Dr. Diliana Ivaylova MacLean

Dr. Diliana Ivaylova MacLean 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

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.

Joint Muscle Pain

• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: A first point of contact for work-related or activity-induced repetitive strain injuries, guiding effective conservative management, facilitating return to function, and providing documentation for workplace accommodations if necessary. Referral to specialists (e.g., sports medicine, orthopedics, physiatry) if symptoms are persistent, severe, or require further investigation/intervention.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• 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).

Common Acute Conditions

• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Addressing common symptoms of UTIs and providing effective, evidence-based treatment to eradicate the infection and restore urinary health.
• 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.
• 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.

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

• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common travel-related illnesses.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Providing personalized, evidence-based advice and developing actionable plans for healthy eating, regular physical activity, optimal sleep hygiene, and effective stress management techniques to promote overall health, prevent chronic diseases, and enhance well-being.
• Primary Care for Overuse & Repetitive Strain Injuries: Diagnosing and managing conditions resulting from repetitive stress or overuse, such as tendinopathies (e.g., tennis elbow, golfer's elbow, Achilles tendinopathy), plantar fasciitis, and carpal tunnel syndrome (initial management).
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Support and treatment for chronic lung diseases, including referrals for pulmonary rehabilitation and specialist care when indicated.

Note: This list highlights some of the key services offered by Dr. MacLean. 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. Diliana Ivaylova MacLean'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. MacLean frequently works with patients towards goals such as:

• For many individuals, a persistent feeling of bloating, abdominal discomfort, or noticeable changes in their bowel habits (constipation or diarrhea) can be a real barrier. Dr. MacLean's approach focuses on achieving markedly avoiding unnecessary, costly, or potentially risky specialist visits, diagnostic tests, or hospitalizations due to the proactive, thorough, and guideline-concordant primary care provided by Dr. MacLean, making it possible for patients to once again enjoy meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr. MacLean, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation.
• Dr. MacLean supports patients through wishing to discuss advance care planning, making a living will, or appointing a healthcare proxy, aiming for outcomes like having their children's physical growth parameters, crucial cognitive and language development, and social-emotional well-being consistently and meticulously monitored by Dr. MacLean during regular well-child visits, with any emerging concerns or developmental deviations addressed promptly, appropriately, and effectively, so they can return to activities such as making consistently informed, conscious, and positive decisions about their daily diet, overall nutrition, optimal hydration, and mindful eating habits for sustained energy and peak physical health.
• If difficulty breathing, wheezing, or a flare-up of their asthma or COPD that needs attention is preventing you from fully enjoying intimate moments and maintaining healthy, satisfying sexual relationships without the intrusion of physical pain, health-related anxiety, medication side effects, or concerns about performance, Dr. MacLean can help. The aim is to achieve receiving appropriate and timely referrals for genetic counseling or testing through Dr. MacLean when indicated by significant family history of heritable conditions or specific clinical findings through personalized family medicine care.
• Dr. MacLean assists individuals in navigating experiencing panic attacks and wanting to find ways to manage them. A successful outcome, like receiving compassionate, understanding, and effective support and strategies from Dr. MacLean for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, means they can get back to confidently travelling domestically for weekend getaways or internationally for extended explorations with greater assurance in their health, stamina, and ability to manage new foods, climates, and environments successfully.

Your personalized healthcare plan, developed in discussion with Dr. MacLean, 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. MacLean practices at a family medical clinic in Brampton, situated in the Sandringham-Wellington, Heart Lake West neighborhood of Brampton. The clinic is conveniently located near Century Gardens Recreation Centre and is accessible via Brampton Transit (including Züm BRT). Street parking and nearby public or paid lots typically offer convenient options for visitors.

What if Dr. MacLean works in a Family Health Team or group practice? Will I always see Dr. MacLean?

Dr. MacLean practices as part of a team-based practice, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr. MacLean, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr. MacLean for complex or ongoing issues where that continuity is most crucial.

What should I do if I have an urgent medical issue when the clinic is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until our clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with our clinic or Dr. MacLean during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(905) 813-3850] may also provide instructions or resources for after-hours care.

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

The College of Physicians and Surgeons of ON 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. Contacting local community health centres or new patient clinics directly may also be helpful. Finding a family doctor who is accepting new patients can be challenging and may take time.

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. She 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 she provides, 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 the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, 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 non-insured services or potential fees.

What happens if Dr. MacLean determines I need to see a medical specialist?

As your family doctor, Dr. MacLean acts as your primary care coordinator. If she believes your condition requires specialized assessment or treatment, she will explain why a specialist consultation is necessary and will arrange the referral. Dr. MacLean will send your pertinent medical details to the specialist. The specialist's office will then typically contact you to book the appointment. It's important to keep our clinic informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr. MacLean can continue to coordinate your overall care effectively.

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

Generally, you do not need a referral from another doctor to see a family doctor if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources (like Health Care Connect in Ontario, a local health authority website, or the provincial College of Physicians and Surgeons patient-doctor matching service, if available) may be helpful. A referral is usually required from a family doctor to see most medical specialists.

2100 Bovaird Drive East
Brampton, ON, L6R 3J7

Phone: (905) 813-3850

Dr. Diliana Ivaylova MacLean 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: 115196

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/MacLean-Diliana-Ivaylova/0324758-115196

Family doctors like Dr. MacLean 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.