Dr. Michael David Elfassy – Internist / Geriatrician | Toronto, ON

Dr. Michael David Elfassy, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, he serves the surrounding communities with a warm and community-focused approach. He provides comprehensive care in Internal Medicine and Geriatric Care, emphasizing the unique needs of each patient, especially older adults and seniors, to promote health, independence, and well-being.

Dr. Elfassy graduated with a Medical Degree from the University of Toronto in 2020 and has completed extensive post-graduate medical training, including residencies and certifications in Internal Medicine and Geriatric Medicine. His education and training ensure he is well-equipped to handle complex adult health issues with a focus on holistic and patient-centered care.

His clinical philosophy is centered on warmth, compassion, and community engagement. Committed to the Toronto community, Dr. Elfassy speaks fluent English and strives to build trusting relationships with his patients. He adheres strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO) to ensure the highest quality of care.

Dr. Elfassy provides expert care for adults with a wide range of medical conditions, including:

Geriatric Syndromes & Focused Elder Care

• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• 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.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Dr. Elfassy 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.

• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• 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.

Note: This list represents some of the key services offered by Dr. Elfassy. 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. Elfassy'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. Elfassy's practice is located in the vibrant Garden District of Toronto, in the Ryerson neighborhood, near the US Consulate. The location is easily accessible via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Elfassy? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Elfassy 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. Elfassy. 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 should I bring to my first appointment?

Please bring:

• Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
• The referral letter if you have it.
• A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
• A list of your past medical history, surgeries, and known allergies.
• Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
• A list of your specific questions or concerns for Dr. Elfassy.

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.

Will Dr. Michael David Elfassy replace my family doctor?

No, Dr. Elfassy acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Elfassy will communicate findings and recommendations back to your family doctor.

What kind of tests might Dr. Elfassy order?

Depending on your specific medical situation, Dr. Elfassy may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.

30 Bond St
Toronto, ON M5B 1W8

Phone: (416) 360-4000

The facility is wheelchair accessible.

Dr. Elfassy 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/Elfassy-Michael-David/0332108-121661