Dr. Natalie Keses – Internist / Geriatrician | Ottawa, ON

Dr. Natalie Keses, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Ottawa, ON, she serves the surrounding communities. Her practice is dedicated to providing comprehensive care in Internal Medicine and Geriatric Care, adhering strictly to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). She is committed to addressing the unique health needs of adult patients, including seniors, with a holistic and patient-centered approach.

Dr. Keses graduated with her Medical Degree from the Schulich School of Medicine and Dentistry in 1998, Canada. She completed extensive post-graduate medical training, including residency in Internal Medicine and specialized fellowships in Geriatric Medicine. Her rigorous training ensures she is well-equipped to manage complex adult health issues with a high level of expertise and professionalism.

Her clinical philosophy emphasizes clear, educational communication and personalized care. She is dedicated to continuous learning and applying the latest evidence-based practices to optimize health outcomes. Fluent in English, Dr. Keses strives to build trusting relationships with her patients and their families, fostering a supportive environment for health and well-being.

Dr. Keses provides expert care for adults with a wide range of medical conditions, including:

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.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.

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.

Endocrine & Metabolic Disorders

• 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.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Dr. Keses 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.

• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.

Note: This list represents some of the key services offered by Dr. Keses. 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. Keses'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. Keses's practice is located in the Bells Corners area within the Lynwood Village neighborhood of Ottawa. The clinic is conveniently situated near Carleton University and the Chinatown Gateway, making it accessible for patients in the surrounding communities. Patients can reach the clinic via OC Transpo services, including the O-Train LRT and bus routes. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Keses? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Keses 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. Keses. 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.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy (multiple medications). Dr. Keses, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. She often takes a very holistic view, considering social and functional aspects alongside medical issues.

What should I do if I have an urgent medical problem?

Dr. Keses'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.

Suite 620, 3045 Baseline Rd
Ottawa, ON K2H 8P4

Phone: (613) 721-4842 | Fax: (613) 721-4785

The facility is wheelchair accessible.

Dr. Keses 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/Keses-Natalie/0149067-72232