Dr. Kieran Joseph Killian – Internist / Geriatrician | Hamilton, ON

Dr. Kieran Joseph Killian, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Hamilton, ON, he serves the surrounding communities with a commitment to high-quality, patient-centered care. He provides comprehensive care in Internal Medicine and Geriatric Care, adhering strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). His practice is dedicated to addressing the complex health needs of adult patients, including seniors, with a focus on holistic and individualized treatment strategies.

Dr. Killian graduated with a Medical Degree from the National University of Ireland in 1972. He completed extensive post-graduate medical training, including specialized residency programs in Internal Medicine and Geriatric Medicine. His certifications reflect a commitment to continual professional development and excellence in clinical practice, ensuring he remains current with evolving medical guidelines and evidence-based approaches.

With a clinical philosophy rooted in evidence-based and informative care, Dr. Killian is dedicated to improving health outcomes through thorough assessment, patient education, and collaborative decision-making. He is committed to serving the Hamilton community, speaking fluent English, and maintaining a respectful, compassionate approach to all patients.

Dr. Killian provides expert care for adults with a wide range of medical conditions, including:

Management of Chronic Diseases

• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• 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.

Endocrine & Metabolic Disorders

• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Dr. Killian 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.

• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.

Note: This list represents some of the key services offered by Dr. Killian. 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. Killian'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. Killian's practice is located in the Westdale neighborhood of Hamilton, ON, near the Ainslie Wood area, close to McMaster University. The location serves residents from Hamilton and nearby communities such as Ancaster Village. The practice is easily accessible via Hamilton Street Railway (HSR), making it convenient for patients traveling by public transit. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Killian? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Killian 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. Killian. 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 happens after the initial consultation?

After your assessment, Dr. Killian will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Killian may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.

Suite 301A, 1280 Main Street West
Hamilton, ON L8S 4K1

Phone: (905) 521-2100 | Fax: (905) 521-5053

The facility is wheelchair accessible.

Dr. Killian 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/Killian-Kieran-Joseph/0026220-31043