Dr. Lorette Bishara Kassis

Dr. Lorette Bishara Kassis provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.

Pediatric Common Issues

• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Supporting new parents in caring for their infant, addressing common concerns (colic, reflux, sleep patterns), and promoting bonding and healthy attachment.

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Comprehensive management strategies for COPD, focusing on smoking cessation support (critical for slowing progression), appropriate pharmacological therapy (bronchodilators, inhaled corticosteroids), supplemental oxygen therapy assessment (if needed), pulmonary rehabilitation referrals, influenza/pneumococcal vaccinations, and proactive management of exacerbations to improve quality of life, reduce symptoms (breathlessness, chronic cough, sputum production), and slow disease progression.
• Type 2 Diabetes Mellitus & Prediabetes: Proactive, team-based care (often involving dietitians, diabetes educators, pharmacists) for type 2 diabetes and prediabetes, aiming to achieve optimal glycemic control, reduce cardiovascular risk, and improve overall quality of life.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Diagnosing and providing ongoing treatment for common forms of anemia to maintain energy levels and overall health.

Preventative Health Topics

• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Kassis. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Evaluation of Acute Musculoskeletal Injuries (Sprains, Strains): Providing initial care for recent musculoskeletal trauma to support healing, reduce inflammation, and facilitate a safe return to activity.
• Fungal, Viral & Bacterial Skin Infections: Managing common cutaneous infections to resolve symptoms and prevent spread or recurrence.
• Well-Child & Well-Adolescent Visits (Growth & Development): Age-appropriate developmental screenings, health supervision, and lifestyle counseling for children and teenagers, ensuring they meet key milestones.
• Diagnosis & Management of Common Acute Childhood Illnesses: Providing prompt, effective, and child-friendly care for common infections and acute conditions to ensure quick recovery and prevent complications.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Regular monitoring, evidence-based treatment (lifestyle modifications, medication selection and titration), and ongoing education for managing high blood pressure and dyslipidemia (high cholesterol/triglycerides) to reduce overall cardiovascular risk.

Note: This list highlights some of the key services offered by Dr. Kassis. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Lorette Bishara Kassis's practice, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Kassis frequently works with patients towards goals such as:

• Dr. Kassis's care for needing a refill for their regular medications for an ongoing condition like high blood pressure or thyroid issues is designed to result in having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. Kassis, so patients can resume activities such as regularly engaging in deeply personal spiritual practices, reflective mindfulness exercises, or formal meditation sessions that significantly contribute to their inner peace, emotional balance, stress reduction, and overall holistic well-being with confidence.
• A frequent goal for patients seeing Dr. Kassis about needing medical clearance or a pre-participation physical for a new job, school program, or volunteer position is to achieve successfully and completely completing a course of treatment for an acute infection (like pneumonia or a significant skin infection) or a new condition under Dr. Kassis's diligent, meticulous care and important follow-up monitoring. This success paves the way for them to re-engage with actively engaging in a variety of mentally stimulating and enriching activities such as immersive reading of books and articles, solving complex puzzles, consistently learning a new practical skill online, or regularly attending engaging adult education classes with good, sustained concentration and memory recall.
• The focus for patients with experiencing unexplained bruising more easily than before at Dr. Kassis's practice is achieving obtaining clear, concise, and actionable guidance from Dr. Kassis on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization, facilitating a return to meaningful activities like feeling physically strong, mentally resilient, and emotionally capable of consistently handling the often unpredictable and demanding day-to-day responsibilities of active parenting, grand-parenting, or intensive caregiving roles.
• Many seek Dr. Kassis's help for needing support, resources, and a concrete plan to help them quit smoking for good this time. The collaborative goal is receiving necessary, appropriate, and well-coordinated timely referrals to highly-regarded specialists or specialized programs, leading to advanced specialized diagnosis, cutting-edge treatment, or valuable second opinions when required for complex or rare health issues, all facilitated by Dr. Kassis, allowing a return to valued activities like thoroughly enjoying a wide and varied range of delicious and nutritious meals with family and friends, both at home and when dining out, without significant digestive discomfort, nagging pain, restrictive dietary limitations, or fear of adverse reactions.

Your personalized healthcare plan, developed in discussion with Dr. Kassis, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Kassis practices at a family medical clinic in Milton, situated in the Milton Central/North/East (Old Milton, Dempsey, Clarke, Beaty, Coates) neighborhood of Milton. The clinic is conveniently located near FirstOntario Arts Centre Milton and is accessible via Milton Transit. Free patient parking is often available on-site or on nearby streets.

I have multiple health problems. How does Dr. Kassis handle complex care?

Managing multiple health conditions is a core part of what Dr. Kassis does. She will work with you to understand the full picture of your health, help manage various chronic diseases simultaneously, ensure your medications are optimized, and coordinate with different specialists to ensure your care is not fragmented. The goal is to provide integrated and patient-centered care that addresses all your needs effectively.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Kassis?

When you first meet Dr. Kassis as a new patient, expect to spend time discussing your complete health profile. She will likely ask about your past medical history, significant family illnesses, all current medications (including vitamins and supplements), allergies, lifestyle factors like diet and exercise, and any specific health concerns or goals you have. This comprehensive intake helps Dr. Kassis understand your overall health status and begin to formulate a long-term care plan. It's also an excellent time to ask any questions you may have about her approach to medicine or clinic procedures.

What exactly is a family doctor (Family Doctor) and what is their role?

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. She manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care she provides, understanding your health history and individual needs, is fundamental to effective family medicine.

How long do appointments with Dr. Kassis typically last?

Typically, a regular appointment with Dr. Kassis to discuss a specific health concern or for a follow-up lasts about 10 to 15 minutes. However, if you are a new patient, scheduled for a complete physical exam, or need to discuss multiple or complex health matters, the appointment will likely be scheduled for a longer duration, such as 30 minutes. Please inform the reception staff at the clinic about the nature of your visit when booking, so sufficient time with Dr. Kassis can be arranged.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time to find a suitable doctor.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, or your local health authority website, may be helpful. A referral is usually required from a family doctor to see most medical specialists.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

What is 'continuity of care' and why is it important with a family doctor like Dr. Kassis?

Having continuity of care with Dr. Kassis means that she is your consistent point of contact for your health needs over many years. This long-term relationship allows Dr. Kassis to understand the nuances of your health, track changes over time, and provide care that is personalized and proactive. It improves communication, reduces duplication of tests, helps in managing chronic conditions more effectively, and fosters a stronger doctor-patient partnership, all leading to better overall health management.

5b-1015 Bronte Street South
Milton, ON, L9T 8X3

Phone: (905) 636-6886

Dr. Lorette Bishara Kassis is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 95026

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Kassis-Lorette-Bishara/0274157-95026

Family doctors like Dr. Kassis are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.