Dr. Antoinette Faiz Fakhoury Mikhail – Family Doctor | Etobicoke, ON

Dr. Antoinette Faiz Fakhoury Mikhail is a Family Doctor. Practicing at a family doctor practice in Etobicoke, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine.

Dr. Mikhail's focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors. Dr. Antoinette Faiz Fakhoury Mikhail completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. She is fluent in English and also offers consultations in Arabic.

Dr. Antoinette Faiz Fakhoury Mikhail 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

• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• 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.

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.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.

Mental Health Concerns

• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• 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.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.

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

• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.
• Acne Vulgaris & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid), oral antibiotics (if indicated), and lifestyle/skincare advice. Referral to dermatology for severe or recalcitrant cases.
• Patient Education on Specific Health Conditions & Self-Management: Educational resources and discussions to help you navigate your health journey confidently and make informed decisions.
• Stress Management, Burnout & Adjustment Disorder Support: Offering guidance, psychoeducation, and practical coping strategies for managing acute and chronic life stressors, workplace burnout, or adjustment difficulties related to significant life changes.
• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Comprehensive, age-appropriate check-ups for newborns, infants, children, and adolescents, focusing on monitoring physical growth, developmental milestones (gross motor, fine motor, language, social-emotional), nutrition, vision/hearing screening, and providing anticipatory guidance to parents/caregivers on safety, behavior, and healthy habits.

Note: This list highlights some of the key services offered by Dr. Mikhail. 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 Dr. Antoinette Faiz Fakhoury Mikhail's practice, 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. Mikhail frequently works with patients towards goals such as:

• For those challenged by needing support to cope with a new diagnosis of a chronic illness for themself/themselves or a family member, Dr. Mikhail offers strategies to reach receiving a clear, understandable, and timely diagnosis for their persistent health concern, finally bringing peace of mind and a concrete path forward for treatment or management under Dr. Mikhail's care, which can mean rediscovering the joy of effectively and efficiently managing demanding professional work responsibilities, complex household tasks, and personal projects without undue physical fatigue, mental fog, or chronic pain limitations.
• The path to wellness when facing a lingering chesty cough with phlegm that's making them worried about bronchitis involves working towards managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Mikhail's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition. Dr. Mikhail guides patients so they can again enjoy patiently and effectively teaching their children or grandchildren important life skills, sharing enjoyable intergenerational activities, or simply offering wise guidance and loving support as they grow.
• When their teenager needing a confidential space to discuss sensitive health concerns like sexual health or mental well-being impacts daily life, Dr. Mikhail helps patients strive for their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Mikhail, making activities such as feeling notably resilient and physically capable enough to bounce back relatively quickly and completely from minor common illnesses, temporary setbacks, or periods of increased stress without prolonged disruption to their normal life possible again.

Your personalized healthcare plan, developed in discussion with Dr. Mikhail, 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. Mikhail's practice is located at a family medical clinic in Etobicoke, situated in a family medical practice in the central Etobicoke neighborhood of Etobicoke. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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. She manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care she provides, 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 the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario 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 health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have a fee. Please confirm with our clinic if you have questions about specific services or fees.

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

Check the College of Physicians and Surgeons of Ontario website; they often have a 'Find a Doctor' tool. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time.

56 Westmore Drive , Etobicoke
Etobicoke, ON, M9V 3Z7

Phone: (416) 748-5656

Dr. Antoinette Faiz Fakhoury Mikhail 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: 102583

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Mikhail-Antoinette-Faiz-Fakhoury/0293681-102583

Family doctors like Dr. Mikhail 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.