Dr. Alana Martha Miller – Internist / Geriatrician | Toronto, ON

Dr. Alana Martha Miller is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, she serves the surrounding communities with a patient-centered approach that emphasizes thorough evaluation and personalized treatment plans. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in all aspects of care.

Dr. Miller graduated with her Medical Degree from the National University of Ireland in 2015. She has completed extensive post-graduate medical training, including residency in Internal Medicine and specialized training in Geriatric Medicine. Her certifications reflect her commitment to maintaining the highest levels of clinical expertise and ongoing professional development, enabling her to manage complex adult and older adult health issues effectively.

With a clear and educational approach, Dr. Miller is dedicated to improving patient outcomes through evidence-based practices and compassionate care. She speaks English fluently and is committed to serving the diverse population of Toronto, ensuring accessible and respectful healthcare for all patients.

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

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management 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

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

Management of Chronic Diseases

• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.

Dr. Miller 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.

• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.

Note: This list represents some of the key services offered by Dr. Miller. 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. Miller'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. Miller's practice is situated in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto, Ontario. The location is conveniently accessible from nearby Chinatown and Kensington Market, providing easy access for patients from various parts of the city. The clinic is well-connected via Toronto’s TTC system, including subway lines, streetcars, and bus routes, making travel straightforward. The facility is wheelchair accessible. Parking is available at the facility or nearby, with options to suit different needs.

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

In ON, medical consultations with specialists like Dr. Miller 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. Miller. 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.

How long should I expect my appointment to last?

Initial consultations with Dr. Miller are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Fever of Unknown Origin (FUO) Workup or Syncope (Fainting) Evaluation is crucial, Dr. Miller also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Falls, Mobility & Balance Disorders), and participation in meaningful activities.

550 University Ave
Toronto, ON M5G 2A2

Phone: (416) 597-3422 | Fax: (416) 597-7066

The facility is wheelchair accessible.

Dr. Miller 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/Miller-Alana-Martha/0302675-107271