Dr. Melinda Jennifer Gooderham

Dr. Melinda Gooderham diagnoses and treats a wide range of skin, hair, and nail conditions, including:

Nail Disorders (Onychopathies)

• Nail Psoriasis: Psoriasis affecting the fingernails and toenails, causing pitting, discoloration (oil drop sign), thickening, onycholysis (separation from bed), and subungual hyperkeratosis.
• Nail Unit Tumors (Benign & Malignant): Various growths that can occur in or around the nail unit, including benign (e.g., glomus tumor, myxoid cyst) and malignant (e.g., squamous cell carcinoma, melanoma) tumors.
• Ingrown Toenails (Onychocryptosis): A condition where the corner or side of a toenail grows into the soft flesh, causing pain, redness, swelling, and potential infection.

Inflammatory & Immune-Mediated Skin Conditions

• Lichen Planus: An inflammatory condition that can affect the skin, hair, nails, and mucous membranes (mouth, genitals), causing purplish, itchy, flat-topped bumps on the skin or lacy white patches in the mouth.
• Dermatomyositis: An inflammatory disease marked by muscle weakness and a distinctive skin rash, often on the face, eyelids (heliotrope rash), knuckles (Gottron's papules), and chest.

Skin Cancers, Precancerous Lesions & Benign Growths

• Actinic Keratosis (Solar Keratosis): A rough, scaly patch on sun-exposed skin that is considered precancerous and can sometimes progress to squamous cell carcinoma if left untreated.
• Skin Cysts (Epidermoid, Pilar, Sebaceous): Benign, sac-like growths under the skin containing fluid or semi-solid material. May become inflamed or infected and sometimes require removal.

This list is not exhaustive. For personalized advice regarding your specific dermatological condition, please consult with Dr. Melinda Gooderham.

• Cryosurgery (Liquid Nitrogen Treatment for Pre-cancers & Benign Lesions): Application of extreme cold (liquid nitrogen) to destroy benign (e.g., warts, seborrheic keratoses) or precancerous skin lesions (e.g., actinic keratoses).
• Hyperhidrosis (Excessive Sweating) Treatment (Topical, Oral, Botulinum Toxin): Management options for excessive sweating of the underarms, palms, or soles, including prescription antiperspirants, oral medications, and botulinum toxin injections.
• Nail Disorder Treatment (Fungal Infections, Psoriasis, Lichen Planus, Ingrown Nails, Tumors): Diagnosis and management of conditions affecting the nails, including infections, inflammatory disorders (like nail psoriasis or lichen planus), structural abnormalities, ingrown nails, and benign or malignant nail unit tumors.
• Hidradenitis Suppurativa Management (Medical, Interventional, Biologics): Medical (antibiotics, retinoids), interventional (incision & drainage, deroofing), and biologic therapy for a chronic inflammatory skin condition causing painful lumps, abscesses, and sinus tracts in skin folds.
• Teledermatology Consultations (for select conditions & follow-ups): Remote dermatological consultations using secure digital imaging and communication technologies for initial assessment of certain conditions or for follow-up care, enhancing accessibility.
• Botulinum Toxin Injections (e.g., Botox®, Dysport®, Xeomin®) for Wrinkles & Hyperhidrosis: Injectables to temporarily relax facial muscles and reduce dynamic wrinkles (e.g., frown lines, crow's feet, forehead lines), or to treat excessive sweating (hyperhidrosis).
• Patch Testing for Allergic Contact Dermatitis (Standard & Expanded Panels): Diagnostic procedure to identify specific allergens causing contact dermatitis by applying small amounts of common (and sometimes occupational or specialized) allergens to the skin.

Note: This list provides a general overview of medical and potentially some cosmetic services. Treatment plans are highly individualized. Discuss with Dr. Gooderham for care relevant to your specific condition. Coverage for services varies; medically necessary treatments are typically covered by provincial health plans, while cosmetic procedures are usually self-pay.

All medical and surgical services (if applicable) are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of Ontario (CPSO) and relevant dermatological care guidelines. Contact the clinic or your referring physician regarding new patient intake and referral processes.

Orangeville Family Medicine Centre is situated in the vibrant Downtown Peterborough, Central neighborhood, offering convenient access to residents. The practice is close to notable landmarks such as the Peterborough Lift Lock National Historic Site and Trent University Symons Campus, making it easy for patients to visit. Public transit options, including Peterborough Transit, are readily available, providing accessible transportation. The facility is wheelchair accessible to accommodate patients with mobility needs. Parking is convenient with metered street parking and nearby parking lots, ensuring a hassle-free visit for all patients.

Are consultations and dermatological treatments with Dr. Gooderham, a Dermatologist, covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary consultations with a licensed Dermatologist like Dr. Gooderham, diagnostic procedures (e.g., skin biopsies), and treatments for provincially insured skin conditions (e.g., psoriasis, severe eczema, skin cancer, infections) are generally covered by Ontario Health Insurance Plan (OHIP) in ON when a referral from a family doctor is in place. Purely cosmetic procedures (e.g., Botox for wrinkles, most laser hair removal, fillers for aesthetic enhancement) are typically not covered and are self-pay. It's crucial to discuss coverage specifics for any proposed treatment with Dr. Gooderham's office or Ontario Health Insurance Plan (OHIP) beforehand, especially if there's a potential cosmetic component.

Do I need a referral to see Dr. Gooderham, a Dermatologist?

Yes, for medically necessary dermatological care covered by the provincial health plan, a referral from your family physician or another specialist (e.g., an ER doctor for an acute issue) is almost always required to see a Dermatologist such as Dr. Gooderham. This ensures coordinated care and that your visit is appropriate for specialist assessment. Some dermatologists may offer consultations for uninsured cosmetic services without a referral, but these would be a direct cost to you. Always check with the clinic regarding their specific referral policy.

What are some common medical procedures a Dermatologist like Dr. Gooderham performs?

Dermatologists like Dr. Gooderham perform a variety of diagnostic and therapeutic procedures. Common medical procedures include skin biopsies (punch, shave, or excisional) to diagnose conditions, cryosurgery (freezing with liquid nitrogen) for warts or precancerous spots (actinic keratoses), surgical excision of skin cancers or benign lesions like cysts and atypical moles, intralesional injections (e.g., for keloids or alopecia areata), and prescribing specialized topical or oral medications (including biologics or immunosuppressants for complex conditions). Many dermatologists also offer phototherapy. Dr. Gooderham can discuss specific procedures relevant to your condition and may have subspecialty interests influencing the range of procedures offered.

When should someone consider seeing a Dermatologist like Dr. Gooderham?

A referral to a Dermatologist like Dr. Gooderham is often recommended by a family physician for: any new or changing moles or skin growths; persistent or severe skin rashes (e.g., eczema, psoriasis) not responding to initial treatments; severe or cystic acne; chronic hives; significant hair loss or scalp disorders; problematic nail conditions (e.g., persistent fungal infections, unusual changes); suspected skin infections; or for expert skin cancer screening, especially if you have risk factors like a personal or family history of skin cancer, numerous moles, or significant sun exposure. Early consultation can be key for effective management and diagnosis.

How should I prepare for my first dermatology appointment with Dr. Gooderham?

To make the most of your first visit with Dr. Gooderham, it's helpful to: 1. Make a list of your skin concerns, symptoms (e.g., itch, pain, duration), and any treatments you've already tried (both prescription and over-the-counter). 2. Bring a list of all your current medications, including vitamins and supplements. 3. Be prepared to discuss your personal and family medical history, including any history of skin cancer or significant skin conditions. 4. For a full skin exam, it's best to wear loose, comfortable clothing that is easy to remove and avoid wearing makeup or nail polish. 5. If your concern involves a rash that comes and goes, taking clear photos when it's visible can be very helpful. 6. Write down any questions you have for Dr. Gooderham.

Orangeville Family Medicine Centre
Suite 100, 775 Monaghan Road South
Peterborough, ON K9J 5K2

Phone: (705) 775-7546 | Fax: (705) 775-3376

The facility is wheelchair accessible.

Dr. Gooderham is a licensed Dermatologist regulated by the College of Physicians and Surgeons of Ontario (CPSO) under the Regulated Health Professions Act, 1991 and Medicine Act, 1991 in ON. A referral from a family physician is typically required for consultations with Dr. Gooderham for medically necessary services covered by the provincial health plan. Cosmetic consultations may have different requirements.

Verify registration with the College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Gooderham-Melinda-Jennifer/0158630-73998