About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Michael Irwin Gould serves as a trusted medical specialist. Practicing in Vaughan, ON, he provides comprehensive care in Internal Medicine and Geriatric Care, adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). His focus is on delivering evidence-based, patient-centered care to adults, including seniors and older adults, ensuring their health and well-being are optimally managed.
Dr. Gould graduated with a Medical Degree from the University of Toronto in 1985. He has completed extensive postgraduate medical training, including residency and specialized certifications in Internal Medicine and Geriatric Medicine. His education and training underpin his clinical expertise and commitment to maintaining the highest standards of medical practice.
Guided by an evidence-based and informative approach, Dr. Gould is dedicated to providing thorough and compassionate care. He is committed to serving the Vaughan community, speaking English fluently, and applying the latest clinical guidelines to optimize health outcomes for his patients.
Dr. Gould provides expert care for adults with a wide range of medical conditions, including:
Select Infectious & Inflammatory Conditions
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
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 Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
Dr. Gould 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.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
Note: This list represents some of the key services offered by Dr. Gould. 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. Gould'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. Gould's practice is located in the Woodbridge East neighborhood of Vaughan, ON, near Mackenzie Glen District Park. The location is easily accessible via York Region Transit (YRT) and Viva transit services. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Gould? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Gould 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. Gould. 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.
- Is the focus mainly on diseases or also on daily function?
- While diagnosing and managing diseases like Chronic Kidney Disease (CKD) or Syncope (Fainting) Evaluation is crucial, Dr. Gould also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care, and participation in meaningful activities.
- How does Dr. Gould communicate with my family doctor?
- Clear communication with your referring physician is a priority. Dr. Gould will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.
- How does a Geriatrician's role differ?
- A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy. Dr. Gould, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.
- Does Dr. Gould handle prescription refills?
- Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Gould 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.
Suite 504, 4600 Highway 7 W.
Vaughan, ON L4L 4Y7
Phone: (905) 605-3884 | Fax: (416) 745-3653
The facility is wheelchair accessible.
Dr. Gould 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/Gould-Michael-Irwin/0041751-55727