Dr. Lotar Oswald Nunez Sotelo – Family Doctor | Oshawa, ON

Dr. Lotar Oswald Nunez Sotelo is a Family Doctor. Practicing at Evercare Medical Centre in Oshawa, ON, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Lotar Oswald Nunez Sotelo completed his Medical Degree. He brings valuable clinical experience to the practice. He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. He provides consultations in English.

Dr. Lotar Oswald Nunez Sotelo provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Supporting individuals experiencing persistent worry, panic attacks, social phobia, or generalized anxiety with a patient-centered and collaborative approach to care, focusing on symptom reduction and functional improvement.
• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.

Common Chronic Conditions

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Long-term support and care for managing the symptoms of degenerative joint disease and other chronic musculoskeletal pain, focusing on self-management and maintaining an active lifestyle.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.

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

• Management of Common Adult Acute & Chronic Illnesses: Expert management of prevalent adult health concerns to support optimal health, function, and quality of life.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Expert assessment and management of everyday acute illnesses affecting respiratory, urinary, skin, and other systems to help you recover quickly and prevent complications.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Diagnosing and providing primary care management for common musculoskeletal issues such as osteoarthritis, mechanical low back pain, neck pain, rotator cuff tendinopathy, bursitis, and other non-specific joint or muscle pain.

Note: This list highlights some of the key services offered by Dr. Sotelo. 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 Evercare Medical Centre, 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. Sotelo frequently works with patients towards goals such as:

• It's rewarding for Dr. Sotelo to see patients with concerns about their blood pressure readings being a bit high at the pharmacy machine, or cholesterol levels from a recent screening achieve having a reliable, knowledgeable, consistently accessible, and compassionate go-to medical professional in Dr. Sotelo for the vast majority of their entire family's diverse and evolving health needs, from newborn care and pediatrics through to adult medicine and geriatrics and return to important activities like meaningfully and collaboratively contributing to important household decision-making processes, family event planning, or shared domestic responsibilities with clarity and fairness.
• For those challenged by their teenager needing a confidential space to discuss sensitive health concerns like sexual health or mental well-being, Dr. Sotelo offers strategies to reach their children being notably less fearful and more cooperative during doctor visits and even immunizations, specifically because of Dr. Sotelo's consistently gentle, patient, and child-friendly communication approach, which can mean rediscovering the joy of actively participating in ongoing professional development activities, industry conferences, or learning new, marketable skills for their current career path or potential future career transitions.
• The path to wellness when facing wanting to discuss preventative health screenings appropriate for their age, gender, and family history risks involves working towards having their unique cultural background, personal values, spiritual beliefs, and communication preferences consistently respected and thoughtfully incorporated into their personalized healthcare plan by an attentive and culturally sensitive Dr. Sotelo. Dr. Sotelo guides patients so they can again enjoy adeptly managing daily life stressors, unexpected personal challenges, and demanding professional pressures in a healthy, resilient, constructive, and adaptive way, maintaining emotional equilibrium.
• Dr. Sotelo often sees patients whose feeling unusually tired and completely run down for weeks, not just a day or two of fatigue limits their enjoyment of regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation. The goal of care is to achieve accessing crucial mental health support, initial assessment, and evidence-based treatment in a familiar, readily accessible, and completely non-stigmatizing primary care environment meticulously provided by Dr. Sotelo and restore their active lifestyle.

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

Dr. Sotelo practices at Evercare Medical Centre, located in the Vanier, McLaughlin West neighborhood of Oshawa. The clinic is conveniently located near North Oshawa Shopping Centres and is accessible via Durham Region Transit (DRT). Free patient parking is often available on-site or on nearby streets.

Can Dr. Sotelo help with mental health concerns like anxiety or depression?

Yes, as your family doctor, Dr. Sotelo plays a crucial role in mental healthcare. He is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. Dr. Sotelo can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services such as psychiatrists, psychologists, or community mental health programs if more intensive or specialized care is needed. Dr. Sotelo can provide ongoing support and management for many common mental health conditions.

What should I do if I have an urgent medical issue when Evercare Medical Centre is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until Evercare Medical Centre reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with Evercare Medical Centre or Dr. Sotelo during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail may also provide instructions or resources for after-hours care.

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 may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

Your first appointment with Dr. Sotelo will involve a review of your medical history, including past illnesses, surgeries, allergies, immunizations, and family health history. He will discuss your current health concerns, medications, and lifestyle habits. A basic physical examination may be performed. This is also a chance to ask questions about his practice style and clinic policies.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and coordinating care with specialists when necessary. Building long-term relationships with patients is a key aspect of their role.

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

Check the website of the College of Physicians and Surgeons of Ontario for a 'Find a Doctor' tool. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time.

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 OHIP for eligible residents with a valid health card. Some services (e.g., cosmetic procedures, travel medicine consultations, sick notes, insurance forms) may not be covered and may have an associated fee. Confirm with Evercare Medical Centre if you have questions about specific services or fees.

Evercare Medical Centre
100-111 Simcoe St N
Oshawa, ON, L1G 4S4

Phone: (833) 456-3296

Dr. Lotar Oswald Nunez Sotelo 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: 112107

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Nunez-Sotelo-Lotar-Oswald/0318657-112107

Family doctors like Dr. Sotelo 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.