About
As a skilled Internist / Geriatrician, Dr. Michael Shelton Jansz offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Duncan, BC, he serves the surrounding communities, providing comprehensive care tailored to adult and senior patients. His practice adheres to the standards and guidelines set forth by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring high-quality, evidence-based medical services.
Dr. Jansz graduated with his Medical Degree from the University of Western Ontario in 2014. He has completed extensive postgraduate training in Internal Medicine and Geriatric Care, earning relevant certifications that underpin his expertise in managing complex adult health conditions. His educational background and ongoing professional development enable him to deliver current, evidence-based care focused on optimal patient outcomes.
His clinical philosophy is rooted in an evidence-based and informative approach, emphasizing thorough assessment, personalized treatment plans, and patient engagement. Dr. Jansz is committed to serving the Duncan community with compassionate, comprehensive care. He speaks English fluently and values clear communication to ensure patients understand their health conditions and management strategies.
Dr. Jansz provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- 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.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
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.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
Dr. Jansz 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.
- Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
Note: This list represents some of the key services offered by Dr. Jansz. 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. Jansz'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 British Columbia (CPSBC).
Dr. Jansz's practice is conveniently located near the central Duncan neighborhood, easily accessible from local points of interest such as the Duncan Hospital and community health centers. The practice is reachable via local public transit, providing easy access for patients from surrounding areas. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Jansz? Is it covered by Medical Services Plan (MSP)?
- In BC, medical consultations with specialists like Dr. Jansz are typically covered by your provincial health insurance (Medical Services Plan (MSP)) 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 Medical Services Plan (MSP) 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. Jansz. 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 involved in a Comprehensive Geriatric Assessment (CGA)?
- A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Jansz uses this holistic approach to develop a personalized care plan.
- What exactly does an Internist (Internal Medicine Specialist) do?
- An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems (Polypharmacy & Medication Optimization, Cardiovascular Conditions), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.
- Is Dr. Jansz affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Jansz may have admitting privileges or provide consultation services at specific local hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Jansz as needed, or he might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.
3106 Gibbins Rd, Cowichan Internists Group
Duncan, BC V9L 1E8
Phone: (250) 748-1323 | Fax: (250) 748-0222
The facility is wheelchair accessible.
Dr. Jansz is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/344430/Jansz%2CMichael