Dr. Lorne Neil Small – Internist / Geriatrician | Mississauga, ON

Dr. Lorne Neil Small, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Mississauga, ON, he serves the surrounding communities with a commitment to high-quality, patient-centered care. His practice adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Small provides comprehensive care in Internal Medicine and Geriatric Care, addressing the complex health needs of adult patients, including seniors.

Dr. Small graduated with a Medical Degree from Ruth and Bruce Rappaport Faculty of Medicine in 2000, in Israel. He has completed extensive post-graduate medical training, including residency and fellowship programs in Internal Medicine and Geriatrics, ensuring a thorough understanding of adult and geriatric health issues. His training emphasizes a multidisciplinary approach and continuous professional development.

With a clear and educational clinical philosophy, Dr. Small is dedicated to delivering compassionate, evidence-based care. He is committed to serving the Mississauga community and speaks fluent English, French, and Hebrew, facilitating effective communication with diverse patient populations. His approach emphasizes patient education, shared decision-making, and holistic management of health conditions.

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

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

Complex Diagnostic & Multi-System Issues

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

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Dr. Small 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.

• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.

Note: This list represents some of the key services offered by Dr. Small. 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. Small'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. Small's practice is located in the Churchill Meadows neighborhood of Mississauga within the Martin Grove Medical Centre. The clinic is conveniently situated near Toronto Pearson International Airport (YYZ) area and Malton GO Station, making it accessible for patients traveling from various regions. Patients can access the clinic via MiWay (Mississauga Transit). The facility is wheelchair accessible. Parking is available at the facility.

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

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

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. Small 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. Small 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.

Will Dr. Lorne Neil Small replace my family doctor?

No, Dr. Small acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Small will communicate findings and recommendations back to your family doctor.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases, 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.

Martin Grove Medical Centre
Suite 6, 2200 Eglinton Ave W
Mississauga, ON L5M 2N1

Phone: (905) 813-2200 | Fax: (905) 813-4287

The facility is wheelchair accessible.

Dr. Small 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/Small-Lorne-Neil/0229987-84039