Dr. Elizabeth Alvarez – Family Doctor | Hamilton, ON

Dr. Elizabeth Alvarez is a Family Doctor. Practicing at St. Joseph's Hospital in Hamilton, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Elizabeth Alvarez completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care. She is fluent in English and also offers consultations in Spanish.

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

Dermatological Skin Conditions

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.

Joint Muscle Pain

• 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).
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.

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

• Evaluation of Acute Musculoskeletal Injuries (Sprains, Strains): Providing initial care for recent musculoskeletal trauma to support healing, reduce inflammation, and facilitate a safe return to activity.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Facilitating timely and appropriate referrals to a wide range of medical specialists (e.g., cardiologists, dermatologists, gastroenterologists, neurologists, oncologists, pediatricians, psychiatrists, surgeons, etc.), subspecialists, and specialized diagnostic or treatment programs when specialized expertise or intervention is required beyond the scope of primary care.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Expert assessment and management of everyday acute illnesses affecting respiratory, urinary, skin, and other systems to help you recover quickly and prevent complications.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Keeping your family's immunizations up-to-date to safeguard individual health and contribute to community immunity, including pre-travel health advice.
• Chronic Pain Management (Musculoskeletal, Neuropathic - Primary Care Approach): Helping individuals understand and cope with chronic pain, aiming to improve daily function, sleep, mood, and overall quality of life.

Note: This list highlights some of the key services offered by Dr. Alvarez. 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 Hospital, 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. Alvarez frequently works with patients towards goals such as:

• Dr. Alvarez frequently helps patients who are dealing with ongoing digestive issues like persistent heartburn after meals, uncomfortable bloating, or frequent stomach upset. The primary aim is achieving feeling genuinely and consistently supported by Dr. Alvarez during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member, which often allows them to confidently resume actively engaging in a variety of mentally stimulating and enriching activities such as immersive reading of books and articles, solving complex puzzles, consistently learning a new practical skill online, or regularly attending engaging adult education classes with good, sustained concentration and memory recall.
• Many patients have successfully addressed a lingering chesty cough with phlegm that's making them worried about bronchitis with Dr. Alvarez's support. This often leads to 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 and the ability to fully participate in confidently travelling domestically for weekend getaways or internationally for extended explorations with greater assurance in their health, stamina, and ability to manage new foods, climates, and environments successfully once more.
• Dr. Alvarez's care for their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary is designed to result in obtaining all necessary medical documentation, forms, and reports for work, school, travel, or insurance purposes efficiently, accurately, and without undue hassle through Dr. Alvarez's supportive office team, so patients can resume activities such as actively and diligently engaging in their prescribed recovery process and rehabilitation program after an unexpected injury, a planned surgery, or a significant medical event by consistently following all professional advice and exercises with confidence.
• For patients where wanting to discuss screening for osteoporosis or how to maintain bone health is a concern, Dr. Alvarez focuses on plans that lead to successfully and confidently navigating the often complex, fragmented, and sometimes overwhelming healthcare system with Dr. Alvarez acting as their knowledgeable guide, steadfast advocate, and central, reliable coordinator of all their medical care, supporting their ability to still feeling reasonably energetic and mentally alert after a full and demanding day's work, enabling them to engage in enjoyable evening activities, family time, or personal hobbies rather than collapsing from exhaustion.

Your personalized healthcare plan, developed in discussion with Dr. Alvarez, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Alvarez practices at St. Joseph's Hospital, located in the Westdale, Ainslie Wood (McMaster University area) neighborhood of Hamilton. The clinic is conveniently located near Hamilton City Hall and is accessible via Hamilton Street Railway (HSR). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Does Dr. Alvarez at St. Joseph's Hospital offer virtual (video) or phone appointments?

Yes, Dr. Alvarez at St. Joseph's Hospital 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. Alvarez if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with St. Joseph's Hospital regarding any potential fees for uninsured virtual services.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Alvarez?

An initial 'meet and greet' or new patient visit with Dr. Alvarez usually involves a thorough discussion about your health. Be prepared to talk about your personal and family medical history, current medications and dosages, any ongoing health issues, and your overall lifestyle. Dr. Alvarez will want to understand your health needs and what you expect from your family doctor. Some doctors may perform a physical exam during this first visit, or it might be scheduled for a subsequent appointment. This initial consultation is key to building a therapeutic patient-doctor relationship.

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. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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 OHIP for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, travel medicine consultations, sick notes, insurance forms) may not be covered and might have an associated fee. Please confirm with St. Joseph's Hospital if you have questions about specific services or fees.

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

Dr. Alvarez practices as part of a team at St. Joseph's Hospital, which means you have access to other healthcare professionals. While the goal is continuity with Dr. Alvarez, for some issues you might be seen by another trusted team member. This approach enhances access to care. St. Joseph's Hospital will strive to have you see Dr. Alvarez for complex or ongoing issues.

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

A family doctor, or general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families of all ages. They serve as your first point of contact for most health concerns, offering preventative care, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and coordinating care by referring you to specialists when necessary. Building long-term relationships with patients is a key aspect of their role.

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

Check the website of the College of Physicians and Surgeons of Ontario for a 'Find a Doctor' tool. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a family doctor may take time.

St. Joseph's Hospital
1280 Main Street West, Division of Thoracic Surgery
Hamilton, ON, L8S 4K1

Phone: (905) 515-8401

Dr. Elizabeth Alvarez 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: 85941

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Alvarez-Elizabeth/0239085-85941

Family doctors like Dr. Alvarez 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.