Dr. Marilou I. Ching – Neurologist | Niagara Falls, ON

Dr. Marilou I. Ching is a dedicated Neurologist specializing in the diagnosis and treatment of disorders affecting the brain, spinal cord, nerves, and muscles in adult patients. Practicing at Albion Family & Walk in clinic in Niagara Falls, ON, she is an integral part of the local medical community. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe, ethical, and comprehensive neurological care. Dr. Ching provides thorough evaluations and personalized treatment plans for a wide spectrum of neurological conditions, including headaches, neuropathy, stroke, and cognitive disorders. The clinic offers a supportive environment for patients and families navigating neurological health concerns, emphasizing compassionate care and patient education.

She graduated with a Medical Degree from Far Eastern University in the Philippines. With over 10 years of experience as a Neurologist since 2014, Dr. Ching has developed a deep expertise in managing complex neurological conditions. She is recognized as a CPSO Recognized Specialist, reflecting her advanced training and commitment to excellence in neurological care. Her ongoing involvement in professional development ensures she stays current with the latest advancements and best practices in neurology.

Dr. Ching’s clinical philosophy centers on delivering patient-centered care through a holistic approach to neurological health. She believes in thorough patient education, evidence-based practice, and ongoing support to empower her patients in managing their conditions. Dr. Ching is dedicated to providing accessible, high-quality neurological services in English, fostering trust and clarity in her patient relationships. Her commitment is to improve quality of life through precise diagnosis, effective treatment, and compassionate communication in every consultation.

Dr. Marilou Ching addresses a wide range of neurological conditions, including:

Common Neurological Symptoms (Requiring Evaluation)

• Numbness, Tingling & Weakness (Focal or Generalized): Sensory changes or loss of strength in limbs or other body parts, potentially due to nerve or muscle disorders.
• Seizures or Episodes of Loss of Consciousness: Events involving abnormal electrical brain activity or unexplained blackouts requiring neurological assessment.
• Dizziness, Vertigo & Balance Problems: Sensations of spinning, unsteadiness, or lightheadedness that may indicate an underlying neurological issue.

Cognitive Disorders & Dementia

• Alzheimer's Disease: A progressive neurodegenerative disease that is the most common cause of dementia, affecting memory, thinking, and behavior.
• Mild Cognitive Impairment (MCI): An intermediate stage between the expected cognitive decline of normal aging and the more serious decline of dementia.
• Frontotemporal Dementia (FTD): A group of disorders that primarily affect the frontal and temporal lobes of the brain, leading to changes in personality, behavior, and language.

Epilepsy & Seizure Disorders

• Refractory (Drug-Resistant) Epilepsy: Epilepsy that does not respond adequately to treatment with two or more appropriately chosen anti-seizure medications.
• Focal (Partial) Epilepsy (with or without secondary generalization): Seizures originating in one area of the brain, which may or may not spread to become generalized.
• Status Epilepticus: A medical emergency where a seizure lasts too long or when seizures occur close together without recovery in between.

This list is not exhaustive. For personalized advice regarding your specific neurological concerns, please consult with Dr. Marilou Ching.

• Electromyography (EMG) & Nerve Conduction Studies (NCS) - Performance & Interpretation: Diagnostic tests to assess the health of muscles and the nerve cells that control them (motor neurons), helping diagnose nerve damage, muscle diseases, and radiculopathies.
• Intraoperative Neurophysiological Monitoring (IONM) - Consultation/Oversight: Monitoring of nervous system function during surgeries that pose a risk to neurological structures.
• Management of General Neurological Conditions: Ongoing care for a variety of common neurological issues, including follow-up, medication management, and lifestyle counseling.
• Second Opinion Consultations for Neurological Disorders: Providing expert second opinions on complex neurological diagnoses and proposed treatment plans to ensure informed patient decision-making.
• Electroencephalography (EEG) - Performance & Interpretation: Recording and analysis of electrical activity in the brain, primarily used to diagnose epilepsy, seizures, and other brain disorders.
• Comprehensive Neurological Consultation & Examination: In-depth evaluation of symptoms related to the brain, spinal cord, nerves, and muscles, including detailed medical history, neurological examination, and diagnostic planning.
• Evoked Potential Studies (Visual, Auditory, Somatosensory): Tests that measure the electrical activity in the brain in response to stimulation of sight, sound, or touch, often used in diagnosing MS and other conditions.

Note: This list provides a general overview. Treatment plans are individualized. Discuss with Dr. Ching for care relevant to your needs.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant neurological care guidelines. Contact the clinic regarding new patient intake and referral processes.

Albion Family & Walk in clinic is situated in the vibrant Downtown Niagara Falls (Queen St area) neighbourhood, a convenient and accessible location for residents and visitors alike. The practice is situated close to popular Waterparks, making it an ideal stop for families seeking both leisure and specialized neurological care. The clinic is well-served by Niagara Region Transit (NRT), providing easy access via public transportation. The facility is wheelchair accessible, ensuring comfort and ease of access for all patients. Parking is available at or near the facility, offering convenient options for patients arriving by car. The practice aims to provide a welcoming environment that supports patients and their families in managing neurological health effectively.

Are consultations and treatments with Dr. Ching, a Neurologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Neurologist like Dr. Ching, as well as many diagnostic tests (e.g., EEG, EMG, review of MRI/CT scans), are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor or another specialist is in place. Coverage for specific medications, especially newer biologic therapies for conditions like MS or migraine, can vary by provincial formularies and may require special authorization. Some specialized procedures or devices may also have specific coverage criteria. It's always best to discuss coverage specifics with Dr. Ching's office or Ontario Health Insurance Plan (OHIP).

Do I need a referral to see Dr. Ching, a Neurologist?

Yes, a referral from your family physician or another specialist is almost always required to see a Neurologist like Dr. Ching for assessment or treatment of a neurological condition. This ensures your care is coordinated, that preliminary investigations may have been done, and that you are directed to the most appropriate specialist for your specific symptoms or suspected diagnosis.

What does a Neurologist do for stroke patients?

For acute ischemic stroke, neurologists in a hospital setting are involved in rapid diagnosis and administration of time-sensitive treatments like thrombolysis (clot-busting medication) or coordinating endovascular thrombectomy. After a stroke or TIA (transient ischemic attack), a neurologist like Dr. Ching focuses on identifying the cause and implementing strategies for secondary prevention to reduce the risk of future strokes. This includes managing risk factors like high blood pressure, diabetes, high cholesterol, atrial fibrillation, and recommending antiplatelet or anticoagulant medications and lifestyle changes.

What are common diagnostic tests in Neurology?

Common tests ordered or interpreted by a neurologist include: Magnetic Resonance Imaging (MRI) and Computed Tomography (CT) scans to visualize the brain and spinal cord; Electroencephalogram (EEG) to record brain electrical activity (often for seizures); Electromyography (EMG) and Nerve Conduction Studies (NCS) to assess nerve and muscle function; Lumbar Puncture (spinal tap) to analyze cerebrospinal fluid; and various blood tests to look for infections, inflammation, or genetic markers. Dr. Ching will determine which tests, if any, are appropriate for your situation.

What can I expect at my first appointment with Dr. Ching?

Your first appointment with Dr. Ching will likely be quite thorough. She will take a detailed medical history, including your current symptoms, past illnesses, family history of neurological conditions, and any medications you are taking. A comprehensive neurological examination will be performed, which assesses things like your mental status, cranial nerves (vision, hearing, facial movement), strength, coordination, reflexes, and sensation. Based on this, Dr. Ching may discuss potential diagnoses, order further tests (like an MRI, EEG, or blood work), or suggest initial treatment options. Bring a list of your medications and any relevant medical records or imaging reports if you have them.

What is Multiple Sclerosis (MS) and how is it treated?

Multiple Sclerosis (MS) is a chronic autoimmune disease that affects the central nervous system (brain and spinal cord), leading to a variety of neurological symptoms. Treatment focuses on managing acute relapses (often with corticosteroids), slowing disease progression with disease-modifying therapies (DMTs), and managing symptoms (like fatigue, spasticity, pain, bladder problems). Dr. Ching can provide a comprehensive overview of MS and develop a personalized treatment plan based on your specific type of MS and disease activity.

What does a Neurologist like Dr. Ching specialize in?

A Neurologist is a medical doctor who specializes in the diagnosis, treatment, and management of disorders affecting the nervous system. This includes the brain, spinal cord, peripheral nerves (nerves outside the brain and spinal cord), and muscles. She is a Neurologist specializing in disorders of the nervous system. Dr. Ching is trained to investigate, diagnose, and treat a wide range of neurological conditions.

Albion Family & Walk in clinic
Unit 309, 5546 Portage Rd
Niagara Falls, ON L2G 5X8

Phone: (905) 358-0171

The facility is wheelchair accessible.

Dr. Ching is a licensed Neurologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Ching for services covered by the provincial health plan.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Ching-Marilou-I/0298214-105166