About
As a skilled Internist / Geriatrician, Dr. Lori Elaine Shapiro offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Concord, ON, she serves the surrounding communities. She adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring comprehensive and ethical care for her patients. Dr. Shapiro provides specialized care in Internal Medicine and Geriatric Care, focusing on adults and seniors, including those with complex medical needs.
Dr. Shapiro graduated with a Medical Degree from the University of Manitoba in 1988. She completed extensive postgraduate medical training, including residencies and certifications in Internal Medicine and Geriatrics, equipping her with a broad skill set to manage diverse health conditions in adult and elderly populations.
Her clinical philosophy emphasizes clear and educational communication, fostering a collaborative approach to health care. She is committed to delivering personalized, patient-centered care in Concord. Dr. Shapiro speaks English and is dedicated to serving her community with integrity, compassion, and professionalism.
Dr. Shapiro provides expert care for adults with a wide range of medical conditions, including:
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.
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.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
Select Infectious & Inflammatory Conditions
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic 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.
Dr. Shapiro 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.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
- Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
Note: This list represents some of the key services offered by Dr. Shapiro. 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. Shapiro'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. Shapiro's practice is located in Concord, ON, near the central Concord neighborhood, conveniently accessible from surrounding communities. The area is close to local points of interest, with easy access via public transit options including local bus routes. The practice is situated in a facility that is wheelchair accessible. Parking is available at the facility, providing ease of access for patients arriving by car.
- How is payment handled for appointments with Dr. Shapiro? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Shapiro 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. Shapiro. 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 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. Shapiro uses this holistic approach to develop a personalized care plan.
- 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.
- What happens after the initial consultation?
- After your assessment, Dr. Shapiro will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Shapiro may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.
- What is the appointment cancellation policy?
- We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.
400 Bradwick Drive
Concord, ON L4K 5V9
Phone: (905) 695-2020 | Fax: (905) 695-3800
The facility is wheelchair accessible.
Dr. Shapiro 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/Shapiro-Lori-Elaine/0046590-60568