Dr. Eshan Fernando – Internist / Geriatrician | Mississauga, ON

Dr. Eshan Fernando is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Mississauga, ON, he serves the surrounding communities with a patient-centered approach that emphasizes thorough assessment, personalized treatment plans, and continuity of care. Adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), Dr. Fernando ensures that all services are delivered in accordance with provincial regulations and best practices.

He completed his medical degree from the University of Toronto in 2013 and has undergone extensive postgraduate training in Internal Medicine and Geriatric Care. Dr. Fernando has earned certifications in advanced geriatric assessment and management, as well as in internal medicine, equipping him with a broad skill set to address a wide spectrum of adult health issues. His training includes rigorous clinical rotations and fellowships that emphasize evidence-based practices and holistic patient management.

With a professional and clinical philosophy, Dr. Fernando is committed to delivering compassionate, respectful, and effective care. He speaks English fluently and values clear communication with his patients and their families. His approach integrates the latest medical guidelines with a genuine concern for improving quality of life, especially for older adults. Dr. Fernando’s dedication to the community of Mississauga reflects his ongoing commitment to health promotion, disease prevention, and holistic geriatric medicine.

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

Management of Chronic Diseases

• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.

Select Infectious & Inflammatory Conditions

• 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.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.

Endocrine & Metabolic Disorders

• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Dr. Fernando 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.

• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• 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.

Note: This list represents some of the key services offered by Dr. Fernando. 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. Fernando'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. Fernando's practice is located in the Churchill Meadows neighbourhood of Mississauga, within the LHSC Victoria Campus. The location is conveniently accessible, being near Centennial Park on the west edge and the Eglinton Avenue West Extension. Patients can reach the clinic via MiWay (Mississauga Transit) for ease of access. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Fernando 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. Fernando. 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.

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

While diagnosing and managing diseases like Osteoporosis & Metabolic Bone Disease or Delirium Prevention & Management is crucial, Dr. Fernando 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 (Urinary Incontinence Assessment), and participation in meaningful activities.

Will Dr. Eshan Fernando replace my family doctor?

No, Dr. Fernando acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Fernando will communicate findings and recommendations back to your family doctor.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy. Dr. Fernando, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.

Does Dr. Eshan Fernando discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Fernando encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.

LHSC Victoria Campus
2200 Eglinton Ave. W, Department of Emergency Medicine
Mississauga, ON L5M 2N1

Phone: (905) 813-2200

The facility is wheelchair accessible.

Dr. Fernando 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/Fernando-Eshan/0288846-101194