Dr. Gregory Adam Zaniewski

Dr. Gregory Adam Zaniewski provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Common Chronic Conditions

• Asthma (All Ages) & Allergic Rhinitis: Working collaboratively with you (or your child) to achieve optimal asthma control, minimize symptoms (wheezing, coughing, shortness of breath), improve lung function, and reduce reliance on reliever medications.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Diagnosing and providing ongoing treatment for common forms of anemia to maintain energy levels and overall health.
• Type 2 Diabetes Mellitus & Prediabetes: Proactive, team-based care (often involving dietitians, diabetes educators, pharmacists) for type 2 diabetes and prediabetes, aiming to achieve optimal glycemic control, reduce cardiovascular risk, and improve overall quality of life.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: A supportive approach to IBS, working with patients to identify triggers and develop effective coping mechanisms.

Common Acute Conditions

• 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.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Assessment of acute headaches to differentiate types (e.g., tension headache, migraine, cervicogenic), provide initial pain relief strategies (analgesics, NSAIDs, triptans for migraine), identify potential triggers, and rule out serious underlying causes requiring urgent investigation.

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.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• 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.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.

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

• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Comprehensive, age-appropriate check-ups for newborns, infants, children, and adolescents, focusing on monitoring physical growth, developmental milestones (gross motor, fine motor, language, social-emotional), nutrition, vision/hearing screening, and providing anticipatory guidance to parents/caregivers on safety, behavior, and healthy habits.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Supporting your efforts to adopt and maintain healthier habits across multiple domains for a better quality of life and disease prevention.
• Diabetes Mellitus Care (Type 1, Type 2, Gestational, Prediabetes): Personalized diabetes care plans focusing on achieving optimal glycemic control, preventing acute and chronic complications (cardiovascular, renal, neurological, ophthalmological), and empowering patient self-management.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Assessing and treating minor injuries such as sprains, strains, simple fractures (initial assessment and referral for casting/splinting if needed), minor cuts/lacerations (suturing if appropriate), superficial burns, and acute episodes of back or neck pain.

Note: This list highlights some of the key services offered by Dr. Zaniewski. 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 Mount Sinai Hospital, 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. Zaniewski frequently works with patients towards goals such as:

• When managing ongoing pain from an old sports injury or a chronic condition like arthritis that limits their activities affects a patient's ability to actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr. Zaniewski, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans, Dr. Zaniewski works with them to develop a plan. Success means reaching receiving a timely diagnosis of a previously unrecognized condition like obstructive sleep apnea, celiac disease, or hypothyroidism through Dr. Zaniewski's astute clinical screening and appropriate referral for confirmatory testing, leading to effective treatment and significantly improved quality of life and getting back to their valued pursuits.
• Patients often come to Dr. Zaniewski regarding wanting to understand if their family history of cancer means they need earlier or different screening tests. Working together, they aim for feeling genuinely reassured, thoroughly well-informed about all aspects of their condition, and like an empowered, active partner in all decisions regarding their health status, treatment options, and long-term care strategies discussed with Dr. Zaniewski, making a return to being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection feasible.
• Through Dr. Zaniewski's guidance, patients with experiencing sudden hearing loss or ringing in their ears (tinnitus) often find they can achieve finding effective, practical, and often simple solutions for common but persistently bothersome issues like recurrent allergies, chronic skin rashes, or disruptive digestive upset, expertly guided by Dr. Zaniewski and once again pursue regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation.

Your personalized healthcare plan, developed in discussion with Dr. Zaniewski, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Zaniewski practices at Mount Sinai Hospital, situated in the Downtown Peterborough, Central neighborhood of Peterborough. The clinic is conveniently located near Market Hall Performing Arts Centre and is accessible via Peterborough Transit. Free patient parking is often available on-site or on nearby streets.

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.

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 provincial health card. Some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Mount Sinai Hospital if you have questions about specific non-insured services or potential fees.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on its website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor who is accepting new patients can be challenging and may take time.

What should I do if I have an urgent medical issue when Mount Sinai Hospital is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until Mount Sinai Hospital reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with Mount Sinai Hospital or Dr. Zaniewski during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(705) 740-6849] may also provide instructions or resources for after-hours care.

What happens if Dr. Zaniewski determines I need to see a medical specialist?

If Dr. Zaniewski determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), he will discuss the reasons with you and initiate a referral. This usually involves Dr. Zaniewski sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at Mount Sinai Hospital will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with Mount Sinai Hospital if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr. Zaniewski.

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 if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect in Ontario, a local health authority website, or the provincial College of Physicians and Surgeons patient-doctor matching service (if available) may be helpful. A referral is usually required from a family doctor to see most medical specialists.

Mount Sinai Hospital
Unit Room 2 220, 26 Hospital Drive, Division of Rheumatology
Peterborough, ON, K9J 7C3

Phone: (705) 740-6849

Dr. Gregory Adam Zaniewski 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: 94336

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Zaniewski-Gregory-Adam/0267364-94336

Family doctors like Dr. Zaniewski 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.