CP&S - Specialty approval by Coll. of Phys. & Surg. - Endocrinology & Metabolism
FRCPC - Fellow, Royal College of Physicians Canada - Internal Medicine
Description
About Dr. Donald W. Morrish
Dr. Donald W. Morrish, a Endocrinologist (Diabetes & Metabolism Focus), provides expert care for adult patients, and may also see older adolescents for certain endocrine conditions. With conditions related to Diabetes & Metabolism, he practices at the Cross Cancer Institute in Edmonton, AB, serving as a vital member of the local medical community. His practice primarily centers on the comprehensive management of type 1 and type 2 diabetes, metabolic syndrome, and lipid disorders, ensuring patients receive tailored and effective treatment plans. The practice is dedicated to providing thorough hormone and metabolism care, utilizing advanced diagnostic approaches and individualized therapies to optimize patient outcomes.
He graduated with a Doctor of Medicine (MD) from the University of Alberta (Canada) and holds specialty certification as an Endocrinologist (Diabetes & Metabolism Focus). Dr. Morrish is certified by the Royal College of Physicians and Surgeons of Canada (FRCPC), and holds licensure from the College of Physicians and Surgeons of Alberta (CPSA), license number 6452. His certifications include Fellow of the Royal College of Physicians and Surgeons of Canada (FRCPC), Licentiate of the Medical Council of Canada (LMCC), and additional credentials in internal medicine and endocrinology.
Dr. Morrish’s clinical philosophy is rooted in a commitment to evidence-based hormonal and metabolic care, emphasizing patient education on managing chronic conditions, early and accurate diagnosis, and personalized treatment strategies focused on long-term health and well-being. He is dedicated to providing compassionate, patient-centered care in English to residents of Edmonton and surrounding areas, ensuring each individual receives a comprehensive and supportive approach to their endocrine health.
Common Conditions Dr. Donald Morrish Addresses
Dr. Donald Morrish diagnoses and treats a wide range of hormonal and metabolic disorders, including:
Diabetes & Related Metabolic Disorders
- Gestational Diabetes Mellitus (GDM): Diabetes diagnosed during pregnancy that was not clearly overt diabetes prior to gestation, requiring careful management to ensure healthy outcomes for both mother and baby.
- Diabetes Complications (Neuropathy, Nephropathy, Retinopathy - endocrine management aspects): Management focused on glycemic, blood pressure, and lipid control to prevent or slow the progression of nerve damage, kidney disease, and eye damage associated with diabetes.
- Metabolic Syndrome (Syndrome X, Insulin Resistance Syndrome): A cluster of conditions (central obesity, high blood pressure, high blood sugar, abnormal cholesterol/triglyceride levels) occurring together, elevating the risk of heart disease, stroke, and type 2 diabetes.
Pituitary, Adrenal & Gonadal Axis Disorders
- Hypopituitarism (Panhypopituitarism, Isolated Hormone Deficiencies): Condition where the pituitary gland fails to produce adequate amounts of one or more crucial hormones (e.g., GH, ACTH, TSH, LH/FSH, ADH), requiring hormone replacement therapy.
- Adrenal Nodules (Incidentalomas) & Adrenal Tumors (e.g., Pheochromocytoma, Aldosteronoma): Masses found on the adrenal glands, often discovered incidentally. Evaluation is needed to determine if they are hormonally active or potentially malignant.
Thyroid & Parathyroid Gland Disorders
- Thyroid Cancer (Differentiated - Papillary, Follicular; Medullary - follow-up care): Malignant tumors of the thyroid gland. Endocrinologists are involved in post-operative management, hormone suppression, and long-term surveillance.
- Thyroid Nodules & Multinodular Goiter: Solid or fluid-filled lumps (nodules) that form within the thyroid gland, or an enlarged thyroid gland with multiple nodules. Most are benign but require evaluation for cancer risk.
- Hypothyroidism (Underactive Thyroid - e.g., Hashimoto's Thyroiditis, Post-Ablation): A common condition where the thyroid gland doesn't produce enough thyroid hormone, leading to symptoms like fatigue, weight gain, cold intolerance, constipation, and dry skin.
This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Donald Morrish.
Endocrinologist (Diabetes & Metabolism Focus) Services Offered by Dr. Donald W. Morrish
- Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.
- Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
- Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
- Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
- Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
- Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Morrish for care relevant to your specific condition.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Alberta (CPSA) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.
Practice Location & Accessibility
Cross Cancer Institute is situated in Edmonton's S Central neighborhood, near the University of Alberta, Garneau, and Windsor Park. The location offers convenient access via the High Level Bridge and Garneau/University area transit routes, with excellent connectivity to Edmonton Transit Service (ETS), including light rail transit (LRT) and bus services. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking options include metered street parking and nearby parking lots, providing flexible arrangements for visitors seeking comprehensive hormone and metabolism care in a comfortable setting.
Frequently Asked Questions
- Are consultations, hormone tests, and treatments with Dr. Morrish, an Endocrinologist (Diabetes & Metabolism Focus), covered by Alberta Health Care Insurance Plan (AHCIP) in AB?
- Medically necessary consultations with a licensed Endocrinologist (Diabetes & Metabolism Focus) like Dr. Morrish, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Alberta Health Care Insurance Plan (AHCIP) in AB when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Morrish's office, the hospital/clinic, or Alberta Health Care Insurance Plan (AHCIP) directly.
- Is a referral required to see Dr. Morrish, an Endocrinologist (Diabetes & Metabolism Focus)?
- Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Endocrinologist (Diabetes & Metabolism Focus) such as Dr. Morrish. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.
- What is Hormone Replacement Therapy (HRT) and when might Dr. Morrish recommend it?
- Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Morrish might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Morrish will discuss thoroughly.
- What treatment options for osteoporosis might Dr. Morrish discuss?
- If you are diagnosed with osteoporosis, Dr. Morrish will discuss a management plan aimed at reducing your risk of fractures. This starts with lifestyle modifications, including ensuring adequate intake of calcium and vitamin D (through diet and/or supplements), engaging in regular weight-bearing and muscle-strengthening exercises, smoking cessation, and limiting alcohol intake. Fall prevention strategies are also important. If medication is indicated based on your bone density (DXA scan) and fracture risk assessment (e.g., using FRAX or CAROC tools), options include antiresorptive medications that slow bone loss (like bisphosphonates or denosumab) or anabolic agents that stimulate new bone formation (like teriparatide or romosozumab). He will help choose the most appropriate therapy based on your individual circumstances, potential side effects, and treatment goals.
- What types of diagnostic tests are commonly used by an Endocrinologist (Diabetes & Metabolism Focus) like Dr. Morrish?
- An Endocrinologist (Diabetes & Metabolism Focus) like Dr. Morrish utilizes a variety of tests to diagnose endocrine disorders. Blood tests are fundamental for measuring levels of specific hormones (e.g., TSH, free T4, cortisol, ACTH, testosterone, estrogen, LH, FSH, insulin, HbA1c, prolactin, PTH, calcium, vitamin D). He often orders dynamic endocrine function tests, where hormone levels are measured after administering a stimulating or suppressing agent (e.g., ACTH stimulation test for adrenal function, oral glucose tolerance test for diabetes/acromegaly, dexamethasone suppression test for Cushing's). Imaging studies like thyroid ultrasounds, CT scans, or MRIs of the pituitary or adrenal glands are common. Bone mineral density (DXA) scans assess for osteoporosis. For thyroid nodules, a fine-needle aspiration (FNA) biopsy might be performed or arranged.
Contact & Licensing Information
Cross Cancer Institute
11350 83 Ave NW, Rm 9-114
Edmonton, AB T6G 2G3
Phone: (780) 492-3626 | Fax: (780) 492-6444
The facility is wheelchair accessible.
Dr. Morrish is a licensed Endocrinologist (Diabetes & Metabolism Focus) regulated by the College of Physicians and Surgeons of Alberta (CPSA) under the Health Professions Act in AB. A referral from a family physician or appropriate specialist is typically required for consultations with Dr. Morrish for services covered by the provincial health plan.
Verify registration with the College of Physicians and Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=01a1564f-96c1-4c66-bb5a-71d3b5a46bd8&i=1012