About
Dr. Leilani Casilda de Leon Famorca is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Milton, ON, she serves the surrounding communities. She adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and ethical practice. Dr. Famorca provides comprehensive care in Internal Medicine and Geriatric Care, emphasizing a holistic approach to her patients' health and well-being.
She graduated with a Medical Degree from Saint Louis University in 1996 in the United States and completed extensive post-graduate medical training, including residency in Internal Medicine. Her training encompasses a broad spectrum of adult and geriatric health issues, equipping her with the expertise to manage complex medical conditions.
Dr. Famorca's clinical philosophy centers on professionalism, thoroughness, and patient-centered care. She is committed to serving the Milton community with compassion and clinical excellence. She is fluent in English and Filipino, facilitating effective communication with diverse patient populations.
Dr. Famorca provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
Select Infectious & Inflammatory Conditions
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
Geriatric Syndromes & Focused Elder Care
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
Dr. Famorca 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.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
Note: This list represents some of the key services offered by Dr. Famorca. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Famorca'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. Famorca's practice is located in the Milton Central/North/East neighborhoods, including Old Milton, Dempsey, Clarke, Beaty, and Coates areas. The clinic is situated within the Fifth Floor of a modern medical building near the Milton Farmers' Market area. Patients can access the clinic via Milton Transit, which provides convenient public transportation options. The facility is wheelchair accessible. Parking is available at the facility, ensuring ease of access for all patients.
- How is payment handled for appointments with Dr. Famorca? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Famorca 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. Famorca. 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.
- Will Dr. Leilani Casilda de Leon Famorca replace my family doctor?
- No, Dr. Famorca 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. Famorca will communicate findings and recommendations back to your family doctor.
- Can a family member or friend accompany me to the appointment?
- Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.
Fifth Floor
336 Bronte Street South
Milton, ON L9T 7W6
Phone: (289) 851-0774 | Fax: (289) 851-0776
The facility is wheelchair accessible.
Dr. Famorca 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/Famorca-Leilani-Casilda-de-Leon/0232455-85121