Dr. Maeve Patricia Gamble – Internist / Geriatrician | Arva, ON

Dr. Maeve Patricia Gamble is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Arva, ON, she serves the surrounding communities, offering personalized and evidence-based treatment. Her practice operates within the standards and ethical guidelines set forth by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality care tailored to each patient's needs.

Dr. Gamble graduated with a Medical Degree from the National University of Ireland in 2012. She has completed extensive post-graduate medical training, including specialized residency programs in Internal Medicine and Geriatrics, along with relevant certifications to enhance her expertise in managing complex adult and older adult health conditions.

Her clinical philosophy emphasizes clear, educational communication and patient-centered care. She is committed to serving the community of Arva and the surrounding areas, speaking fluent English. Dr. Gamble aims to empower her patients through education and collaborative decision-making to achieve optimal health outcomes.

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

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

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

Select Infectious & Inflammatory Conditions

• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Dr. Gamble 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.

• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.

Note: This list represents some of the key services offered by Dr. Gamble. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Gamble'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. Gamble's practice is situated near the central Arva neighborhood of Arva, within the CF Health Svcs C(O) CDU1 facility. The location is conveniently accessible from nearby points of interest and is served by local public transit routes. The practice is designed to be accessible for all patients, with the facility being wheelchair accessible. Parking is available at the facility, with ample space for visitors.

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

In ON, medical consultations with specialists like Dr. Gamble 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. Gamble. 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 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 (Fever of Unknown Origin (FUO) Workup, Perioperative Medical Optimization), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

Will Dr. Gamble replace my family doctor?

No, Dr. Gamble acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Gamble will communicate findings and recommendations back to your family doctor.

Can a family member or friend accompany me to the appointment?

Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.

CF Health Svcs C(O) CDU1
14351 Medway Road
Arva, ON N0M 1C0

Phone: (519) 645-8555 | Fax: (519) 679-3531

The facility is wheelchair accessible.

Dr. Gamble 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/Gamble-Maeve-Patricia/0281298-98522