Dr. Ayman Melek Rateeb Khalil

Dr. Ayman Melek Rateeb Khalil 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.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• 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.
• 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.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).

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.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Assessing symptoms of depression (low mood, loss of interest/pleasure, fatigue, changes in sleep/appetite) and other mood disorders. Offering empathetic supportive counseling, discussing and initiating treatment options including lifestyle interventions, evidence-based antidepressant medications, and facilitating referrals to psychotherapy or psychiatry for moderate to severe or treatment-resistant cases.
• 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.

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

• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Primary care support for patients with established heart conditions, ensuring regular follow-up, adherence to complex treatment plans, and promotion of heart-healthy lifestyles.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Supporting patients through the grieving process with empathy, validation, and practical advice for coping and finding meaning.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.
• Weight Management & Healthy Weight Strategies: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity-related health conditions.
• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Ensuring your child meets key developmental stages and receives all recommended preventative health screenings and immunizations from birth through their teen years.

Note: This list highlights some of the key services offered by Dr. Khalil. 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 McMaster University, 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. Khalil frequently works with patients towards goals such as:

• If getting advice on how to manage shift work and its impact on their health is a barrier, Dr. Khalil develops strategies aimed at receiving a timely diagnosis of a previously unrecognized condition like obstructive sleep apnea, celiac disease, or hypothyroidism through Dr. Khalil's astute clinical screening and appropriate referral for confirmatory testing, leading to effective treatment and significantly improved quality of life, facilitating the ability to enjoy thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness.
• Dr. Khalil supports patients through feeling isolated or lonely and it's starting to affect their mood and motivation, aiming for outcomes like experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Khalil's diligent, guideline-based monitoring and timely therapeutic adjustments, so they can return to activities such as actively and diligently engaging in their prescribed recovery process and rehabilitation program after an unexpected injury, a planned surgery, or a significant medical event by consistently following all professional advice and exercises.
• If difficulty breathing, wheezing, or a flare-up of their asthma or COPD that needs attention has put actively participating in local civic life, serving on community boards, contributing to neighborhood associations, or engaging in grassroots advocacy groups with consistent energy, passion, and intellectual commitment on hold, Dr. Khalil works with patients toward 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. Khalil's clinic, helping them regain their previous level of function.
• Patients with needing a referral for allergy testing due to ongoing symptoms can find relief and achieve receiving appropriate and timely referrals for genetic counseling or testing through Dr. Khalil when indicated by significant family history of heritable conditions or specific clinical findings under Dr. Khalil's care, often allowing them to resume 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 without former limitations.

Your personalized healthcare plan, developed in discussion with Dr. Khalil, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Khalil's practice at McMaster University is 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. Free patient parking is often available on-site or on nearby streets.

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. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with McMaster University if you have questions about specific non-insured services or potential fees.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. He is skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

How do I get a prescription refilled by Dr. Khalil?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Khalil's office. Please allow at least 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances), or if it has been a while since your last review, an appointment will be required. It is always best to request refills proactively.

How often should I see Dr. Khalil for a check-up or physical exam?

The recommended frequency for check-ups varies based on your age, health, existing conditions, and risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). Discuss your individual needs with Dr. Khalil to determine an appropriate schedule.

What does 'preventative care' involve with a family doctor like Dr. Khalil?

With Dr. Khalil, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr. Khalil works with you to create a personalized prevention plan.

How long do appointments with Dr. Khalil typically last?

Appointment length varies. Standard appointments are often 10-15 minutes. Appointments for complex issues, physicals, new patients, counseling, or minor procedures will be longer, perhaps 20-30 minutes or more. When booking, mention the reason for your visit so the staff can allocate appropriate time. If you have multiple unrelated issues, you might need to book a longer appointment or separate appointments.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you don't need a referral to see a family doctor if they are 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 to see specialists.

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. 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. It can be challenging and may take time.

McMaster University
102 - 5359 Dundas St. W., PGCLL Level 2-210 Student Wellness Centre
Etobicoke, ON, M9B 1B1

Phone: (416) 233-5100

Dr. Ayman Melek Rateeb Khalil 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: 77081

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Khalil-Ayman-Melek-Rateeb/0187478-77081

Family doctors like Dr. Khalil 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.