Dr. Nicholas Fortino – Family Doctor | Sudbury, ON

Dr. Nicholas Fortino is a Family Doctor. Practicing at Division of Orthopaedics in Sudbury, 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 Fortino 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; fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home. He provides consultations in English.

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

Common Acute Conditions

• 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.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Managing acute episodes of vomiting and diarrhea to support recovery, ensure adequate hydration, and rule out more serious underlying causes.

Common Chronic Conditions

• 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.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions, including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Assessing symptoms of depression (low mood, loss of interest/pleasure, fatigue, changes in sleep/appetite) and other mood disorders. Offering empathetic supportive counseling, discussing and initiating treatment options including lifestyle interventions, evidence-based antidepressant medications, and facilitating referrals to psychotherapy or psychiatry for moderate to severe or treatment-resistant cases.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• 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.

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

• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Providing in-office joint injections to alleviate symptoms and improve function in selected musculoskeletal conditions.
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Support and treatment for chronic lung diseases, including referrals for pulmonary rehabilitation and specialist care when indicated.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Diagnosing and providing primary care management for common musculoskeletal issues such as osteoarthritis, mechanical low back pain, neck pain, rotator cuff tendinopathy, bursitis, and other non-specific joint or muscle pain.
• 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. Fortino. 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 Division of Orthopaedics, 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. Fortino frequently works with patients towards goals such as:

• The focus for patients with experiencing unexplained bruising more easily than before at Dr. Fortino's practice is achieving their legitimate concerns about potential medication side effects or adverse drug reactions being taken seriously and investigated thoroughly by Dr. Fortino, often leading to helpful and safe adjustments in their prescribed treatment plan, facilitating a return to meaningful activities like actively and successfully participating in continuing education programs, challenging professional development courses, or confidently pursuing new and exciting career opportunities with sustained vigor, focus, and good health.
• A frequent goal for patients seeing Dr. Fortino about a persistent itchy scalp or dandruff that's not improving is to achieve navigating complex family health dynamics, intergenerational health concerns, or challenging caregiver stress with insightful advice, valuable resources, and compassionate support facilitated by Dr. Fortino. This success paves the way for them to re-engage with diligently learning a new foreign language, mastering a complex musical instrument, or developing a sophisticated artistic skill that requires significant focus, patience, dexterity, and long-term dedication.
• Addressing their partner or they snoring loudly and possibly having sleep apnea with Dr. Fortino often leads to 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. Fortino, enabling patients to more freely engage in actively engaging in a variety of mentally stimulating and enriching activities such as immersive reading of books and articles, solving complex puzzles, consistently learning a new practical skill online, or regularly attending engaging adult education classes with good, sustained concentration and memory recall.

Your personalized healthcare plan, developed in discussion with Dr. Fortino, 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. Fortino practices at Division of Orthopaedics, located in the Downtown Sudbury, Minnow Lake, Ramsey Lake Area neighborhood of Sudbury. The clinic is conveniently located near Mackey Building (City Hall Annex) and is accessible via GOVA Transit (Greater Sudbury Transit). Free patient parking is often available on-site or on nearby streets.

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, your local health authority website, or the College of Physicians and Surgeons of Ontario may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

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 OHIP for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Division of Orthopaedics if you have questions about specific non-insured services or potential fees.

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

You can check the website of the College of Physicians and Surgeons of Ontario, which often has a 'Find a Doctor' tool or list. In Ontario, you can also register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics directly. Finding a family doctor may take time and effort.

Division of Orthopaedics
41 Ramsey Lake Road, University of Toronto Department of Surgery
Sudbury, ON, P3E 5J1

Phone: (705) 523-7100

Dr. Nicholas Fortino 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: 110009

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Fortino-Nicholas/0310337-110009

Family doctors like Dr. Fortino 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.