Dr. He Chang – Internist / Geriatrician | Toronto, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. He Chang serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care to adult patients, including seniors. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, evidence-based medical services. Dr. Chang’s role involves managing complex health conditions, coordinating multidisciplinary care, and supporting patients through various stages of health and aging.

Dr. Chang graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2016, Canada. He completed extensive postgraduate medical training, including residencies in Internal Medicine, with a focus on geriatric medicine. His certifications include certification in advanced geriatric care and internal medicine, reflecting his commitment to ongoing professional development and excellence in clinical practice.

His clinical philosophy is rooted in evidence-based and informative care, emphasizing patient-centered approaches. Dr. Chang is dedicated to serving the Toronto community, speaking English fluently. He strives to provide compassionate, comprehensive, and scientifically grounded care tailored to each patient’s unique needs.

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

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic 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.

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Dr. Chang 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).
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.

Note: This list represents some of the key services offered by Dr. Chang. 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. Chang'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. Chang's practice is located in the Malvern area of the Rouge neighborhood in Toronto, ON. The clinic is conveniently accessible via public transportation, including the TTC subway, streetcar, and bus routes, providing easy access from various parts of the city. The proximity to landmarks such as Kensington Market and the University Settlement Recreation Centre enhances accessibility for patients in the community. The facility is wheelchair accessible. Parking is available at the facility.

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

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

How does Dr. He Chang communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. Chang will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.

What typically happens during a first consultation?

During your initial visit, Dr. Chang will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss his findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Is Dr. Chang affiliated with a specific hospital?

Hospital privileges can vary. Dr. Chang may have admitting privileges or provide consultation services at hospitals in Toronto, including Richmond Hill or other local facilities. This affiliation allows for coordinated care if hospitalization is required. Please confirm details with the office if needed.

Does Dr. He Chang 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. Chang 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. He can provide information and facilitate these discussions.

325 Milner Avenue
Toronto, ON M1B 5N1

Phone: (416) 284-4744 | Fax: (416) 284-0141

The facility is wheelchair accessible.

Dr. Chang 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/Chang-He/0310864-109999