About
Dr. Janice Lup-Yee Kwan, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, she serves the surrounding communities with a commitment to high-quality, patient-centered care. Her practice adheres strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical services. Dr. Kwan provides comprehensive care in Internal Medicine and Geriatric Care, specializing in the health needs of adults, including seniors and older adults.
She graduated with a Medical Degree from the University of Toronto in 2009 and has completed extensive postgraduate medical training, including residency in Internal Medicine and subspecialty certification in Geriatric Medicine. Her training emphasizes rigorous clinical proficiency and a thorough understanding of complex adult health issues.
Dr. Kwan’s clinical philosophy is rooted in an evidence-based and informative approach. She is dedicated to delivering personalized care tailored to each patient’s unique health profile. Fluent in English, she is committed to serving the diverse Toronto community with professionalism, compassion, and a focus on optimal health outcomes.
Dr. Kwan provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
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.
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.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
Dr. Kwan 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.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
Note: This list represents some of the key services offered by Dr. Kwan. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Kwan'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. Kwan’s practice is situated in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto. The location is conveniently near cultural landmarks such as the Museum of Contemporary Art (MOCA) and Scotiabank Arena, making it easily accessible for patients. The facility is well-connected via Toronto’s TTC system, including subway, streetcar, and bus routes. The practice is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Kwan? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Kwan 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. Kwan. 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.
- Is Dr. Kwan affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Kwan may have admitting privileges or provide consultation services at Toronto hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Kwan as needed, or she might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.
- What kind of tests might Dr. Kwan order?
- Depending on your specific medical situation, Dr. Kwan may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). She will explain why any tests are being recommended.
- Can Dr. Kwan provide advice on healthy aging?
- Yes, as part of a comprehensive assessment, Dr. Kwan 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.
- 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.
Suite 205, 600 University Ave
Toronto, ON M5G 1X5
Phone: (416) 586-4800 | Fax: (416) 586-3134
The facility is wheelchair accessible.
Dr. Kwan 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/Kwan-Janice-LupYee/0257942-90825