Dr. Caterina Mastrogiacomo

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

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• 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.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.

Pediatric Common Issues

• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including education on inhaler/spacer technique, trigger avoidance, development of personalized asthma action plans for home and school), eczema (atopic dermatitis - focusing on skincare, emollients, topical corticosteroids/calcineurin inhibitors, trigger management), and allergic rhinitis (hay fever). Includes initial assessment and guidance for food allergies, with referral to pediatric allergists for confirmation and comprehensive management if indicated.

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

• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Regular monitoring, evidence-based treatment (lifestyle modifications, medication selection and titration), and ongoing education for managing high blood pressure and dyslipidemia (high cholesterol/triglycerides) to reduce overall cardiovascular risk.
• Diagnosis & Management of Common Acute Childhood Illnesses: Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, school-aged children, and teenagers, including appropriate antibiotic stewardship.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Support and treatment for chronic lung diseases, including referrals for pulmonary rehabilitation and specialist care when indicated.
• 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.

Note: This list highlights some of the key services offered by Dr. Mastrogiacomo. 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 Grand River 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. Mastrogiacomo frequently works with patients towards goals such as:

• Dr. Mastrogiacomo frequently helps patients who are dealing with wanting to understand if their family history of cancer means they need earlier or different screening tests. The primary aim is achieving feeling substantially more in control of their personal health journey, demonstrably better equipped to make informed health decisions for themselves and their family, and genuinely optimistic about their future health prospects due to the guidance and partnership with Dr. Mastrogiacomo, which often allows them to confidently resume consistently being a reliable, present, actively contributing, and supportive member of their immediate family unit, extended family network, and valued social circles, fulfilling important roles and responsibilities.
• The focus for patients with joint pain in their knees, hips, or hands that's been getting worse and making movement difficult at Dr. Mastrogiacomo's practice is achieving learning effective, personalized, and evidence-based strategies for managing chronic daily stress, significantly improving their sleep quality and duration, or coping more adaptively and resiliently with life's inevitable challenges and adversities, with tools provided by Dr. Mastrogiacomo, facilitating a return to meaningful activities like feeling physically strong, mentally resilient, and emotionally capable of consistently handling the often unpredictable and demanding day-to-day responsibilities of active parenting, grand-parenting, or intensive caregiving roles.
• With Dr. Mastrogiacomo's care, managing concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative aims for their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from Dr. Mastrogiacomo, empowering patients to get back to what they love, like safely, confidently, and comfortably lifting and carrying their growing young children, active grandchildren, or even multiple bags of groceries and other moderately heavy household items without undue strain or risk of injury.
• When feeling isolated or lonely and it's starting to affect their mood and motivation affects a patient's ability to regularly and enthusiastically participating in various group fitness classes such as engaging yoga sessions, lively Zumba workouts, intense spin classes, or calming Pilates routines, all at their own pace, comfort level, and for their specific health benefits, Dr. Mastrogiacomo works with them to develop a plan. Success means reaching feeling genuinely and consistently supported by Dr. Mastrogiacomo during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member and getting back to their valued pursuits.

Your personalized healthcare plan, developed in discussion with Dr. Mastrogiacomo, 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. Mastrogiacomo practices at Grand River Hospital, located in the Dorset Park, Wexford Heights, Scarborough Town Centre neighborhood of Toronto. The clinic is conveniently located near Yonge-Dundas Square and is accessible via TTC (Subway, Streetcar, Bus). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Grand River Hospital if you have questions about specific non-insured services or potential fees.

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 on their website. In Ontario, you can also 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 accepting new patients can be challenging and may take time.

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.

How long do appointments with Dr. Mastrogiacomo typically last?

Appointment times with Dr. Mastrogiacomo vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr. Mastrogiacomo will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at Grand River Hospital to ensure enough time is set aside with Dr. Mastrogiacomo to address your concerns thoroughly.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Mastrogiacomo?

Your first appointment with Dr. Mastrogiacomo is an important opportunity to establish care. She will likely review your detailed medical history, including past illnesses, surgeries, allergies, immunizations, and family health history. She will also want to discuss your current health concerns, any medications you are taking (prescription, over-the-counter, supplements), and your lifestyle habits (diet, exercise, smoking, alcohol use). A basic physical examination may be performed. This visit is also a chance for you to ask questions about Dr. Mastrogiacomo's practice style and for her to explain clinic policies (e.g., booking appointments, prescription refills, communication). The main goal is to gather comprehensive baseline information to provide you with the best possible ongoing care.

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 they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect in Ontario, or the College of Physicians and Surgeons of Ontario website, may be helpful. A referral is usually required from a family doctor to see most medical specialists.

How do I get a prescription refilled by Dr. Mastrogiacomo?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Mastrogiacomo's office. Please allow at least 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Mastrogiacomo, an appointment will be required. It is always best to request refills proactively.

Grand River Hospital
3000 Lawrence Avenue East
Toronto, ON, M1P 2V1

Phone: (416) 658-5228

Dr. Caterina Mastrogiacomo 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: 59714

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Mastrogiacomo-Caterina/0045736-59714

Family doctors like Dr. Mastrogiacomo 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.