Dr. Lorne Jeffrey Gula – Internist / Geriatrician | London, ON

As a skilled Internist / Geriatrician, Dr. Lorne Jeffrey Gula offers expert diagnostic services and management for a wide range of adult health issues. Practicing in London, ON, he serves the surrounding communities with a commitment to providing comprehensive care in Internal Medicine and Geriatric Care. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in every aspect of patient care.

Dr. Gula graduated with a Medical Degree from the University of Ottawa in 1997 and has completed extensive post-graduate medical training, including residencies and fellowships in Internal Medicine and Geriatric Medicine. His certifications reflect his dedication to maintaining up-to-date clinical knowledge and skills, enabling him to deliver evidence-based and personalized care.

His clinical philosophy emphasizes an evidence-based and informative approach, prioritizing patient-centered care tailored to individual needs. Dr. Gula is committed to serving the residents of London and the surrounding areas, communicating fluently in English to ensure clear understanding and effective management of health concerns.

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

Select Infectious & Inflammatory Conditions

• 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.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Complex Diagnostic & Multi-System Issues

• 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.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Management of Chronic Diseases

• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• 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.

Dr. Gula 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.

• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.

Note: This list represents some of the key services offered by Dr. Gula. 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. Gula'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).

Located in the heart of Downtown London, Dr. Gula's practice serves the North London East neighborhood, with proximity to North London Athletic Fields and Masonville Place Area. The clinic is easily accessible via London Transit Commission (LTC) routes, making it convenient for patients from surrounding communities. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Gula 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. Gula. 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 are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Gula's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

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 infections or diabetes mellitus), 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.

339 Windermere Road, Ottawa Hospital - General Campus Box 211
London, ON N6A 5A5

Phone: (519) 663-3746 | Fax: (519) 663-3782

The facility is wheelchair accessible.

Dr. Gula 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/Gula-Lorne-Jeffrey/0139171-71245