Dr. Karishma Dandona

Dr. Karishma Dandona 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

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.
• 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.
• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).

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): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.

Common Acute Conditions

• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Helping you cope with acute digestive illnesses by providing guidance on oral rehydration solutions, appropriate diet modification during and after illness, and when to seek medical attention for persistent or severe symptoms.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• 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).

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Educating patients on sun safety measures (sunscreen, protective clothing, avoiding peak sun hours), the importance of regular skin self-examination using the ABCDEs of melanoma, and encouraging prompt reporting of any changing or new skin lesions.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.

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

• Osteoporosis Screening, Prevention & Management: Screening for osteoporosis based on risk factors and age, ordering bone density scans (DXA) when appropriate, and managing osteoporosis with lifestyle advice (calcium, vitamin D, weight-bearing exercise), fall prevention strategies, and prescription of bone-building medications.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Working with patients to manage their kidney health through regular check-ups, proactive interventions, and education on preserving kidney function.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Providing a safe and understanding space to navigate the complex emotional, cognitive, and physical reactions to loss, and connecting with specialized bereavement services or support groups if needed.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Providing testing, education, treatment, and advice related to sexual health and the prevention and management of sexually transmitted and blood-borne infections.

Note: This list highlights some of the key services offered by Dr. Dandona. 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 Dr. Karishma Dandona's practice, 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. Dandona frequently works with patients towards goals such as:

• Patients experiencing wanting to understand if their family history of cancer means they need earlier or different screening tests often seek Dr. Dandona's help to improve their quality of life. A key goal is managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Dandona's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, supporting their return to activities like patiently, effectively, and enjoyably helping their school-aged children or young grandchildren with challenging homework assignments, creative school projects, or extracurricular learning activities that require sustained patience, focus, and clear communication.
• If a new skin rash that's itchy, spreading quickly, or looks unusual and concerning has put enjoying daily life with consistent, vibrant energy, genuine vitality, and a deeply positive outlook on most days on hold, Dr. Dandona works with patients toward achieving substantially better and more integrated management of their multiple co-existing chronic conditions (multimorbidity) through the highly coordinated, holistic, and patient-centered approach to care championed by Dr. Dandona, helping them regain their previous level of function.
• When a persistent feeling of bloating, abdominal discomfort, or noticeable changes in their bowel habits (constipation or diarrhea) impacts daily life, Dr. Dandona helps patients strive for experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Dandona's diligent, guideline-based monitoring and timely therapeutic adjustments, making activities such as spontaneously making and eagerly keeping enjoyable plans with a wide circle of friends for various social outings such as dinners out, casual coffee chats, shared recreational activities, or weekend excursions possible again.
• Many seek Dr. Dandona's help for their child having recurrent nosebleeds that seem excessive. The collaborative goal is experiencing notably fewer sick days from work or school for themselves or their children, leading to improved productivity and less disruption to daily life, due to better prevention strategies and more effective management of common illnesses under Dr. Dandona's care, allowing a return to valued activities like actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr. Dandona, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans.

Your personalized healthcare plan, developed in discussion with Dr. Dandona, 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. Dandona practices at a family medical clinic in Burlington, situated in the Mountainside, Brant Hills neighborhood of Burlington. The clinic is conveniently located near Burlington City Hall and is accessible via Burlington Transit. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

With Dr. Dandona, 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. Dandona works with you to create a personalized prevention plan.

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 suitable 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 for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

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.

I have multiple health problems. How does Dr. Dandona handle complex care?

As a family doctor, Dr. Dandona is specifically trained to manage patients with multiple health problems (multimorbidity) and complex care needs. She will take a holistic approach, considering how your various conditions interact and how treatments for one might affect another. Dr. Dandona will help prioritize your health concerns, coordinate care with any specialists involved, manage your medications to avoid harmful interactions (polypharmacy review), and develop a comprehensive care plan that aligns with your overall health goals and quality of life. Open communication about all your conditions and concerns is key.

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 from a family doctor to see most medical specialists.

Does Dr. Dandona at your clinic offer virtual (video) or phone appointments?

Yes, Dr. Dandona at our 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. Dandona if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

2951 Walker's Line
Burlington, ON, L7M 4Y1

Phone: (905) 336-3437

Dr. Karishma Dandona 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: 119890

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Dandona-Karishma/0329858-119890

Family doctors like Dr. Dandona 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.