Dr. Esther Yuen-Shan Chan

Dr. Esther Yuen-Shan Chan provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.
• Travel Medicine Advice & Routine/Travel Vaccinations: Offering essential travel health services and tailored advice to protect your health while abroad, based on current international health regulations, CDC/WHO recommendations, and your specific travel plans.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• 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).
• 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).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.

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.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.
• 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.

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.

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

• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Addressing health concerns that may be related to a patient's occupation, providing initial assessment for work-related injuries or illnesses, and completing necessary forms (e.g., fitness to work, return to work).
• Routine Health Check-ups & Physicals for Adults: Providing regular comprehensive health assessments for adults of all ages to monitor overall health status, review lifestyle factors, update immunizations, and perform or coordinate age and gender-appropriate preventative screenings.
• Weight Management & Healthy Weight Strategies: Supporting individuals in achieving and maintaining a healthy body weight through evidence-based, non-stigmatizing approaches that focus on sustainable lifestyle habits and overall well-being rather than restrictive dieting.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Specialized primary care for childhood chronic diseases to ensure optimal health, growth, and development with coordination with pediatric specialists when necessary.
• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.

Note: This list highlights some of the key services offered by Dr. Chan. 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 Arbour Family Medical Centre, 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. Chan frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr. Chan about experiencing bothersome symptoms of menopause like hot flashes, night sweats, or mood swings is to achieve benefiting from seamlessly and efficiently coordinated care, where Dr. Chan actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page. This success paves the way for them to re-engage with 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.
• For those challenged by their child has a foreign object stuck in their nose or ear (and it seems minor enough for the clinic), Dr. Chan offers strategies to reach having a clear, actionable, and well-understood plan, along with readily available support from Dr. Chan, for effectively managing an acute flare-up of a chronic condition like Inflammatory Bowel Disease (IBD), Chronic Migraine, or Rheumatoid Arthritis (often in co-management with specialists), which can mean rediscovering the joy of proactively, responsibly, and knowledgeably caring for their own comprehensive health needs and the diverse preventative care requirements of their entire family, fostering a culture of wellness at home.
• For patients where questions about sexual health, STBBI screening, or experiencing unusual symptoms is a concern, Dr. Chan focuses on plans that lead to ensuring their children, from infancy through adolescence, received the complete schedule of timely and appropriate immunizations, effectively protecting them from a wide range of preventable and potentially serious childhood diseases, supporting their ability to consistently maintaining a regular, enjoyable, and suitably challenging active lifestyle through various forms of exercise, preferred team or individual sports, invigorating outdoor adventures, or mindful movement practices like yoga or tai chi.
• Dr. Chan frequently helps patients who are dealing with having trouble falling asleep most nights, or waking up frequently and feeling exhausted. The primary aim is achieving 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, which often allows them to confidently resume actively participating in local civic life, serving on community boards, contributing to neighborhood associations, or engaging in grassroots advocacy groups with consistent energy, passion, and intellectual commitment.

Your personalized healthcare plan, developed in discussion with Dr. Chan, 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. Chan practices at Arbour Family Medical Centre, located in the Dorset Park, Wexford Heights, Scarborough Town Centre neighborhood of Toronto. The clinic is conveniently located near Cabbagetown and is accessible via TTC (Subway, Streetcar, Bus). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website that you can check. In Ontario, you can also register with Health Care Connect. Asking friends, family, or colleagues for recommendations is also helpful. You can try contacting local community health centres or new patient clinics directly. It may take time and persistence.

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 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 Arbour Family Medical Centre if you have questions about specific services or potential fees.

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

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

How long do appointments with Dr. Chan typically last?

Appointment times with Dr. Chan vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr. Chan will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at Arbour Family Medical Centre to ensure enough time is set aside with Dr. Chan to address your concerns thoroughly.

How do I get a prescription refilled by Dr. Chan?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Chan's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Chan. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Chan, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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

Having continuity of care with Dr. Chan means that she is your consistent point of contact for your health needs over many years. This long-term relationship allows Dr. Chan to understand the nuances of your health, track changes over time, and provide care that is personalized and proactive. It improves communication, reduces duplication of tests, helps in managing chronic conditions more effectively, and fosters a stronger doctor-patient partnership, all leading to better overall health management.

I have multiple health problems. How does Dr. Chan handle complex care?

If you have several health issues, Dr. Chan is well-equipped to be your central point of care. Her role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Chan will work with you and other specialists to manage your health comprehensively.

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, or the College of Physicians and Surgeons of Ontario website, may be helpful. A referral is usually required from a family doctor to see most medical specialists.

Arbour Family Medical Centre
3030 Lawrence Avenue East
Toronto, ON, M1P 2T7

Phone: (416) 431-8224

Dr. Esther Yuen-Shan Chan 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: 100643

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Chan-Esther-YuenShan/0288943-100643

Family doctors like Dr. Chan 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.