Dr. Fiona Virginia Menzies – Internist / Geriatrician | Toronto, ON

Dr. Fiona Virginia Menzies is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, she serves the surrounding communities. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and ethical care for all patients. Dr. Menzies offers a broad scope of services in Internal Medicine and Geriatric Care, tailored to meet the unique health needs of her adult and senior patients.

She graduated with a Medical Degree from the University of Toronto in 2008 and has completed extensive postgraduate medical training in Internal Medicine and Geriatrics. Her certifications include specialty training recognized by the Royal College of Physicians and Surgeons of Canada, reflecting her expertise in managing complex adult health conditions and aging-related issues.

With a clear and educational approach to medicine, Dr. Menzies is committed to patient-centered care, emphasizing communication, understanding, and shared decision-making. She speaks English fluently and is dedicated to serving the Toronto community with compassion and professionalism.

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

Endocrine & Metabolic Disorders

• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Management of Chronic Diseases

• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Dr. Menzies 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.
• 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.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.

Note: This list represents some of the key services offered by Dr. Menzies. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Menzies'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. Menzies practices in the vibrant Parkdale neighborhood of Toronto, specifically serving the Roncesvalles area. The location is conveniently situated near the Yorkville Shopping District and the Hot Docs Ted Rogers Cinema, making it accessible for residents and visitors alike. Patients can reach the clinic easily via the Toronto Transit Commission (TTC), with options including subway, streetcar, and bus services. The facility is wheelchair accessible and designed to accommodate patients with mobility needs. Parking is available at the facility, providing convenient access for those arriving by car.

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

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

Does Dr. Fiona Virginia Menzies 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. Menzies 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. She can provide information and facilitate these discussions.

What is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Menzies uses this holistic approach to develop a personalized care plan.

Can Dr. Fiona Virginia Menzies provide advice on healthy aging?

Yes, as part of a comprehensive assessment, Dr. Menzies 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.

30 The Queensway
Toronto, ON M6R 1B5

Phone: (416) 530-6770

The facility is wheelchair accessible.

Dr. Menzies 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/Menzies-Fiona-Virginia/0250296-88829