Dr. Ma Christina Javier Ledesma-Cadhit

Dr. Ma Christina Javier Ledesma-Cadhit provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• 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.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Educating patients and families on routine infection prevention and control measures (e.g., hand hygiene, cough etiquette, staying home when sick). Providing guidance during community outbreaks of infectious diseases (e.g., influenza, measles, pertussis, COVID-19), including advice on testing, isolation/quarantine, and public health recommendations.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.

Adult Common Health Issues

• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.

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

• Care for Minor Injuries & Acute Musculoskeletal Complaints: Providing first-line care for common minor injuries, including wound care advice, pain management strategies, and guidance on activity modification and rehabilitation.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Supporting families by addressing developmental and behavioral questions with empathy, offering practical advice, and facilitating access to necessary assessments and support services.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Evaluating common benign skin growths (skin tags, seborrheic keratoses, cherry angiomas, dermatofibromas). Performing skin biopsies (punch, shave, excisional) of suspicious lesions to rule out skin cancer, or offering in-office removal of benign lesions for cosmetic reasons or if causing irritation.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.
• Eating Disorder Screening & Referral Coordination: A sensitive and proactive approach to identifying potential eating disorders and connecting individuals with appropriate, specialized care.

Note: This list highlights some of the key services offered by Dr. Ledesma-Cadhit. 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 Childrens Hospital of Eastern Ontario, 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. Ledesma-Cadhit frequently works with patients towards goals such as:

• For those challenged by experiencing panic attacks and wanting to find ways to manage them, Dr. Ledesma-Cadhit offers strategies to reach experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Ledesma-Cadhit's diligent, guideline-based monitoring and timely therapeutic adjustments, which can mean rediscovering the joy of consistently driving safely, alertly, and comfortably for all necessary daily errands, regular commuting to work or school, or for longer leisure trips and family visits, without physical strain or cognitive impairment.
• A key objective when treating their child has a foreign object stuck in their nose or ear (and it seems minor enough for the clinic) at Dr. Ledesma-Cadhit's clinic is seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr. Ledesma-Cadhit's ongoing education, consistent encouragement, and positive role modeling, supporting a comfortable return to feeling profoundly secure, deeply supported, and well-understood in having a trusted, accessible, and long-term medical advisor and health partner in Dr. Ledesma-Cadhit for any and all health questions, new symptoms, or emerging concerns that arise throughout their lives.
• Many patients have successfully addressed a new skin rash that's itchy, spreading quickly, or looks unusual and concerning with Dr. Ledesma-Cadhit's support. This often leads to their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Ledesma-Cadhit and the ability to fully participate in consistently maintaining good, ergonomic posture and avoiding musculoskeletal discomfort while working for extended periods at a computer station, office desk, or in other sedentary job roles once more.
• With Dr. Ledesma-Cadhit's care, managing a sudden, unexplained weakness or numbness on one side of their body – they know this could be urgent aims for finding effective, practical, and often simple solutions for common but persistently bothersome issues like recurrent allergies, chronic skin rashes, or disruptive digestive upset, expertly guided by Dr. Ledesma-Cadhit, empowering patients to get back to what they love, like regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation.

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

Dr. Ledesma-Cadhit practices at Childrens Hospital of Eastern Ontario, situated in the Woodbine Heights neighborhood of Toronto. The clinic is conveniently located near University Settlement Recreation Centre and is accessible via TTC (Subway, Streetcar, Bus). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

Generally, you don't need a referral to see a family doctor in Ontario if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, your local health authority website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) can help. A referral from a family doctor is usually required to see specialists.

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

To find a family doctor in Ontario accepting new patients, check the College of Physicians and Surgeons of Ontario website (they often have a "Find a Doctor" tool). In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time and effort.

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. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

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 OHIP for eligible Ontario residents with a valid health card. However, some services (like cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have a fee. Confirm with Childrens Hospital of Eastern Ontario if you have questions about specific services or fees.

I have multiple health problems. How does Dr. Ledesma-Cadhit handle complex care?

Dr. Ledesma-Cadhit is well-equipped to manage complex care. She understands how different conditions and treatments interact, helps navigate the healthcare system, and ensures all aspects of your health are considered. She'll work with you and other specialists for comprehensive management.

Childrens Hospital of Eastern Ontario
2163 Danforth Avenue, Department of Paediatrics
Toronto, ON, M4C 1K2

Phone: (416) 691-3030

Dr. Ma Christina Javier Ledesma-Cadhit 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: 76531

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/LedesmaCadhit-Ma-Christina-Javier/0184607-76531

Family doctors like Dr. Ledesma-Cadhit 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.