Dr. Liliya Grebenyuk – Internist / Geriatrician | Guelph, ON

As a skilled Internist / Geriatrician, Dr. Liliya Grebenyuk offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Guelph, ON, she serves the surrounding communities with a focus on providing comprehensive and patient-centered care. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical medical practice. Dr. Grebenyuk's role involves diagnosing complex conditions, managing chronic illnesses, and supporting the health and well-being of her patients across all adult age groups, including seniors.

Dr. Grebenyuk graduated with a Medical Degree from Kazakh State Medical University in 1992 (Kazakhstan). She has completed extensive post-graduate medical training, including residency in Internal Medicine and additional certifications in Geriatric Care. Her training has equipped her with the skills necessary to manage multifaceted health issues in adult and elderly populations effectively.

Her clinical philosophy is clear and educational, emphasizing a thorough understanding of each patient's unique health circumstances. She is committed to providing compassionate, evidence-based care with a focus on improving health outcomes and quality of life. Fluent in English and Russian, Dr. Grebenyuk values clear communication and patient education, fostering a trusting and collaborative healthcare environment.

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

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.
• 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.

Geriatric Syndromes & Focused Elder Care

• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.

Management of Chronic Diseases

• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.

Dr. Grebenyuk 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.

• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.

Note: This list represents some of the key services offered by Dr. Grebenyuk. 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. Grebenyuk'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. Grebenyuk's practice is located in the Grange Road Area within the Victoria North neighborhood of Guelph. The clinic is situated conveniently within the Peterborough Regional Health Centre complex, providing easy access for patients. The location is close to Stone Road Mall, making it accessible for shopping and other errands. Patients can reach the clinic via Guelph Transit, which offers frequent bus services in the area. The facility is wheelchair accessible and designed to accommodate patients with mobility challenges. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Grebenyuk 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. Grebenyuk. 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.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Thyroid Disorders or Chronic Liver Disease is crucial, Dr. Grebenyuk also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Management of Patients with Multiple Comorbidities), and participation in meaningful activities.

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 (Osteoporosis & Metabolic Bone Disease, Complex Infections Consultation), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.

Peterborough Regional Health Centre
115 Delhi Street
Guelph, ON N1E 4J4

Phone: (519) 837-6440

The facility is wheelchair accessible.

Dr. Grebenyuk 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/Grebenyuk-Liliya/0266947-95519