Dr. Hy Avi Dwosh – Internist / Geriatrician | Richmond Hill, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Hy Avi Dwosh serves as a trusted medical specialist. Practicing in Richmond Hill, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. His practice is committed to serving adults, including older adults and seniors, with a warm and community-focused approach. Dr. Dwosh adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe, ethical, and patient-centered care.

Dr. Dwosh graduated with a Medical Degree from McMaster University in 1997 and completed extensive post-graduate medical training, including residency in Internal Medicine. His certifications reflect a dedication to ongoing professional development and excellence in his specialty areas, enabling him to manage complex adult health conditions effectively.

He believes in a warm, compassionate approach that emphasizes understanding each patient's unique needs and goals. Fluent in English, Dr. Dwosh is committed to fostering open communication and building trusting relationships with his patients. His focus is on promoting health, independence, and quality of life within the Richmond Hill community.

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

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.

Geriatric Syndromes & Focused Elder Care

• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Dr. Dwosh 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.

• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• 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.
• 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.

Note: This list represents some of the key services offered by Dr. Dwosh. 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. Dwosh'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. Dwosh's practice is centrally located in Richmond Hill, within the Mill Pond neighborhood. The clinic is situated in an accessible area close to Toronto Western Hospital and is easily reachable from nearby business parks. Patients can conveniently access the clinic via York Region Transit (YRT) and Viva bus services. The facility is wheelchair accessible, ensuring comfort for all patients. Parking is available at the facility, providing ease of access for those arriving by car.

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

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

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

Is Dr. Dwosh affiliated with a specific hospital?

Hospital privileges can vary. Dr. Dwosh may have admitting privileges or provide consultation services at Richmond Hill — specific local hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Dwosh as needed, or he might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like management of select rheumatologic conditions or delirium prevention & management is crucial, Dr. Dwosh also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care, and participation in meaningful activities.

Does Dr. Dwosh 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. Dwosh 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.

Toronto Western Hospital
2MC434, 10 Trench St
Richmond Hill, ON L4C 4Z3

Phone: (905) 883-1212

The facility is wheelchair accessible.

Dr. Dwosh 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/Dwosh-Hy-Avi/0140023-71305