Dr. John Janevski – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. John Janevski offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities with a focus on providing comprehensive care in Internal Medicine and Geriatric Care. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, evidence-based medical services for his patients.

Dr. Janevski graduated with a Medical Degree from the University of Toronto in 1998 and has completed extensive post-graduate medical training, including residency in Internal Medicine and specialized training in Geriatric Medicine. His certifications include board certification in Internal Medicine and Geriatrics, reflecting his expertise and commitment to ongoing professional development.

With a clinical philosophy rooted in evidence-based medicine, Dr. Janevski is dedicated to delivering patient-centered care that emphasizes thorough assessment, personalized management, and shared decision-making. He speaks English and Macedonian fluently, facilitating clear communication with a diverse patient population in Toronto.

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

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• 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.

Dr. Janevski 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.

• 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.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.

Note: This list represents some of the key services offered by Dr. Janevski. 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. Janevski'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. Janevski's practice is located in the vibrant neighborhoods of Kensington Market, Chinatown, and Grange Park in Toronto. The location is conveniently situated near Chinatown and Spadina House, making it easily accessible for patients from various parts of the city. The facility is well-connected by public transit, including TTC subway stations, streetcars, and bus routes, facilitating convenient access for patients. The practice is wheelchair accessible. Parking is available at the facility.

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

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

Does Dr. John Janevski 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. Janevski 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.

How long should I expect my appointment to last?

Initial consultations with Dr. Janevski are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

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 306, 399 Bathurst Street
Toronto, ON M5T 2S8

Phone: (416) 603-5516 | Fax: (416) 603-5754

The facility is wheelchair accessible.

Dr. Janevski 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/Janevski-John/0150330-72588