Dr. Andrea Michelle Fiume – Pediatrician | Maple, ON

Dr. Andrea Michelle Fiume is a dedicated Pediatrician committed to providing comprehensive and compassionate healthcare for infants, children, and adolescents. Practicing at Division of Palliative Care in Maple, ON, she is an integral part of the local pediatric healthcare community. She adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO) to ensure safe and effective care. Her focus encompasses preventive care, well-child check-ups, immunizations, and the management of common childhood illnesses, all aimed at promoting healthy growth and development from infancy through adolescence. The practice environment is thoughtfully designed to be welcoming and child-friendly, fostering a trusting relationship between Dr. Fiume and her young patients and their families.

Dr. Fiume graduated with a Medical Degree from the University of Toronto in Canada. She has accumulated over 8 years of experience as a Pediatrician since beginning her practice in 2016. She is recognized as a RCPSC Specialist by the College of Physicians and Surgeons of Ontario (CPSO), reflecting her specialized training and commitment to excellence in pediatric care. Her professional credentials and ongoing dedication ensure that her patients receive the highest standards of medical attention in a supportive environment.

Guided by a philosophy rooted in family-centered care and evidence-based medicine, Dr. Fiume is committed to collaborating closely with parents, caregivers, and other healthcare professionals. She emphasizes preventive health, early intervention, and holistic approaches to meet each child's unique needs. She provides care exclusively in English and is dedicated to supporting the health and well-being of her young patients in Maple, offering compassionate, thorough, and personalized pediatric services.

Dr. Andrea Fiume provides care for a wide range of childhood conditions, including:

Common General Pediatric Conditions

• Asthma (Mild to Moderate): A chronic lung condition causing airway inflammation and narrowing, leading to wheezing and breathing difficulties.
• Upper Respiratory Infections (Colds, Flu, Sinusitis): Frequent viral or bacterial infections affecting the nose, throat, and sinuses in children.
• Minor Injuries (Cuts, Bruises, Sprains): Common physical injuries that occur during childhood play and activities.

Developmental & Behavioral Conditions

• Learning Disabilities (e.g., Dyslexia, Dyscalculia): Challenges in specific academic areas despite normal intelligence.
• Sleep Disorders in Children (Behavioral & Mild): Difficulties with initiating or maintaining sleep, or other sleep-related problems often managed with behavioral strategies.
• Speech & Language Delays: Difficulties in understanding or using spoken language appropriate for a child's age.

Adolescent Health Concerns

• Eating Disorders (Anorexia Nervosa, Bulimia Nervosa - initial assessment & coordination): Serious conditions related to persistent eating behaviors that negatively impact health, emotions and ability to function.
• Adolescent Depression & Anxiety: Mental health challenges that can emerge or intensify during teenage years.
• Substance Use Issues (Screening & Brief Intervention): Addressing concerns related to alcohol, tobacco, or drug use in adolescents.

This list provides examples and is not exhaustive. For personalized advice, please discuss your child's specific situation with Dr. Andrea Fiume.

• Comprehensive Well-Child Visits (Infancy through Adolescence): Regular check-ups to monitor growth, development, nutrition, and overall health, including physical exams and age-appropriate guidance.
• Management of Chronic Pediatric Conditions: Ongoing care and coordination for children with long-term health issues like asthma, allergies, eczema, diabetes, and ADHD.
• Developmental Screening & Surveillance: Assessing developmental milestones (motor, language, social, cognitive) and identifying potential delays for early intervention.
• Mental Health Screening & Initial Support: Basic screening for common pediatric mental health concerns (e.g., anxiety, depression) and providing initial support or referrals as needed.
• Diagnosis & Management of Acute Childhood Illnesses: Evaluation and treatment for common illnesses such as colds, flu, ear infections, sore throats, rashes, and gastrointestinal issues.
• Newborn Care & Examinations: Initial health assessments for newborns in hospital or clinic settings, including feeding support and parental guidance.
• Routine Immunizations & Vaccinations: Administering vaccines according to provincial immunization schedules to protect children from preventable diseases.

Note: This list provides a general overview of services offered in Pediatrics (Comprehensive care for infants, children, and adolescents). Care plans are highly individualized to meet each child's specific health needs. Please discuss with Dr. Fiume or your healthcare team for details relevant to your child's care.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant pediatric care guidelines. Contact the clinic regarding new patient intake and referral processes.

The practice is situated within the Division of Palliative Care in Maple, ON, an area near central Maple known for its welcoming community atmosphere. The clinic is conveniently accessible via local public transit, making it easy for families to reach. The facility is wheelchair accessible and aims to be welcoming to children and families, providing a comfortable environment for young patients. Parking is available at or near the facility, ensuring ease of access for visitors. The practice's location is complemented by nearby points of interest, making it a convenient choice for families seeking quality pediatric care in a friendly setting.

Are pediatric services with Dr. Fiume covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations, well-child visits, immunizations, and treatment for illnesses provided by a licensed Pediatrician like Dr. Fiume are generally covered by Ontario Health Insurance Plan (OHIP) in ON. Some specialized tests, procedures, or medications prescribed by a subspecialist may require pre-authorization or might have specific coverage criteria. It's always a good idea to confirm coverage details with Ontario Health Insurance Plan (OHIP) or Dr. Fiume's office, especially for subspecialty care.

Do I need a referral to see Dr. Fiume, a Pediatrician?

For a general Pediatrician, you may be able to book an appointment directly for your child, particularly if Dr. Fiume is accepting new patients or for newborn care. However, if Dr. Fiume is a pediatric subspecialist (e.g., a Pediatric Cardiologist or Developmental Pediatrician), a referral from your child's family doctor or a general pediatrician is usually required for services to be covered by Ontario Health Insurance Plan (OHIP). It's best to check with Dr. Fiume's clinic directly regarding their new patient and referral policies. you may be able to book an appointment directly, especially if the practice is accepting new patients, or for newborn care.

What can I expect during my child's first visit or a well-child visit with a Pediatrician?

During your child's first visit or a routine well-child check-up with Dr. Fiume, She will conduct a thorough physical examination, measure your child's growth (height, weight, head circumference for infants), and discuss developmental milestones. She will also review immunization records, talk about nutrition, sleep, safety, and behavior appropriate for your child's age. This is an excellent opportunity for you to ask any questions you have about your child's health or development. These visits are key to preventive care and building a strong relationship with your child's doctor.

How often should my child see a Pediatrician for well-child visits?

Well-child visits are scheduled regularly from birth through adolescence. In the first year, visits are frequent (e.g., shortly after birth, then at 2, 4, 6, 9, and 12 months). After that, they typically occur at 15, 18, 24 months, and then annually from age 3 onwards, or as per provincial guidelines. Dr. Fiume will provide a recommended schedule for your child. These visits are important for tracking growth, development, providing immunizations, and addressing any concerns early.

What immunizations will my child receive from Dr. Fiume?

Dr. Fiume follows the recommended provincial immunization schedule for ON. This schedule outlines the vaccines your child should receive at different ages to protect them from serious preventable diseases like measles, mumps, rubella, polio, diphtheria, tetanus, pertussis (whooping cough), chickenpox, hepatitis B, influenza, rotavirus, pneumococcal, and meningococcal diseases. She will discuss the specific vaccines due at each visit and answer any questions you may have about them.

How should I manage my child's fever before contacting Dr. Fiume?

A fever is often a sign that the body is fighting an infection. If your child has a fever but is otherwise comfortable and playful, a specific number on the thermometer isn't always the most important factor. You can help them feel more comfortable by offering fluids, dressing them in light clothing, and ensuring they get rest. Acetaminophen or ibuprofen (if appropriate for age and no contraindications) can be used to reduce fever and discomfort; always follow dosing instructions. Contact Dr. Fiume's office if your child is under 3 months with any fever, has a very high fever, a fever lasting more than a few days, or if the fever is accompanied by other concerning symptoms like lethargy, rash, difficulty breathing, or signs of dehydration.

Division of Palliative Care
9401 Jane St, UHN Princess Margaret Cancer Centre Department of Supportive Care
Maple, ON L6A 4H7

Phone: (905) 553-3155 | Fax: (905) 553-8120

The facility is wheelchair accessible and aims to be welcoming to children and families.

Dr. Fiume is a licensed Pediatrician regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. Dr. Fiume may accept new patients directly for general pediatric care or via referral, depending on clinic policy. Please contact the clinic for information on new patient registration and any referral requirements for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Fiume-Andrea-Michelle/0280682-98173