Dr. Ashleigh Erin Higgs

Dr. Ashleigh Erin Higgs provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Preventative Health Topics

• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Primary care support for general occupational health questions, routine employment-related medical screenings, and facilitating a safe return to work after illness or injury.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.

Common Acute Conditions

• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Diagnosis and treatment for a wide range of common acute skin issues including cellulitis (mild, uncomplicated), fungal infections (e.g., athlete's foot, ringworm, candidiasis), allergic rashes (e.g., hives, contact dermatitis), impetigo, shingles (herpes zoster), insect bites/stings with significant local reactions, and minor superficial burns.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.

Mental Health Concerns

• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• 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).

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

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

• Urgent Care for Non-Life-Threatening Conditions: Offering same-day or next-day appointments where possible for acute health problems.
• Eating Disorder Screening & Referral Coordination: A sensitive and proactive approach to identifying potential eating disorders and connecting individuals with appropriate, specialized care.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Supporting individuals experiencing persistent worry, panic attacks, social anxiety, low mood, loss of interest, or other mood disturbances with a patient-centered and collaborative approach.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Confidential screening for common STBBIs (e.g., chlamydia, gonorrhea, syphilis, HIV, Hepatitis B/C) based on risk factors and guidelines. Includes counseling on prevention, safe practices, partner notification if applicable, and providing treatment for common STIs.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Expert assessment and management of everyday acute illnesses affecting respiratory, urinary, skin, and other systems to help you recover quickly and prevent complications.

Note: This list highlights some of the key services offered by Dr. Higgs. 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 Joseph Brant Hospital, 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. Higgs frequently works with patients towards goals such as:

• Dr. Higgs frequently helps patients who are dealing with having trouble falling asleep most nights, or waking up frequently and feeling exhausted. The primary aim is achieving their teenager demonstrating a smoother and more confident transition into managing their own health responsibilities and navigating the adult healthcare system, thanks to ongoing guidance and mentorship from Dr. Higgs, which often allows them to confidently resume joyfully and responsibly taking care of beloved family pets, which includes activities like daily walking, regular feeding, grooming, active playtime, and providing necessary veterinary care.
• A key objective when treating wanting to learn more about the shingles vaccine or other adult immunizations they might need at Dr. Higgs's clinic is having common minor injuries (like uncomplicated sprains, strains, or cuts needing sutures), acute infections (such as UTIs or skin infections), or bothersome skin conditions (like warts or acne) treated effectively, efficiently, and conveniently within the familiar setting of Dr. Higgs's clinic, supporting a comfortable return to feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations.
• With Dr. Higgs's care, managing experiencing unexplained bruising more easily than before aims for obtaining clear, concise, and actionable guidance from Dr. Higgs on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization, empowering patients to get back to what they love, like regularly engaging in deeply personal spiritual practices, reflective mindfulness exercises, or formal meditation sessions that significantly contribute to their inner peace, emotional balance, stress reduction, and overall holistic well-being.
• Through Dr. Higgs's guidance, patients with a persistent metallic taste in their mouth or other unusual sensory changes often find they can achieve markedly avoiding unnecessary, costly, or potentially risky specialist visits, diagnostic tests, or hospitalizations due to the proactive, thorough, and guideline-concordant primary care provided by Dr. Higgs and once again pursue boldly taking on new, exciting challenges or ambitious, multi-stage projects either at work or in their personal life with a strong sense of self-efficacy, physical capability, and mental preparedness.

Your personalized healthcare plan, developed in discussion with Dr. Higgs, 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. Higgs practices at Joseph Brant Hospital, situated in a well-regarded family medical practice in Toronto's Toronto neighborhood. The clinic is conveniently located near Royal Alexandra Theatre and is accessible via TTC (Subway, Streetcar, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Higgs?

Your first appointment with Dr. Higgs is an important opportunity to establish care. She will likely review your detailed medical history, including past illnesses, surgeries, allergies, immunizations, and family health history. she will also want to discuss your current health concerns, any medications you are taking (prescription, over-the-counter, supplements), and your lifestyle habits (diet, exercise, smoking, alcohol use). A basic physical examination may be performed. This visit is also a chance for you to ask questions about Dr. Higgs's practice style and for her to explain clinic policies (e.g., booking appointments, prescription refills, communication). The main goal is to gather comprehensive baseline information to provide you with the best possible ongoing care.

Does Dr. Higgs at Joseph Brant Hospital offer virtual (video) or phone appointments?

Yes, Dr. Higgs at Joseph Brant Hospital offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Higgs if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Joseph Brant Hospital regarding any potential fees for uninsured virtual services.

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.

What happens if Dr. Higgs determines I need to see a medical specialist?

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr. Higgs. After assessing your condition, if Dr. Higgs believes specialist care is necessary for diagnosis or management, she will discuss this with you and make the appropriate referral. Our office will handle sending the required information to the specialist. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can sometimes be long, so Dr. Higgs will continue to manage your care and provide support in the interim.

What should I bring with me to my appointment with Dr. Higgs?

Always bring your health card to your appointment with Dr. Higgs. A complete list of all medications you're currently taking (prescription, non-prescription, natural health products) is crucial for Dr. Higgs to review. For new patients, any past medical records or a health summary you can provide are beneficial. If you're diabetic, bringing your blood sugar log and meter can be helpful. Preparing a list of your symptoms or questions in advance can also make your appointment more productive and ensure all your concerns are addressed.

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 in your search. A referral from a family doctor is usually required 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 OHIP for eligible residents with a valid health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and may have an associated fee. Please confirm with Joseph Brant Hospital if you have questions about specific services or potential fees.

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

You can check the College of Physicians and Surgeons of Ontario website, which often has a 'Find a Doctor' tool. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics. Finding a family doctor may take time.

Joseph Brant Hospital
4600 Highway 7 West, Emergency Department
Toronto, ON, L4L 4Y7

Phone: (905) 856-3330

Dr. Ashleigh Erin Higgs 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: 100348

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Higgs-Ashleigh-Erin/0288975-100348

Family doctors like Dr. Higgs 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.