Dr. Kristopher Varano – Family Doctor | Kitchener, ON

Dr. Kristopher Varano is a Family Doctor. Practicing at a family doctor practice in Kitchener, ON, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Kristopher Varano completed his Medical Degree. He brings valuable clinical experience to the practice. He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. He provides consultations in English.

Dr. Kristopher Varano 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

• 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.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• 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.

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Assessing symptoms of depression (low mood, loss of interest/pleasure, fatigue, changes in sleep/appetite) and other mood disorders. Offering empathetic supportive counseling, discussing and initiating treatment options including lifestyle interventions, evidence-based antidepressant medications, and facilitating referrals to psychotherapy or psychiatry for moderate to severe or treatment-resistant cases.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.

Common Acute Conditions

• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Managing various acute dermatological conditions with appropriate topical or oral medications (antibiotics, antifungals, corticosteroids, antihistamines) to alleviate itching, redness, pain, swelling, and discomfort.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Primary care strategies to protect and preserve kidney health, including tight blood pressure and glycemic control, and education on kidney-friendly habits.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• Type 2 Diabetes Mellitus & Prediabetes: Proactive, team-based care (often involving dietitians, diabetes educators, pharmacists) for type 2 diabetes and prediabetes, aiming to achieve optimal glycemic control, reduce cardiovascular risk, and improve overall quality of life.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.

Joint Muscle Pain

• 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.
• 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.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.

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

• Chronic Pain Management (Musculoskeletal, Neuropathic - Primary Care Approach): Initial assessment and development of a management plan for chronic pain conditions (e.g., osteoarthritis, chronic low back pain, fibromyalgia, neuropathic pain), employing a multimodal approach including lifestyle advice, exercise recommendations, non-opioid and judicious opioid medication management, pain education, and referrals to specialized pain clinics, physiotherapy, or other therapies.
• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Monitoring kidney function (e.g., eGFR, urine ACR), managing risk factors (especially diabetes and hypertension that can worsen CKD), medication review to avoid nephrotoxic drugs, and coordinating care for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and monitor for complications like thyroid nodules or goiter.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Supporting patients through the grieving process with empathy, validation, and practical advice for coping and finding meaning.

Note: This list highlights some of the key services offered by Dr. Varano. 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. Kristopher Varano'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. Varano frequently works with patients towards goals such as:

• A key objective when treating questions or concerns about their child's growth, developmental milestones, or specific behaviors at Dr. Varano's clinic is managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Varano's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, supporting a comfortable return to consistently being a reliable, present, actively contributing, and supportive member of their immediate family unit, extended family network, and valued social circles, fulfilling important roles and responsibilities.
• The focus for patients with concerns about possible medication interactions between prescriptions from different doctors at Dr. Varano's practice is achieving experiencing significantly improved physical function, greater ease of mobility, and markedly reduced daily pain as a result of managing complex musculoskeletal issues or sports injuries under Dr. Varano's comprehensive guidance, treatment plan, and care coordination with allied health professionals, facilitating a return to meaningful activities like passionately playing their favorite competitive or recreational sport – be it soccer on weekends, league hockey, a round of golf, a tennis match, or pickup basketball – regularly, skillfully, and without the constant dread of debilitating pain, flare-ups, or fear of re-injury.
• Dr. Varano supports patients through experiencing unusual fatigue and muscle aches that aren't explained by physical activity, aiming for outcomes like feeling deeply understood, consistently validated, and never dismissed by Dr. Varano when discussing sensitive, personal, or emotionally difficult health topics or life circumstances, so they can return to activities such as 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.

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

Dr. Varano practices at a family medical clinic in Kitchener, situated in the Central Frederick, Midtown neighborhood of Kitchener. The clinic is conveniently located near Midtown KW Area and is accessible via Grand River Transit (GRT) (Bus and ION Light Rail). Free patient parking is often available on-site or on nearby streets.

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

Preventative care provided by Dr. Varano aims to stop health issues from occurring or to catch them at an early, more manageable stage. This includes regular physical exams, vaccinations, screenings for common conditions like certain cancers or heart disease risk factors (high blood pressure, high cholesterol), and personalized advice on maintaining a healthy lifestyle through diet, physical activity, and avoiding harmful habits like smoking. It’s about being proactive with your health rather than just treating problems as they arise, and Dr. Varano can help guide you in these efforts.

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, but there are resources to help. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website. In Ontario, you can also 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 and persistence to find a doctor.

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

Yes, as your family doctor, Dr. Varano plays a crucial role in mental healthcare. He is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. Dr. Varano can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services such as psychiatrists, psychologists, or community mental health programs if more intensive or specialized care is needed. Dr. Varano can provide ongoing support and management for many common mental health conditions.

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 that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, your local health authority website, or the College of Physicians and Surgeons of Ontario patient-doctor matching service (if available) may be helpful. A referral from a family doctor is usually required to see most medical specialists.

What happens if Dr. Varano determines I need to see a medical specialist?

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr. Varano. After assessing your condition, if Dr. Varano believes specialist care is necessary for diagnosis or management, he will discuss this with you and make the appropriate referral. Our office will handle sending the required information to the specialist. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can sometimes be long, so Dr. Varano will continue to manage your care and provide support in the interim.

Does Dr. Varano at {clinic_name_if_available_else_your_clinic} offer virtual (video) or phone appointments?

Yes, Dr. Varano 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. Varano 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.

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?

Your family doctor (in Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

16 Andrew Street
Kitchener, ON, N2H 5R2

Phone: (519) 804-9050

Dr. Kristopher Varano 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: 93372

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Varano-Kristopher/0266297-93372

Family doctors like Dr. Varano 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.