Dr. Robert Mark Iwanochko – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. Robert Mark Iwanochko offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities with a commitment to providing comprehensive and compassionate care. His practice adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe and high-quality medical attention.

Dr. Iwanochko graduated with a Medical Degree from the University of Toronto in 1987.0 (Canada) and has completed extensive post-graduate medical training in both Internal Medicine and Geriatric Care. His certification and ongoing professional development reflect his dedication to staying current with medical advances and best practices in his fields of expertise.

His clinical philosophy is rooted in a clear and educational approach, emphasizing patient understanding and engagement in health management. He is committed to serving the Toronto community, speaking English fluently, and offering personalized care tailored to each patient's unique needs and circumstances.

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

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

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.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Dr. Iwanochko 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.

• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.

Note: This list represents some of the key services offered by Dr. Iwanochko. 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. Iwanochko'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. Iwanochko's practice is located in the vibrant neighborhoods of Kensington Market, Chinatown, and Grange Park in Toronto. The clinic is situated within Mount Sinai Hospital, providing easy access to hospital-based services. Patients can enjoy proximity to Polson Pier and Cherry Beach, making it convenient for leisure and medical visits. The location is well-served by public transportation, including the TTC subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Iwanochko 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. Iwanochko. 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 are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Iwanochko's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

How long should I expect my appointment to last?

Initial consultations with Dr. Iwanochko are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

What happens after the initial consultation?

After your assessment, Dr. Iwanochko will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Iwanochko may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.

Mount Sinai Hospital
Suite 928, 399 Bathurst Street, Department of Psychiatry
Toronto, ON M5T 2S8

Phone: (416) 603-5236 | Fax: (416) 603-5680

The facility is wheelchair accessible.

Dr. Iwanochko 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/Iwanochko-Robert-Mark/0044148-58126