Dr. Naomi Pliamm

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

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• 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.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.

Pediatric Common Issues

• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including education on inhaler/spacer technique, trigger avoidance, development of personalized asthma action plans for home and school), eczema (atopic dermatitis - focusing on skincare, emollients, topical corticosteroids/calcineurin inhibitors, trigger management), and allergic rhinitis (hay fever). Includes initial assessment and guidance for food allergies, with referral to pediatric allergists for confirmation and comprehensive management if indicated.
• Childhood Immunization Schedule Management & Counseling: Administering the complete schedule of publicly funded childhood vaccines (e.g., DTaP-IPV-Hib, Pneumococcal conjugate and polysaccharide, MMR, Varicella, Meningococcal conjugate (Groups A,C,Y,W-135 and Group B), Hepatitis B, Rotavirus, Human Papillomavirus (HPV), Influenza) to protect against serious and preventable infectious diseases, according to current provincial and national (NACI) guidelines.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Creating a safe, non-judgmental, and youth-friendly healthcare environment where teenagers feel comfortable discussing their health concerns openly, receive accurate information, build a trusting relationship with their doctor, and are empowered to take charge of their health.

Preventative Health Topics

• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).

Common Chronic Conditions

• Dyslipidemia (High Cholesterol, High Triglycerides): Personalized treatment plans for managing elevated lipid levels, incorporating regular monitoring, patient education, and strategies for long-term cardiovascular disease prevention.
• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions, including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.

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

• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including action plans and inhaler technique), eczema (atopic dermatitis), allergic rhinitis (hay fever), and food allergies (initial assessment and referral if needed), focusing on symptom control, trigger avoidance, and improving quality of life.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Providing timely medical care for a wide range of infections, including diagnosis, appropriate treatment (e.g., antibiotics when indicated by bacterial infection), and advice for symptom relief and recovery.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• Hospital Discharge Follow-Up & Transitions of Care Management: Helping you navigate your health journey effectively after a hospital discharge, ensuring all aspects of your care plan are understood, implemented, and monitored.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Interpreting test results in the context of your overall clinical picture, discussing their implications with you clearly, and arranging appropriate follow-up or further investigation.

Note: This list highlights some of the key services offered by Dr. Pliamm. 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 LHSC Victoria Campus Site, 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. Pliamm frequently works with patients towards goals such as:

• For those challenged by having trouble falling asleep most nights, or waking up frequently and feeling exhausted, Dr. Pliamm offers strategies to reach receiving compassionate, understanding, and effective support and strategies from Dr. Pliamm for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, which can mean rediscovering the joy of simply and thankfully getting through each and every day without their physical or mental health being a primary, constant source of pervasive worry, nagging discomfort, significant functional limitation, or a barrier to their desired activities.
• Patients with feeling overwhelmed by stress from work or family life and needing someone to talk to about coping strategies can find relief and achieve receiving necessary, appropriate, and well-coordinated timely referrals to highly-regarded specialists or specialized programs, leading to advanced specialized diagnosis, cutting-edge treatment, or valuable second opinions when required for complex or rare health issues, all facilitated by Dr. Pliamm under Dr. Pliamm's care, often allowing them to resume independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity without former limitations.
• Dr. Pliamm understands the impact of wanting to create a healthier home environment for their family's well-being. That's why treatment is geared towards markedly avoiding unnecessary, costly, or potentially risky specialist visits, diagnostic tests, or hospitalizations due to the proactive, thorough, and guideline-concordant primary care provided by Dr. Pliamm, helping patients get back to thoroughly enjoying the simple yet profound ability to read for pleasure, engage in academic study, or conduct detailed research for extended periods without debilitating eye strain, persistent headaches, or other health issues related to unmanaged vision problems or poor ergonomics with greater ease.
• A key objective when treating a follow-up visit after being discharged from the hospital for an illness or surgery to ensure recovery is on track at Dr. Pliamm's clinic is having a reliable, knowledgeable, consistently accessible, and compassionate go-to medical professional in Dr. Pliamm for the vast majority of their entire family's diverse and evolving health needs, from newborn care and pediatrics through to adult medicine and geriatrics, supporting a comfortable return to being able to fully focus on, deeply appreciate, and thoroughly enjoy life's simple, everyday pleasures like listening to favorite music with undivided attention, watching a beautiful sunset in awe, spending quiet, contemplative time in nature, or losing themselves in a captivating book.

Your personalized healthcare plan, developed in discussion with Dr. Pliamm, 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. Pliamm practices at the LHSC Victoria Campus Site, located in the Northwood Park, York University neighborhood of Toronto. The clinic enjoys a convenient location near the Yorkville Shopping District and is easily accessible via the TTC (Subway, Streetcar, Bus). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

Generally, you don't need a referral to see a family doctor in Ontario if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect, your local health authority website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) can be helpful. A referral from a family doctor is usually required to see specialists.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Pliamm?

Your first appointment with Dr. Pliamm will involve a review of your medical history (past illnesses, surgeries, allergies, immunizations, family history), discussion of current health concerns, medications, and lifestyle habits. A basic physical exam may be included. It's also a chance to ask questions about her practice and clinic policies.

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 OHIP for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations) may not be covered and may have associated fees. Confirm with LHSC Victoria Campus Site if you have questions about specific services.

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

Check the College of Physicians and Surgeons of Ontario website (it often has a "Find a Doctor" tool). In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time.

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

A family doctor, or general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families of all ages. They are your first point of contact for most health concerns, providing preventative care, diagnosing and treating illnesses, managing chronic conditions, offering mental health support, and coordinating care with specialists.

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

Dr. Pliamm is trained to manage patients with multiple health problems (multimorbidity). She takes a holistic approach, considering how your conditions interact and how treatments for one might affect another. She will help prioritize concerns, coordinate care with specialists, manage medications to avoid interactions, and develop a comprehensive care plan.

What happens if Dr. Pliamm determines I need to see a medical specialist?

Dr. Pliamm will explain why a specialist consultation is needed and arrange the referral, sending your medical details to the specialist. The specialist's office will contact you to book the appointment. Keep LHSC Victoria Campus Site informed of specialist appointments and any new diagnoses or treatments.

LHSC Victoria Campus Site
2 Champagne Drive, Department of Nephrology
Toronto, ON, M3J 0K2

Phone: (416) 661-1838

Dr. Naomi Pliamm 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: 77969

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Pliamm-Naomi/0191194-77969

Family doctors like Dr. Pliamm 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.