Dr. Mark Andrew Goldszmidt – Internist / Geriatrician | London, ON

Dr. Mark Andrew Goldszmidt, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in London, ON, he serves the surrounding communities with a warm and community-focused approach. He is committed to providing comprehensive care in Internal Medicine and Geriatric Care, ensuring that each patient receives tailored treatment that respects their unique health needs. Dr. Goldszmidt adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), prioritizing patient safety and quality of care.

He graduated with a Medical Degree from McGill University Faculty of Medicine and Health Sciences in 1996, Canada. Following his medical degree, Dr. Goldszmidt completed extensive post-graduate medical training in internal medicine and geriatrics, acquiring the necessary certifications and clinical expertise to serve adult and senior populations effectively. His training emphasizes a holistic and multidisciplinary approach to complex health issues.

Driven by a warm and community-oriented philosophy, Dr. Goldszmidt is dedicated to building trusting relationships with his patients. He speaks English fluently and is committed to serving the diverse London community with compassion and professionalism. His goal is to support older adults and adults with complex medical needs through attentive and respectful care.

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

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Geriatric Syndromes & Focused Elder Care

• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• 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.

Dr. Goldszmidt 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.

• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.

Note: This list represents some of the key services offered by Dr. Goldszmidt. 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. Goldszmidt'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. Goldszmidt's practice is located in Downtown London, within the North London East neighborhood. The clinic is situated within Hamilton Health Sciences, near the Parkwood Institute and Westmount Area, offering convenient access for patients in the community. The location is easily accessible via the London Transit Commission (LTC), with public transportation options readily available. The facility is wheelchair accessible. Parking is available at the facility.

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

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

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 Hypertension (High Blood Pressure) or Chronic Kidney Disease (CKD)), 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 (Frailty Assessment & Management). Your family doctor can best determine if a specialist consultation is needed.

What typically happens during a first consultation?

During your initial visit, Dr. Goldszmidt will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss Dr. Goldszmidt's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Will Dr. Goldszmidt replace my family doctor?

No, Dr. Goldszmidt 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. Goldszmidt will communicate findings and recommendations back to your family doctor.

What happens after the initial consultation?

After your assessment, Dr. Goldszmidt 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. Goldszmidt 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.

Hamilton Health Sciences
339 Windermere Road, General Site
London, ON N6A 5A5

Phone: (519) 685-8500 | Fax: (519) 663-3062

The facility is wheelchair accessible.

Dr. Goldszmidt 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/Goldszmidt-Mark-Andrew/0132812-69930