Dr. Andrew Frederick William Kochan – Internist / Geriatrician | Toronto, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Andrew Frederick William Kochan serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. His practice primarily serves adults, including older adults and seniors, ensuring they receive expert assessment and management of complex health conditions. Dr. Kochan adheres to the highest standards of medical practice as set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Kochan graduated with a Medical Degree from the University of Manitoba in 2017, Canada. He completed extensive postgraduate medical training in Internal Medicine and Geriatrics, gaining certification and clinical expertise essential for managing a broad spectrum of adult health issues. His training includes rotations in hospital-based internal medicine, outpatient clinics, and specialized geriatric assessment units, equipping him with a nuanced understanding of multi-system diseases in older populations.

His clinical philosophy is centered on delivering clear, educational, and compassionate care. Dr. Kochan is committed to engaging patients in their health decisions, providing thorough explanations, and fostering an environment of trust and understanding. He practices exclusively in English and values ongoing professional development to stay current with the latest evidence-based practices. His goal is to optimize health outcomes and improve quality of life for his patients in Toronto and surrounding communities.

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

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.

Select Infectious & Inflammatory Conditions

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

Geriatric Syndromes & Focused Elder Care

• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Dr. Kochan 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.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• 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 Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.

Note: This list represents some of the key services offered by Dr. Kochan. 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. Kochan'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. Kochan's practice is located in the Bay Street Corridor (Discovery District) neighborhood of Toronto, close to prominent landmarks such as Bay Adelaide Centre and Old City Hall. The location is easily accessible via Toronto Transit Commission (TTC) services, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Kochan 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. Kochan. 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.

What happens after the initial consultation?

After your assessment, Dr. Kochan will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Kochan may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.

What typically happens during a first consultation?

During your initial visit, Dr. Kochan 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. Kochan's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Can a family member or friend accompany me to the appointment?

Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.

123 Edward St
Toronto, ON M5G 1E2

Phone: (204) 795-0925

The facility is wheelchair accessible.

Dr. Kochan 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/Kochan-Andrew-Frederick-William/0327207-117446