About
Dr. Marly Nicole Isen is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in London, ON, she serves the surrounding communities, ensuring access to quality healthcare tailored to the needs of her patients. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), emphasizing evidence-based approaches to diagnosis and management. Dr. Isen specializes in addressing the multifaceted healthcare needs of adults, including older adults and seniors, aiming to improve their quality of life through personalized care.
She graduated with a Medical Degree from Sackler School of Medicine, Tel Aviv University in 2017, Israel, and has completed extensive post-graduate medical training, including residencies and fellowships in Internal Medicine and Geriatric Medicine. Her advanced certifications and ongoing professional development ensure she remains current with the latest clinical guidelines and best practices in her field, allowing her to deliver high-quality, safe, and effective care to her patients.
Dr. Isen’s clinical philosophy is rooted in an evidence-based and informative approach. She is committed to patient-centered care, emphasizing shared decision-making and education to empower her patients. She speaks English fluently and is dedicated to serving the diverse community of London, ON, with compassion and professionalism.
Dr. Isen provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
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.
Dr. Isen 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.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
Note: This list represents some of the key services offered by Dr. Isen. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Isen'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. Isen's practice is located in Downtown London, in the North London East neighbourhood. The facility is conveniently situated near Masonville Place Mall and Fanshawe College (Main Campus). Patients can access the clinic easily via the London Transit Commission (LTC) public transportation system. The clinic is wheelchair accessible. Parking is available at the facility, providing convenient access for patients arriving by car.
- How is payment handled for appointments with Dr. Isen? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Isen 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. Isen. 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.
- What are typical wait times for an appointment?
- Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Isen's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.
- Does Dr. Isen handle prescription refills?
- Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Isen will make initial recommendations or adjustments, but routine refills are best handled by your family doctor who manages your overall care, unless specific arrangements are made for certain specialized medications.
- What typically happens during a first consultation?
- During your initial visit, Dr. Isen will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. She will likely perform a relevant physical examination. Following this assessment, she will discuss her findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
1151 Richmond St
London, ON N6A 5C1
Phone: (519) 663-3892
The facility is wheelchair accessible.
Dr. Isen 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/Isen-Marly-Nicole/0318342-113080