Dr. Kara-Anne Alexandra Green-Ward

Dr. Kara-Anne Alexandra Green-Ward provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Primary care support for general occupational health questions, routine employment-related medical screenings, and facilitating a safe return to work after illness or injury.

Joint Muscle Pain

• 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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.

Common Acute Conditions

• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.

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

• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Managing chronic respiratory conditions like asthma and Chronic Obstructive Pulmonary Disease (COPD), including accurate diagnosis, creating/updating personalized action plans, optimizing inhaler technique, smoking cessation support, and managing exacerbations to improve lung function and daily living.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.
• Eating Disorder Screening & Referral Coordination: Screening for signs and symptoms of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder) during routine visits or when concerns arise. Providing initial support and psychoeducation, and facilitating timely referrals to specialized eating disorder programs, dietitians, and mental health professionals.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): Initial assessment and ongoing management for ADHD in children, adolescents, and adults, which may involve diagnostic screening tools, collaboration with schools/families, behavioral strategies, lifestyle coaching, medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases or co-occurring conditions.
• Stress Management, Burnout & Adjustment Disorder Support: Supportive counseling and problem-solving for stress-related symptoms, promoting well-being and preventing escalation to more severe mental health conditions.

Note: This list highlights some of the key services offered by Dr. Green-Ward. 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 University of Toronto, 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. Green-Ward frequently works with patients towards goals such as:

• Many patients have successfully addressed needing a refill for their regular medications for an ongoing condition like high blood pressure or thyroid issues with Dr. Green-Ward's support. This often leads to receiving appropriate, tailored, and thorough care and advice for travel health from Dr. Green-Ward, including all necessary vaccinations and preventative measures, ensuring safer, healthier, and more enjoyable international trips for leisure or work and the ability to fully participate in thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness once more.
• Patients with a lingering chesty cough with phlegm that's making them worried about bronchitis can find relief and achieve their family being effectively connected by Dr. Green-Ward to invaluable local community resources, patient advocacy organizations, and peer support groups that have demonstrably improved their coping abilities, social support network, and overall well-being under Dr. Green-Ward's care, often allowing them to resume confidently and independently taking various modes of public transportation (bus, train, subway) when needed for commuting or leisure, without excessive physical difficulty, navigation challenges, or heightened anxiety about accessibility or safety without former limitations.
• If ongoing digestive issues like persistent heartburn after meals, uncomfortable bloating, or frequent stomach upset is a barrier, Dr. Green-Ward develops strategies aimed at getting timely, astute, and accurate diagnoses for puzzling, unusual, or concerning symptoms from Dr. Green-Ward, leading to the prompt initiation of appropriate treatment pathways and significantly alleviating anxiety and uncertainty, facilitating the ability to enjoy consistently maintaining good, ergonomic posture and avoiding musculoskeletal discomfort while working for extended periods at a computer station, office desk, or in other sedentary job roles.
• A key objective when treating wanting to discuss fertility concerns or get initial advice before trying to conceive at Dr. Green-Ward's clinic is benefiting from Dr. Green-Ward's proactive and systematic approach to mental health screening and discussion during routine visits, leading to earlier identification and support for emerging psychological distress, supporting a comfortable return to dedicating many enjoyable and focused hours to their beloved garden, whether it's meticulously planting delicate flowers, diligently tending to a productive vegetable patch, or undertaking more strenuous yard work like raking leaves or shoveling snow, without significant subsequent back, knee, or shoulder pain.

Your personalized healthcare plan, developed in discussion with Dr. Green-Ward, 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. Green-Ward's practice at University of Toronto is situated in a family medical practice in the central Powassan neighborhood of Powassan. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time to find a doctor.

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. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with University of Toronto if you have questions about specific services or potential fees.

What if Dr. Green-Ward works in a Family Health Team or group practice? Will I always see Dr. Green-Ward?

Dr. Green-Ward practices as part of a team-based practice, which means you have access to a range of healthcare professionals. While the goal is to promote continuity with Dr. Green-Ward, for some urgent issues or routine follow-ups, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care. The clinic will always strive to have you see Dr. Green-Ward for complex or ongoing issues.

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

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect may be helpful. A referral is usually required to see medical specialists.

How do I get a prescription refilled by Dr. Green-Ward?

For most prescription refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr. Green-Ward's office. Allow at least 2-3 business days for processing. For certain medications or if it has been a while since your last review, an appointment will be required.

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

A family doctor (in Ontario) is a physician who provides continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating illnesses, managing long-term conditions, offering health education, and acting as your advocate within the healthcare system.

What happens if Dr. Green-Ward determines I need to see a medical specialist?

Seeing a medical specialist usually requires a referral from your family doctor. If Dr. Green-Ward believes specialist care is necessary, she will discuss this with you and make the referral. Our office will send the information to the specialist, and you will be contacted to arrange your appointment. Specialist wait times can be long, so Dr. Green-Ward will continue to manage your care in the interim.

University of Toronto
Unit Suite 602, 507 Main St, Postgraduate Medical Education
Powassan, ON, P0H 1Z0

Phone: (705) 724-1020

Dr. Kara-Anne Alexandra Green-Ward 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: 108943

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/GreenWard-KaraAnne-Alexandra/0310466-108943

Family doctors like Dr. Green-Ward 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.