Our UHN programs and services are among the most advanced in the world. We have grouped our physicians, staff, services and resources into 10 medical programs to meet the needs of our patients and help us make the most of our resources.
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Our 10 medical programs are spread across eight hospital sites – Princess Margaret, Toronto General, Toronto Rehab’s five sites, Toronto Western – as well as our education programs through the Michener Institute of Education at UHN. Learn more about the services, programs and amenities offered at each location.
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Deep Brain Stimulation (DBS) is a treatment for many movement disorders (particularly for Parkinson's Disease, dystonia, tremor and other involuntary movements) that can help patients when medication do not work well enough. DBS cannot cure these conditions or change the progression of the disease, but it can relieve symptoms and improve quality of life.
At the DBS clinic, we begin the evaluation process to confirm your eligibility to undergo DBS surgery and we continue to follow and monitor those patients that have had DBS surgery.
Eligibility and pre-op assessments for Parkinson's disease patients involves appointments with Neuropsychology, Neuropsychiatry, a Levodopa Challenge and the DBS Neurology team. The assessments for other conditions vary depending on clinical needs.
As a large multidisciplinary team, you can expect a Fellow Doctor, a Nurse Practitioner or a Nurse Coordinator to evaluate you before you see the main Neurologist.
After 30 years from its launch, deep brain stimulation (DBS) has become an established and successful treatment for many movement disorders, such as Parkinson's disease (PD), dystonia and tremor. As a consequence of its growing worldwide use, surgical indications, selection of candidate, clinical and surgical management are continuously changing and often challenge clinicians in their clinical decisions. A part of these challenges rely on the ongoing development of new devices and software guiding the neurologist and neurosurgeon across the multiple steps of DBS. All of these aspects are seriously taken into consideration by us. We are constantly exploring new opportunities (e.g., novel technologies) for our patients.
The Toronto Western Hospital (TWH) has a long-standing tradition in movement disorders and neurofunctional surgery and it is world renowned as one of the top centres in this field. A part of TWH's fame relies on the success of all the different subspecialties related to DBS. As such, TWH is an attractive place for all the physicians interested in learning or perfecting DBS.
DBS is an outstanding example of multi-disciplinary approach, as it needs the close collaboration of multiple professional figures (neurologist, neurosurgeon, neuroradiologist, neurophysiologist, psychiatrist, neuropsychologist, PD nurse, physiotherapist, etc.). In order to promote the knowledge on DBS, we publish guidelines, train international fellows and host intensive courses on DBS.
Appointment #1 – Neuropsychology
Appointment #2 – Neuropsychiatry
Appointment #3 – Levodopa Challenge
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what you can expect when you have a clinic appointment.
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Department Head, Movement Disorders: Dr. Anthony Lang
DBS Nursing Team
DBS Administrative Staff
You will be contacted with information about your first appointment.
Please bring the following to your appointment. Not all of these items may be needed for your appointment. Our clinic or your referring doctor will let you know what you must bring.
Please arrive 15 minutes before your appointment.
When you arrive, you will sign in with the receptionist. You will need your health card (OHIP card) to sign-in. If you do not have an OHIP card, please bring another form of government-issued photo ID, such as a driver’s license or passport.
You may be given a Measuring Health Equity Questionnaire to fill out. This form contains questions about your background. We collect this information to find out who we serve and what unique needs you may have. The form is voluntary and you can choose ‘prefer not to answer’ to any or all questions. However, the information you choose to give us will help us improve the quality of care for you and others.
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes. We do everything we can to stay on time but sometimes unforeseen circumstances may delay your appointment.
At the end of your first appointment, the nurse or doctor will give you a contact list for your health care team. If you don’t get a contact list, feel free to ask for it.
After every appointment, a member of your health care team will tell you about your next visit. Be sure you understand what is going to happen next. For example, know the time and place of your next visit or if someone will call you with this information.
If you are unsure about what your next steps are, don’t be afraid to ask a member of your team. We are here to help you.
We understand that reaching us by phone can sometimes be difficult. Often our phone lines are busy or are turned over to the message centre so our staff can prepare for clinic visits or help other patients. We make every effort to return your call within 24 hours. Our staff will try to reach you 2 times. If we are not able to reach you directly you may need to call us again.