Dr. Bram Noah Rochwerg – Internist / Geriatrician | Hamilton, ON

Dr. Bram Noah Rochwerg, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Hamilton, ON, he serves the surrounding communities with a commitment to providing comprehensive and patient-centered care. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in every aspect of his medical services.

Dr. Rochwerg graduated with a Medical Degree from the University of Ottawa in 2009 and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Care. He holds key certifications and has undergone rigorous residency programs, equipping him with the expertise to manage complex adult and geriatric health conditions effectively.

His clinical philosophy emphasizes clear, educational communication and individualized treatment plans. Committed to the Hamilton community, Dr. Rochwerg speaks English fluently and strives to ensure each patient understands their health status and management options, fostering informed decision-making and optimal health outcomes.

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

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

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.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.

Management of Chronic Diseases

• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• 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.

Dr. Rochwerg 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.

• 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.
• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.

Note: This list represents some of the key services offered by Dr. Rochwerg. 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. Rochwerg'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. Rochwerg's practice is located in the Hamilton Mountain Central area, specifically within the Inch Park and Eastmount neighbourhoods of Hamilton. The clinic is conveniently situated near the Hamilton Mountain Shopping Area, making it easily accessible for residents in the region. It is situated within the premises of London Children's Hospital, providing a comprehensive healthcare environment. Patients can access the clinic via Hamilton Street Railway (HSR), with nearby bus stops and transit options. The facility is wheelchair accessible. Parking is available at the facility.

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

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

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Thyroid Disorders or Fever of Unknown Origin (FUO) Workup), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Management of Patients with Multiple Comorbidities). Your family doctor can best determine if a specialist consultation is needed.

Does Dr. Bram Noah Rochwerg discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Rochwerg encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Adrenal Gland Disorders or Nutritional Assessment & Weight Loss is crucial, Dr. Rochwerg also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Syncope (Fainting) Evaluation), and participation in meaningful activities.

London Children's Hospital
711 Concession St, Hamilton, ON, Div of Paediatric Gastroenterology London Health Sciences Centre
Hamilton, ON L8V 1C3

Phone: (905) 521-2100

The facility is wheelchair accessible.

Dr. Rochwerg 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/Rochwerg-Bram-Noah/0257729-91001