About
With extensive experience in Internal Medicine and Geriatric Care, Dr. David Alexander Kreaden serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. His practice is dedicated to serving adults, including seniors, by addressing complex health issues with a patient-centered approach. Dr. Kreaden adheres to the highest standards of medical practice as outlined by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that each patient receives safe, effective, and personalized care.
Dr. Kreaden graduated with a Medical Degree from the University of Toronto in 1973 and has completed extensive post-graduate medical training in internal medicine and geriatrics. His certifications include fellowships and specialized training that qualify him as an expert in managing multi-system diseases and complex geriatric syndromes. He continually updates his knowledge to stay aligned with evolving medical standards and best practices.
His clinical philosophy emphasizes clear, educational communication, aiming to empower patients through understanding their health conditions and treatment options. Dr. Kreaden is committed to serving the Toronto community, speaking fluent English, and providing compassionate, holistic care tailored to each individual's needs. He values collaborative care and works closely with patients' primary care providers to optimize health outcomes.
Dr. Kreaden provides expert care for adults with a wide range of medical conditions, including:
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
Geriatric Syndromes & Focused Elder Care
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
Management of Chronic Diseases
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
Dr. Kreaden 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.
- Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
- Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
- Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
Note: This list represents some of the key services offered by Dr. Kreaden. 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. Kreaden'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. Kreaden's practice is located in the Lawrence Manor and Lawrence Heights neighborhoods of Toronto, ON. The location is conveniently situated near the Toronto Police Headquarters and the University of Toronto's St. George Campus south edge. Patients can access the clinic easily via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Kreaden? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Kreaden 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. Kreaden. 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.
- How does a Geriatrician's role differ?
- A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, hypertension, and polypharmacy. Dr. Kreaden, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.
- Why is reviewing multiple medications (polypharmacy) important?
- As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.
- Is Dr. Kreaden affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Kreaden may have admitting privileges or provide consultation services at Toronto area hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Kreaden 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 does Dr. Kreaden communicate with my family doctor?
- Clear communication with your referring physician is a priority. Dr. Kreaden will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.
2nd Floor, 960 Lawrence Avenue West
Toronto, ON M6A 3B5
Phone: (416) 240-8616 | Fax: (416) 240-0891
The facility is wheelchair accessible.
Dr. Kreaden 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/Kreaden-David-Alexander/0021787-26576