Dr. Jacob Romy Alex – Internist / Geriatrician | Etobicoke, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Jacob Romy Alex serves as a trusted medical specialist. Practicing in Etobicoke, ON, he serves the surrounding communities with a focus on providing comprehensive care in Internal Medicine and Geriatric Care. His practice is committed to adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, ethical, and evidence-based medical services.

Dr. Alex graduated with a Medical Degree from St. George's University School of Medicine in Grenada. He has completed extensive post-graduate medical training, including residency and fellowship programs in Internal Medicine and Geriatric Medicine, equipping him with specialized skills to address complex adult health conditions and age-related syndromes.

His clinical philosophy emphasizes clear and educational communication, empowering patients and their families with understanding of their health conditions and management options. He is dedicated to serving the residents of Etobicoke and speaks English fluently, ensuring effective and compassionate care for his diverse patient population.

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

Geriatric Syndromes & Focused Elder Care

• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.

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.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Endocrine & Metabolic Disorders

• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• 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.

Dr. Alex 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.

• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.

Note: This list represents some of the key services offered by Dr. Alex. 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. Alex'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. Alex's practice is located in the central Etobicoke neighborhood of Etobicoke, within easy reach of local points of interest such as the Etobicoke Civic Centre and the nearby parks. The clinic is accessible via multiple public transit options, including buses and subway stations. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Alex 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. Alex. 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 happens after the initial consultation?

After your assessment, Dr. Alex 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. Alex 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.

How does Dr. Jacob Romy Alex communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. Alex will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Polypharmacy & Medication Optimization or Chronic Liver Disease), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Perioperative Medical Optimization). Your family doctor can best determine if a specialist consultation is needed.

Oakville Trafalgar Memorial Hospita
100 Humber College Blvd
Etobicoke, ON M9V 5G4

Phone: (416) 741-1042 | Fax: (877) 872-4511

The facility is wheelchair accessible.

Dr. Alex 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/Alex-Jacob-Romy/0336875-137909