About
Dr. Geneviève Payette 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 Hôpital Pierre-Le-Gardeur in Terrebonne, QC, she is part of a dedicated healthcare team committed to providing comprehensive and compassionate cancer care. Her practice adheres to the high standards set by the Collège des médecins du Québec (CMQ), ensuring that patients receive safe, effective, and evidence-based treatment. Dr. Payette focuses on delivering personalized management strategies for a broad range of cancers and complex hematologic conditions, aiming to improve quality of life and outcomes for her patients.
She graduated with a Medical Degree in 2018 and has been practicing as a Medical Oncologist and Hematologist for over 6 years. Her extensive post-graduate medical training and certification in Medical Oncology and Hematology equip her with the expertise necessary to address the diverse needs of adults with suspected or diagnosed cancer or blood disorders. Her dedication to ongoing education and clinical excellence ensures that her patients benefit from the latest advances in cancer and blood disorder treatment.
Dr. Payette is committed to a multidisciplinary approach to care, integrating the latest evidence-based therapies with patient and family support. She believes in fostering a collaborative environment, where patients are active participants in their treatment journey. Fluent in French, she provides compassionate care tailored to the cultural and linguistic needs of her community, with a focus on hope, support, and advancing research where possible.
Dr. Geneviève Payette has expertise in managing a wide range of conditions, including:
Hematologic Malignancies (Blood Cancers) Treated
- Acute Myeloid Leukemia (AML): A rapidly progressing cancer of the blood and bone marrow affecting myeloid cells.
- 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.
- Waldenström's Macroglobulinemia: A rare type of non-Hodgkin lymphoma characterized by an overproduction of a protein called macroglobulin.
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.
- Hereditary Hemochromatosis & Other Iron Overload States: Genetic or acquired conditions leading to excessive iron accumulation in the body, requiring management to prevent organ damage.
- Sickle Cell Disease & Thalassemia Syndromes: Inherited disorders affecting the structure or production of hemoglobin, leading to various complications.
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.
- Sarcomas (Bone & Soft Tissue - Systemic Therapy): Rare cancers arising from connective tissues, where medical oncologists administer chemotherapy or targeted therapies for advanced or 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. Geneviève Payette or your referring physician.
- 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.
- Management of Clotting Disorders / Thrombophilia (Inherited & Acquired): Diagnosis, anticoagulation therapy, and long-term management for conditions predisposing to abnormal blood clots (e.g., DVT, PE, Factor V Leiden, Antiphospholipid Syndrome).
- Peripheral Blood Smear Review & Advanced Cytomorphology: Expert microscopic examination of blood cells to identify abnormalities and aid in diagnosis.
- Diagnosis & Management of Multiple Myeloma, Waldenström's Macroglobulinemia & Other Plasma Cell Dyscrasias: Specialized care for cancers arising from plasma cells, utilizing novel agents, chemotherapy, and supportive care, including stem cell transplant coordination.
- Management of Treatment-Related Side Effects & Toxicities: Proactive and reactive strategies to manage side effects of cancer therapies, including nausea, fatigue, myelosuppression, and neuropathy.
- Management of Myeloproliferative Neoplasms (MPN) (Polycythemia Vera, Essential Thrombocythemia, Myelofibrosis): Treatment strategies to control blood counts, manage symptoms, and prevent complications associated with these chronic bone marrow disorders.
- Neutropenia & Other White Blood Cell Disorders Evaluation: Investigating and managing low or abnormal white blood cell counts, increasing susceptibility to infections.
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. Payette provides a wide array of diagnostic, therapeutic, and supportive care options tailored to each patient's specific condition and needs. Please discuss with Dr. Payette 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.
Hôpital Pierre-Le-Gardeur, situated in the Terrebonne West neighborhood near the Laval border, serves as the primary facility for Dr. Payette’s practice. The hospital is conveniently located in the vibrant Vieux-Terrebonne Historic District, offering a charming environment with easy access for patients. Public transit options are available, with exo (Secteur Terrebonne-Mascouche) providing reliable bus services nearby. The facility is wheelchair accessible, ensuring ease of movement for all patients. Metered street parking is available in the vicinity, making parking arrangements straightforward for those commuting by car. The hospital’s location promotes accessibility and comfort for patients seeking comprehensive cancer and blood disorder care.
- Are consultations and treatments with Dr. Payette, an Medical Oncologist and 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 Medical Oncologist and Hematologist such as Dr. Payette 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. Payette'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. Payette, 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. Payette 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. Payette 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. Payette 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 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. Payette may recommend immunotherapy if it's an appropriate option for your type of cancer and will explain how it works and what to expect.
Hôpital Pierre-Le-Gardeur
911 montée des Pionniers
Terrebonne, QC J6V 2H2
Phone: (450) 654-7525
The facility is wheelchair accessible.
Dr. Payette is a licensed Medical Oncologist and 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=18132