Dr. David Matthew Kirsh

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

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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.

Common Acute Conditions

• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Addressing common symptoms of UTIs and providing effective, evidence-based treatment to eradicate the infection and restore urinary health.
• 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.
• 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.

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

• Diagnosis & Management of Common Acute Childhood Illnesses: Diagnosing and treating frequent acute illnesses in children and adolescents, such as ear infections (otitis media), streptococcal pharyngitis (strep throat), common colds, influenza, croup, bronchiolitis, roseola, hand-foot-mouth disease, gastroenteritis, and uncomplicated urinary tract infections.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Initial evaluation of the impact of work on health and vice-versa.
• Acne Vulgaris & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity and skin type.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Assessing and treating acute conditions like common colds, influenza (flu), sore throats (including strep throat), ear infections (otitis media), sinus infections, bronchitis, uncomplicated pneumonia, urinary tract infections (UTIs), skin infections (e.g., cellulitis, impetigo), and gastroenteritis.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Offering targeted injections as part of a comprehensive management plan for certain types of joint pain.

Note: This list highlights some of the key services offered by Dr. Kirsh. 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 Ontario Diagnostic Centres, 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. Kirsh frequently works with patients towards goals such as:

• Many patients have successfully addressed their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary with Dr. Kirsh's support. This often leads to seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr. Kirsh's ongoing education, consistent encouragement, and positive role modeling and the ability to fully participate in effortlessly keeping up actively and playfully with their energetic young children, adventurous grandchildren, or even active pets, without getting easily winded, overly sore, or needing to sit out frequently once more.
• When feeling more anxious, worried, or on edge than usual lately, affecting their daily life impacts daily life, Dr. Kirsh helps patients strive for learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health, making activities such as effectively managing their personal or household finances, diligently paying bills on time, and competently handling other essential administrative or organizational tasks with sustained mental clarity and focus possible again.
• Patients experiencing a tick bite and concerns about Lyme disease, especially after hiking often seek Dr. Kirsh's help to improve their quality of life. A key goal is 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. Kirsh, supporting their return to activities like being able to comfortably stand for reasonably extended periods when necessary, for example, while cooking intricate meals, attending a standing-room-only event, actively participating in a workshop, or waiting patiently in unavoidable queues.
• With Dr. Kirsh's care, managing concerns about exposure to an infectious disease like measles or chickenpox aims for achieving significantly better control over chronic inflammatory or allergic conditions like asthma, allergic rhinitis, or eczema, leading to markedly fewer disruptive flare-ups, reduced reliance on rescue medications, and an improved daily experience free from constant symptoms, empowering patients to get back to what they love, like consistently being a reliable, present, actively contributing, and supportive member of their immediate family unit, extended family network, and valued social circles, fulfilling important roles and responsibilities.

Your personalized healthcare plan, developed in discussion with Dr. Kirsh, 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. Kirsh practices at Ontario Diagnostic Centres, located in the Observatory, Harding neighborhood of Richmond Hill. The clinic is conveniently located near Hillcrest Mall and is accessible via York Region Transit (YRT) / Viva. Free patient parking is often available on-site or on nearby streets.

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, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Ontario Diagnostic Centres if you have questions about specific non-insured services or potential fees.

Does Dr. Kirsh at Ontario Diagnostic Centres offer virtual (video) or phone appointments?

Yes, Dr. Kirsh at Ontario Diagnostic Centres offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Kirsh if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Ontario Diagnostic Centres regarding any potential fees for uninsured virtual services.

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 also 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. Finding a family doctor who is accepting new patients can be challenging and may take time.

How long do appointments with Dr. Kirsh typically last?

Typically, a regular appointment with Dr. Kirsh 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 Ontario Diagnostic Centres about the nature of your visit when booking, so sufficient time with Dr. Kirsh can be arranged.

I have multiple health problems. How does Dr. Kirsh handle complex care?

If you have several health issues, Dr. Kirsh is well-equipped to be your central point of care. His role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Kirsh will work with you and other specialists to manage your health comprehensively.

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.

What should I do if I have an urgent medical issue when Ontario Diagnostic Centres 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 Ontario Diagnostic Centres 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 Ontario Diagnostic Centres or Dr. Kirsh during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(905) 884-0666] may also provide instructions or resources for after-hours care.

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 if they are 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.

Ontario Diagnostic Centres
Unit Suite 102, E - 1070 Major Mackenzie Dr E, Suite 102
Richmond Hill, ON, L4S 1P3

Phone: (905) 884-0666

Dr. David Matthew Kirsh 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: 73841

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Kirsh-David-Matthew/0158348-73841

Family doctors like Dr. Kirsh 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.