Dr. Brian Patrick Yaremko – Oncologist / Hematologist | London, ON

Dr. Brian Patrick Yaremko, a Radiation Oncologist, utilizes advanced radiation therapies to treat various forms of cancer, working as part of a multidisciplinary team. Practicing at the Child Youth Family Program in London, ON, he is part of a dedicated healthcare team committed to delivering patient-centered care. His practice adheres to the rigorous standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring the highest quality of medical service. Dr. Yaremko's expertise includes the precise planning and delivery of radiation therapy for a variety of cancer types, with a focus on improving patient outcomes and quality of life.

He graduated with a Medical Degree from the University of Alberta Faculty of Medicine and Dentistry in 2000 and has been practicing as a Radiation Oncologist for over 19 years since 2005. He is certified as a RCPSC Specialist in Radiation Oncology, specializing in cancer treatment with radiation, which underscores his comprehensive training and dedication to this field.

Dr. Yaremko is dedicated to providing multidisciplinary, evidence-based care tailored to each patient’s unique condition. His clinical philosophy emphasizes compassionate support, advancing research, and integrating the latest in radiation oncology techniques. Fluent in English and French, he is committed to supporting the diverse patient community in London and surrounding areas, ensuring clear communication and a hopeful approach to cancer care.

Dr. Brian Yaremko has expertise in managing a wide range of conditions, including:

Common Areas/Cancers Treated with Radiation Oncology

• Gastrointestinal Cancers (e.g., Rectal, Anal, Pancreatic, Stomach): Role of radiation therapy in managing various cancers of the digestive system, often as part of combined modality treatment.
• Lymphomas & Hematologic Malignancies (Radiation Role): Utilizing radiation therapy in specific situations for Hodgkin and Non-Hodgkin lymphomas, or for conditioning before stem cell transplant.
• Sarcomas (Bone & Soft Tissue - Radiation Aspects): Role of radiation therapy in the multidisciplinary management of sarcomas, often used before or after surgery.

Common Cancers (Solid Tumors) Treated

• Neuroendocrine Tumors (NETs): A diverse group of tumors that arise from cells of the endocrine (hormonal) and nervous systems, treated with various systemic therapies.
• Breast Cancer (Early Stage, Locally Advanced, Metastatic): Malignant tumors developing in the cells of the breast, managed with various therapies including hormonal, chemo, targeted agents, and immunotherapy.
• Ovarian, Uterine (Endometrial), & Cervical Cancers (Gynecologic Oncology - Medical Aspects): Systemic treatment aspects for cancers of the female reproductive system, often in collaboration with gynecologic oncologists or surgeons.

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.
• Chronic Lymphocytic Leukemia (CLL) / Small Lymphocytic Lymphoma (SLL): A type of cancer that starts from white blood cells (lymphocytes) in the bone marrow, typically slow-growing.
• Non-Hodgkin Lymphoma (NHL) (e.g., Diffuse Large B-Cell, Follicular, Mantle Cell): A diverse group of blood cancers that develop from lymphocytes, with many different subtypes requiring tailored treatments.

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. Brian Yaremko or your referring physician.

• Second Opinion Consultations for Cancer & Blood Disorders: Providing expert second opinions on complex diagnoses and proposed treatment plans to ensure informed decision-making.
• Image-Guided Radiation Therapy (IGRT): Utilizing advanced imaging during treatment delivery to precisely target tumors and adapt to changes, while minimizing exposure to healthy tissues.
• Prophylactic Cranial Irradiation (PCI): Preventative radiation treatment to the brain for certain cancers at high risk of brain metastases.
• Stereotactic Body Radiotherapy (SBRT) / Stereotactic Ablative Radiotherapy (SABR) / Stereotactic Radiosurgery (SRS): Delivering highly focused, high-dose radiation to precisely targeted tumors or lesions in the brain or body, often in a few treatment sessions.
• Total Body Irradiation (TBI) - Component of Stem Cell Transplant Regimens: Radiation therapy delivered to the entire body, often used as part of the conditioning regimen before a bone marrow or stem cell transplant.
• Brachytherapy (Internal Radiation - LDR/HDR) for Specific Cancers: Planning and performing procedures where radioactive sources are placed directly into or near a tumor (e.g., for prostate, cervical, breast cancer).
• Comprehensive Oncologic & Hematologic Consultation: In-depth evaluation of medical history, review of diagnostic imaging and pathology, cancer staging (if applicable), and development of personalized treatment plans for various cancers and blood disorders.

Note: This list provides a general overview of services offered in Radiation Oncology (Cancer Treatment with Radiation). Treatment plans are highly individualized. Dr. Yaremko provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Yaremko 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 Ontario (CPSO) and relevant cancer care guidelines. A referral is required.

The Child Youth Family Program, located in the vibrant Downtown London area within North London East, offers accessible healthcare services for residents and visitors alike. The practice is conveniently situated near notable landmarks such as Victoria Hospital (LHSC) and Parkwood Institute, making it easy for patients to access specialist cancer care. Public transit options are readily available through the London Transit Commission (LTC), ensuring convenient travel for those using buses. The facility is wheelchair accessible to accommodate patients with mobility needs, and paid parking options are close by for those arriving by car. The dedicated environment aims to provide a welcoming and accessible setting for all patients seeking expert radiation oncology services.

Are consultations and treatments with Dr. Yaremko, an Radiation Oncologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

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 Radiation Oncologist such as Dr. Yaremko are generally covered by Ontario Health Insurance Plan (OHIP) in ON 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 Ontario Health Insurance Plan (OHIP), Dr. Yaremko'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. Yaremko, an Radiation Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Radiation Oncologist like Dr. Yaremko 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.

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

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. Yaremko and the healthcare team at Sarnia can connect you with these valuable resources.

Does a Hematologist only treat blood cancers?

No, Hematologists treat a wide range of blood disorders, not just cancers. This includes benign (non-cancerous) conditions such as various types of anemia (e.g., iron deficiency anemia, vitamin B12 deficiency, sickle cell anemia, thalassemia), bleeding disorders (like hemophilia or von Willebrand disease), clotting disorders (thrombophilia, deep vein thrombosis, pulmonary embolism), and issues with white blood cells (like neutropenia) or platelets (like ITP). Dr. Yaremko, if focused on hematology, can diagnose and manage these conditions.

How will treatment decisions be made for my condition by Dr. Yaremko?

Treatment decisions in oncology and hematology are highly personalized and made collaboratively. Dr. Yaremko will consider many factors, including the type and stage of your cancer or blood disorder, your overall health, genetic markers of the disease (if applicable), current treatment guidelines, and importantly, your personal preferences and values. Often, cases are discussed in multidisciplinary team meetings (tumor boards) with other specialists to ensure a comprehensive approach. You will be an active participant in this decision-making process.

Why might I need a bone marrow biopsy, and what does it involve if Dr. Yaremko recommends it?

A bone marrow biopsy and aspiration are procedures used to collect and examine bone marrow, the soft tissue inside your bones where blood cells are made. Dr. Yaremko might recommend this test to diagnose or monitor various blood disorders, including leukemias, lymphomas, myeloma, anemias, or infections. The procedure is usually done on the back of the hip bone under local anesthesia. A needle is used to withdraw a small sample of liquid marrow (aspiration) and a small core of bone marrow tissue (biopsy). You may feel some pressure or brief pain.

Child Youth Family Program
A3, 800 Commissioners Rd E
London, ON N6A 5W9

Phone: (519) 685-8600 | Fax: (519) 685-8627

The facility is wheelchair accessible.

Dr. Yaremko is a licensed Radiation Oncologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. 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 Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Yaremko-Brian-Patrick/0234177-84626