Dr. Gillian Beth Spiegle – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. Gillian Beth Spiegle offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, she serves the surrounding communities with a warm, community-focused approach. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring each patient receives comprehensive and compassionate care.

Dr. Spiegle graduated with a Medical Degree from the University of Toronto in 2013 and has completed extensive postgraduate medical training in Internal Medicine and Geriatric Care. Her certifications include certification by the Royal College of Physicians and Surgeons of Canada, reflecting her commitment to maintaining the highest professional standards and staying current with medical advancements.

With a warm and community-oriented philosophy, Dr. Spiegle is dedicated to providing personalized care that respects each patient's unique needs. She speaks fluent English and is committed to fostering trusting relationships with her patients and their families, emphasizing holistic well-being and healthy aging within the Toronto community.

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

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Select Infectious & Inflammatory 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.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Endocrine & Metabolic Disorders

• 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.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.

Dr. Spiegle 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.

• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.

Note: This list represents some of the key services offered by Dr. Spiegle. 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. Spiegle'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. Spiegle's practice is located in the Bay Street Corridor (Discovery District) neighborhood of Toronto, within All Med Health. The clinic is situated near Lee's Palace, making it convenient for patients from across the city and surrounding areas. Accessible via TTC, including subway, streetcar, and bus routes, it offers easy transit options. The facility is wheelchair accessible. Parking is available at the facility.

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

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

Can a family member or friend accompany me to the appointment?

Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.

Can Dr. Spiegle provide advice on healthy aging?

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

All Med Health
600 University Avenue
Toronto, ON M5G 1X5

Phone: (416) 586-4800

The facility is wheelchair accessible.

Dr. Spiegle 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/Spiegle-Gillian-Beth/0288933-100897