Dr. Kelly Lynn Milton

Dr. Kelly Milton diagnoses and treats a wide range of hormonal and metabolic disorders, including:

Pediatric Endocrinology & Diabetes (Children & Adolescents)

• Childhood Growth Disorders (e.g., Short Stature, Growth Hormone Deficiency, Overgrowth Syndromes): Conditions affecting a child's linear growth, including being significantly shorter or taller than average for age, or having abnormal growth velocity, potentially due to hormonal or genetic factors.
• Disorders of Pubertal Development (Precocious Puberty, Delayed Puberty, Irregular Puberty): Conditions where the onset or progression of puberty occurs unusually early, late, or in a disordered manner, requiring investigation for underlying hormonal or other causes.

Diabetes & Related Metabolic Disorders

• Metabolic Syndrome (Syndrome X, Insulin Resistance Syndrome): A cluster of conditions (central obesity, high blood pressure, high blood sugar, abnormal cholesterol/triglyceride levels) occurring together, elevating the risk of heart disease, stroke, and type 2 diabetes.
• Type 1 Diabetes Mellitus (T1DM): An autoimmune condition resulting in the destruction of insulin-producing beta cells in the pancreas, requiring lifelong insulin therapy for survival and glucose management.

Bone Health & Mineral Metabolism Disorders

• Osteopenia (Low Bone Mass): A condition where bone mineral density is lower than normal peak density but not yet low enough to be classified as osteoporosis. It indicates an increased risk for developing osteoporosis.
• Disorders of Phosphate Homeostasis (Hypophosphatemia, Hyperphosphatemia): Imbalances in blood phosphate levels, which can be caused by various underlying conditions and affect bone health, muscle function, and energy metabolism.

This list is not exhaustive. For personalized advice regarding your specific endocrine condition, please consult with Dr. Kelly Milton.

• Transitional Care for Young Adults with Chronic Endocrine Conditions: Facilitating the smooth transition of adolescents and young adults with lifelong endocrine disorders (e.g., Type 1 diabetes, congenital adrenal hyperplasia, hypopituitarism) from pediatric to adult endocrine care services.
• Interpretation of Complex Hormonal Assays, Dynamic Endocrine Function Tests & Genetic Markers: Expert analysis and clinical correlation of specialized blood, urine, and saliva tests measuring various hormone levels. Includes interpretation of dynamic stimulation and suppression tests (e.g., ACTH stimulation, dexamethasone suppression, oral glucose tolerance test for acromegaly) to precisely evaluate endocrine gland function and identify genetic predispositions.
• Comprehensive Endocrine System Consultation & Hormonal Health Evaluation: In-depth clinical assessment of potential hormonal imbalances and disorders affecting the endocrine glands (e.g., thyroid, pituitary, adrenal, pancreas, parathyroid, gonads). Includes detailed medical history, family history review, targeted physical examination, analysis of symptoms, and formulation of a personalized diagnostic and management plan.
• Expert Second Opinion Consultations for Complex or Rare Endocrine Disorders: Providing specialized second opinions on challenging endocrine diagnoses, interpretation of ambiguous hormone test results, or evaluation of complex or multi-faceted treatment plans.
• Genetic Counseling Coordination & Testing for Hereditary Endocrine Neoplasia Syndromes & Familial Disorders: Risk assessment and coordination of genetic testing and counseling for individuals and families with suspected hereditary endocrine tumor syndromes (e.g., Multiple Endocrine Neoplasia - MEN1, MEN2; Von Hippel-Lindau), familial thyroid cancer, or other inherited endocrine conditions.
• Inpatient & Outpatient Management of Endocrine Emergencies & Crises: Acute diagnosis and management of potentially life-threatening hormonal imbalances such as diabetic ketoacidosis (DKA), hyperglycemic hyperosmolar state (HHS), thyroid storm, myxedema coma, adrenal crisis, severe hypoglycemia, and acute hyper/hypocalcemia, typically initiated in an emergency or hospital setting with ongoing outpatient follow-up.

Note: This list provides a general overview. Specific tests and treatments are determined after a thorough evaluation. Discuss with Dr. Milton for care relevant to your specific condition.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant endocrinological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Dr. Milton practices within an endocrinology clinic located in Ottawa's Hunt Club West, Riverside South, Ottawa Airport Area neighborhood. The facility is situated conveniently near prominent landmarks such as the National Gallery of Canada and ByWard Market Area. Public transit options include OC Transpo (O-Train LRT, Bus), making the clinic easily accessible for most patients. The location is wheelchair accessible, ensuring comfortable access for individuals with mobility needs. Parking is available at or near the facility, providing convenient options for patients arriving by car. The practice offers a welcoming environment focused on the health and well-being of young patients and their families.

Are consultations, hormone tests, and treatments with Dr. Milton, an Pediatric Endocrinologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Pediatric Endocrinologist like Dr. Milton, most standard diagnostic hormone blood tests, dynamic endocrine function tests when indicated, and treatments for provincially insured endocrine conditions (e.g., diabetes, thyroid disorders, adrenal insufficiency, osteoporosis management as per guidelines) are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Some newer or specialized medications (e.g., certain advanced diabetes drugs, some growth hormone therapies, specific osteoporosis agents), medical devices (like some insulin pumps or continuous glucose monitors and their supplies), or treatments considered primarily for lifestyle or cosmetic reasons may have different coverage criteria or require special authorization. It's crucial to discuss coverage specifics for any proposed investigation or treatment with Dr. Milton's office, the hospital/clinic, or Ontario Health Insurance Plan (OHIP) directly.

Is a referral required to see Dr. Milton, an Pediatric Endocrinologist?

Yes, for services covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an internist, pediatrician, or gynecologist) is almost always required to schedule an appointment with an Pediatric Endocrinologist such as Dr. Milton. Endocrine system disorders often involve complex interactions and can have wide-ranging effects, so an initial assessment by your primary care provider helps determine if specialist care is needed and ensures that relevant preliminary tests and medical history are available to the endocrinologist. This facilitates a more focused and efficient consultation.

I have a thyroid nodule. What can I expect during an evaluation with an Endocrinologist like Dr. Milton?

When evaluating a thyroid nodule, an Endocrinologist like Dr. Kelly Milton will conduct a thorough assessment. This typically involves reviewing your medical history (including any symptoms of thyroid dysfunction or family history of thyroid disease), performing a physical examination of your neck and thyroid gland, and ordering blood tests to check your thyroid function (TSH, and possibly free T4, T3, and thyroid antibodies). A thyroid ultrasound is almost always performed to precisely characterize the nodule's size, number, and sonographic features (e.g., solid, cystic, calcifications, irregular margins). Based on these ultrasound characteristics and the nodule's size, Dr. Milton will determine if a fine-needle aspiration (FNA) biopsy is needed to obtain cells for microscopic examination to rule out thyroid cancer. Most thyroid nodules are benign.

My child has a growth problem/early puberty. Would they see an Pediatric Endocrinologist like Dr. Milton?

Yes, as a Pediatric Endocrinologist, Dr. Milton specializes in diagnosing and managing hormonal disorders in infants, children, and adolescents. This definitely includes concerns about growth (such as being significantly shorter or taller than peers, or a sudden change in growth rate) and problems with the timing of puberty (either too early, known as precocious puberty, or significantly delayed). She will conduct a thorough evaluation, which may include hormone tests, bone age X-rays, and other investigations to determine the cause and recommend appropriate management, which could range from observation to specific hormone therapies.

Does Dr. Milton deal with hormonal issues related to infertility or conditions like PCOS?

[IF PROVIDER IS REPRODUCTIVE ENDOCRINOLOGIST (REI):] Yes, as a Reproductive Endocrinologist and Infertility specialist (REI), Dr. Milton has advanced training in diagnosing and treating complex hormonal disorders that affect fertility and reproductive health in both women and men. This includes conditions like Polycystic Ovary Syndrome (PCOS), ovulatory dysfunction, endometriosis-related hormonal issues, premature ovarian insufficiency, male hypogonadism impacting fertility, and recurrent pregnancy loss. She can manage ovulation induction, provide hormonal support for assisted reproductive technologies like IVF, and address other intricate reproductive endocrine problems. [ELSE:] A general Pediatric Endocrinologist like Dr. Milton routinely manages common endocrine conditions that can impact reproductive health, such as thyroid disorders or prolactin imbalances, and can provide initial evaluation and management for Polycystic Ovary Syndrome (PCOS), including its metabolic and hormonal aspects. For complex infertility requiring assisted reproductive technologies (like IVF) or highly specialized reproductive surgeries, She would typically collaborate with or refer patients to a subspecialist in Reproductive Endocrinology and Infertility (REI).

What is Hormone Replacement Therapy (HRT) and when might Dr. Milton recommend it?

Hormone Replacement Therapy (HRT) involves taking medication to replace hormones that the body is no longer producing in sufficient amounts. Dr. Milton might recommend HRT for various conditions. For example, thyroid hormone replacement (levothyroxine) is used for hypothyroidism. For women experiencing troublesome menopausal symptoms, menopausal hormone therapy (MHT, using estrogen with or without progestogen) can be considered. For men with confirmed hypogonadism (low testosterone) and symptoms, testosterone replacement therapy may be an option. HRT is also crucial for individuals with adrenal insufficiency (cortisol/aldosterone replacement) or hypopituitarism (replacing deficient pituitary hormones). The decision to use HRT is highly individualized, based on the specific condition, symptoms, benefits, and potential risks, which Dr. Milton will discuss thoroughly.

380 Hunt Club Rd
Ottawa, ON K1V 1C1

Phone: (613) 248-1010 | Fax: (613) 248-1019

The facility is wheelchair accessible.

Dr. Milton is a licensed Pediatric Endocrinologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician or pediatrician is typically required for consultations with Dr. Milton for pediatric endocrinology services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Milton-Kelly-Lynn/0326729-117092