Dr. Enas Ezzat Zakher Hanna

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

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.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Addressing symptoms such as cough, sore throat (including rapid strep testing where available), nasal congestion, facial pain/pressure, and fever associated with common URTIs.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

Preventative Health Topics

• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Performing basic pre-employment medicals or fitness-for-work assessments as required by some employers (typically non-WCB/WSIB related, fees may apply). Providing advice on general workplace health and safety, injury prevention, and initial assessment of health concerns potentially related to occupational exposures or ergonomics, with appropriate referrals if specialized occupational medicine input is needed.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.
• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.

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

• Eczema, Psoriasis (Mild) & Other Common Rashes: Comprehensive primary care for chronic inflammatory and allergic skin conditions to alleviate symptoms and improve quality of life.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Developing personalized strategies to control hypertension and lipid levels effectively, involving patient partnership in shared decision-making and goal setting.
• 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.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Providing testing, education, treatment, and advice related to sexual health and the prevention and management of sexually transmitted and blood-borne infections.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Supporting your efforts to adopt and maintain healthier habits across multiple domains for a better quality of life and disease prevention.

Note: This list highlights some of the key services offered by Dr. Hanna. 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 Greater Niagara Medical Imaging (GN), 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. Hanna frequently works with patients towards goals such as:

• Dr. Hanna supports patients through preparing for international travel and needing advice on health precautions, necessary vaccinations, or malaria prevention, aiming for outcomes like successfully and completely completing a course of treatment for an acute infection (like pneumonia or a significant skin infection) or a new condition under Dr. Hanna's diligent, meticulous care and important follow-up monitoring, so they can return to activities such as being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection.
• Patients with discussing the pros and cons of hormone replacement therapy for menopause can find relief and achieve getting timely, astute, and accurate diagnoses for puzzling, unusual, or concerning symptoms from Dr. Hanna, leading to the prompt initiation of appropriate treatment pathways and significantly alleviating anxiety and uncertainty under Dr. Hanna's care, often allowing them to resume dedicating many enjoyable and focused hours to their beloved garden, whether it's meticulously planting delicate flowers, diligently tending to a productive vegetable patch, or undertaking more strenuous yard work like raking leaves or shoveling snow, without significant subsequent back, knee, or shoulder pain without former limitations.
• Dr. Hanna frequently helps patients who are dealing with wanting to discuss screening for osteoporosis or how to maintain bone health. The primary aim is achieving accessing crucial mental health support, initial assessment, and evidence-based treatment in a familiar, readily accessible, and completely non-stigmatizing primary care environment meticulously provided by Dr. Hanna, which often allows them to confidently resume compassionately providing meaningful emotional, practical, and sometimes physical support to close friends, extended family members, or community acquaintances who may be going through their own difficult times or personal crises.
• Through Dr. Hanna's guidance, patients with feeling unusually tired and completely run down for weeks, not just a day or two of fatigue often find they can achieve their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from Dr. Hanna and once again pursue thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness.

Your personalized healthcare plan, developed in discussion with Dr. Hanna, 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. Hanna's practice at Greater Niagara Medical Imaging (GN) is situated in a family medical practice in the central East Gwillimbury neighborhood of East Gwillimbury. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

What is 'continuity of care' and why is it important with a family doctor like Dr. Hanna?

Continuity of care refers to the process where your family doctor, Dr. Hanna, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Hanna becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging, but there are resources to help. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website. In Ontario, you can 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. It may take time to find a doctor.

Does Dr. Hanna at Greater Niagara Medical Imaging (GN) offer virtual (video) or phone appointments?

Yes, Dr. Hanna at Greater Niagara Medical Imaging (GN) 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. Hanna if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Greater Niagara Medical Imaging (GN) regarding any potential fees for uninsured virtual services.

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 for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Greater Niagara Medical Imaging (GN) if you have questions about specific services or potential fees.

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 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.

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.

Greater Niagara Medical Imaging (GN
19101B Leslie St.
East Gwillimbury, ON, L0G 1V0

Phone: (905) 478-1300

Dr. Enas Ezzat Zakher Hanna 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: 105088

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Hanna-Enas-Ezzat-Zakher/0299233-105088

Family doctors like Dr. Hanna 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.