Dr. Marla Shapiro

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

Pediatric Common Issues

• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including education on inhaler/spacer technique, trigger avoidance, development of personalized asthma action plans for home and school), eczema (atopic dermatitis - focusing on skincare, emollients, topical corticosteroids/calcineurin inhibitors, trigger management), and allergic rhinitis (hay fever). Includes initial assessment and guidance for food allergies, with referral to pediatric allergists for confirmation and comprehensive management if indicated.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• 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.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.

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

• Acne Vulgaris & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity and skin type.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Providing testing, education, treatment, and advice related to sexual health and the prevention and management of sexually transmitted and blood-borne infections.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Ordering necessary diagnostic tests such as X-rays, ultrasounds, CT scans, MRIs, bone density scans, and a comprehensive range of laboratory blood tests (hematology, chemistry, endocrinology, immunology, microbiology), urine tests, and pathology/cytology specimens to aid in diagnosis, monitor conditions, and guide treatment.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Helping patients manage their heart health long-term after cardiac events or diagnoses, focusing on secondary prevention and maintaining functional capacity.
• Travel Medicine Consultations (Preventative 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 travel-related illnesses.

Note: This list highlights some of the key services offered by Dr. Shapiro. 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 Hospital For Sick Children, 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. Shapiro frequently works with patients towards goals such as:

• Dr. Shapiro frequently helps patients who are dealing with getting a comprehensive skin check for new or changing spots, especially with a history of significant sun exposure or family history of skin cancer. The primary aim is achieving their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from Dr. Shapiro, which often allows them to confidently resume skillfully and creatively cooking a wide variety of nutritious, flavorful, and delicious meals from scratch for themselves, their partners, and their families on a regular basis, finding joy in the process.
• Overcoming or managing their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary is a common patient journey at Dr. Shapiro's practice. The focus is on enabling having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr. Shapiro, so that engaging in thoroughly enjoying the simple yet profound ability to read for pleasure, engage in academic study, or conduct detailed research for extended periods without debilitating eye strain, persistent headaches, or other health issues related to unmanaged vision problems or poor ergonomics becomes a reality again.
• The focus for patients with questions or concerns about their child's growth, developmental milestones, or specific behaviors at Dr. Shapiro's practice is achieving benefiting from seamlessly and efficiently coordinated care, where Dr. Shapiro actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page, 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 many individuals, wishing to discuss advance care planning, making a living will, or appointing a healthcare proxy can be a real barrier. Dr. Shapiro's approach focuses on achieving experiencing significant and prompt relief from debilitating acute symptoms like severe pain, high fever, intractable coughs, or distressing allergic reactions, allowing a swift return to their daily activities, work, and family responsibilities, making it possible for patients to once again enjoy graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.

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

Dr. Shapiro's practice is located at the Hospital For Sick Children in the Newtonbrook, Willowdale neighborhood of Toronto. The clinic is conveniently located near Trillium Park and is accessible via TTC (Subway, Streetcar, Bus). Free patient parking is often available on-site or on nearby streets.

What is 'continuity of care' and why is it important with a family doctor like Dr. Shapiro?

Having continuity of care with Dr. Shapiro means that she is your consistent point of contact for your health needs over many years. This long-term relationship allows Dr. Shapiro to understand the nuances of your health, track changes over time, and provide care that is personalized and proactive. It improves communication, reduces duplication of tests, helps in managing chronic conditions more effectively, and fosters a stronger doctor-patient partnership, all leading to better overall health management.

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 health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Hospital For Sick Children if you have questions about specific non-insured services or potential fees.

How long do appointments with Dr. Shapiro typically last?

The length of an appointment with Dr. Shapiro can vary. Standard appointments for a single issue or a routine follow-up are often scheduled for 10-15 minutes. Appointments for more complex issues, a comprehensive periodic health exam (physical), a 'meet and greet' for new patients, counseling, or a minor procedure will usually be longer, perhaps 20-30 minutes or more. When booking your appointment at Hospital For Sick Children, it's always best to briefly mention the reason for your visit so the staff can allocate the appropriate amount of time with Dr. Shapiro. If you have multiple unrelated issues to discuss, you might be advised to book a longer appointment or separate appointments to ensure each concern is addressed adequately.

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. You can check the College of Physicians and Surgeons of Ontario website, which often has a 'Find a Doctor' tool. In Ontario, you can also register with Health Care Connect. Ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly.

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 the doctor is accepting new patients. However, finding a doctor who is accepting new patients can be difficult. Provincial resources like Health Care Connect may be helpful. A referral is usually required to see specialists.

What does 'preventative care' involve with a family doctor like Dr. Shapiro?

Preventative care with Dr. Shapiro focuses on keeping you healthy and identifying potential health problems before they become serious or cause symptoms. This involves a range of services tailored to your age, gender, and risk factors, such as routine check-ups (periodic health exams), age-appropriate cancer screenings (e.g., Pap tests, mammograms, colon cancer screening, PSA discussions), immunizations (flu shots, travel vaccines, routine boosters), blood pressure and cholesterol checks, screening for diabetes, counseling on healthy lifestyle choices (diet, exercise, smoking cessation, responsible alcohol use), and risk assessments for various conditions. The primary goal is to prevent illness, detect diseases early when they are most treatable, and promote your long-term health and well-being.

Hospital For Sick Children
3292 Bayview Avenue, Division of Oncology
Toronto, ON, M2M 4J5

Phone: (416) 445-4067

Dr. Marla Shapiro 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: 32449

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Shapiro-Marla/0027626-32449

Family doctors like Dr. Shapiro 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.