Dr. Amber Graystone

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

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).

Mental Health Concerns

• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.
• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.

Preventative Health Topics

• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Educating patients and families on routine infection prevention and control measures (e.g., hand hygiene, cough etiquette, staying home when sick). Providing guidance during community outbreaks of infectious diseases (e.g., influenza, measles, pertussis, COVID-19), including advice on testing, isolation/quarantine, and public health recommendations.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.

Common Chronic Conditions

• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Comprehensive primary care for patients with various thyroid conditions.
• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).
• Type 2 Diabetes Mellitus & Prediabetes: Helping you live well with diabetes by providing ongoing education, support for self-management behaviors, access to diabetes education programs, and strategies to prevent or delay long-term complications, empowering you to take control of your health.
• Dyslipidemia (High Cholesterol, High Triglycerides): Screening, diagnosis, and management of abnormal lipid profiles (high LDL cholesterol, low HDL cholesterol, high triglycerides) through lifestyle modifications (heart-healthy diet, physical activity, weight management) and, when indicated, prescription of lipid-lowering medications (e.g., statins, ezetimibe, fibrates, PCSK9 inhibitors) based on cardiovascular risk assessment.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

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

• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): Initial assessment and ongoing management for ADHD in children, adolescents, and adults, which may involve diagnostic screening tools, collaboration with schools/families, behavioral strategies, lifestyle coaching, medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases or co-occurring conditions.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Helping children and their families manage long-term health conditions effectively, enabling active participation in school and play.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Providing ongoing care and management for a variety of other long-term health issues such as chronic gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), chronic anemia, and more, focusing on symptom control and quality of life.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Helping patients manage their heart health long-term after cardiac events or diagnoses, focusing on secondary prevention and maintaining functional capacity.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Regular monitoring, evidence-based treatment (lifestyle modifications, medication selection and titration), and ongoing education for managing high blood pressure and dyslipidemia (high cholesterol/triglycerides) to reduce overall cardiovascular risk.

Note: This list highlights some of the key services offered by Dr. Graystone. 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 CNC Medical Group, 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. Graystone frequently works with patients towards goals such as:

• Addressing symptoms of a possible urinary tract infection (UTI) like burning pain, increased frequency, or urgency to urinate with Dr. Graystone often leads to their children developing a consistently positive attitude towards healthcare interactions and feeling remarkably comfortable, safe, and trusting during medical check-ups, immunizations, and even minor procedures with Dr. Graystone, enabling patients to more freely engage in confidently enjoying a varied, balanced, and largely unrestricted diet (unless medically indicated for very specific diagnosed conditions like celiac disease or severe allergies) without undue fear of triggering adverse reactions, pain, or significant digestive distress.
• Many seek Dr. Graystone's help for experiencing sudden flashes of light or floaters in their vision. The collaborative goal is successfully and confidently navigating the often complex, fragmented, and sometimes overwhelming healthcare system with Dr. Graystone acting as their knowledgeable guide, steadfast advocate, and central, reliable coordinator of all their medical care, allowing a return to valued activities like feeling confident enough in their stable health and physical abilities to make spontaneous, last-minute plans, embrace unexpected opportunities, or enthusiastically try new, unfamiliar activities or experiences.
• Through Dr. Graystone's guidance, patients with a persistent hoarse voice or a lump in their neck that they are concerned about often find they can achieve learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health and once again pursue regularly engaging in deeply personal spiritual practices, reflective mindfulness exercises, or formal meditation sessions that significantly contribute to their inner peace, emotional balance, stress reduction, and overall holistic well-being.
• For many individuals, feeling more anxious, worried, or on edge than usual lately, affecting their daily life can be a real barrier. Dr. Graystone's approach focuses on achieving experiencing significant and prompt relief from debilitating acute symptoms like severe pain, high fever, intractable coughs, or distressing allergic reactions, allowing a swift return to their daily activities, work, and family responsibilities, making it possible for patients to once again enjoy generously volunteering their valuable time, unique skills, and boundless energy in their local community for causes they deeply believe in, feeling consistently healthy, capable, and motivated enough to contribute meaningfully and make a real difference.

Your personalized healthcare plan, developed in discussion with Dr. Graystone, 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. Graystone practices at CNC Medical Group, located in the North Welland, Niagara College Area neighborhood of Welland. The clinic is conveniently located near Welland Public Library Main Branch and is accessible via Niagara Region Transit (NRT) / Welland Transit routes. Free patient parking is often available on-site or on nearby streets.

What should I bring with me to my appointment with Dr. Graystone?

For every appointment with Dr. Graystone, please bring your valid provincial health card (e.g., Ontario Health Insurance Plan (OHIP) card). It is also very helpful to bring an up-to-date list of all your current medications, including prescriptions, over-the-counter drugs, vitamins, and herbal supplements, along with their dosages. If you have them, any relevant medical records, recent test results (blood work, imaging reports), or letters from other doctors can be useful, especially if you are seeing Dr. Graystone for the first time or for a specific complex problem. Having a written list of your questions or concerns can also help ensure you cover everything you need to during your visit.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a ‘Find a Doctor’ tool or list on their website. In Ontario, you can also register with Health Care Connect. Asking friends, family, or colleagues for recommendations is also helpful. You can also try contacting local community health centres or new patient clinics directly. It may take time to find a doctor.

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

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

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 in Ontario if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, your local health authority website, or the College of Physicians and Surgeons of Ontario patient-doctor matching service (if available) may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver’s medicals, may not be covered and might have an associated fee. Please confirm with CNC Medical Group if you have questions about specific non-insured services or potential fees.

CNC Medical Group
65 Third Street
Welland, ON, L3B 4W6

Phone: (905) 378-4647

Dr. Amber Graystone 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: 94103

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Graystone-Amber/0265758-94103

Family doctors like Dr. Graystone 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.