Dr. Alecsa Susan Pearl Mackinnon Blair – Internist / Geriatrician | Toronto, ON

Dr. Alecsa Susan Pearl Mackinnon Blair 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. Her practice is located within the CN Tower area, in the Railway Lands neighborhood of Toronto, near King and Spadina. She provides care within Kingston General Hospital facilities, offering accessible services to her patients. The practice is wheelchair accessible. Parking is available at the facility.

Dr. Blair graduated with a Medical Degree from the University of Limerick School of Medicine in Ireland in 2017. She has completed extensive post-graduate medical training, including residencies and certifications in Internal Medicine and Geriatric Care, ensuring her expertise meets the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). She maintains a commitment to continuous education and evidence-based practice to deliver the highest quality of care.

Her clinical philosophy is centered on Evidence-Based and Informative care, focusing on the individual needs of her patients. She is dedicated to serving the Toronto community, communicating fluently in English, and ensuring her patients receive personalized, respectful, and effective medical attention tailored to their unique health circumstances.

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

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.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

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.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.

Dr. Blair 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 Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.

Note: This list represents some of the key services offered by Dr. Blair. 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. Blair'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. Blair's practice is situated in the vibrant downtown Toronto area, within the CN Tower complex, in the Railway Lands neighborhood near King and Spadina. She provides care at facilities within Kingston General Hospital, offering convenient access for her patients. The location is highly accessible via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Metered street parking is available nearby.

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

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

Does Dr. Alecsa Susan Pearl Mackinnon Blair handle prescription refills?

Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Blair will make initial recommendations or adjustments, but routine refills are best handled by your family doctor who manages your overall care, unless specific arrangements are made for certain specialized medications.

Does Dr. Blair discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Blair encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. She can provide information and facilitate these discussions.

How does Dr. Blair communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. Blair 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.

Kingston General Hospital
3050 Lawrence Ave E, Department of General Surgery
Toronto, ON M5V 0P3

Phone: (647) 568-7522 | Fax: (855) 228-6603

The facility is wheelchair accessible.

Dr. Blair 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/Mackinnon-Blair-Alecsa-Susan-Pearl/0318564-113237