Dr. Nestor Do Padre Fernandez – Family Doctor | Toronto, ON

Dr. Nestor Do Padre Fernandez is a Family Doctor. Practicing at London Regional Cancer Program in Toronto, ON, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. He focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Nestor Do Padre Fernandez completed his Medical Degree. He brings valuable clinical experience to the practice. He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care. He is fluent in English and also offers consultations in Italian, Portuguese and Spanish.

Dr. Nestor Do Padre Fernandez 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

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.

Preventative Health Topics

• 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.
• Travel Medicine Advice & Routine/Travel Vaccinations: Offering essential travel health services and tailored advice to protect your health while abroad, based on current international health regulations, CDC/WHO recommendations, and your specific travel plans.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

Common Chronic Conditions

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Comprehensive management strategies for COPD, focusing on smoking cessation support (critical for slowing progression), appropriate pharmacological therapy (bronchodilators, inhaled corticosteroids), supplemental oxygen therapy assessment (if needed), pulmonary rehabilitation referrals, influenza/pneumococcal vaccinations, and proactive management of exacerbations to improve quality of life, reduce symptoms (breathlessness, chronic cough, sputum production), and slow disease progression.
• Type 2 Diabetes Mellitus & Prediabetes: Proactive, team-based care (often involving dietitians, diabetes educators, pharmacists) for type 2 diabetes and prediabetes, aiming to achieve optimal glycemic control, reduce cardiovascular risk, and improve overall quality of life.
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.

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

• Diabetes Mellitus Care (Type 1, Type 2, Gestational, Prediabetes): Ongoing support, education, and evidence-based treatment for individuals living with all forms of diabetes to help them manage their condition effectively and maintain a high quality of life.
• Routine Health Check-ups & Physicals for Adults: Comprehensive care focused on health promotion and disease prevention throughout adulthood.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Evaluating common benign skin growths (skin tags, seborrheic keratoses, cherry angiomas, dermatofibromas). Performing skin biopsies (punch, shave, excisional) of suspicious lesions to rule out skin cancer, or offering in-office removal of benign lesions for cosmetic reasons or if causing irritation.
• Evaluation of Acute Musculoskeletal Injuries (Sprains, Strains): Managing common injuries sustained during sports, work, or daily life, with appropriate follow-up and rehabilitation guidance.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Performing objective medical assessments for various administrative or regulatory requirements.

Note: This list highlights some of the key services offered by Dr. Padre. 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 London Regional Cancer Program, 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. Padre frequently works with patients towards goals such as:

• Dr. Padre frequently helps patients who are dealing with needing a doctor's note for work or school due to a recent illness or injury. The primary aim is achieving feeling fully empowered by Dr. Padre to ask pertinent and challenging questions, openly voice their preferences and values regarding treatment options, and participate actively and meaningfully as a respected partner in all their healthcare decisions, which often allows them to confidently resume being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection.
• Patients with wanting to discuss fertility concerns or get initial advice before trying to conceive can find relief and achieve experiencing significantly improved physical function, greater ease of mobility, and markedly reduced daily pain as a result of managing complex musculoskeletal issues or sports injuries under Dr. Padre's comprehensive guidance, treatment plan, and care coordination with allied health professionals under Dr. Padre's care, often allowing them to resume participating fully, actively, and joyfully in all extended family activities, special gatherings, milestone celebrations, and holiday traditions without former limitations.
• Dr. Padre supports patients through wanting to discuss preventative health screenings appropriate for their age, gender, and family history risks, aiming for outcomes like receiving compassionate, understanding, and effective support and strategies from Dr. Padre 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, so they can return to activities such as successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations.
• For many individuals, wanting to discuss their child's nutritional needs as a vegetarian or vegan can be a real barrier. Dr. Padre's approach focuses on achieving feeling genuinely and consistently supported by Dr. Padre during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member, making it possible for patients to once again enjoy safely, confidently, and comfortably lifting and carrying their growing young children, active grandchildren, or even multiple bags of groceries and other moderately heavy household items without undue strain or risk of injury.

Your personalized healthcare plan, developed in discussion with Dr. Padre, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Padre practices at the London Regional Cancer Program, located in Toronto's Christie neighbourhood. Conveniently situated near the Distillery District, the clinic is easily accessible via the TTC (Subway, Streetcar, Bus). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

A family doctor (Ontario) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

How long do appointments with Dr. Padre typically last?

Appointment times with Dr. Padre vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr. Padre will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at London Regional Cancer Program to ensure enough time is set aside with Dr. Padre to address your concerns thoroughly.

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

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr. Padre. After assessing your condition, if Dr. Padre believes specialist care is necessary for diagnosis or management, he will discuss this with you and make the appropriate referral. Our office will handle sending the required information to the specialist. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can sometimes be long, so Dr. Padre will continue to manage your care and provide support in the interim.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time to find a doctor.

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

If you have several health issues, Dr. Padre is well-equipped to be your central point of care. He's role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Padre will work with you and other specialists to manage your health comprehensively.

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 the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with London Regional Cancer Program if you have questions about specific non-insured services or potential fees.

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

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, or the College of Physicians and Surgeons of Ontario website may be helpful. A referral is usually required from a family doctor to see most medical specialists.

Can Dr. Padre help with mental health concerns like anxiety or depression?

Absolutely. Dr. Padre is well-equipped to address a wide range of mental health issues as part of comprehensive family practice. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage psychotropic medications when appropriate, and coordinate care with mental health specialists if required. If you're struggling with your mental well-being, Dr. Padre is a good person to start the conversation with and seek help from in a confidential and supportive environment.

London Regional Cancer Program
200-799 Bloor St W, Department of Radiation Oncology
Toronto, ON, M6G 1L8

Phone: (416) 531-5332

Dr. Nestor Do Padre Fernandez 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: 30845

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Fernandez-Nestor-Do-Padre/0026022-30845

Family doctors like Dr. Padre 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.