About
As a skilled Internist / Geriatrician, Dr. Liam Robert Brunham offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Vancouver, BC, he serves the surrounding communities with a focus on providing comprehensive, patient-centered care. His practice adheres strictly to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring that all services meet the highest professional and ethical guidelines. Special interests within Internal Medicine and Geriatric Care include specialty practice in internal medicine, emphasizing the complex health needs of adult and senior patients.
Dr. Brunham graduated with a Doctor of Medicine (MD) degree from the University of British Columbia in 2008. He has completed extensive postgraduate training in internal medicine and geriatrics, along with relevant certifications that affirm his expertise in managing complex adult health conditions. His training encompasses comprehensive clinical skills, evidence-based practices, and ongoing professional development to stay current with advances in internal medicine and geriatric care.
With a professional and clinical approach, Dr. Brunham is committed to providing exceptional care to his patients in Vancouver. He speaks English fluently and values building trusting, respectful relationships with those he serves. His philosophy centers on delivering personalized, evidence-based medical care, emphasizing both diagnosis and holistic management. He strives to support his patients' health, independence, and quality of life through compassionate and expert medical practice.
Dr. Brunham provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
Complex Diagnostic & Multi-System Issues
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
Dr. Brunham 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.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
- Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
Note: This list represents some of the key services offered by Dr. Brunham. 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. Brunham'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 British Columbia (CPSBC).
Dr. Brunham's practice is located in the vibrant Yaletown district, within the Downtown South neighborhood of Vancouver. The location is conveniently positioned near the Hotel Vancouver and Rogers Arena, making it easily accessible for patients. The facility is well-connected via TransLink, with access to SkyTrain Expo, Millennium, and Canada Lines, as well as bus routes, SeaBus, and West Coast Express at Waterfront Station. The practice is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Brunham? Is it covered by Medical Services Plan (MSP)?
- In BC, medical consultations with specialists like Dr. Brunham are typically covered by your provincial health insurance (Medical Services Plan (MSP)) 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 Medical Services Plan (MSP) 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. Brunham. 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 exactly does an Internist (Internal Medicine Specialist) do?
- An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems, handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.
- When should someone be referred to an Internist or Geriatrician?
- Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Diabetes Mellitus (Type 1 & 2) or Thyroid Disorders), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management. Your family doctor can best determine if a specialist consultation is needed.
- What is involved in a Comprehensive Geriatric Assessment (CGA)?
- A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Brunham uses this holistic approach to develop a personalized care plan. It involves reviewing medical history, performing physical examinations, cognitive assessments, functional evaluations, and social support assessments to create a tailored management plan for each patient.
1081 Burrard St B180, Healthy Heart Program Prevention Clinic
Vancouver, BC V6Z 1Y6
Phone: (604) 806-8591 | Fax: (604) 806-8590
The facility is wheelchair accessible.
Dr. Brunham is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/331111/Brunham%2CLiam