Dr. Lawrence Solomon David Fishbein – Internist / Geriatrician | North York, ON

Dr. Lawrence Solomon David Fishbein is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in North York, ON, he serves the surrounding communities with a patient-centred approach. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and effective medical care for all patients.

Dr. Fishbein graduated with a Medical Degree from the University of Toronto in 1983 and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Medicine. He holds key certifications and has gained significant experience in managing complex adult health issues, emphasizing evidence-based practices and continuous learning to stay current with medical advancements.

His clinical philosophy is rooted in clear, educational communication, fostering an environment where patients are well-informed about their health. Dr. Fishbein is committed to serving the North York community and speaks English fluently. He strives to deliver compassionate, thorough, and individualized care to help his patients maintain their health, independence, and quality of life.

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

Geriatric Syndromes & Focused Elder Care

• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Management of Chronic Diseases

• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.

Dr. Fishbein 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.

• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.

Note: This list represents some of the key services offered by Dr. Fishbein. 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. Fishbein'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. Fishbein's practice is located in the central North York area, conveniently accessible from nearby neighborhoods such as North York Centre, Willowdale, and Downsview. The location is well-served by local public transit, including subway stations and bus routes, making it easy for patients to reach the clinic. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Fishbein 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. Fishbein. 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 should I do if I have an urgent medical problem?

Dr. Fishbein's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.

Will Dr. Fishbein replace my family doctor?

No, Dr. Fishbein acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Fishbein will communicate findings and recommendations back to your family doctor.

What typically happens during a first consultation?

During your initial visit, Dr. Fishbein will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss his findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Suite 21, 960 Lawrence Avenue West
North York, ON M6A 3B5

Phone: (416) 782-5589 | Fax: (416) 782-0595

The facility is wheelchair accessible.

Dr. Fishbein 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/Fishbein-Lawrence-Solomon-David/0038792-52768