Dr. Nancy El Bared

Dr. Nancy El Bared has expertise in managing a wide range of conditions, including:

Common Areas/Cancers Treated with Radiation Oncology

• Genitourinary Cancers (e.g., Prostate, Bladder, Testicular): Using radiation therapy, including brachytherapy for prostate cancer, to treat cancers of the male and female urinary and reproductive systems.
• Palliative Radiation for Symptom Relief (e.g., Bone Metastases, Spinal Cord Compression): Using radiation therapy to alleviate pain, control bleeding, or relieve pressure caused by advanced cancer.
• Thoracic Cancers (e.g., Lung Cancer, Esophageal Cancer, Mesothelioma): Using radiation therapy to treat cancers within the chest cavity, often combined with other modalities.

Common Cancers (Solid Tumors) Treated

• Prostate Cancer: Cancer developing in the prostate gland in men, with treatment options including hormone therapy, chemotherapy, radiation, or active surveillance.
• 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.
• 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

• Waldenström's Macroglobulinemia: A rare type of non-Hodgkin lymphoma characterized by an overproduction of a protein called macroglobulin.
• Hodgkin Lymphoma: A cancer of the lymphatic system, part of the immune system, characterized by the presence of Reed-Sternberg 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.

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. Nancy El Bared or your referring physician.

• 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).
• 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).
• 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.
• External Beam Radiation Therapy (EBRT) - 3D Conformal, IMRT, VMAT: Developing precise, individualized plans for delivering radiation using external machines (e.g., linear accelerators) with techniques like Intensity-Modulated Radiation Therapy (IMRT) and Volumetric Modulated Arc Therapy (VMAT).
• Palliative Radiation Therapy for Symptom Control: Using radiation to alleviate pain, bleeding, or obstruction caused by cancer.
• 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.

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

Dr. Nancy El Bared practices at Hôpital Charles Lemoyne, located in the areas near central Greenfield Park. The hospital is easily accessible via local public transit, making it convenient for patients from surrounding neighborhoods. The facility is wheelchair accessible, ensuring comfortable access for all patients. Metered street parking is available nearby, providing additional convenience for those coming by car. The hospital is situated close to local points of interest, making it an accessible and welcoming environment for patients receiving complex cancer care and radiation therapy services.

Are consultations and treatments with Dr. El Bared, an Radiation Oncologist, 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 Radiation Oncologist such as Dr. El Bared 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. El Bared'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. El Bared, an Radiation Oncologist?

Yes, a referral from your family physician or another specialist is almost always required to see an Radiation Oncologist like Dr. El Bared 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 are common side effects of chemotherapy, and how does Dr. El Bared help manage them?

Chemotherapy can cause various side effects, which differ depending on the specific drugs used, the dose, and individual patient factors. Common ones include fatigue, nausea, vomiting, hair loss, mouth sores, changes in appetite, diarrhea or constipation, and increased risk of infection due to low blood counts. Dr. El Bared and the oncology nursing team will discuss potential side effects of your specific treatment plan in detail and will actively work to prevent and manage them with medications (e.g., anti-nausea drugs, growth factors to boost blood counts), supportive care advice (nutrition, hydration, rest), and regular monitoring. Open communication about any side effects you experience is very important for effective management.

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

Treatment decisions in oncology and hematology are highly personalized and made collaboratively. Dr. El Bared 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.

What is Radiation Oncology and when is it used?

Radiation Oncology is a medical specialty that uses high-energy radiation (like X-rays, gamma rays, or charged particles) to damage or destroy cancer cells and shrink tumors. It can be used as a primary treatment, before surgery (neoadjuvant), after surgery (adjuvant), or in combination with chemotherapy. It can also be used for palliative care to relieve symptoms. Dr. El Bared specializes in planning and delivering radiation therapy using techniques like EBRT, IMRT, SBRT, or brachytherapy. If your condition requires radiation treatment, Dr. El Bared will develop and oversee your personalized treatment plan to ensure the best possible outcome.

Hôpital Charles Lemoyne
3120 boul Taschereau
Greenfield Park, QC J4V 2H1

Phone: (450) 466-5000

The facility is wheelchair accessible.

Dr. El Bared is a licensed Radiation Oncologist 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=16119