Dr. David George Payne – Oncologist / Hematologist | Toronto, ON

Dr. David George Payne, a Radiation Oncologist, utilizes advanced radiation therapies to treat various forms of cancer, working as part of a multidisciplinary team. Practicing at a specialized cancer centre within a hospital department in Toronto, ON, he is dedicated to providing comprehensive cancer care. His approach emphasizes patient-centered and hopeful treatment strategies, ensuring each individual receives personalized care. Dr. Payne's practice adheres strictly to the standards and guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, safe, and effective treatment for his patients.

He graduated with a Medical Degree from McMaster University in 1974 in Canada and has been practicing as a Radiation Oncologist for over 45 years since 1979. Dr. Payne is certified as a RCPSC Specialist in Radiation Oncology, specializing in cancer treatment with radiation. His extensive experience allows him to incorporate the latest evidence-based techniques and innovations in his clinical practice, always aiming to improve patient outcomes and quality of life.

Dr. Payne is committed to delivering multidisciplinary care that combines the latest research, technology, and compassionate support. He believes in empowering his patients through education and clear communication, helping them make informed decisions about their treatment options. He speaks English and French, ensuring accessible and effective communication with diverse patient populations in Toronto.

Dr. David Payne has expertise in managing a wide range of conditions, including:

Common Cancers (Solid Tumors) Treated

• Gastrointestinal Cancers (Esophageal, Stomach, Pancreatic, Liver, Biliary): A group of cancers affecting the digestive system organs, each requiring specific diagnostic and multidisciplinary treatment approaches including systemic therapies.
• Head and Neck Cancers (Oral Cavity, Pharynx, Larynx - Medical Oncology aspects): Cancers arising in the head and neck region, where medical oncologists manage chemotherapy, immunotherapy, or targeted therapies as part of a multidisciplinary team.
• 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.

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.
• Myelodysplastic Syndromes (MDS): A group of diverse bone marrow disorders in which the bone marrow does not produce enough healthy, mature blood cells.
• Chronic Myeloid Leukemia (CML): A type of cancer that starts in certain blood-forming cells of the bone marrow, often managed with targeted therapies.

Common Areas/Cancers Treated with Radiation Oncology

• Sarcomas (Bone & Soft Tissue - Radiation Aspects): Role of radiation therapy in the multidisciplinary management of sarcomas, often used before or after surgery.
• Gynecologic Cancers (e.g., Cervical, Uterine, Vaginal, Vulvar - Radiation Aspects): Application of external beam radiation and/or brachytherapy for cancers of the female reproductive tract.
• Breast Cancer (Adjuvant, Neoadjuvant, Palliative Radiation): Applying radiation after lumpectomy or mastectomy to reduce recurrence risk, or to treat metastatic disease.

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. David Payne or your referring physician.

• Prophylactic Cranial Irradiation (PCI): Preventative radiation treatment to the brain for certain cancers at high risk of brain metastases.
• Palliative Radiation Therapy for Symptom Control: Using radiation to alleviate pain, bleeding, or obstruction caused by cancer.
• 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.
• 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.
• Second Opinion Consultations for Cancer & Blood Disorders: Providing expert second opinions on complex diagnoses and proposed treatment plans to ensure informed decision-making.
• 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.

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

Dr. Payne practices at a specialized cancer centre located within a hospital department in the vibrant Toronto Bay Street Corridor, also known as the Discovery District. This location is conveniently situated near landmarks such as Ontario Place and Sugar Beach, making it easily accessible for patients. The facility is well-connected via public transit, including the TTC subway, streetcar, and bus routes. The building is wheelchair accessible to accommodate all patients, and paid parking options are available nearby for those arriving by car, ensuring ease of access for everyone seeking expert cancer care in Toronto.

Are consultations and treatments with Dr. Payne, 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. Payne 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. Payne'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. Payne, an Radiation Oncologist?

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

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

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

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. Payne and the healthcare team at affiliated hospitals or cancer centres can connect you with these valuable resources.

What can I expect at my first appointment with an Oncologist/Hematologist?

Your first appointment with Dr. Payne will be comprehensive and may last an hour or more. It will involve a detailed review of your medical history, family history of cancer, current symptoms, medications, and any previous tests, imaging results (CT, MRI, PET scans), and biopsy reports related to your diagnosis. He will likely perform a thorough physical examination. The main goals are to confirm your diagnosis, discuss the type and stage of your condition (if applicable), and outline potential treatment options. This is a crucial time to ask questions, and you are encouraged to bring a family member or friend for support and to help take notes. Dr. Payne will explain the proposed treatment plan, including goals, benefits, potential side effects, duration, and what to expect moving forward. Further tests may be ordered.

What is immunotherapy and how does it work for cancer?

Immunotherapy is a type of cancer treatment that helps your own immune system fight cancer. It works by boosting or changing how the immune system works so it can find and attack cancer cells more effectively. There are different types of immunotherapy, including checkpoint inhibitors, CAR T-cell therapy, and cancer vaccines. Dr. Payne may recommend immunotherapy if it's an appropriate option for your type of cancer and will explain how it works and what to expect.

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

[IF PROVIDER IS PEDIATRIC SPECIALIST:] As a Pediatric Hematologist/Oncologist, Dr. Payne specializes in these differences. Children's bodies react differently to treatments, and the types of cancers and blood disorders are often distinct from adult conditions. Treatment protocols are specifically designed for pediatric patients, considering their growth and development. Care is family-centered, involving parents and caregivers closely in decision-making and support. [ELSE:] 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.

610 University Avenue, OCI/PMH
Toronto, ON M5G 2M9

Phone: (416) 946-2122

The facility is wheelchair accessible.

Dr. Payne 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/Payne-David-George/0023257-28048