About
Dr. Mirek Miroslaw Otremba, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Victoria, BC, he serves the surrounding communities with a commitment to comprehensive adult and senior healthcare. His practice adheres to the high standards established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring quality and ethical medical care.
Dr. Otremba graduated with a Medical Degree from the University of Toronto in 1996 and has completed extensive postgraduate training and certifications in internal medicine and geriatrics. His education and ongoing professional development enable him to provide expert diagnosis, management, and treatment tailored to individual patient needs.
His clinical philosophy emphasizes clear, educational communication and a compassionate approach to patient care. Dr. Otremba is dedicated to serving the Victoria community, speaking both English and Polish, and fostering a collaborative doctor-patient relationship to promote optimal health outcomes.
Dr. Otremba provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- 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.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
Complex Diagnostic & Multi-System Issues
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Management of Chronic Diseases
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
Dr. Otremba 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.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
- 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 Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
Note: This list represents some of the key services offered by Dr. Otremba. 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. Otremba'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. Otremba's practice is located in the Fairfield East area, within the Oaklands neighborhood of Victoria. The location is conveniently close to Coho and Clipper Ferry Terminals, making it accessible for those arriving by water transport. Patients can easily reach his clinic via the Victoria Regional Transit System (BC Transit). The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Otremba? Is it covered by Medical Services Plan (MSP)?
- In BC, medical consultations with specialists like Dr. Otremba 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. Otremba. 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 Dr. Otremba affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Otremba 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. Otremba 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.
- How long should I expect my appointment to last?
- Initial consultations with Dr. Otremba are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.
1952 Bay St, Royal Jubilee Hospital
Victoria, BC V8R 1J8
Phone: (250) 370-8000
The facility is wheelchair accessible.
Dr. Otremba 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/374822/Otremba%2CMirek