Dr. Gavino Rosario Domenico Perez – Internist / Geriatrician | Hamilton, ON

As a skilled Internist / Geriatrician, Dr. Gavino Rosario Domenico Perez offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Hamilton, ON, he serves the surrounding communities with a focus on providing comprehensive care in Internal Medicine and Geriatric Care. Dr. Perez adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that his practice aligns with provincial regulations and evidence-based medical practices.

Dr. Perez graduated with a Medical Degree from the University of Naples in 1965, Italy. He has completed extensive postgraduate medical training, including specialized certifications in Internal Medicine and Geriatrics. Over his distinguished career, he has continually updated his skills through ongoing education and clinical practice, enabling him to address complex adult and senior health conditions effectively.

With an evidence-based and informative approach, Dr. Perez is committed to delivering patient-centered care tailored to individual needs. He speaks English, Italian, and Spanish, facilitating effective communication with diverse patient populations. His clinical philosophy emphasizes thorough assessment, personalized treatment plans, and collaborative decision-making to promote optimal health outcomes for his patients.

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

Geriatric Syndromes & Focused Elder Care

• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Management of Chronic Diseases

• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.

Select Infectious & Inflammatory Conditions

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

Dr. Perez 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.

• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• 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.

Note: This list represents some of the key services offered by Dr. Perez. 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. Perez'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. Perez's practice is located in the Hamilton Mountain West area, specifically in the Gourley and Rolston neighborhoods of Hamilton. The clinic is situated within Bruyère Health Saint-Vincent Hospital, providing convenient access for hospital-based services. The location is in close proximity to Lime Ridge Mall and the Hamilton Mountain Shopping Area, making it easily accessible for local residents. Patients can reach the clinic via Hamilton Street Railway (HSR) transit services. The facility is wheelchair accessible. Parking is available at the facility.

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

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

What are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Perez's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

Can Dr. Gavino Rosario Domenico Perez provide advice on healthy aging?

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

What happens after the initial consultation?

After your assessment, Dr. Perez will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Perez may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.

What should I bring to my first appointment?

Please bring:

• Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
• The referral letter if you have it.
• A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
• A list of your past medical history, surgeries, and known allergies.
• Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
• A list of your specific questions or concerns for Dr. Perez.

Bruyère Health Saint-Vincent Hospital
565 Sanatorium Road
Hamilton, ON L9C 7N4

Phone: (905) 575-5522 | Fax: (905) 575-9772

The facility is wheelchair accessible.

Dr. Perez 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/Perez-Gavino-Rosario-Domenico/0038249-52225