Dr. Ariella Chana Pratzer – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. Ariella Chana Pratzer offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, she serves the surrounding communities with a commitment to providing comprehensive and patient-centered care. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that all services meet provincial regulatory requirements.

Dr. Pratzer graduated with a Medical Degree from Northwestern University in the United States in 2016. She has completed extensive post-graduate medical training, including residency and specialized certifications in Internal Medicine and Geriatric Care. Her training emphasizes a thorough understanding of complex adult health conditions and the unique needs of older adults.

With a professional and clinical approach, Dr. Pratzer is dedicated to serving the Toronto community. She speaks English fluently and is committed to delivering compassionate, evidence-based care tailored to each patient’s individual health goals and values.

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

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Endocrine & Metabolic Disorders

• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Dr. Pratzer 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.

• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• 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.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.

Note: This list represents some of the key services offered by Dr. Pratzer. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Pratzer'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. Pratzer's practice is located in Dorset Park within Wexford Heights, in the Scarborough area of Toronto. Her office is situated within Glen Hill Medical, conveniently accessible to patients in the Toronto metropolitan region. The practice is in close proximity to the Financial District and Royal Alexandra Theatre, making it accessible for patients attending appointments from downtown Toronto. Patients can reach the clinic via 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. Pratzer? Is it covered by Ontario Health Insurance Plan (OHIP)?

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

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Osteoporosis & Metabolic Bone Disease or Thyroid Disorders), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Calcium and Parathyroid Disorders). Your family doctor can best determine if a specialist consultation is needed.

What typically happens during a first consultation?

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

Does Dr. Ariella Chana Pratzer 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. Pratzer 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. She can provide information and facilitate these discussions.

Glen Hill Medical
3050 Lawrence Avenue East
Toronto, ON M1P 2V5

Phone: (416) 438-2911

The facility is wheelchair accessible.

Dr. Pratzer 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/Pratzer-Ariella-Chana/0325853-115363