Dr. Nicholas Akira Kent Nishikawa – Family Doctor | Kingston, ON

Dr. Nicholas Akira Kent Nishikawa is a Family Doctor. Practicing at KJK Walk-In Clinic in Kingston, 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. His focus is 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. Nicholas Akira Kent Nishikawa 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 a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. He provides consultations in English.

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

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.

Dermatological Skin Conditions

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.

Common Acute Conditions

• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Providing advice on RICE/POLICE principles (Rest/Protection, Optimal Loading, Ice, Compression, Elevation), pain relief options (analgesics, NSAIDs, heat/cold therapy), and gentle exercises for acute soft tissue injuries to promote healing.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Diagnosis and treatment for a wide range of common acute skin issues including cellulitis (mild, uncomplicated), fungal infections (e.g., athlete's foot, ringworm, candidiasis), allergic rashes (e.g., hives, contact dermatitis), impetigo, shingles (herpes zoster), insect bites/stings with significant local reactions, and minor superficial burns.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.

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

• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.
• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Utilizing appropriate diagnostic investigations judiciously to ensure accurate medical assessment, informed decision-making, and efficient use of healthcare resources.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Ensuring seamless access to specialized medical care through efficient and well-documented referrals, acting as your central coordinator and advocate within the healthcare system.
• Stress Management, Burnout & Adjustment Disorder Support: Helping patients build resilience, develop adaptive coping mechanisms, and navigate stressful periods effectively to protect their mental and physical health.

Note: This list highlights some of the key services offered by Dr. Nishikawa. 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 KJK Walk-In Clinic, 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. Nishikawa frequently works with patients towards goals such as:

• If concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative has put effectively managing their personal or household finances, diligently paying bills on time, and competently handling other essential administrative or organizational tasks with sustained mental clarity and focus on hold, Dr. Nishikawa works with patients toward 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. Nishikawa, helping them regain their previous level of function.
• Dr. Nishikawa frequently helps patients who are dealing with needing a physician's signature for a disability parking permit application. The primary aim is achieving their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Nishikawa, which often allows them to confidently resume consistently sleeping soundly and deeply through the entire night on a regular basis and waking up feeling genuinely refreshed, fully restored, and ready to embrace the day ahead with clarity.
• Patients often come to Dr. Nishikawa regarding concerns about thinning hair or hair loss that seems more than normal. Working together, they aim for feeling substantially more hopeful and less overwhelmed about managing a difficult or life-altering health condition after comprehensive consultations and collaborative care planning with Dr. Nishikawa, making a return to enjoying daily life with consistent, vibrant energy, genuine vitality, and a deeply positive outlook on most days feasible.

Your personalized healthcare plan, developed in discussion with Dr. Nishikawa, 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. Nishikawa practices at KJK Walk-In Clinic, located in the Downtown Kingston, Queen's University Area, Sydenham Ward neighborhood of Kingston. The clinic is conveniently located near St. Mary's Cathedral and is accessible via Kingston Transit. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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 health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with KJK Walk-In Clinic if you have questions about specific 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 if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see specialists.

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, register with Health Care Connect, ask for recommendations, or contact local community health centres or new patient clinics. It may take time to find a doctor.

KJK Walk-In Clinic
69 Union Street
Kingston, ON, K7L 2N9

Phone: (613) 533-2506

Dr. Nicholas Akira Kent Nishikawa 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: 131881

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Nishikawa-Nicholas-Akira-Kent/0334369-131881

Family doctors like Dr. Nishikawa 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.