Dr. Arnav Agarwal – Internist / Geriatrician | Hamilton, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Arnav Agarwal serves as a trusted medical specialist. Practicing in Hamilton, ON, he provides comprehensive care in Internal Medicine and Geriatric Care for adult patients, including older adults and seniors. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and ethical medical services.

Dr. Agarwal graduated with a Medical Degree from the University of Toronto in 2018, Canada. He has completed extensive post-graduate medical training, including residencies and fellowships in Internal Medicine and Geriatric Medicine, equipping him with the expertise to manage complex adult health issues and age-related conditions.

His clinical philosophy emphasizes a professional and evidence-based approach to patient care. Dr. Agarwal is committed to serving the Hamilton community with integrity, compassion, and a focus on personalized treatment. He primarily communicates in English, ensuring clear and effective communication with his patients.

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

Management of Chronic Diseases

• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic 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.

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.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.

Dr. Agarwal 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.

• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• 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.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.

Note: This list represents some of the key services offered by Dr. Agarwal. 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. Agarwal'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. Agarwal's practice is located in Corktown, within the Stinson neighborhood of Hamilton. The facility is situated close to downtown Dundas and is conveniently accessible via the Hamilton Street Railway (HSR). The practice is located within Mount Sinai Hospital, providing patients with access to comprehensive healthcare resources. The facility is wheelchair accessible. Parking is available at the facility.

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

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

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

Can Dr. Agarwal provide advice on healthy aging?

Yes, as part of a comprehensive assessment, Dr. Agarwal can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.

Mount Sinai Hospital
50 Charlton Ave E, Department of Internal Medicine
Hamilton, ON L8N 4A6

Phone: (905) 522-1155

The facility is wheelchair accessible.

Dr. Agarwal 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/Agarwal-Arnav/0325294-115602