Dr. Julia Louise Kornder

Dr. Julia Louise Kornder provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Adult Common Health Issues

• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.

Pediatric Common Issues

• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: A first point of contact for work-related or activity-induced repetitive strain injuries, guiding effective conservative management, facilitating return to function, and providing documentation for workplace accommodations if necessary. Referral to specialists (e.g., sports medicine, orthopedics, physiatry) if symptoms are persistent, severe, or require further investigation/intervention.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Kornder. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Supporting the unique physical, emotional, and social health needs of adolescents during a critical period of development.
• Fungal, Viral & Bacterial Skin Infections: Diagnosis and treatment of common superficial infections like tinea (ringworm, athlete's foot), candidiasis, warts (cryotherapy, topical agents), molluscum contagiosum, herpes simplex/zoster (shingles), impetigo, and folliculitis, using appropriate topical or oral antifungal, antiviral, or antibacterial medications.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Connecting you with the most suitable medical experts and services for further investigation, management, or treatment of complex or specific conditions, ensuring clear communication of referral reasons and relevant history.
• Smoking & Tobacco Cessation Programs & Support: Dedicated, non-judgmental support for your journey to become smoke-free, improving your immediate and long-term health significantly.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.

Note: This list highlights some of the key services offered by Dr. Kornder. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Skin Lesion Clinic, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Kornder frequently works with patients towards goals such as:

• Patients often come to Dr. Kornder regarding experiencing sudden flashes of light or floaters in their vision. Working together, they aim for gaining much better insight into how their specific lifestyle choices (e.g., dietary patterns, substance use, stress levels) directly and measurably impact their long-term health outcomes and chronic disease risks, thanks to clear and impactful discussions with Dr. Kornder, making a return to proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina feasible.
• Dr. Kornder understands the impact of their child having a sudden high fever, being very irritable, and not acting like themselves. That's why treatment is geared towards successfully navigating the initial emotional and practical challenges of a new, unexpected serious diagnosis with Dr. Kornder's consistent, empathetic support, reliable information, and proactive care coordination, helping patients get back to independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity with greater ease.
• A frequent goal for patients seeing Dr. Kornder about discussing the pros and cons of hormone replacement therapy for menopause is to achieve feeling genuinely and consistently supported by Dr. Kornder during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member. This success paves the way for them to re-engage with proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations.
• Through Dr. Kornder's guidance, patients with their child needing a physical exam for summer camp or sports participation often find they can achieve their legitimate concerns about potential medication side effects or adverse drug reactions being taken seriously and investigated thoroughly by Dr. Kornder, often leading to helpful and safe adjustments in their prescribed treatment plan and once again pursue being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection.

Your personalized healthcare plan, developed in discussion with Dr. Kornder, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Kornder practices at Skin Lesion Clinic, located in the Port Arthur Central (Downtown North Core, Waterfront area) neighborhood of Thunder Bay. The clinic is conveniently located near Thunder Bay International Airport (YQT) and is accessible via Thunder Bay Transit. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Does Dr. Kornder at Skin Lesion Clinic offer virtual (video) or phone appointments?

Yes, Dr. Kornder at Skin Lesion Clinic offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Kornder if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Skin Lesion Clinic regarding any potential fees for uninsured virtual services.

Can Dr. Kornder help with mental health concerns like anxiety or depression?

Family doctors like Dr. Kornder are integral to supporting patients' mental health. She can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr. Kornder.

What should I do if I have an urgent medical issue when Skin Lesion Clinic is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until Skin Lesion Clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with Skin Lesion Clinic or Dr. Kornder during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(807) 626-1234] may also provide instructions or resources for after-hours care.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Confirm with Skin Lesion Clinic if you have questions about specific non-insured services or potential fees.

What does 'preventative care' involve with a family doctor like Dr. Kornder?

With Dr. Kornder, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr. Kornder works with you to create a personalized prevention plan.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see specialists.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Check the College of Physicians and Surgeons of Ontario website. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. It may take time.

Skin Lesion Clinic
Unit Unit 101, 1260 Golf Links Road, Downtown clinic available for skin cancer/growth only (skinlesion.ca)
Thunder Bay, ON, P7B 0A1

Phone: (807) 626-1234

Dr. Julia Louise Kornder is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 107184

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Kornder-Julia-Louise/0304943-107184

Family doctors like Dr. Kornder are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.