Dr. Bilal Ayach – Internist / Geriatrician | Oshawa, ON

Dr. Bilal Ayach is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Oshawa, ON, he serves the surrounding communities, ensuring accessible and patient-centered care. He adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Ayach's role involves diagnosing, managing, and coordinating care for a wide range of adult health issues, particularly in older adults requiring specialized geriatric assessment and treatment.

He graduated with a Medical Degree from St. George's University School of Medicine in 2011, located in Grenada. Following his graduation, Dr. Ayach completed extensive post-graduate medical training, including internships and residencies in Internal Medicine, which provided him with a solid foundation in adult healthcare. His training emphasizes evidence-based medicine and a holistic approach to patient care, emphasizing both medical and psychosocial aspects of health.

Dr. Ayach's clinical philosophy centers on clear and educational communication, fostering a collaborative relationship with his patients and their families. He is committed to lifelong learning and staying current with advancements in Internal Medicine and Geriatric Care. Fluent in English and French, he strives to serve a diverse patient population in Oshawa and values building trust through compassion and professionalism.

Dr. Ayach 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.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.

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.

Dr. Ayach 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.

• 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.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.

Note: This list represents some of the key services offered by Dr. Ayach. 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. Ayach'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. Ayach's practice is located in Central Oshawa, in the O'Neill neighbourhood. The clinic is situated within One Care Medical Clinic, conveniently accessible to patients from surrounding areas. The location is near the Delpark Homes Centre (formerly Legends Centre) and North Oshawa Shopping Centres, making it easy for patients to access. Public transportation via Durham Region Transit (DRT) provides convenient options for those using transit services. The facility is wheelchair accessible. Parking is available at the facility.

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

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

Will Dr. Bilal Ayach replace my family doctor?

No, Dr. Ayach acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Ayach will communicate findings and recommendations back to your family doctor.

What kind of tests might Dr. Ayach order?

Depending on your specific medical situation, Dr. Ayach may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.

One Care Medical Clinic
3-475 Bond St W
Oshawa, ON L1J 2M2

Phone: (905) 447-6528 | Fax: (905) 225-6528

The facility is wheelchair accessible.

Dr. Ayach 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/Ayach-Bilal/0327037-117582