About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Matthew Piche serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care to adult patients, including seniors. He adheres to the highest standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in all clinical interactions. Dr. Piche's focus is on delivering personalized, evidence-based care tailored to the unique needs of each individual.
Dr. Piche graduated with a Medical Degree from the Northern Ontario School of Medicine in 2013. He has completed extensive post-graduate medical training, including residency in Internal Medicine, with a focus on complex adult and geriatric health conditions. His training emphasizes both clinical excellence and compassionate patient care, equipping him with the expertise to manage a wide spectrum of medical issues.
His clinical philosophy is centered on a professional and clinical approach, emphasizing thorough assessment, patient engagement, and multidisciplinary collaboration. Committed to serving the Toronto community, Dr. Piche is fluent in English and French, facilitating effective communication with diverse patient populations.
Dr. Piche provides expert care for adults with a wide range of medical conditions, including:
Geriatric Syndromes & Focused Elder Care
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
Management of Chronic Diseases
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
Dr. Piche 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.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
Note: This list represents some of the key services offered by Dr. Piche. 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. Piche'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. Piche's practice is located in India Bazaar, within the West neighborhood of Toronto. The clinic is conveniently situated near Bay Adelaide Centre, accessible via multiple TTC options including subway, streetcar, and bus services. The surrounding area provides easy access for patients commuting from various parts of the city. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Piche? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Piche 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. Piche. 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 is the appointment cancellation policy?
- We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.
- Why is reviewing multiple medications (polypharmacy) important?
- As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.
- What should I do if I have an urgent medical problem?
- Dr. Piche's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.
1-1289A Gerrard St E
Toronto, ON M4L 1Y8
Phone: (416) 778-8885 | Fax: (416) 848-4125
The facility is wheelchair accessible.
Dr. Piche 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/Piche-Matthew/0289156-100804