Dr. Michael Jonathon Raphael – Internist / Geriatrician | Toronto, ON

As a skilled Internist / Geriatrician, Dr. Michael Jonathon Raphael offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, he serves the surrounding communities with a warm and community-focused approach. Dr. Raphael provides comprehensive care in Internal Medicine and Geriatric Care, ensuring his patients receive personalized and thorough medical attention. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), emphasizing patient safety, quality, and compassion.

Dr. Raphael graduated with a Medical Degree from Queen's University in 2012 and has completed extensive post-graduate medical training in internal medicine and geriatrics. He holds key certifications and has gained valuable experience through his rigorous clinical education, enabling him to address complex adult health conditions with expertise and confidence.

His clinical philosophy centers on providing warm, empathetic, and community-oriented care. He is committed to serving the Toronto community, speaking fluent English, and fostering a trusting relationship with his patients. Dr. Raphael believes in empowering his patients through education and collaborative decision-making to promote optimal health and well-being.

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

Management of Chronic Diseases

• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• 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.

Endocrine & Metabolic Disorders

• 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.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

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.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Dr. Raphael 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.

• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• 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.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.

Note: This list represents some of the key services offered by Dr. Raphael. 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. Raphael'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. Raphael's practice is located in the vibrant Lawrence Park neighbourhood of Toronto, within the St. Joseph's Health Care Centre. The clinic is conveniently situated near Old City Hall, making it easily accessible for residents in the city and surrounding communities. Patients can reach the clinic via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility, providing ease of access for visitors.

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

In ON, medical consultations with specialists like Dr. Raphael 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. Raphael. 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.

Does Dr. Michael Jonathon Raphael handle prescription refills?

Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Raphael 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 kind of tests might Dr. Michael Jonathon Raphael order?

Depending on your specific medical situation, Dr. Raphael 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.

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.

St. Joseph's Health Care Centre
2075 Bayview Ave
Toronto, ON M4N 3M5

Phone: (416) 480-4270 | Fax: (416) 480-6002

The facility is wheelchair accessible.

Dr. Raphael 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/Raphael-Michael-Jonathon/0281041-97846