Dr. Carol Elizabeth Mills – Family Doctor | Orangeville, ON

Dr. Carol Elizabeth Mills is a Family Doctor. Practicing at Durham Regional Cancer Centre in Orangeville, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Carol Elizabeth Mills completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. She provides consultations in English.

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

Joint Muscle Pain

• 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.
• 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).
• 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).

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• 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.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Supporting your efforts to adopt and maintain healthier habits across multiple domains of life for a better quality of life, increased resilience, and proactive disease prevention through shared goal setting and ongoing support.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Primary care strategies to protect and preserve kidney health, including tight blood pressure and glycemic control, and education on kidney-friendly habits.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Diagnosing IBS based on symptom criteria after ruling out other conditions, and providing primary care management strategies including dietary advice (e.g., low FODMAP diet introduction, fiber management), lifestyle modifications, stress reduction techniques, and symptomatic treatment for abdominal pain, bloating, diarrhea, and/or constipation.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.

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

• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and monitor for complications like thyroid nodules or goiter.
• 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.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Assisting patients with necessary medical documentation for third-party requests.

Note: This list highlights some of the key services offered by Dr. Mills. 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 Durham Regional Cancer Centre, 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. Mills frequently works with patients towards goals such as:

• Patients experiencing their partner or they snoring loudly and possibly having sleep apnea often seek Dr. Mills's help to improve their quality of life. A key goal is their adolescent child receiving confidential, empathetic, respectful, and age-appropriate holistic care from Dr. Mills for sensitive health topics including sexual health, mental well-being, body image, or substance use concerns, supporting their return to activities like graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.
• If a recurring ear infection, or their child tugging at their ear and being fussy is preventing you from 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, Dr. Mills can help. The aim is to achieve obtaining clear, concise, and actionable guidance from Dr. Mills on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization through personalized family medicine care.
• Dr. Mills assists individuals in navigating experiencing heartburn or acid reflux multiple times a week. A successful outcome, like having their specific concerns about a child's unique developmental trajectory, learning style, or challenging behavior addressed by Dr. Mills with appropriate, validated screening tools, initial guidance, and highly effective, timely referrals to specialists or community programs when indicated, means they can get back to 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.
• For patients where a persistent hoarse voice or a lump in their neck that they are concerned about is a concern, Dr. Mills focuses on plans that lead to feeling fully empowered by Dr. Mills to ask pertinent and challenging questions, openly voice their preferences and values regarding treatment options, and participate actively and meaningfully as a respected partner in all their healthcare decisions, supporting their ability to actively engaging in a variety of mentally stimulating and enriching activities such as immersive reading of books and articles, solving complex puzzles, consistently learning a new practical skill online, or regularly attending engaging adult education classes with good, sustained concentration and memory recall.

Your personalized healthcare plan, developed in discussion with Dr. Mills, 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. Mills practices at Durham Regional Cancer Centre, situated in a family medical practice in the central Orangeville neighborhood of Orangeville. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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, your local health authority website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) may be helpful. 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 the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Durham Regional Cancer Centre 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. They are 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.

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

If Dr. Mills determines you need a specialist, she will discuss this with you and initiate a referral. This involves sending a referral letter and your medical information to the specialist's office. Wait times vary. Durham Regional Cancer Centre will inform you when the referral is sent; the specialist will usually contact you to schedule an appointment. Follow up with Durham Regional Cancer Centre if you haven't heard from the specialist within a reasonable timeframe, as advised by Dr. Mills.

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

Finding a family doctor in Ontario who is accepting new patients can take time. Check the College of Physicians and Surgeons of Ontario's website (it often has a 'Find a Doctor' tool). In Ontario, you can also register with Health Care Connect. Ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics.

Durham Regional Cancer Centre
1 Elizabeth Street, Department Of Medical Oncology
Orangeville, ON, L9W 7N7

Phone: (519) 938-8000

Dr. Carol Elizabeth Mills 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: 84337

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Mills-Carol-Elizabeth/0233345-84337

Family doctors like Dr. Mills 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.