Dr. Dan Shilensky

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

Preventative Health Topics

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Performing comprehensive driver's medicals to ensure individuals meet the health standards necessary for safe vehicle operation, promoting road safety for all.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.
• Travel Medicine Advice & Routine/Travel Vaccinations: Offering essential travel health services and tailored advice to protect your health while abroad, based on current international health regulations, CDC/WHO recommendations, and your specific travel plans.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.

Pediatric Common Issues

• 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.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• 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.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.

Common Acute Conditions

• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Managing various acute dermatological conditions with appropriate topical or oral medications (antibiotics, antifungals, corticosteroids, antihistamines) to alleviate itching, redness, pain, swelling, and discomfort.

Mental Health Concerns

• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.

Joint Muscle Pain

• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.
• 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).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.

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

• Driver's Medical Examinations & Other Third-Party Medical Reports: Conducting medical examinations and completing forms required for driver's licenses (commercial, age-related), insurance purposes, employment, school, disability applications, or travel (fees typically apply for non-insured services).
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Offering compassionate support, active listening, and initial counseling for individuals experiencing grief due to the loss of loved ones, significant life transitions, or other forms of bereavement.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Supporting the unique physical, emotional, and social health needs of adolescents during a critical period of development.
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Providing ongoing care for individuals with asthma or COPD to optimize symptom control, reduce frequency of flare-ups, and improve exercise tolerance and quality of life.
• Management of Common Adult Acute & Chronic Illnesses: Expert management of prevalent adult health concerns to support optimal health, function, and quality of life.

Note: This list highlights some of the key services offered by Dr. Shilensky. 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 Dr. Dan Shilensky's practice, 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. Shilensky frequently works with patients towards goals such as:

• Dr. Shilensky often sees patients whose their child having a sudden high fever, being very irritable, and not acting like themselves limits their enjoyment of actively and diligently engaging in their prescribed recovery process and rehabilitation program after an unexpected injury, a planned surgery, or a significant medical event by consistently following all professional advice and exercises. The goal of care is to achieve feeling substantially more hopeful and less overwhelmed about managing a difficult or life-altering health condition after comprehensive consultations and collaborative care planning with Dr. Shilensky and restore their active lifestyle.
• Dr. Shilensky supports patients through needing a tetanus booster after stepping on something rusty, aiming for outcomes like gaining a much clearer and personalized understanding of their individual health risks (e.g., cardiovascular disease based on Framingham score, inherited cancer predispositions, osteoporosis risk) and practical, actionable, evidence-based steps they can realistically take to mitigate these risks effectively, so they can return to activities such as fully enjoying intimate moments and maintaining healthy, satisfying sexual relationships without the intrusion of physical pain, health-related anxiety, medication side effects, or concerns about performance.
• When getting a comprehensive skin check for new or changing spots, especially with a history of significant sun exposure or family history of skin cancer impacts daily life, Dr. Shilensky helps patients strive for having their advance care plans and end-of-life wishes thoughtfully discussed, respectfully explored, and accurately documented with Dr. Shilensky well in advance, ensuring their future autonomy and dignity are preserved, making activities such as consistently maintaining a regular, enjoyable, and suitably challenging active lifestyle through various forms of exercise, preferred team or individual sports, invigorating outdoor adventures, or mindful movement practices like yoga or tai chi possible again.
• If their teenager needing a confidential space to discuss sensitive health concerns like sexual health or mental well-being is a barrier, Dr. Shilensky develops strategies aimed at obtaining clear, concise, and actionable guidance from Dr. Shilensky on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization, facilitating the ability to enjoy nurturing and maintaining strong, supportive, and deeply fulfilling relationships with their immediate family members, close friends, and wider social network through regular, active, and meaningful engagement.

Your personalized healthcare plan, developed in discussion with Dr. Shilensky, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Shilensky practices at a family medical clinic in Toronto, situated in the South Steeles, Silverstone, Humbergate, Jamestown neighborhood of Toronto. The clinic is conveniently located near Toronto Police HQ and is accessible via TTC (Subway, Streetcar, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

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. Shilensky's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Shilensky. 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. Shilensky, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. Finding a family doctor who is accepting new patients can be challenging and may take time.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral from another doctor to see a family doctor if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

An initial 'meet and greet' or new patient visit with Dr. Shilensky usually involves a thorough discussion about your health. Be prepared to talk about your personal and family medical history, current medications and dosages, any ongoing health issues, and your overall lifestyle. Dr. Shilensky will want to understand your health needs and what you expect from your family doctor. Some doctors may perform a physical exam during this first visit, or it might be scheduled for a subsequent appointment. This initial consultation is key to building a therapeutic patient-doctor relationship.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

Can Dr. Shilensky help with mental health concerns like anxiety or depression?

Yes, Dr. Shilensky plays a crucial role in mental healthcare. He is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. He can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services if more intensive care is needed. He can provide ongoing support and management for many common mental health conditions.

What does 'preventative care' involve with a family doctor like Dr. Shilensky?

With Dr. Shilensky, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr. Shilensky works with you to create a personalized prevention plan.

101 Humber College Boulevard
Toronto, ON, M9V 1R8

Phone: (416) 747-3400

Dr. Dan Shilensky 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: 103673

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Shilensky-Dan/0295825-103673

Family doctors like Dr. Shilensky 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.