Dr. Ashley Terese Freeman – Oncologist / Hematologist | Victoria, BC

Dr. Ashley Terese Freeman is a highly skilled Medical Oncologist and Hematologist, offering expert care in the diagnosis and systemic treatment of both solid tumors and hematologic malignancies. Practicing at a specialized cancer centre within a hospital department in Victoria, BC, she is part of a dedicated healthcare team committed to providing comprehensive cancer care. Dr. Freeman adheres to the standards and guidelines set forth by the College of Physicians and Surgeons of British Columbia (CPSBC). She offers advanced management strategies for a broad range of cancers and complex hematologic conditions, ensuring that patients receive personalized, evidence-based treatment in a supportive environment.

Dr. Freeman graduated with a MB BCh BAO from the Royal College of Surgeons in Ireland in 2011. She completed extensive post-graduate training in Medical Oncology and Hematology, focusing on cancer and blood disorder treatments. Her certifications include recognition from the College Registration Committee of the Royal College of Physicians and Surgeons of Canada, among others, attesting to her expertise and commitment to ongoing professional development.

Dedicated to multidisciplinary care, Dr. Freeman believes in integrating the latest evidence-based practices with compassionate patient-centered approaches. She strives to support her patients and their families through clear communication, education, and emotional support. Her practice in Victoria is rooted in a commitment to advancing research and clinical excellence, with fluency in English to facilitate effective communication and understanding. Dr. Freeman is passionate about providing accessible, high-quality care to adults with suspected or diagnosed cancer or blood disorders, utilizing state-of-the-art diagnostic and treatment facilities to optimize patient outcomes.

Dr. Ashley Freeman has expertise in managing a wide range of conditions, including:

Common Cancers (Solid Tumors) Treated

• Lung Cancer (Non-Small Cell & Small Cell): Cancers originating in the lungs, treated with chemotherapy, targeted therapy, immunotherapy, and/or radiation based on type and stage.
• Genitourinary Cancers (Bladder, Kidney, Testicular, Penile): Cancers affecting the urinary system (kidneys, bladder) or male reproductive organs (testes, penis), managed with chemotherapy, immunotherapy, or targeted agents.
• Melanoma & Advanced Skin Cancers: Aggressive forms of skin cancer, where oncologists manage systemic treatments like immunotherapy or targeted therapy for advanced or metastatic disease.

Hematologic Malignancies (Blood Cancers) Treated

• Hodgkin Lymphoma: A cancer of the lymphatic system, part of the immune system, characterized by the presence of Reed-Sternberg cells.
• Waldenström's Macroglobulinemia: A rare type of non-Hodgkin lymphoma characterized by an overproduction of a protein called macroglobulin.
• Acute Lymphoblastic Leukemia (ALL): A type of cancer of the blood and bone marrow that affects white blood cells called lymphocytes, common in children but also occurs in adults.

Benign Hematologic (Non-Cancerous Blood) Disorders Managed

• Vitamin B12 & Folate Deficiency Anemias: Anemias resulting from a lack of vitamin B12 or folate, essential for red blood cell formation.
• Thrombophilia & Acquired Clotting Disorders (e.g., DVT/PE management, Antiphospholipid Syndrome): Conditions that increase the tendency to form blood clots, requiring anticoagulation therapy and management.
• Hemolytic Anemia (e.g., Autoimmune Hemolytic Anemia - AIHA): A disorder in which red blood cells are destroyed faster than the bone marrow can produce them.

This list provides examples of common conditions treated and is not exhaustive. Cancer and blood disorders are complex, and treatment is highly individualized. For personalized advice, please discuss your specific situation with Dr. Ashley Freeman or your referring physician.

• Treatment of Various Solid Tumors: Specialized care for a wide range of cancers such as breast, lung (NSCLC, SCLC), colorectal, prostate, melanoma, ovarian, uterine, cervical, bladder, kidney, pancreatic, stomach, esophageal, head & neck (non-surgical aspects), brain tumors (non-surgical aspects), and sarcomas.
• Genetic Counseling & Testing Referrals for Hereditary Cancer Syndromes: Assessment of family history and risk factors, and coordination of referrals for genetic counseling and testing for inherited predispositions to cancer (e.g., BRCA).
• Bone Marrow Aspiration & Biopsy (Performance or Interpretation): Performing or interpreting samples from bone marrow aspirations and biopsies to diagnose blood disorders and cancers.
• Neutropenia & Other White Blood Cell Disorders Evaluation: Investigating and managing low or abnormal white blood cell counts, increasing susceptibility to infections.
• Cancer Survivorship Care & Long-Term Follow-Up: Developing individualized follow-up care plans for cancer survivors, focusing on surveillance for recurrence, management of late effects of treatment, and promoting wellness.
• Autologous & Allogeneic Stem Cell Transplant Consultation, Coordination & Post-Transplant Care (as part of a transplant team or referral network): Evaluating eligibility for, coordinating referrals to, and providing follow-up care for patients undergoing stem cell transplantation for hematologic malignancies.
• Comprehensive Diagnosis & Management of Anemias: Investigating and treating various types of anemia, such as iron deficiency, vitamin B12/folate deficiency, hemolytic anemias (e.g., autoimmune hemolytic anemia), sickle cell disease, thalassemia, and aplastic anemia.

Note: This list provides a general overview of services offered in Medical Oncology and Hematology (Cancer and Blood Disorders). Treatment plans are highly individualized. Dr. Freeman provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Freeman or your healthcare team for details relevant to your care.

All medical services and treatments are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC) and relevant cancer care guidelines. A referral is required.

Dr. Freeman practices at a specialized cancer centre located in the Fairfield East, Oaklands neighbourhood of Victoria, BC. The facility is situated within a short distance from major access points such as the Saanich/Highway routes, making it convenient for patients traveling from various parts of the region. Public transit options are plentiful, with the Victoria Regional Transit System (BC Transit) providing accessible routes directly to the centre. The facility is wheelchair accessible to accommodate patients with mobility needs. Paid parking options are available nearby, ensuring easy access for patients arriving by car. The location offers a welcoming environment with comprehensive facilities designed to support advanced diagnostics and personalized treatment plans.

Are consultations and treatments with Dr. Freeman, an Medical Oncologist and Hematologist, covered by Medical Services Plan (MSP) in BC?

Medically necessary consultations, diagnostic tests (like biopsies, imaging reviews), chemotherapy, immunotherapy, targeted therapies, radiation therapy planning and delivery, and management of blood disorders by a licensed Medical Oncologist and Hematologist such as Dr. Freeman are generally covered by Medical Services Plan (MSP) in BC when a referral from a family doctor or another specialist is in place. Specific drug coverage for newer therapies can vary by provincial formularies and may require special authorization. It's always recommended to discuss coverage specifics with Medical Services Plan (MSP), Dr. Freeman's office, the hospital's patient financial services, or the cancer care navigation services at the treatment facility.

Do I need a referral to see Dr. Freeman, an Medical Oncologist and Hematologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Medical Oncologist and Hematologist like Dr. Freeman for assessment or treatment of cancer or significant hematological conditions. This ensures that your primary care provider is involved in your care continuum and that you are directed to the most appropriate specialist for your specific situation. Cancer care programs often have centralized intake systems that manage referrals to ensure timely access.

How does cancer or blood disorder treatment differ for children compared to adults?

Treatment for children with cancer or blood disorders is highly specialized and managed by Pediatric Hematologists/Oncologists. They use protocols tailored to children, considering long-term effects on growth and development. Children's bodies react differently to treatments, and the types of cancers and blood disorders are often distinct from adult conditions. Care is family-centered, involving parents and caregivers closely in decision-making and support.

Does Dr. Freeman participate in or offer access to clinical trials?

You can ask Dr. Freeman if there are any suitable clinical trials available for your condition, either at her institution or through collaborative research networks. She can provide information or refer you for consideration of experimental treatments or ongoing research studies.

What kind of supportive care is available during cancer or hematology treatment with Dr. Freeman?

Supportive care is a crucial part of treatment, aiming to manage symptoms, reduce side effects, improve quality of life, and address emotional and practical needs. This can include effective pain and symptom management, nutritional support and counseling, psychological support (counseling, therapy), social work services for practical and emotional support, physiotherapy or occupational therapy, access to patient support groups, and spiritual care. Dr. Freeman and the healthcare team at affiliated hospitals or cancer centres can connect you with these valuable resources.

2410 Lee Ave, BC Cancer
Victoria, BC V8R 6V5

Phone: (250) 519-5500

The facility is wheelchair accessible.

Dr. Freeman is a licensed Medical Oncologist and Hematologist regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. A referral from a family physician or other specialist is required for most consultations and treatments under the provincial health plan.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/335350/Freeman%2CAshley