Dr. Thomas Henry Michael McDonagh

Dr. Thomas Henry Michael McDonagh provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Helping individuals navigate feelings of sadness, hopelessness, and other depressive symptoms, aiming to restore emotional well-being, daily functioning, and prevent relapse.

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.

Common Chronic Conditions

• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, thyroid antibodies) to maintain optimal thyroid function and well-being.

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. McDonagh. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Initial evaluation of the impact of work on health and vice-versa.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Supporting individuals experiencing persistent worry, panic attacks, social anxiety, low mood, loss of interest, or other mood disturbances with a patient-centered and collaborative approach.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Comprehensive primary care for patients with various thyroid conditions, including initial investigation of thyroid abnormalities and coordination with endocrinology if needed.
• Urgent Care for Non-Life-Threatening Conditions: Providing assessment and management for urgent medical issues that are not life-threatening but require prompt attention, such as minor allergic reactions, asthma flare-ups, or infections needing timely treatment.
• Osteoporosis Screening, Prevention & Management: Screening for osteoporosis based on risk factors and age, ordering bone density scans (DXA) when appropriate, and managing osteoporosis with lifestyle advice (calcium, vitamin D, weight-bearing exercise), fall prevention strategies, and prescription of bone-building medications.

Note: This list highlights some of the key services offered by Dr. McDonagh. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Thomas Henry Michael McDonagh's practice, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. McDonagh frequently works with patients towards goals such as:

• For patients where needing a prescription for preventative medication before travelling to a high-risk area for malaria is a concern, Dr. McDonagh focuses on plans that lead to having common minor injuries (like uncomplicated sprains, strains, or cuts needing sutures), acute infections (such as UTIs or skin infections), or bothersome skin conditions (like warts or acne) treated effectively, efficiently, and conveniently within the familiar setting of Dr. McDonagh's clinic, supporting their ability to actively and successfully participating in continuing education programs, challenging professional development courses, or confidently pursuing new and exciting career opportunities with sustained vigor, focus, and good health.
• Addressing a new skin rash that's itchy, spreading quickly, or looks unusual and concerning with Dr. McDonagh often leads to developing a deeply trusted, respectful, and enduring long-term therapeutic relationship with their dedicated and accessible primary care physician, Dr. McDonagh, built on open communication and mutual respect, enabling patients to more freely engage in patiently, effectively, and enjoyably helping their school-aged children or young grandchildren with challenging homework assignments, creative school projects, or extracurricular learning activities that require sustained patience, focus, and clear communication.
• Through Dr. McDonagh's guidance, patients with concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative often find they can achieve their entire family feeling much better prepared for common health emergencies or accidents after discussing age-appropriate safety plans, basic first aid, and when to seek urgent care with Dr. McDonagh and once again pursue simply and thankfully getting through each and every day without their physical or mental health being a primary, constant source of pervasive worry, nagging discomfort, significant functional limitation, or a barrier to their desired activities.
• A key objective when treating needing to get their routine immunizations updated or the annual flu shot for the whole family at Dr. McDonagh's clinic is having all their health-related questions, no matter how complex or basic, answered clearly, patiently, without jargon, and in an easily understandable way by Dr. McDonagh, fostering a strong sense of health literacy and shared understanding, supporting a comfortable return to breathing much more easily and deeply, actively participating in more physically strenuous or endurance-based activities, and effectively managing their chronic respiratory conditions (like asthma, COPD, or chronic bronchitis) with greater confidence and fewer limitations.

Your personalized healthcare plan, developed in discussion with Dr. McDonagh, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. McDonagh practices at a family medical clinic in London, situated in the Oakridge, Westmount North neighborhood. The clinic is conveniently located near Westmount Shopping Centre and is accessible via London Transit Commission (LTC). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

How do I get a prescription refilled by Dr. McDonagh?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. McDonagh's office. Please allow at least 2-3 business days for these requests to be processed. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. McDonagh, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

What exactly is a family doctor (Family Doctor) and what is their role?

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Finding a family doctor in Ontario who is accepting new patients may take time and effort. The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly.

How long do appointments with Dr. McDonagh typically last?

Typically, a regular appointment with Dr. McDonagh to discuss a specific health concern or for a follow-up lasts about 10 to 15 minutes. However, if you are a new patient, scheduled for a complete physical exam, or need to discuss multiple or complex health matters, the appointment will likely be scheduled for a longer duration, such as 30 minutes. Please inform the reception staff at the clinic about the nature of your visit when booking, so sufficient time with Dr. McDonagh can be arranged.

I have multiple health problems. How does Dr. McDonagh handle complex care?

As a family doctor, Dr. McDonagh is specifically trained to manage patients with multiple health problems (multimorbidity) and complex care needs. He will take a holistic approach, considering how your various conditions interact and how treatments for one might affect another. Dr. McDonagh will help prioritize your health concerns, coordinate care with any specialists involved, manage your medications to avoid harmful interactions (polypharmacy review), and develop a comprehensive care plan that aligns with your overall health goals and quality of life. Open communication about all your conditions and concerns is key.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

024 -279 Wharncliffe Rd N
London, ON, N6H 2C2

Phone: (519) 872-8151

Dr. Thomas Henry Michael McDonagh is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 44825

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/McDonagh-Thomas-Henry-Michael/0032845-44825

Family doctors like Dr. McDonagh are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.