About
Dr. Nancy Islay Anne Byles is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in New Tecumseth, ON, she serves the surrounding communities, ensuring access to high-quality internal medicine and geriatric services. Dr. Byles adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO), maintaining the highest level of professionalism and clinical excellence.
She graduated with a Medical Degree from the University of Calgary in 1996 and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Care. Her certifications include comprehensive residency programs and ongoing professional development to stay current with evolving medical practices. Her educational background and training enable her to address a broad spectrum of adult health issues with expertise and precision.
With a professional and clinical approach, Dr. Byles is committed to offering personalized care tailored to each patient's needs. She speaks English fluently and is dedicated to serving the diverse adult population of New Tecumseth and nearby areas. Her clinical philosophy emphasizes thorough assessment, evidence-based management, and compassionate patient engagement to promote optimal health and independence in her patients.
Dr. Byles 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.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
Management of Chronic Diseases
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
Geriatric Syndromes & Focused Elder Care
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
Dr. Byles 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.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
Note: This list represents some of the key services offered by Dr. Byles. 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. Byles'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. Byles's practice is located in the central area near New Tecumseth, ON, providing convenient access for residents of the community and surrounding neighborhoods. The clinic is situated close to local points of interest such as parks and shopping centers, making it easy for patients to visit. Public transportation options are available for those requiring accessible transit services. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility for those arriving by private vehicle.
- How is payment handled for appointments with Dr. Byles? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Byles 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. Byles. 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. Byles'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 should I do if I have an urgent medical problem?
- Dr. Byles'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.
- When should someone be referred to an Internist or Geriatrician?
- Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Hypertension (High Blood Pressure) or Perioperative Medical Optimization), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Chronic Respiratory Diseases). Your family doctor can best determine if a specialist consultation is needed.
180 Parsons Road
New Tecumseth, ON L9R 1E8
Phone: (705) 435-6225 | Fax: (705) 481-1328
The facility is wheelchair accessible.
Dr. Byles 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/Byles-Nancy-Islay-Anne/0151969-72156