3E Clinic McMaster Children’s Hospital
Phone: 905-521-5013 (or 905-521-2100 x75013)
Conditions We Treat
Our clinic focuses on children with complex nutritional needs. We manage children with:
- Home parenteral nutrition (PN) needs,
- Conditions causing primary or acquired intestinal failure (such as short gut syndrome)
- Nutritional deficiency syndromes
- Second opinions for children with severe failure to thrive that have not responded to standard management
- Children with long-term dependency on enteral nutrition (tube-feeding)
What Services Do We Provide
During your first appointment you can expect to:
- Review your child’s medical history, previous bloodwork and investigations
- Meet our dietitian, with whom you will discuss your child’s current nutritional needs
- Meet our nurse, or in some instances, our nurse practitioner
- Discuss your concerns and receive support with our social worker, if appropriate
- Make a plan to address your child’s specific needs, and plan for further evaluation if needed
- Meet our pediatric gastroenterologist, who will manage your care in conjunction with your primary doctor
Your child may be sent for additional studies after your initial appointment with the Pediatric Nutrition Clinic. These may include bloodwork, or imaging studies (such as X-rays). Tests may need to be performed at a later date, but will be discussed at the time of your appointment.
The hospital is located at 1200 Main St. W., Hamilton, ON, L8N 3Z5.
3E Clinic, McMaster Children's Hosital
3rd Floor, between the red and yellow section elevators
What Happens When We Arrive
When you arrive to the clinic please check in with the Business clerk at the reception desk. The Business Clerk will let the team know that you have arrived.
Staff will do their best to make sure you are seen at your appointment time. If you feel you have been waiting a long time please speak with a business clerk at the reception desk.
- Referrals can be faxed directly to the clinic as noted on the referral form
- All referrals need to be signed by a physician
- All referrals are reviewed by Dr. Pai for eligibility and appropriate triaging
- Please note that the Pediatric Nutrition Clinic does NOT have a specific referral form, but a request for the PEDIATRIC NUTRITION CLINIC should be clearly stated on the referral request
Pediatric Nutrition Clinic hours occur on Thursday mornings from 09:00-12:00pm
Changing Your Appointment
Please call the clinic if you need to change or cancel your appointment.
If the patient is ill with any antibiotic resistant organism, MRSA, a communicable disease (such as Chicken Pox), or a respiratory infection, please notify reception staff prior to your scheduled appointment.
What You Should Bring To The Clinic
- Health card, The Ministry of Health requires us to validate your Health card at every clinic visit
- Medications your child takes regularly (names and dosages)
- A 3-day record of all the foods and liquids your child consumed, by mouth, or by tube
- A 3-day record of your child’s urine and stool outputs
- Please anticipate that your visit may take up to 2 hours; bring enough food/drink and entertainment for your child to keep occupied.
The Pediatric Gastroenterologist (Dr. Nikhil Pai) will review your child’s past, and current medical history and identify issues that may be affecting your child’s nutrition. Your gastroenterologist will also liaise with your child’s primary physician (Pediatrician, and/or Family Doctor to insure continuity of care, effective communication, and to help oversee certain management plans).
The dietitian will help identify your child’s caloric intake (oral, by tube, or by IV), rate of weight gain or loss, fluid requirements, vitamin and mineral needs. She/he will help determine your child’s caloric requirements and make adjustments to your child’s feeding schedule if needed. The dietitian can also liaise with your community dietitian to ensure continuity of care and effective communication of recommendations related to feeding, intake and growth.
The nurse will help assess your child’s needs and assist with effective communication to the physician and other team members. Your nurse will also be your primary contact to the clinic between clinic appointments. You will communicate any change in status or questions to the clinic nurse. She/he will provide support to help manage your child’s health between visits. For certain conditions we follow (such as intestinal failure, or short gut syndrome), you may work directly with our advanced practice nurse practitioner.
Additional Allied Health Professionals
Depending on your child’s and family’s needs, you may also meet our clinic social worker, child life therapist, and occupational therapist. Our Pediatric Gastroenterology clinic is also closely affiliated with a wide-range of pediatric medical and surgical subspecialties within McMaster Children’s Hospital.
Our philosophy is family-centered care. We strive to provide the best care possible.