Dr. Nerissa Manthri – Internist / Geriatrician | Burlington, ON

Dr. Nerissa Manthri is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Burlington, ON, she serves the surrounding communities. Her practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and ethical care. Dr. Manthri provides comprehensive care in Internal Medicine and Geriatric Care, addressing a wide spectrum of health issues faced by adult patients, including seniors.

She graduated with a Medical Degree from the University of KwaZulu-Natal in South Africa and has completed extensive postgraduate medical training in Canada. Her certifications include fellowship training in Internal Medicine and Geriatric Medicine, along with ongoing professional development to stay current with evidence-based practices.

Dr. Manthri's clinical philosophy is rooted in an evidence-based and informative approach, prioritizing patient education and shared decision-making. She is committed to serving the Burlington community and speaks English fluently, ensuring clear communication with her patients. Her goal is to deliver personalized, holistic care that optimizes health outcomes for her adult and senior patients.

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

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• 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.

Management of Chronic Diseases

• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.

Geriatric Syndromes & Focused Elder Care

• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.

Dr. Manthri 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.

• 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.
• 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.
• Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.

Note: This list represents some of the key services offered by Dr. Manthri. 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. Manthri'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. Manthri's practice is located in the Mountainside area within the Brant Hills neighborhood of Burlington. The facility is situated within the University of Guelph campus, close to Spencer Smith Park, providing a scenic environment for patients. The location is easily accessible via Burlington Transit, with multiple bus routes serving the area. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Manthri 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. Manthri. 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 is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Manthri uses this holistic approach to develop a personalized care plan.

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 Diabetes Mellitus (Type 1 & 2)), 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 (Investigation of Anemia). Your family doctor can best determine if a specialist consultation is needed.

University of Guelph
JT Powell Bldg 2nd floor, 2951 Walker's Line, Health and Performance Centre
Burlington, ON L7M 4Y1

Phone: (905) 662-3303 | Fax: (905) 662-3304

The facility is wheelchair accessible.

Dr. Manthri 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/Manthri-Nerissa/0332969-123532