Dr. Charles Legh Walsh – Internist / Geriatrician | Richmond, BC

Dr. Charles Legh Walsh is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Richmond, BC, he serves the surrounding communities, adhering to the highest standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). His role emphasizes a thorough and patient-centered approach to internal medicine and geriatrics, ensuring that each patient receives personalized and evidence-based care tailored to their unique health needs.

Dr. Walsh graduated with a Doctor of Medicine (MD) from the University of British Columbia in 2015.0 (Canada). He has completed relevant postgraduate training and holds certifications in Internal Medicine and Geriatric Medicine, ensuring his expertise in managing complex adult health conditions and age-related syndromes. His training includes rigorous clinical practice, ongoing professional development, and adherence to the latest clinical guidelines and standards.

His clinical philosophy is rooted in an evidence-based and informative approach, emphasizing thorough assessment, patient education, and shared decision-making. Dr. Walsh is committed to serving the Richmond community, speaking fluent English and French, and providing accessible, high-quality healthcare to promote optimal health outcomes for his patients.

Dr. Walsh 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.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Geriatric Syndromes & Focused Elder Care

• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic 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.

Dr. Walsh 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.

• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.

Note: This list represents some of the key services offered by Dr. Walsh. 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. Walsh'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 British Columbia (CPSBC).

Dr. Walsh's practice is situated in the Central Richmond (City Centre North) neighborhood of Richmond, BC. The clinic is conveniently located near the Richmond Public Library and Cultural Centre, making it easily accessible for residents. Patients can reach the location via TransLink, including the SkyTrain Canada Line and local bus services. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Walsh? Is it covered by Medical Services Plan (MSP)?

In BC, medical consultations with specialists like Dr. Walsh are typically covered by your provincial health insurance (Medical Services Plan (MSP)) 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 Medical Services Plan (MSP) 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. Walsh. 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.

What exactly does an Internist (Internal Medicine Specialist) do?

An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems (Cardiovascular Conditions, Frailty Assessment & Management), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.

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 Adrenal Gland Disorders or Complex Infections Consultation), 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 Select Rheumatologic Conditions). Your family doctor can best determine if a specialist consultation is needed.

Richmond Hospital, 7000 Westminster Hwy, Internal Medicine
Richmond, BC V6X 1A2

Phone: (604) 675-3791 | Fax: (604) 565-6885

The facility is wheelchair accessible.

Dr. Walsh is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/338991/Walsh%2CCharles