Dr. Nicolas Barile

Dr. Barile 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.

Complex Diagnostic & Multi-System Issues

• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Dr. Barile 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.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.

Note: This list represents some of the key services offered by Dr. Barile. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Barile'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 Collège des médecins du Québec (CMQ).

Dr. Barile's practice is situated in Terrebonne West, near the Laval border, within the Hôpital Pierre-Le Gardeur. The location is convenient for residents of Terrebonne and surrounding communities, being close to landmarks such as Théâtre du Vieux-Terrebonne and the Vieux-Terrebonne Historic District. Accessible via exo (Secteur Terrebonne-Mascouche), the facility offers easy transportation options. The practice is housed within a healthcare facility that is wheelchair accessible. Parking is available at the facility, making it easy for patients to attend appointments comfortably.

How is payment handled for appointments with Dr. Barile? Is it covered by Régie de l'assurance maladie du Québec (RAMQ)?

In QC, medical consultations with specialists like Dr. Barile are typically covered by your provincial health insurance (Régie de l'assurance maladie du Québec (RAMQ)) 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 Régie de l'assurance maladie du Québec (RAMQ) 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. Barile. 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.

Does Dr. Nicolas Barile discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Barile encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.

Hôpital Pierre-Le Gardeur
911 Montée des Pionniers
Terrebonne, QC J6V 2H2

Phone: (450) 654-7525

The facility is wheelchair accessible.

Dr. Barile is a licensed physician regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. Patients are typically seen by referral from their primary care physician.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=19894