Dr. Allan Nestor Kostyniuk – Internist / Geriatrician | Victoria, BC

Dr. Allan Nestor Kostyniuk is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Victoria, BC, he serves the surrounding communities. His practice adheres to the high standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring safe and ethical care for all patients. Dr. Kostyniuk specializes in managing a broad spectrum of medical issues prevalent among adults, especially seniors, aiming to improve health outcomes and quality of life.

He graduated with a Doctor of Medicine (MD) degree from the University of Calgary in 2014. Dr. Kostyniuk has completed relevant postgraduate training and certifications in Internal Medicine and Geriatric Medicine, equipping him with the expertise to address complex medical conditions in adult and elderly populations. His training emphasizes evidence-based approaches and patient-centered care, ensuring that each individual receives tailored treatment plans.

Dr. Kostyniuk’s clinical philosophy centers on providing clear, educational communication and fostering collaborative decision-making. He is committed to serving the Victoria community with compassion and professionalism. He speaks fluent English and values ongoing education to stay current with advancements in internal medicine and geriatric care, aiming to deliver the highest standard of healthcare to his patients.

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

Complex Diagnostic & Multi-System Issues

• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Management of Chronic Diseases

• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• 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.

Dr. Kostyniuk 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.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.

Note: This list represents some of the key services offered by Dr. Kostyniuk. 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. Kostyniuk'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 British Columbia (CPSBC).

Dr. Kostyniuk's practice is located in the vibrant Quadra Village area within the Topaz Park neighborhood of Victoria. The location is conveniently close to the Royal BC Museum, making it accessible for patients from various parts of the city. Patients can easily reach the clinic via the Victoria Regional Transit System (BC Transit). The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility, providing convenient options for those arriving by car.

How is payment handled for appointments with Dr. Kostyniuk? Is it covered by Medical Services Plan (MSP)?

In BC, medical consultations with specialists like Dr. Kostyniuk are typically covered by your provincial health insurance (Medical Services Plan (MSP)) 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 Medical Services Plan (MSP) 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. Kostyniuk. 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 is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

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 Chronic Respiratory Diseases or Diabetes Mellitus (Type 1 & 2)), 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 (Delirium Prevention & Management). Your family doctor can best determine if a specialist consultation is needed.

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

While diagnosing and managing diseases like Management of Select Rheumatologic Conditions or Polypharmacy & Medication Optimization is crucial, Dr. Kostyniuk 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 (Evaluation of Undifferentiated Symptoms), and participation in meaningful activities.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss (Cognitive Impairment & Dementia Syndromes), and polypharmacy (multiple medications). Dr. Kostyniuk, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.

3939 Quadra St, Unit 202, Victoria Internal Medicine Consultants
Victoria, BC V8X 1J5

Phone: (250) 800-9833 | Fax: (778) 600-1999

The facility is wheelchair accessible.

Dr. Kostyniuk is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/342578/Kostyniuk%2CAllan