About
As a skilled Internist / Geriatrician, Dr. Nicole Brittany Sitzer offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, she serves the surrounding communities with a focus on providing comprehensive and patient-centered care. Dr. Sitzer adheres to the highest standards of the College of Physicians and Surgeons of Ontario (CPSO), ensuring that her practice aligns with provincial regulations and ethical guidelines.
Dr. Sitzer graduated with a Medical Degree from McMaster University in 2012, completing extensive postgraduate training in Internal Medicine and Geriatric Care. She has acquired key certifications and engaged in specialized clinical training to enhance her expertise in managing complex adult health conditions. Her rigorous education and continuous professional development enable her to deliver evidence-based, compassionate care tailored to each patient's needs.
Her clinical philosophy emphasizes clear, educational communication and holistic patient management. Dr. Sitzer is committed to serving the Toronto community with integrity and respect. She primarily communicates in English and strives to foster a collaborative approach with her patients and their families to achieve optimal health outcomes.
Dr. Sitzer provides expert care for adults with a wide range of medical conditions, including:
Complex Diagnostic & Multi-System Issues
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
Select Infectious & Inflammatory Conditions
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
Endocrine & Metabolic Disorders
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
Dr. Sitzer 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.
- Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
- Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
Note: This list represents some of the key services offered by Dr. Sitzer. 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. Sitzer'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. Sitzer's practice is located in the Garden District, within the Ryerson neighborhood of Toronto. The clinic is conveniently situated within St. Joseph's Health Centre, providing easy access for patients from nearby areas such as Cabbagetown and the Distillery District. The location is well-connected via TTC, including subway, streetcar, and bus routes, facilitating accessible transportation options. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Sitzer? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Sitzer 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. Sitzer. 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 should I do if I have an urgent medical problem?
- Dr. Sitzer's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.
- What should I bring to my first appointment?
- Please bring:
- Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
- The referral letter if you have it.
- A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
- A list of your past medical history, surgeries, and known allergies.
- Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
- A list of your specific questions or concerns for Dr. Sitzer.
- 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. Sitzer uses this holistic approach to develop a personalized care plan.
St Joseph's Health Centre
30 Bond St
Toronto, ON M5B 1W8
Phone: (416) 360-4000 | Fax: (416) 864-5651
The facility is wheelchair accessible.
Dr. Sitzer 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/Sitzer-Nicole-Brittany/0280634-97824