Dr. Michelle Adrienne Hladunewich – Internist / Geriatrician | Toronto, ON

Dr. Michelle Adrienne Hladunewich is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, she serves the surrounding communities with a patient-centered approach that emphasizes thorough evaluation, personalized treatment plans, and multidisciplinary coordination. Her practice adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and effective care for her patients.

Dr. Hladunewich graduated with a Medical Degree from the University of Alberta Faculty of Medicine and Dentistry in 1994. She completed extensive post-graduate medical training, including residencies and fellowships in Internal Medicine and Geriatric Medicine, which have equipped her with specialized expertise in managing complex adult health issues and age-related conditions.

Her clinical philosophy centers on delivering professional, evidence-based care with a compassionate approach tailored to the needs of her patients. She is committed to serving the Toronto community, speaking fluent English, and continuously updating her knowledge to incorporate the latest advances in internal medicine and geriatrics.

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

Geriatric Syndromes & Focused Elder Care

• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.

Management of Chronic Diseases

• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.

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

Dr. Hladunewich 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 Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.

Note: This list represents some of the key services offered by Dr. Hladunewich. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Hladunewich'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. Hladunewich's practice is located in the Leaside neighborhood of Toronto, within close proximity to Kingston General Hospital. The location is easily accessible via public transportation, including the TTC subway, streetcar, and bus routes. The area is situated near Hospital Row, which includes various hospitals, and is also close to the Ontario Legislative Building. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Hladunewich 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. Hladunewich. 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 are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Hladunewich's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

What typically happens during a first consultation?

During your initial visit, Dr. Hladunewich will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. She will likely perform a relevant physical examination. Following this assessment, she will discuss her findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Kingston General Hospital
3rd Floor, 1929 Bayview Avenue, Department of Surgery
Toronto, ON M4G 3E8

Phone: (416) 480-5590 | Fax: (416) 480-5755

The facility is wheelchair accessible.

Dr. Hladunewich 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/Hladunewich-Michelle-Adrienne/0056708-68296