Dr. Bassem S Migally

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

Mental Health Concerns

• 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.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• 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.

Preventative Health Topics

• 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): Performing comprehensive driver's medicals to ensure individuals meet the health standards necessary for safe vehicle operation, promoting road safety for all.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Weight Management & Obesity Prevention/Treatment: Supporting individuals in achieving and maintaining a healthy body weight through non-stigmatizing, patient-centered approaches that focus on sustainable lifestyle habits, improved metabolic health, and overall well-being rather than solely on rapid weight loss or restrictive dieting.

Dermatological Skin Conditions

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.

Common Chronic Conditions

• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: A supportive approach to IBS, working with patients to identify triggers and develop effective coping mechanisms.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Comprehensive primary care for patients with various thyroid conditions.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Developing personalized strategies to reduce chronic joint and muscle pain, improve mobility and function, enhance coping mechanisms, and improve overall quality of life for those living with conditions like arthritis, persistent back pain or fibromyalgia.

Common Acute Conditions

• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant 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.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Addressing symptoms such as cough, sore throat (including rapid strep testing where available), nasal congestion, facial pain/pressure, and fever associated with common URTIs.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).

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

• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.
• Osteoporosis Screening, Prevention & Management: Screening for osteoporosis based on risk factors and age, ordering bone density scans (DXA) when appropriate, and managing osteoporosis with lifestyle advice (calcium, vitamin D, weight-bearing exercise), fall prevention strategies, and prescription of bone-building medications.
• Fungal, Viral & Bacterial Skin Infections: Diagnosis and treatment of common superficial infections like tinea (ringworm, athlete's foot), candidiasis, warts (cryotherapy, topical agents), molluscum contagiosum, herpes simplex/zoster (shingles), impetigo, and folliculitis, using appropriate topical or oral antifungal, antiviral, or antibacterial medications.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: Evaluating acute abdominal pain, nausea, vomiting, diarrhea, or constipation to determine potential causes (e.g., gastroenteritis, food poisoning, appendicitis, diverticulitis), provide appropriate management for symptom relief and hydration, or facilitate urgent referral if a serious condition is suspected.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.

Note: This list highlights some of the key services offered by Dr. Migally. 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 Royal Victoria 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. Migally frequently works with patients towards goals such as:

• Managing needing a prescription for preventative medication before travelling to a high-risk area for malaria effectively is a priority for Dr. Migally. The aim is feeling confident, secure, and proactive in their health because their preventative health screening needs (e.g., for cervical, breast, colorectal, prostate, and lung cancers, as well as screening for AAA, STBBIs, or domestic violence when appropriate) are being diligently and appropriately addressed according to current, evidence-based Canadian guidelines by Dr. Migally, which helps patients get back to enjoying feeling confident enough in their stable health and physical abilities to make spontaneous, last-minute plans, embrace unexpected opportunities, or enthusiastically try new, unfamiliar activities or experiences.
• With Dr. Migally's care, managing their child having a sudden high fever, being very irritable, and not acting like themselves aims for receiving compassionate, understanding, and effective support and strategies from Dr. Migally for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, empowering patients to get back to what they love, like effectively and efficiently managing demanding professional work responsibilities, complex household tasks, and personal projects without undue physical fatigue, mental fog, or chronic pain limitations.
• If concerns about exposure to an infectious disease like measles or chickenpox is preventing you from easily and safely being able to kneel down to play on the floor with pets or young children, bend over to tie shoelaces or pick things up, or squat as needed for various daily tasks, gardening, or exercise routines without pain or instability, Dr. Migally can help. The aim is to achieve experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Migally's diligent, guideline-based monitoring and timely therapeutic adjustments through personalized family medicine care.
• Dr. Migally assists individuals in navigating needing a tetanus booster after stepping on something rusty. A successful outcome, like receiving necessary, appropriate, and well-coordinated timely referrals to highly-regarded specialists or specialized programs, leading to advanced specialized diagnosis, cutting-edge treatment, or valuable second opinions when required for complex or rare health issues, all facilitated by Dr. Migally, means they can get back to 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.

Your personalized healthcare plan, developed in discussion with Dr. Migally, 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. Migally's practice at Royal Victoria Hospital is situated in a family medical practice in the central Winchester neighborhood of Winchester. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

Preventative care provided by Dr. Migally aims to stop health issues from occurring or to catch them at an early, more manageable stage. This includes regular physical exams, vaccinations, screenings for common conditions like certain cancers or heart disease risk factors (high blood pressure, high cholesterol), and personalized advice on maintaining a healthy lifestyle through diet, physical activity, and avoiding harmful habits like smoking. It’s about being proactive with your health rather than just treating problems as they arise, and Dr. Migally can help guide you in these efforts.

Does Dr. Migally at Royal Victoria Hospital offer virtual (video) or phone appointments?

Yes, Dr. Migally at Royal Victoria 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. Migally if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Royal Victoria Hospital regarding any potential fees for uninsured virtual services.

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

The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list. 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 directly. Finding a family doctor who is accepting new patients can be challenging and may take time.

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 provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Royal Victoria Hospital if you have questions about specific non-insured services or potential fees.

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 if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Royal Victoria Hospital
566 Louise Street, Division of Hematology Simcoe Muskoka Regional Cancer Prog
Winchester, ON, K0C 2K0

Phone: (613) 774-2420

Dr. Bassem S Migally 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: 115870

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Migally-Bassem-S/0325543-115870

Family doctors like Dr. Migally 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.