About
As a skilled Internist / Geriatrician, Dr. Amirudin Akbarali Mohamedali Mewa offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities with a focus on providing comprehensive care in Internal Medicine and Geriatric Care. Dr. Mewa adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe, ethical, and evidence-based medical practice. He specializes in addressing complex health conditions affecting adults, including older adults and seniors, with a commitment to improving quality of life and functional independence.
Dr. Mewa graduated with his Medical Degree from the University of Saskatchewan College of Medicine in 1976, Canada. He has completed extensive post-graduate medical training, including residency and fellowships in Internal Medicine and Geriatrics, affording him a broad expertise in managing multi-system and age-related health issues. His training emphasizes a thorough, patient-centered approach grounded in current medical evidence and best practices.
Guided by an evidence-based and informative philosophy, Dr. Mewa is dedicated to delivering personalized care that respects patient values and clinical best practices. He is committed to serving the Toronto community, speaking both English and Gujarati, to ensure effective communication and culturally sensitive care. His clinical focus is on providing clarity, thorough assessments, and tailored management plans aimed at optimizing health outcomes for his patients.
Dr. Mewa provides expert care for adults with a wide range of medical conditions, including:
Select Infectious & Inflammatory Conditions
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
Geriatric Syndromes & Focused Elder Care
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
Complex Diagnostic & Multi-System Issues
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
Dr. Mewa 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.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- 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.
- Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
- 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.
Note: This list represents some of the key services offered by Dr. Mewa. 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. Mewa'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. Mewa's practice is situated in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto, within proximity to Guelph General Hospital. The location provides convenient access for patients from the downtown core, including the Bay Adelaide Centre and the Financial District. The facility is easily accessible via TTC, including subway, streetcar, and bus routes. The practice is located within a modern healthcare facility that is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Mewa? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Mewa 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. Mewa. 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 kind of tests might Dr. Amirudin Akbarali Mohamedali Mewa order?
- Depending on your specific medical situation, Dr. Mewa may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.
- How does Dr. Mewa communicate with my family doctor?
- Clear communication with your referring physician is a priority. Dr. Mewa 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.
- Does Dr. Mewa 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. Mewa 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 should I bring to my first appointment?
- Please bring:
- Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
- The referral letter if you have it.
- A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
- A list of your past medical history, surgeries, and known allergies.
- Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
- A list of your specific questions or concerns for Dr. Mewa.
Guelph General Hospital
790 Bay Street, Fracture Clinic
Toronto, ON M5G 1N8
Phone: (416) 964-9214 | Fax: (416) 964-6847
The facility is wheelchair accessible.
Dr. Mewa 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/Mewa-Amirudin-Akbarali-Mohamedali/0028199-33022