services we will re-evaluate your therapy needs, to determine if any ongoing therapy will be provided. Thank you for your support as we continue to work together for everyone’s safety.

Altum Health

Altum Health will be cancelling all non-urgent patient care effective until April 3rd for WSIB Specialty Referrals and until further notice for all other referrals.

Al and Malka Green Artists’ Health Centre

Tuesday Night Drop-in Acupuncture is cancelled until further notice.

Eating Disorder Program

The following outpatient services are cancelled until further notice:

  • Eating Disorders Day Program
  • Modified Eating Disorder Assertive Treatment Team (MEDACTT)
  • Eating Disorders Ambulatory Service
Program Announcements

The Soham & Shaila Ajmera Family Transplant Centre

The Soham & Shaila Ajmera Family Transplant Centre, in agreement with our partners at Trillium Gift of Life Network and our peer organizations, has made the difficult decision to pause some of the work done by UHN's transplant programs. This is to ensure we have the resources to care for our most critically ill patients, within our program and across our hospital and the health care system.

Please note the following changes in service. We know this pause will be difficult for our patients and their families who will be impacted. We will be reviewing these changes daily and working to reduce any impact on the health of patients within our program.

  • All living kidney donor activities have been paused.
  • All deceased donor kidney transplant and pancreas transplant activities have been paused, except for highly sensitized or quickly deteriorating patients.
  • All lung transplant activities have been paused, except for quickly deteriorating patients.
  • All heart transplant activities will continue as usual.
  • Living liver donor activities will continue, but the most ill patients will be prioritized.
  • All living liver donors will be screened for COVID-19 before surgery.
  • Deceased donor liver transplant activities will continue as usual.

Do not stop taking your medications. Some self-help websites have been advocating this to help build your immunity. This is completely wrong. Contact your transplant coordinator with any specific questions or concerns.

If you have questions or concerns, please reach out to your Transplant Coordinator for information and support.

We know this is a stressful time for the Transplant community at large. If you have questions about living organ donation please email us at livingorgandonation@uhn.ca and if you need it, please refer to these coping techniques developed by our Psychosocial Transplant Team.

Peter Munk Cardiac Centre

In response to the evolving COVID-19 pandemic, and in alignment with the direction of our CEO, Dr. Kevin Smith, the Peter Munk Cardiac Centre has made the difficult decision to pause some of the elective, non-urgent health care services that we routinely provide for patients with heart and blood vessel diseases. This step is required to ensure that we have the resources necessary to care for our most critically ill patients, with in our program, and across our hospital and Ontario’s health care system.

We appreciate that this pause will be difficult for our patients and their families who will be impacted. Please note that we will be reviewing the list of procedures and operations that we are pausing on a daily basis, and will be working to reduce the impact of this pause on the health of our patients. As always, our first priority is safe, compassionate care for the patients we serve.

  • For the safety of all of our patients, and our health care teams, we will be reducing the number of outpatient clinic visits.
  • All of our outpatient clinic visits that have already been booked are currently being reviewed by our Staff Physicians and their Medical Administrative Assistants.
  • Any appointments that are not urgent will be rebooked for a later time.
  • Depending on the reason for the appointment, the health care team may arrange a "virtual visit." This might be a phone call, video chat, or Telehealth appointment. This will be decided on a case-by-case basis with the patient.
  • Patients with urgent heart or blood vessel problems can still be seen in clinic. All such patients will be asked a series of questions before their clinic visit, to determine if they have symptoms that patients with COVID-19 can develop. If they do, such patients may be referred to a COVID-19 assessment centre, or be seen in clinic with specific precautions. This will be decided on a case by case basis, in accordance with Ontario guidelines.

Cardiology tests and procedures that have been paused include:

  • Elective diagnostic coronary angiographies
  • Structural heart disease cases in non-urgent or stable patients
  • Patients who have been assessed as low risk for pacemakers, ICDs and percutaneous valve procedures

All other cardiology procedures will continue as planned until further notice.

Cardiac surgery procedures that have been paused include:

  • Asymptomatic mitral valve repairs
  • Coronary artery bypass grafts for noncritical coronary artery disease
  • Aortic valve replacements for asymptomatic severe aortic stenosis
  • Myectomy (removing excess heart muscle) for stable hypertrophic cardiomyopathy
  • Pericardiectomy procedures
  • Cardiac tumours not causing embolic or obstructive symptoms
  • Thoraco-abdominal aortic aneurysm repair for aneurysms just meeting surgical criteria

All other cardiac surgical procedures will continue as planned until further notice.

Heart transplant activities: All heart transplant activities will continue as usual.

Vascular surgery procedures that have been paused include:

  • Bypasses or endoluminal interventions for claudication (pain in the legs with walking)
  • Carotid endarterectomy for asymptomatic carotid stenosis
  • Varicose vein procedures
  • Dialysis access, except for acute thrombosis, sepsis or inability to place a percutaneous dialysis line

All other vascular procedures will continue as planned until further notice.

If you have any questions, please contact your clinic’s Patient Care Coordinator or Surgeon’s Administrative Assistant for information and support.

If you have any questions, please contact your clinic’s Patient Care Coordinator or Surgeon’s Administrative Assistant for information and support.