Description
About Dr. Nancy Beth Keesal
As a skilled Internist / Geriatrician, Dr. Nancy Beth Keesal offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, she serves the surrounding communities with a warm and community-focused approach. Dr. Keesal provides comprehensive care in Internal Medicine and Geriatric Care, committed to supporting her patients' health and well-being throughout their adult lives, including older adults and seniors.
Dr. Keesal graduated with a Medical Degree from McGill University Faculty of Medicine and Health Sciences in 1988. She has completed extensive post-graduate medical training, including specialization in Internal Medicine and Geriatrics, and maintains active certification through the College of Physicians and Surgeons of Ontario (CPSO). Her training ensures she provides up-to-date, evidence-based care tailored to her patients' unique needs.
Her clinical philosophy centers on delivering compassionate, patient-centered care that emphasizes education, prevention, and collaboration. Dr. Keesal speaks English, French, and Spanish, enabling her to connect with a diverse community of patients. She is dedicated to fostering a supportive environment where every patient feels valued, informed, and empowered to participate in their health decisions.
Conditions Managed by Dr. Nancy Beth Keesal
Dr. Keesal provides expert care for adults with a wide range of medical conditions, including:
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
Geriatric Syndromes & Focused Elder Care
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
Dr. Keesal 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.
Clinical Services Offered by Dr. Nancy Beth Keesal
- Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
- Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
- Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
- Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
Note: This list represents some of the key services offered by Dr. Keesal. 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. Keesal'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).
Practice Location & Accessibility
Dr. Keesal’s practice is located in the Bay Street Corridor (Discovery District) neighborhood of Toronto, Ontario. The clinic is conveniently situated near the CN Tower, making it easily accessible for patients from across the city and surrounding areas. Patients can reach the clinic via TTC subway, streetcar, or bus services, ensuring accessible transportation options. The facility is wheelchair accessible. Parking is available at the facility.
Frequently Asked Questions
- How is payment handled for appointments with Dr. Keesal? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Keesal 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. Keesal. 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.
- Why is reviewing multiple medications (polypharmacy) important?
- As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.
- Will Dr. Keesal replace my family doctor?
- No, Dr. Keesal acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Keesal will communicate findings and recommendations back to your family doctor.
- Is Dr. Keesal affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Keesal 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. Keesal as needed, or she might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.
- What should I do if I have an urgent medical problem?
- Dr. Keesal's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.
Contact & Licensing Information
790 Bay Street
Toronto, ON M5G 1N8
Phone: (416) 323-0630 | Fax: (416) 413-9689
The facility is wheelchair accessible.
Dr. Keesal 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/Keesal-Nancy-Beth/0045375-59353