Dr. Nataliya Golishevski – Internist / Geriatrician | Vancouver, BC

As a skilled Internist / Geriatrician, Dr. Golishevski offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Vancouver, BC, she serves the surrounding communities with a commitment to providing comprehensive and compassionate care. Her practice adheres to the standards set by the College of Physicians and Surgeons of British Columbia (CPSBC). Special interests within Internal Medicine and Geriatric Care include specialty practice in internal medicine, focusing on the unique health needs of adult patients, particularly seniors.

Dr. Golishevski graduated with a Medical Degree from Lugansk Medical University in Ukraine in 1996. She has completed extensive post-graduate training and holds relevant certifications in internal medicine and geriatric care. Her professional development reflects a dedication to staying current with best practices and advancing her expertise in managing complex adult and elderly health conditions.

Her clinical philosophy emphasizes a clear and educational approach, ensuring patients understand their health conditions and treatment options. She is committed to serving the Vancouver community, speaking multiple languages including English, Hebrew, Russian, and Ukrainian, which facilitates effective communication with diverse patient populations and fosters a trusting healthcare environment.

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

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.

Dr. Golishevski 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.
• 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.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Comprehensive Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
• 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. Golishevski. 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. Golishevski'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. Golishevski's practice is located in the Mount Pleasant East neighbourhood of Vancouver, BC. The location is conveniently situated near popular shopping and dining districts, making it accessible for patients from various parts of the city. The facility is easily reachable via TransLink services, including the SkyTrain Expo, Millennium, and Canada Lines, as well as bus routes, SeaBus, and West Coast Express at Waterfront Station. The practice is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Golishevski? Is it covered by Medical Services Plan (MSP)?

In BC, medical consultations with specialists like Dr. Golishevski 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. Golishevski. 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.

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 Thyroid Disorders or Chronic Respiratory Diseases), 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 (Complex Infections Consultation). Your family doctor can best determine if a specialist consultation is needed.

What kind of tests might Dr. Golishevski order?

Depending on your specific medical situation, Dr. Golishevski may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). She will explain why any tests are being recommended.

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.

3080 Prince Edward St, Mount Saint Joseph Hospital, Internal Medicine
Vancouver, BC V5T 3N4

Phone: (604) 877-8366 | Fax: (604) 877-8375

The facility is wheelchair accessible.

Dr. Golishevski 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/334682/Golishevski%2CNataliya