About
Dr. John Michael Ross Nicholson, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in London, ON, he serves the surrounding communities with a commitment to providing comprehensive and compassionate care. His practice adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe and effective medical services.
Dr. Nicholson provides comprehensive care in Internal Medicine and Geriatric Care, specializing in the evaluation and management of complex adult health conditions. He is dedicated to optimizing health outcomes for adults, including seniors, through thorough assessment, diagnosis, and treatment planning. His approach emphasizes patient education and shared decision-making to support informed choices.
With a strong foundation in medical education and ongoing professional development, Dr. Nicholson graduated with a Medical Degree from the University of Queensland Faculty of Medicine in 2012, Australia. He has completed extensive postgraduate medical training in internal medicine and geriatrics, earning key certifications relevant to his specialty. His clinical philosophy centers on clear, educational communication, and a commitment to serving the London community. He speaks English fluently and strives to foster trusting, respectful relationships with his patients.
Dr. Nicholson provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
Complex Diagnostic & Multi-System Issues
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
Select Infectious & Inflammatory Conditions
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
Dr. Nicholson 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.
- Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
- 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.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
Note: This list represents some of the key services offered by Dr. Nicholson. 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. Nicholson'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. Nicholson's practice is located in Downtown London, within the North London East neighborhood. The clinic is situated inside the Barrie Cardiac Centre, in close proximity to the Parkwood Institute. Patients can access the location via the London Transit Commission (LTC) bus services. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Nicholson? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Nicholson 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. Nicholson. 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.
- What exactly does an Internist (Internal Medicine Specialist) do?
- An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems (e.g., Syncope (Fainting) Evaluation, Diabetes Mellitus (Type 1 & 2)), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.
- 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.
- Does Dr. Nicholson 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. Nicholson 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.
Barrie Cardiac Centre
268 Grosvenor Street
London, ON N6A 4V2
Phone: (519) 646-6100 | Fax: (519) 646-6404
The facility is wheelchair accessible.
Dr. Nicholson 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/Nicholson-John-Michael-Ross/0289113-101223