Dr. Claude Shields is a Hematologist focused on diagnosing and managing a spectrum of blood disorders, from anemias and clotting issues to blood cancers. Practicing at La Cité médicale in Québec, QC, he is part of a dedicated healthcare team committed to providing comprehensive hematology (blood disorders) care. His practice is situated in the vibrant areas near central Québec, easily accessible via local public transit. The facility is wheelchair accessible, and paid parking options are close by, ensuring convenient access for patients and their families.
He addresses a wide array of benign and malignant hematologic disorders, offering both diagnostic expertise and therapeutic interventions. Dr. Shields completed extensive post-graduate medical training and certification in Hematology (Blood Disorders) after earning his Medical Degree in 1974.0. With over 50 years of dedicated practice, he has developed a deep understanding of complex blood conditions and their management, ensuring patients receive the highest standard of care.
Guided by a philosophy of multidisciplinary collaboration and evidence-based treatment, Dr. Shields is committed to supporting his patients and their families throughout their healthcare journey. He emphasizes patient-centered care, clear communication, and ongoing research to advance treatment options. Fluent in French, he provides compassionate and authoritative guidance to the diverse community of Québec, ensuring that each patient feels understood and well-supported.
Dr. Claude Shields has expertise in managing a wide range of conditions, including:
Benign Hematologic (Non-Cancerous Blood) Disorders Managed
- 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.
- Immune Thrombocytopenia (ITP): An autoimmune disorder characterized by a low number of platelets, leading to an increased risk of bleeding.
- Aplastic Anemia & Bone Marrow Failure Syndromes: Rare but serious conditions where the bone marrow doesn't produce enough new blood cells.
Hematologic Malignancies (Blood Cancers) Treated
- 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.
- Multiple Myeloma: A cancer of plasma cells, a type of white blood cell in the bone marrow that produces antibodies, leading to bone damage and other complications.
- Myeloproliferative Neoplasms (MPN) (Polycythemia Vera, Essential Thrombocythemia, Myelofibrosis): A group of chronic blood cancers where the bone marrow produces too many red blood cells, white blood cells, or platelets.
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. Claude Shields or your referring physician.
- Therapeutic Apheresis Consultation (e.g., for TTP, plasma exchange indications): Consultation and coordination for procedures that separate components of blood for therapeutic purposes.
- Diagnosis & Treatment of Lymphomas (Hodgkin & Various Non-Hodgkin Subtypes): Tailored treatment strategies for cancers of the lymphatic system, including chemotherapy, immunotherapy, targeted agents, and radiotherapy coordination.
- Peripheral Blood Smear Review & Advanced Cytomorphology: Expert microscopic examination of blood cells to identify abnormalities and aid in diagnosis.
- Management of Bleeding Disorders (Hemophilia, Von Willebrand Disease, Platelet Function Disorders): Care for inherited and acquired conditions that affect the body's ability to form blood clots properly, including factor replacement therapies.
- Blood Product Transfusion Support & Management of Transfusion Reactions: Overseeing transfusions of red blood cells, platelets, plasma, and managing any adverse reactions.
- 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.
- Iron Overload Disorders (e.g., Hereditary Hemochromatosis) Management: Monitoring and treatment, including therapeutic phlebotomy, for conditions of excess iron storage.
Note: This list provides a general overview of services offered in Hematology (Blood Disorders). Treatment plans are highly individualized. Dr. Shields provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Shields 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 Collège des médecins du Québec (CMQ) and relevant cancer care guidelines. A referral is required.
La Cité médicale, located in the vibrant neighborhoods near central Québec, offers a welcoming and accessible environment for patients seeking specialized hematology care. The facility is conveniently situated close to local points of interest and is easily reachable via public transit. The premises are wheelchair accessible, ensuring inclusive access for all patients. Paid parking options are available nearby, providing added convenience for those arriving by car. The practice's location emphasizes comfort, accessibility, and a patient-centered approach to healthcare.
- Are consultations and treatments with Dr. Shields, an Hematologist, covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?
- 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 Hematologist such as Dr. Shields are generally covered by Régie de l'assurance maladie du Québec (RAMQ) in QC 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 Régie de l'assurance maladie du Québec (RAMQ), Dr. Shields'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. Shields, an Hematologist?
- Yes, a referral from your family physician or another specialist is almost always required to see an Hematologist like Dr. Shields 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 is targeted therapy in cancer treatment?
- Targeted therapy uses drugs or other substances to identify and attack specific types of cancer cells with less harm to normal cells. These therapies work by targeting specific genes or proteins found in cancer cells or cells related to cancer growth, like blood vessel cells. Genetic testing of the tumor is often done to see if a targeted therapy is likely to be effective. Dr. Shields can explain if targeted therapy is an option for your cancer.
- 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. Shields, if focused on hematology, can diagnose and manage these conditions.
La Cité médicale
295-2600 boul Laurier
Québec, QC G1V 4T3
Phone: (418) 781-0480 | Fax: (418) 659-7072
The facility is wheelchair accessible.
Dr. Shields is a licensed Hematologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. 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 Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=74317