Dr. Drew Caughlin Brotherston – Internist / Geriatrician | Toronto, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Drew Caughlin Brotherston serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care, adhering to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). He primarily serves adult patients, including older adults and seniors, focusing on holistic management of complex health conditions.

Dr. Brotherston graduated with a Medical Degree from the University of Toronto in 2017 and has completed extensive post-graduate medical training in internal medicine and geriatrics. He has earned certifications and fellowships that attest to his expertise and commitment to evidence-based practice, ensuring his patients receive the highest standard of care.

His clinical philosophy is centered on an evidence-based and informative approach, emphasizing personalized patient care, prevention, and the maintenance of functional independence. He is committed to serving the Toronto community and speaks English fluently, ensuring clear communication with his patients and their families.

Dr. Brotherston provides expert care for adults with a wide range of medical conditions, including:

Complex Diagnostic & Multi-System Issues

• 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.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Endocrine & Metabolic Disorders

• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.

Dr. Brotherston 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 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.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• 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.

Note: This list represents some of the key services offered by Dr. Brotherston. 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. Brotherston'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. Brotherston's practice is located in the Garden District, in the Ryerson neighborhood of Toronto. The location is close to the Toronto Eaton Centre, making it easily accessible for patients from across the city. Patients can reach the clinic via TTC subway, streetcar, or bus routes. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Brotherston? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Brotherston 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. Brotherston. 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 Dr. Brotherston communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. Brotherston 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.

Can Dr. Brotherston provide advice on healthy aging?

Yes, as part of a comprehensive assessment, Dr. Brotherston can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Cardiovascular Conditions or Calcium and Parathyroid Disorders is crucial, Dr. Brotherston also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care, and participation in meaningful activities.

30 Bond St
Toronto, ON M5B 1W8

Phone: (416) 360-4000 | Fax: (416) 864-5714

The facility is wheelchair accessible.

Dr. Brotherston 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/Brotherston-Drew-Caughlin/0327026-117576