Dr. Mark Shew

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

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Guidance on making sustainable lifestyle modifications for improved energy levels, healthy weight management, better mood regulation, reduced risk of chronic illness (heart disease, diabetes, cancer), and enhanced longevity and quality of life.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.

Common Chronic Conditions

• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.
• Type 2 Diabetes Mellitus & Prediabetes: Proactive, team-based care (often involving dietitians, diabetes educators, pharmacists) for type 2 diabetes and prediabetes, aiming to achieve optimal glycemic control, reduce cardiovascular risk, and improve overall 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.

Common Acute Conditions

• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.

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

• Routine Health Check-ups & Physicals for Adults: Comprehensive care focused on health promotion and disease prevention throughout adulthood.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including action plans and inhaler technique), eczema (atopic dermatitis), allergic rhinitis (hay fever), and food allergies (initial assessment and referral if needed), focusing on symptom control, trigger avoidance, and improving quality of life.
• Eating Disorder Screening & Referral Coordination: A sensitive and proactive approach to identifying potential eating disorders and connecting individuals with appropriate, specialized care.
• Diabetes Mellitus Care (Type 1, Type 2, Gestational, Prediabetes): Personalized diabetes care plans focusing on achieving optimal glycemic control, preventing acute and chronic complications (cardiovascular, renal, neurological, ophthalmological), and empowering patient self-management.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Offering initial treatment strategies including activity modification advice, pain relief options (oral/topical medications), exercise recommendations, and referrals to physiotherapy, chiropractic, or sports medicine specialists when indicated.

Note: This list highlights some of the key services offered by Dr. Shew. 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 London Health Sciences 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. Shew frequently works with patients towards goals such as:

• The focus for patients with a suspicious mole or skin lesion that has changed in size, shape, or color, or started to itch or bleed at Dr. Shew's practice is achieving having their specific concerns about a child's unique developmental trajectory, learning style, or challenging behavior addressed by Dr. Shew with appropriate, validated screening tools, initial guidance, and highly effective, timely referrals to specialists or community programs when indicated, facilitating a return to meaningful activities like successfully maintaining a clean, organized, and uncluttered living space that actively contributes to their sense of calm, mental clarity, physical safety, and overall feelings of well-being at home.
• For patients where experiencing unusual fatigue and muscle aches that aren't explained by physical activity is a concern, Dr. Shew focuses on plans that lead to feeling substantially more hopeful and less overwhelmed about managing a difficult or life-altering health condition after comprehensive consultations and collaborative care planning with Dr. Shew, supporting their ability to consistently driving safely, alertly, and comfortably for all necessary daily errands, regular commuting to work or school, or for longer leisure trips and family visits, without physical strain or cognitive impairment.
• Dr. Shew assists individuals in navigating needing help to manage side effects from a new medication prescribed by a specialist. A successful outcome, like feeling substantially more in control of their personal health journey, demonstrably better equipped to make informed health decisions for themselves and their family, and genuinely optimistic about their future health prospects due to the guidance and partnership with Dr. Shew, means they can get back to being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection.
• Patients with a persistent metallic taste in their mouth or other unusual sensory changes can find relief and achieve their elderly family member maintaining their cherished independence and dignity for a longer period due to Dr. Shew's comprehensive focus on geriatric syndromes, functional assessment, fall prevention, and medication safety under Dr. Shew's care, often allowing them to resume meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr. Shew, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation without former limitations.

Your personalized healthcare plan, developed in discussion with Dr. Shew, 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. Shew's practice at London Health Sciences Centre is situated in a family medical practice in the central Scarborough neighborhood of Scarborough. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time to find a suitable doctor.

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 (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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 they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect in Ontario may be helpful. A referral from a family doctor is usually required to see most medical specialists.

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 the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have an associated fee. Please confirm with London Health Sciences Centre if you have questions about specific non-insured services or potential fees.

London Health Sciences Centre
4040 Finch Avenue East, University Hospital
Scarborough, ON, M1S 4V5

Phone: (416) 297-9592

Dr. Mark Shew 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: 101405

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Shew-Mark/0288848-101405

Family doctors like Dr. Shew 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.