About
Dr. Jan Niel Ezel Orfi, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Oakville, ON, he serves the surrounding communities with compassion and dedication. Adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), he provides comprehensive care in Internal Medicine and Geriatric Care, ensuring his patients receive tailored and thorough medical attention.
Dr. Orfi graduated with a Medical Degree from the University of London in 1988.0 (United Kingdom). He has completed extensive post-graduate medical training, including specialized certifications and ongoing education in internal medicine and geriatrics, to stay current with the latest clinical practices and guidelines.
With a warm and community-focused approach, Dr. Orfi is committed to serving the diverse needs of adults, including older adults and seniors. He speaks English fluently and values building trusting relationships with his patients and their families, emphasizing respectful, patient-centred care in every interaction.
Dr. Orfi provides expert care for adults with a wide range of medical conditions, including:
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
- 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.
Complex Diagnostic & Multi-System Issues
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- 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.
Dr. Orfi 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.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
Note: This list represents some of the key services offered by Dr. Orfi. 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. Orfi'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).
Located within the Kerr Village and Glen Abbey East neighborhood of Oakville, Dr. Orfi's practice is conveniently situated near Thunder Bay Obstetricians and Gynaecologists. The location is accessible via Oakville Transit, with proximity to Oakville GO Station and Sheridan College Trafalgar Campus. The facility is wheelchair accessible. Parking is available at the facility for patients' convenience.
- How is payment handled for appointments with Dr. Orfi? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Orfi 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. Orfi. 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.
- 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.
- How does Dr. Jan Niel Ezel Orfi communicate with my family doctor?
- Clear communication with your referring physician is a priority. Dr. Orfi 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.
Thunder Bay Obstetricians and Gynaecologists
690 Dorval Drive
Oakville, ON L6K 3W7
Phone: (905) 849-4567 | Fax: (905) 338-3607
The facility is wheelchair accessible.
Dr. Orfi 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/Orfi-Jan-Niel-Ezel/0052067-66046