Dr. Andreu Fernandez Codina – Internist / Geriatrician | London, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Andreu Fernandez Codina serves as a trusted medical specialist. Practicing in London, ON, he provides comprehensive care in Internal Medicine and Geriatric Care, focusing on adult patients, including seniors. His practice is committed to delivering high-quality healthcare aligned with the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Codina’s approach emphasizes thorough assessment, personalized treatment plans, and patient education to optimize health outcomes.

Dr. Codina graduated with a Medical Degree from Universidad Autonoma De Barcelona in 2010, Spain. He has completed extensive post-graduate medical training, including residency and specialized fellowships in Internal Medicine and Geriatrics, ensuring a broad and deep clinical expertise. His certifications reflect dedication to continuous professional development and adherence to the highest standards of medical practice.

He believes in a clear and educational approach to patient care, fostering open communication and shared decision-making. Fluent in Catalan, English, and Spanish, Dr. Codina is able to serve a diverse patient population in London and surrounding communities. His commitment to the health and well-being of his patients is complemented by his involvement in community health initiatives and ongoing professional education.

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

Complex Diagnostic & Multi-System Issues

• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Geriatric Syndromes & Focused Elder Care

• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Dr. Codina 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.

• 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.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.

Note: This list represents some of the key services offered by Dr. Codina. 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. Codina'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. Codina's practice is located in Downtown London, in the North London East neighborhood of London, Ontario. The location is conveniently situated near North London Athletic Fields, making it accessible for patients in the surrounding communities. It is well-served by the London Transit Commission (LTC), allowing for easy public transit access. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Codina? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Codina 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. Codina. 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 involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Codina uses this holistic approach to develop a personalized care plan.

What typically happens during a first consultation?

During your initial visit, Dr. Codina will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss Dr. Codina's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Is Dr. Codina affiliated with a specific hospital?

Hospital privileges can vary. Dr. Codina may have admitting privileges or provide consultation services at London hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Codina as needed, or he might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.

What are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Codina's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

Unit 106, 800 Commissioners Rd E
London, ON N6A 5W9

Phone: (519) 685-8500 | Fax: (519) 668-7979

The facility is wheelchair accessible.

Dr. Codina 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/Fernandez-Codina-Andreu/0308909-108686