DR. WAYNE EVANS

Dr. Wayne Evans is an Assistant Professor of Anesthesia (University of Toronto). He is a graduate of the University of Alberta Medical School. He obtained postgraduate training in Christchurch New Zealand as well as Southampton England.

Prior to that he obtained a BSc (Honors in Microbiology) from the University of Alberta following training in Engineering at the University of Calgary. Dr. Wayne Evans is an expert in Hyperbaric Medicine and the former Medical Director of the Toronto General Hospital Hyperbaric Medicine Unit of which he continues as a consultant. He is the current Medical Director of Medical Oxygen Repair - with the largest treatment capacity of any service of its kind in Canada. He is also an experienced occupational medicine consultant, family physician, and emergency room physician.

At the Princess Margaret Hospital (Toronto), Dr. Wayne Evans cofounded the Adult Radiation Late Effects Clinic (ARLEC) in 2000. He continues as a medical consultant for that service and has recently established a similar service for oncology survivors of radiotherapy, namely the Radiotherapy Late Effects Clinic serving all patients across Ontario.

Dr. Wayne Evans has been inspirational in the recent formation of the Mississauga Wound and Foot Center - teaming up with an interdisciplinary team of wound specialists and advanced foot protection specialists.

He is heavily engaged in championing long term solutions in the evolving topic of Covid - 19 through the little known resource of Occupational Medicine. Over the summer, this has included leadership regionally within the Ontario Medical Association as well as nationally (OEMAC - Working Group on Indoor Air Quality). He also holds a special interest in the future of Advanced Regenerative Medicine. Both of these specialized fields allow Dr. Wayne Evans to foster curiosity, innovation and lifelong learning.

REMEMBERING WALTER GRETZKY

COVID-19 = Occupational Medicine Crisis

OEMAC Link

COVID-19 PPE

*an N95 will not seal properly with a beard this just a demonstration*

What Physicians Can Do

Position Statement - Dr. Evans, Chair of OEMAC Indoor Air Quality Committee

May 2021 UPDATE - WE CAN ALL DO OUR PART

Messaging from public health and other medical informers to the public (media) has been focused on topics which the health care system has been somewhat available to assist with.
Science which informed of aerosol transmission as a /the major long term obstacle has been suppressed hoping politically for a seasonal resolution without complicating the message. This was unfortunately not achievable.
Political leadership as well as medical messaging has been slow to adjust to the need for broader solutions to address ongoing spread.
The cost for effective intervention is insurmountable.
The path I have chosen is low hanging fruit which might help a little and could be considered by many in their specific local work / home environment.
Keep it simple! If not overwhelmed by a task - many could become engaged and put an oar in the water as well.

Clinical Medicine

Download Dr. Evans' Referral Form

Medical Oxygen Repair

He is in active academic service and clinical practice as Medical Director for Medical Oxygen Repair, providing focused comprehensive management of complex problems including delayed radiation injury, perfusion limited wounds, and sudden hearing loss.

Visit Mo2R To Learn More

Short and Sweet Headlines are Best!

The walk-in style hyperbaric chamber affords extended care patient care versatility.Here Dr. Evans adjusts the flow rate of a treatment known as continuous bladder irrigation or CBI.It is the best option to ensure uninterrupted infusion treatment of patients hospitalized due to hematuria (bleeding from the bladder) due to radiotherapy complications after treatment of cancer.

RADIATION LATE EFFECTS MANAGEMENT

RADIOTHERAPY COMPLICATIONS ARE TREATED WITH HYPERBARIC OXYGEN ALONG WITH OTHER THERAPIES:

At the Princess Margaret Hospital (Toronto), Dr. Wayne Evans cofounded the Adult Radiation Late Effects Clinic (ARLEC) in 2000. He continues as a medical consultant for that service and continues to treat patients suffering from these ongoing effects.

Visit RLEC To Learn More

mississauga WOUND and Foot center

Dr. Wayne Evans has been inspirational in the recent formation of the Mississauga Wound and Foot Center - teaming up with an interdisciplinary team of wound specialists and advanced foot protection specialists.

Visit MWFC To Learn More

LIMb preservation network

A new initiative - which assembles resources a virtual team in Peel Region is the Limb Preservation Network (MLPN). Dr. Evans is assisting in this project to address the gaps in care which have been a chronic problem for persons with diabetes. The intent is to progressively build teams to manage complex lower limb complications with the diagnostic and interdisciplinary care planning precision to achieve better outcomes. This incorporates innovative virtual tools such as Zoom meetings provided team building opportunities while at remote locations. It is facilitate by the growing access of team participants to the Connecting Ontario data network.

Visit MPLN To Learn More

SUDDEN HEARING LOSS

Sudden hearing loss is a life altering condition and is defined as greater than 30 dB hearing reduction, occurring over a period of 72 hours or less. When diagnosed and treated early the odds of recovering hearing are high. The problem many patients face is delayed assessment, treatment and referral to the appropriate parties. Presentation to the ENT specialist is often delayed and the 2 week maximum window to commence treatment, covered under OHIP, is missed. Dr. Evans and colleagues are working to change this poor outcome. Visit the clinic for more information/referral.

This 2014 Protocol which was adopted by the MOHLTC and included as an OHIP service in 2015 has recently been revised to permit hyperbaric oxygen therapy within 30 days of ENT diagnosis of hearing loss.

This now harmonizes with broadly accepted guidelines:
Sudden Hearing Loss Guidelines from the American Academy of Otolaryngology – Head &Neck Surgery Otolaryngology– Head and Neck Surgery 2019, Vol. 161(2) 195–210

Key Action Statement 9: Hyperbaric oxygen therapy remains an option but only when combined with steroid therapy for either initial treatment (9a) or for salvage therapy (9b). The timing is within 2 weeks of onset for initial therapy and within 1 month of onset of sudden sensorineural hearing loss for salvage therapy.

The Initiative