Dr. Daniel Leger

Dr. Daniel Leger 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

• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Diagnosing and providing ongoing treatment for common forms of anemia to maintain energy levels and overall health.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).

Common Acute Conditions

• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Addressing symptoms such as cough, sore throat (including rapid strep testing where available), nasal congestion, facial pain/pressure, and fever associated with common URTIs.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Managing lower respiratory tract infections that cause persistent cough (productive or non-productive), chest discomfort, shortness of breath, and fever.

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.
• 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.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.

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

• Patient Education on Specific Health Conditions & Self-Management: Educational resources and discussions to help you navigate your health journey confidently and make informed decisions.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Supporting your efforts to adopt and maintain healthier habits across multiple domains for a better quality of life and disease prevention.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Providing first-line care for common minor injuries, including wound care advice, pain management strategies, and guidance on activity modification and rehabilitation.
• Stress Management, Burnout & Adjustment Disorder Support: Helping patients build resilience, develop adaptive coping mechanisms, and navigate stressful periods effectively to protect their mental and physical health.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Providing in-office joint injections to alleviate symptoms and improve function in selected musculoskeletal conditions.

Note: This list highlights some of the key services offered by Dr. Leger. 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 St. Joseph's Healthcare, 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. Leger frequently works with patients towards goals such as:

• When dealing with chronic constipation despite trying home remedies affects a patient's ability to proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations, Dr. Leger works with them to develop a plan. Success means reaching feeling much more confident and competent in managing minor common illnesses at home for themselves or their children after receiving clear, practical instructions and valuable anticipatory guidance from Dr. Leger and getting back to their valued pursuits.
• Dr. Leger's care for a really sore throat, difficulty swallowing, and a high fever that might be strep or tonsillitis is designed to result in successfully navigating the initial emotional and practical challenges of a new, unexpected serious diagnosis with Dr. Leger's consistent, empathetic support, reliable information, and proactive care coordination, so patients can resume activities such as joyfully and responsibly taking care of beloved family pets, which includes activities like daily walking, regular feeding, grooming, active playtime, and providing necessary veterinary care with confidence.
• Dr. Leger often sees patients whose their elderly relative seeming more confused or withdrawn lately limits their enjoyment of independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity. The goal of care is to achieve obtaining clear, concise, and actionable guidance from Dr. Leger on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization and restore their active lifestyle.
• Many seek Dr. Leger's help for feeling very irritable or having mood swings that are out of character. The collaborative goal is receiving compassionate, understanding, and effective support and strategies from Dr. Leger for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, allowing a return to valued activities like participating fully, actively, and joyfully in all extended family activities, special gatherings, milestone celebrations, and holiday traditions.

Your personalized healthcare plan, developed in discussion with Dr. Leger, 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. Leger practices at St. Joseph's Healthcare, situated in a family medical practice in the central Ilderton neighborhood of Ilderton. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on their website. In Ontario, you can 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. It may take time to find a doctor.

What should I do if I have an urgent medical issue when St. Joseph's Healthcare is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until St. Joseph's Healthcare reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with St. Joseph's Healthcare or Dr. Leger during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(519) 666-1610] may also provide instructions or resources for after-hours care.

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 St. Joseph's Healthcare if you have questions about specific non-insured services or potential fees.

How long do appointments with Dr. Leger typically last?

Typically, a regular appointment with Dr. Leger to discuss a specific health concern or for a follow-up lasts about 10 to 15 minutes. However, if you are a new patient, scheduled for a complete physical exam, or need to discuss multiple or complex health matters, the appointment will likely be scheduled for a longer duration, such as 30 minutes. Please inform the reception staff at St. Joseph's Healthcare about the nature of your visit when booking, so sufficient time with Dr. Leger can be arranged.

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 in Ontario 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, 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.

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

Yes, Dr. Leger 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 needed. He can provide ongoing support and management for many common mental health conditions.

What if Dr. Leger works in a Family Health Team or group practice? Will I always see Dr. Leger?

Dr. Leger practices as part of St. Joseph's Healthcare, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr. Leger, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr. Leger for complex or ongoing issues where that continuity is most crucial.

St. Joseph's Healthcare
36 Heritage Drive
Ilderton, ON, N0M 2A0

Phone: (519) 666-1610

Dr. Daniel Leger 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: 84539

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Leger-Daniel/0233360-84539

Family doctors like Dr. Leger 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.