Dr. Lillian De Jesus Jeremias Barra – Internist / Geriatrician | London, ON

Dr. Lillian Jesus, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in London, ON, she serves the surrounding communities with a commitment to comprehensive and patient-centered care. Her practice is aligned with the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality and ethical medical services. Dr. Jesus provides specialized care in Internal Medicine and Geriatric Care, addressing the complex health needs of adult patients, including seniors.

She graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2005, in Canada. Following her medical degree, she completed extensive postgraduate medical training, including residency in Internal Medicine and additional certification in Geriatric Medicine. Her training emphasizes evidence-based approaches and the latest clinical guidelines to optimize patient outcomes.

Dr. Jesus’s clinical philosophy centers on delivering evidence-based and informative care tailored to each patient’s unique health profile. She is dedicated to serving the London community and speaks English fluently. Her approach is rooted in thorough evaluation, patient education, and collaborative decision-making to ensure the best possible health outcomes for her patients.

Dr. Jesus 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.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.

Management of Chronic Diseases

• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.

Complex Diagnostic & Multi-System Issues

• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.

Dr. Jesus 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.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.

Note: This list represents some of the key services offered by Dr. Jesus. 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. Jesus'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. Jesus’s practice is located in Downtown London, within the North London East neighbourhood, conveniently situated near Humber River Hospital. The office is easily accessible from the Downtown Core and is within walking distance of Budweiser Gardens. Patients can access the clinic via the London Transit Commission (LTC) bus services. The facility is wheelchair accessible. Parking is available at the facility.

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

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

How does Dr. Lillian Jesus communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. Jesus will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.

Humber River Hospital
268 Grosvenor St., Cancer Care Clinic
London, ON N6A 4V2

Phone: (519) 646-5986 | Fax: (519) 646-6072

The facility is wheelchair accessible.

Dr. Jesus 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/Barra-Lillian-De-Jesus-Jeremias/0219905-82437