Dr. Caroline Hart Graham – Internist / Geriatrician | Toronto, ON

Dr. Caroline Hart Graham, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, she serves the surrounding communities with a commitment to delivering high-quality, patient-centered healthcare. Her practice is located within the Rainy River Health Centre, situated in the vibrant neighborhoods of Bathurst Manor, Wilson Heights, and Downsview North. The facility is conveniently accessible via TTC services, including subway, streetcar, and bus routes. Parking is available at the facility, ensuring ease of access for patients. The practice adheres strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO) to ensure safe and ethical medical practice.

Dr. Graham graduated with a Medical Degree from the University of Toronto in 1989 and has completed extensive postgraduate medical training in Internal Medicine and Geriatric Care. Her certifications include board certification in Internal Medicine and additional fellowship training in Geriatrics, equipping her with the expertise to manage complex health issues in older adults. She maintains a commitment to continuous professional development to stay current with evolving medical standards and evidence-based practices.

Her clinical philosophy emphasizes evidence-based and informative care, ensuring that each patient receives tailored treatment plans grounded in the latest medical research. Dr. Graham is dedicated to serving the diverse needs of adults, including seniors, with compassion and professionalism. She is fluent in English and French, facilitating effective communication with a broad patient demographic.

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

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.

Endocrine & Metabolic Disorders

• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Dr. Graham 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.

• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.

Note: This list represents some of the key services offered by Dr. Graham. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Graham'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. Graham's practice is situated in the vibrant neighborhoods of Bathurst Manor, Wilson Heights, and Downsview North in Toronto. It is located within the Rainy River Health Centre, conveniently close to Chinatown Centre. Patients can access the clinic via TTC subway, streetcar, and bus routes. Parking is available at the facility, ensuring ease of access for patients. The practice is fully wheelchair accessible, prioritizing patient comfort and mobility. The surrounding area offers metered street parking and paid parking options nearby, providing flexible options for visitors.

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

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

Can Dr. Caroline Hart Graham provide advice on healthy aging?

Yes, as part of a comprehensive assessment, Dr. Graham can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.

Rainy River Health Centre
3910 Bathurst Street, PO Box 278 Rainy River Site-Riverside Health C
Toronto, ON M3H 5Z3

Phone: (416) 638-6107 | Fax: (416) 638-9484

The facility is wheelchair accessible.

Dr. Graham 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/Graham-Caroline-Hart/0046980-60958