Dr. Vanessa Srivana Rambihar – Family Doctor | Toronto, ON

Dr. Vanessa Srivana Rambihar is a Family Doctor. Practicing at Extendicare Guildwood - LTC in Toronto, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Vanessa Srivana Rambihar completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. She provides consultations in English.

Dr. Vanessa Srivana Rambihar provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Pediatric Common Issues

• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).

Common Acute Conditions

• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Diagnosis and management of common viral and bacterial infections affecting the nose, throat, sinuses, and larynx (e.g., common cold, influenza, acute sinusitis, strep throat, laryngitis), helping to relieve symptoms like cough, congestion, fever, and sore throat.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Managing lower respiratory tract infections that cause persistent cough (productive or non-productive), chest discomfort, shortness of breath, and fever.

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• 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).
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.
• 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.
• 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.

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.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Ongoing management of chronic GERD (acid reflux) and PUD, including lifestyle modifications (diet, weight, smoking cessation), prescription of acid-suppressing medications (PPIs, H2 blockers), H. pylori testing and eradication, and monitoring for complications or need for endoscopy.

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

• 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.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Monitoring kidney function (e.g., eGFR, urine ACR), managing risk factors (especially diabetes and hypertension that can worsen CKD), medication review to avoid nephrotoxic drugs, and coordinating care for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Performing objective medical assessments for various administrative or regulatory requirements.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Diagnosing and providing primary care management for common musculoskeletal issues such as osteoarthritis, mechanical low back pain, neck pain, rotator cuff tendinopathy, bursitis, and other non-specific joint or muscle pain.
• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.

Note: This list highlights some of the key services offered by Dr. Rambihar. 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 Extendicare Guildwood - LTC, 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. Rambihar frequently works with patients towards goals such as:

• Patients experiencing wanting to discuss fertility concerns or get initial advice before trying to conceive often seek Dr. Rambihar's help to improve their quality of life. A key goal is feeling deeply understood, consistently validated, and never dismissed by Dr. Rambihar when discussing sensitive, personal, or emotionally difficult health topics or life circumstances, supporting their return to activities like spontaneously making and eagerly keeping enjoyable plans with a wide circle of friends for various social outings such as dinners out, casual coffee chats, shared recreational activities, or weekend excursions.
• When their child has a foreign object stuck in their nose or ear (and it seems minor enough for the clinic) affects a patient's ability to proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina, Dr. Rambihar works with them to develop a plan. Success means reaching having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. Rambihar and getting back to their valued pursuits.
• It's rewarding for Dr. Rambihar to see patients with concerns about their blood pressure readings being a bit high at the pharmacy machine, or cholesterol levels from a recent screening achieve successfully managing their multiple (often complex) medications with significantly fewer side effects, demonstrably better adherence to the prescribed regimen, and a much clearer understanding of each medication's specific purpose, benefits, and potential interactions, thanks to Dr. Rambihar's careful oversight and return to important activities like wholeheartedly enjoying a diverse range of seasonal outdoor activities such as cross-country skiing or snowshoeing in winter, beachcombing or lake swimming in summer, vibrant apple picking or leaf-peeping hikes in autumn, and early spring gardening.
• Dr. Rambihar's care for needing a doctor's note for work or school due to a recent illness or injury is designed to result in 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. Rambihar, so patients can resume activities such as actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr. Rambihar, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans with confidence.

Your personalized healthcare plan, developed in discussion with Dr. Rambihar, 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. Rambihar practices at Extendicare Guildwood - LTC, situated in the University of Toronto, Harbord neighborhood of Toronto. The clinic is conveniently located near Spadina House and is accessible via TTC (Subway, Streetcar, Bus). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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 provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Extendicare Guildwood - LTC if you have questions about specific non-insured services or potential fees.

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

Managing multiple health conditions is a core part of what Dr. Rambihar does. She will work with you to understand the full picture of your health, help manage various chronic diseases simultaneously, ensure your medications are optimized, and coordinate with different specialists to ensure your care is not fragmented. The goal is to provide integrated and patient-centered care that addresses all your needs effectively.

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. A referral is usually required from a family doctor to see most medical specialists.

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

You can check the website of the College of Physicians and Surgeons of Ontario, which often has a 'Find a Doctor' tool. 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. Finding a family doctor may take time.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Extendicare Guildwood - LTC
76 Grenville Street
Toronto, ON, M5S 1B2

Phone: (416) 323-6400

Dr. Vanessa Srivana Rambihar 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: 98146

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Rambihar-Vanessa-Srivana/0281155-98146

Family doctors like Dr. Rambihar 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.