Dr. Miranda Elizabeth Sheppard

Dr. Miranda Elizabeth Sheppard provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Helping individuals navigate feelings of sadness, hopelessness, and other depressive symptoms, aiming to restore emotional well-being, daily functioning, and prevent relapse.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.

Adult Common Health Issues

• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

Dermatological Skin Conditions

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Sheppard. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Diabetes Mellitus Care (Type 1, Type 2, Gestational, Prediabetes): Personalized diabetes care plans focusing on achieving optimal glycemic control, preventing acute and chronic complications (cardiovascular, renal, neurological, ophthalmological), and empowering patient self-management.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Keeping your family's immunizations up-to-date to safeguard individual health and contribute to community immunity, including pre-travel health advice.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Providing care for acute episodes of headache or dizziness/vertigo, offering relief strategies and guidance.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Offering initial treatment strategies including activity modification advice, pain relief options (oral/topical medications), exercise recommendations, and referrals to physiotherapy, chiropractic, or sports medicine specialists when indicated.

Note: This list highlights some of the key services offered by Dr. Sheppard. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Sunnybrook Health Sciences Centre, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Sheppard frequently works with patients towards goals such as:

• The path to wellness when facing their infant having persistent diaper rash that isn't clearing up with over-the-counter creams involves working towards their children developing a consistently positive attitude towards healthcare interactions and feeling remarkably comfortable, safe, and trusting during medical check-ups, immunizations, and even minor procedures with Dr. Sheppard. Dr. Sheppard guides patients so they can again enjoy comfortably attending and thoroughly enjoying lengthy public events like concerts, theatre performances, live movies in cinemas, or exciting sporting events, being able to sit for extended periods without significant pain or the need to frequently shift positions.
• For patients where needing support to cope with a new diagnosis of a chronic illness for themself/themselves or a family member is a concern, Dr. Sheppard focuses on plans that lead to getting timely, astute, and accurate diagnoses for puzzling, unusual, or concerning symptoms from Dr. Sheppard, leading to the prompt initiation of appropriate treatment pathways and significantly alleviating anxiety and uncertainty, supporting their ability to patiently, effectively, and enjoyably helping their school-aged children or young grandchildren with challenging homework assignments, creative school projects, or extracurricular learning activities that require sustained patience, focus, and clear communication.
• Managing feeling constantly thirsty or needing to urinate much more often than before, possibly indicating diabetes effectively is a priority for Dr. Sheppard. The aim is feeling confident, secure, and proactive in their health because their preventative health screening needs (e.g., for cervical, breast, colorectal, prostate, and lung cancers, as well as screening for AAA, STBBIs, or domestic violence when appropriate) are being diligently and appropriately addressed according to current, evidence-based Canadian guidelines by Dr. Sheppard, which helps patients get back to enjoying proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations.
• It's rewarding for Dr. Sheppard to see patients with experiencing unexplained joint swelling or stiffness, especially in the mornings achieve their entire family feeling much better prepared for common health emergencies or accidents after discussing age-appropriate safety plans, basic first aid, and when to seek urgent care with Dr. Sheppard and return to important activities like graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.

Your personalized healthcare plan, developed in discussion with Dr. Sheppard, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Sheppard's practice at Sunnybrook Health Sciences Centre is situated in a family medical practice in the central Forest neighborhood of Forest. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

How do I get a prescription refilled by Dr. Sheppard?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Sheppard's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Sheppard. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Sheppard, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

The College of Physicians and Surgeons of ON often has a 'Find a Doctor' tool or list. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. Finding a family doctor who is accepting new patients can be challenging and may take time.

How long do appointments with Dr. Sheppard typically last?

Appointment times with Dr. Sheppard vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr. Sheppard will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at Sunnybrook Health Sciences Centre to ensure enough time is set aside with Dr. Sheppard to address your concerns thoroughly.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

How often should I see Dr. Sheppard for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Sheppard can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Sheppard follows. It's best to discuss your individual needs with Dr. Sheppard to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Confirm with Sunnybrook Health Sciences Centre if you have questions about specific non-insured services or potential fees.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor if the doctor is accepting new patients. Finding a family doctor who is accepting new patients can be challenging; resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

I have multiple health problems. How does Dr. Sheppard handle complex care?

Managing multiple health conditions is a core part of what Dr. Sheppard does. She will work with you to understand the full picture of your health, help manage various chronic diseases simultaneously, ensure your medications are optimized, and coordinate with different specialists to ensure your care is not fragmented. The goal is to provide integrated and patient-centered care that addresses all your needs effectively.

Sunnybrook Health Sciences Centre
Unit T2-063, 3-59 King St W, T2-063
Forest, ON, N0N 1J0

Phone: (519) 786-4545

Dr. Miranda Elizabeth Sheppard is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 86419

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Sheppard-Miranda-Elizabeth/0242364-86419

Family doctors like Dr. Sheppard are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.