Dr. Cesar Emiliano Orellana – Internist / Geriatrician | Kitchener, ON

Dr. Cesar Emiliano Orellana, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Kitchener, ON, he serves the surrounding communities with a warm and community-focused approach. He provides comprehensive care in Internal Medicine and Geriatric Care, ensuring that patients receive tailored treatment that respects their individual needs and circumstances. His practice adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), emphasizing patient safety, compassion, and collaborative care.

Dr. Orellana graduated with a Medical Degree from Ross University School of Medicine in Dominica in 2010. He has completed extensive post-graduate medical training, including residency and fellowship programs in Internal Medicine and Geriatrics. His advanced certifications and ongoing professional development reflect his commitment to staying current with the latest medical practices and innovations in adult and senior care.

With a warm and community-oriented philosophy, Dr. Orellana is dedicated to building trusting relationships with his patients. He speaks English fluently and believes in clear, respectful communication to empower his patients in managing their health. He is committed to serving the Kitchener community with kindness, expertise, and a genuine interest in improving the quality of life for his patients, especially older adults and seniors.

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

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• 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.

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.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Dr. Orellana 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.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• 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.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• 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. Orellana. 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. Orellana'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. Orellana's practice is located in the vibrant downtown area of Kitchener, within the Cedar Hill neighbourhood. The clinic is situated within the Provincial Forensic Pathology Unit, offering a dedicated space for adult medical care. The location is easily accessible via Grand River Transit (GRT), including bus services and the ION Light Rail system, making it convenient for patients traveling from various parts of the city. The practice is close to Highland Hills Mall, a major shopping hub that has undergone significant redevelopment. The facility is wheelchair accessible, and parking is available at the location for patients' convenience.

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

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

Is Dr. Orellana affiliated with a specific hospital?

Hospital privileges can vary. Dr. Orellana may have admitting privileges or provide consultation services at Kitchener-specific local hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Orellana as needed, or he might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.

How long should I expect my appointment to last?

Initial consultations with Dr. Orellana are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

What is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours' notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

What is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Orellana uses this holistic approach to develop a personalized care plan.

Provincial Forensic Pathology Unit
835 King St. West
Kitchener, ON N2G 1G3

Phone: (519) 749-4348 | Fax: (844) 239-2791

The facility is wheelchair accessible.

Dr. Orellana 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/Orellana-Cesar-Emiliano/0309578-108875