Dr. Alexandra Anne Hrabowych

Dr. Alexandra Anne Hrabowych provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).

Common Acute Conditions

• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Assessment of acute headaches to differentiate types (e.g., tension headache, migraine, cervicogenic), provide initial pain relief strategies (analgesics, NSAIDs, triptans for migraine), identify potential triggers, and rule out serious underlying causes requiring urgent investigation.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Diagnosis and management of common viral and bacterial infections affecting the nose, throat, sinuses, and larynx (e.g., common cold, influenza, acute sinusitis, strep throat, laryngitis), helping to relieve symptoms like cough, congestion, fever, and sore throat.

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

• 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.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): A comprehensive approach to ADHD care, addressing challenges in attention, hyperactivity, and impulsivity across the lifespan.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Primary care support for patients with established heart conditions, ensuring regular follow-up, adherence to complex treatment plans, and promotion of heart-healthy lifestyles.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Supporting the unique physical, emotional, and social health needs of adolescents during a critical period of development.
• Hospital Discharge Follow-Up & Transitions of Care Management: Helping you navigate your health journey effectively after a hospital discharge, ensuring all aspects of your care plan are understood, implemented, and monitored.

Note: This list highlights some of the key services offered by Dr. Hrabowych. 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 William Osler Health System, 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. Hrabowych frequently works with patients towards goals such as:

• The path to wellness when facing experiencing frequent or severe headaches or migraines that are disrupting their work and family life involves working towards benefiting from seamlessly and efficiently coordinated care, where Dr. Hrabowych actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page. She guides patients so they can again enjoy nurturing and maintaining strong, supportive, and deeply fulfilling relationships with their immediate family members, close friends, and wider social network through regular, active, and meaningful engagement.
• Addressing wanting to discuss screening for osteoporosis or how to maintain bone health with Dr. Hrabowych often leads to successfully and completely completing a course of treatment for an acute infection (like pneumonia or a significant skin infection) or a new condition under her diligent, meticulous care and important follow-up monitoring, enabling patients to more freely engage in possessing the physical stamina and mental resilience to complete a full, demanding day of sightseeing, museum visits, or participation in workshops and conferences while on vacation or during business travel.
• She assists individuals in navigating experiencing unusual fatigue and muscle aches that aren't explained by physical activity. A successful outcome, like ensuring their children, from infancy through adolescence, received the complete schedule of timely and appropriate immunizations, effectively protecting them from a wide range of preventable and potentially serious childhood diseases, means they can get back to being able to comfortably stand for reasonably extended periods when necessary, for example, while cooking intricate meals, attending a standing-room-only event, actively participating in a workshop, or waiting patiently in unavoidable queues.
• Dr. Hrabowych supports patients through concerns about thinning hair or hair loss that seems more than normal, aiming for outcomes like seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of her ongoing education, consistent encouragement, and positive role modeling, so they can return to activities such as graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.

Your personalized healthcare plan, developed in discussion with Dr. Hrabowych, 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. Hrabowych practices at William Osler Health System, situated in the Davisville North neighborhood of Toronto. The clinic is conveniently located near Kensington Market and is accessible via TTC (Subway, Streetcar, Bus). Free patient parking is often available on-site or on nearby streets.

Does Dr. Hrabowych at William Osler Health System offer virtual (video) or phone appointments?

Yes, Dr. Hrabowych at William Osler Health System offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Hrabowych if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with William Osler Health System regarding any potential fees for uninsured virtual services.

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. However, 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 William Osler Health System if you have questions about specific non-insured services or potential fees.

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

Generally, you do not need a referral 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. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see specialists.

What should I do if I have an urgent medical issue when William Osler Health System is closed?

If you have a life-threatening emergency, call 911 or go to the nearest hospital emergency department. For urgent, non-life-threatening issues, consider visiting an urgent care centre or a walk-in clinic. Some family health teams offer after-hours on-call services; check with William Osler Health System or Dr. Hrabowych during regular hours. Our clinic voicemail [(416) 485-9044] may also provide instructions or resources for after-hours care.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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

Check the website of The College of Physicians and Surgeons of Ontario. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Hrabowych?

Your first appointment will involve a review of your medical history, current health concerns, medications, and lifestyle habits. A basic physical examination may be performed. This is a chance to ask questions about Dr. Hrabowych's practice style and clinic policies.

William Osler Health System
210-2401 Yonge St, Etobicoke General Hospital
Toronto, ON, M4P 3H1

Phone: (416) 485-9044

Dr. Alexandra Anne Hrabowych 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: 103689

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Hrabowych-Alexandra-Anne/0295650-103689

Family doctors like Dr. Hrabowych 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.