Dr. James Christopher Gregor – Internist / Geriatrician | London, ON

Dr. James Christopher Gregor is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in London, ON, he serves the surrounding communities with a patient-centered approach rooted in evidence-based medicine. His practice adheres to the high standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Gregor specializes in managing a wide range of medical conditions affecting adult and senior populations, emphasizing thorough diagnostics and individualized treatment plans.

He graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 1988, Canada. Following his medical degree, Dr. Gregor completed extensive post-graduate medical training, including residency in Internal Medicine and specialized training in Geriatric Medicine. His certifications and ongoing professional development ensure that he remains current with the latest clinical practices and guidelines in internal medicine and geriatric care.

Dr. Gregor’s clinical philosophy is rooted in an evidence-based and informative approach, prioritizing clear communication, patient education, and holistic care. He is committed to serving the London community and speaks English fluently. His goal is to optimize health outcomes and improve quality of life for his patients through comprehensive evaluation, preventive strategies, and personalized management of complex health issues.

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

Endocrine & Metabolic Disorders

• 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.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Geriatric Syndromes & Focused Elder Care

• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Complex Diagnostic & Multi-System Issues

• 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.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Dr. Gregor 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.

• 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.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.

Note: This list represents some of the key services offered by Dr. Gregor. 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. Gregor'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. Gregor's practice is located in the downtown core of London, ON, in the North London East neighbourhood. The location is conveniently accessible via the London Transit Commission (LTC) bus services, with nearby stops serving the area. The practice is situated in a building close to community landmarks such as Storybook Gardens and Thames Valley Golf Course. The facility is wheelchair accessible. Parking is available at the facility.

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

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

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Urinary Incontinence Assessment or Falls, Mobility & Balance Disorders), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Chronic Liver Disease). Your family doctor can best determine if a specialist consultation is needed.

Can Dr. James Christopher Gregor provide advice on healthy aging?

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

Suite 203, 800 Commissioners Road
London, ON N6A 5W9

Phone: (519) 667-6582 | Fax: (519) 667-6820

The facility is wheelchair accessible.

Dr. Gregor 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/Gregor-James-Christopher/0045724-59702