Dr. Joao Manuel Vicente Laranjeiro – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. Joao Manuel Vicente Laranjeiro offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities, providing comprehensive care in Internal Medicine and Geriatric Care. His practice adheres to the standards and guidelines set forth by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, evidence-based medical care for his patients.

Dr. Laranjeiro graduated with his Medical Degree from the University of Toronto in 1981 and has completed extensive post-graduate medical training in Internal Medicine and Geriatrics. His certifications include rigorous residencies and fellowships that emphasize clinical excellence, diagnostic acumen, and patient-centered care, making him well-equipped to address complex adult and geriatric health conditions.

With a clinical philosophy rooted in evidence-based medicine and ongoing professional development, Dr. Laranjeiro is committed to providing thorough, informative, and compassionate care. He speaks English and Portuguese fluently, facilitating effective communication with a diverse patient population. His dedication to the Toronto community reflects his focus on improving health outcomes through personalized, up-to-date medical practices.

Dr. Laranjeiro provides expert care for adults with a wide range of medical conditions, including:

Complex Diagnostic & Multi-System Issues

• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Management of Chronic Diseases

• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.

Dr. Laranjeiro manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.

Note: This list represents some of the key services offered by Dr. Laranjeiro. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Laranjeiro's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Laranjeiro's practice is located in the Christie neighbourhood of Toronto, ON. The clinic is conveniently situated near the MaRS Discovery District, easily accessible via TTC subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility, providing convenient access for patients arriving by car.

How is payment handled for appointments with Dr. Laranjeiro? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Laranjeiro are typically covered by your provincial health insurance (Ontario Health Insurance Plan (OHIP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Ontario Health Insurance Plan (OHIP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Laranjeiro. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

What is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours' notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

What should I do if I have an urgent medical problem?

Dr. Laranjeiro's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.

What exactly does an Internist (Internal Medicine Specialist) do?

An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems, handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.

Suite 205, 308-474 College Street
Toronto, ON M6G 1A4

Phone: (416) 961-1326

The facility is wheelchair accessible.

Dr. Laranjeiro is a licensed physician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Medicine Act, 1991 in ON. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Laranjeiro-Joao-Manuel-Vicente/0028956-33779