Dr. Arthur Lewis Gelston – Internist / Geriatrician | Laval, QC

Dr. Arthur Lewis Gelston, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Laval, QC, he serves the surrounding communities. His practice is committed to providing comprehensive care in Internal Medicine and Geriatric Care, aiming to address the complex healthcare needs of adults, including seniors.

Graduating with a Medical Degree in 1982, Dr. Gelston has completed extensive post-graduate medical training, including residency and specialized certifications in Internal Medicine and Geriatrics. His education and ongoing professional development ensure he remains current with the latest clinical guidelines and best practices.

With a clear and educational approach, Dr. Gelston is dedicated to serving the Laval community with compassion and expertise. He communicates fluently in French and English, ensuring effective patient interactions. His clinical philosophy emphasizes personalized, patient-centered care, adherence to Collège des médecins du Québec (CMQ) standards, and a commitment to improving health outcomes through thorough assessment and evidence-based interventions.

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

Geriatric Syndromes & Focused Elder Care

• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.

Select Infectious & Inflammatory Conditions

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

Endocrine & Metabolic Disorders

• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.

Dr. Gelston 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.

• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• 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.

Note: This list represents some of the key services offered by Dr. Gelston. 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. Gelston'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 Collège des médecins du Québec (CMQ).

Dr. Gelston's practice is located in the Chomedey East neighborhood of Laval, within the Jewish Rehabilitation Hospital. The location offers convenient access for patients from Laval and surrounding areas. The practice is situated near Gare Sainte-Rose and is accessible via the Société de transport de Laval (STL). Patients can easily reach the facility by public transit. Parking is available at the facility, and the building is wheelchair accessible to accommodate patients with mobility needs.

How is payment handled for appointments with Dr. Gelston? Is it covered by Régie de l'assurance maladie du Québec (RAMQ)?

In QC, medical consultations with specialists like Dr. Gelston are typically covered by your provincial health insurance (Régie de l'assurance maladie du Québec (RAMQ)) 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 Régie de l'assurance maladie du Québec (RAMQ) 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. Gelston. 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 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. Gelston'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.

How long should I expect my appointment to last?

Initial consultations with Dr. Gelston are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

Jewish Rehabilitation Hospital
3205 place Alton-Goldbloom
Laval, QC H7V 1R2

Phone: (450) 688-9550

The facility is wheelchair accessible.

Dr. Gelston is a licensed physician regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. Patients are typically seen by referral from their primary care physician.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=82017