About
Dr. Alejandro Garcia-Horton, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Hamilton, ON, he serves the surrounding communities with a commitment to delivering high-quality internal medicine and geriatric care. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and effective treatment for his patients.
Dr. Garcia-Horton graduated with a Medical Degree from Universidad Nacional Autónoma de México in 2014, where he developed a strong foundation in clinical medicine. He has completed extensive postgraduate medical training, including residency and specialized certifications in Internal Medicine and Geriatrics, equipping him with comprehensive skills to manage complex adult and older adult health conditions.
His clinical philosophy emphasizes an evidence-based and informative approach, prioritizing patient-centered care. He is dedicated to improving health outcomes through thorough assessment, tailored treatment plans, and open communication. Fluent in English and Spanish, Dr. Garcia-Horton is able to serve a diverse patient population with cultural competence and sensitivity.
Dr. Garcia-Horton provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
Complex Diagnostic & Multi-System Issues
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
Dr. Garcia-Horton 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 Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
- Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
- 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.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
Note: This list represents some of the key services offered by Dr. Garcia-Horton. 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. Garcia-Horton'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. Garcia-Horton's practice is located in the Hamilton Mountain Central area, specifically serving the Inch Park and Eastmount neighborhoods of Hamilton. The location is conveniently accessible via Hamilton Street Railway (HSR), providing public transit options. The practice is situated near landmarks such as Battlefield House Museum & Park National Historic Site (Stoney Creek) and Eastgate Square. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Garcia-Horton? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Garcia-Horton 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. Garcia-Horton. 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. Alejandro Garcia-Horton 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. Garcia-Horton 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. He can provide information and facilitate these discussions.
- What is involved in a Comprehensive Geriatric Assessment (CGA)?
- A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Garcia-Horton uses this holistic approach to develop a personalized care plan.
- How long should I expect my appointment to last?
- Initial consultations with Dr. Garcia-Horton 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.
- Does Dr. Alejandro Garcia-Horton handle prescription refills?
- Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Garcia-Horton 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.
699 Concession St
Hamilton, ON L8V 5C2
Phone: (905) 387-9495 | Fax: (905) 575-6340
The facility is wheelchair accessible.
Dr. Garcia-Horton 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/GarciaHorton-Alejandro/0296461-104183