Dr. Nicole Megan Mathews

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

Common Chronic Conditions

• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Diagnosing and providing ongoing treatment for common forms of anemia to maintain energy levels and overall health.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Developing personalized strategies to reduce chronic joint and muscle pain, improve mobility and function, enhance coping mechanisms, and improve overall quality of life for those living with conditions like arthritis, persistent back pain or fibromyalgia.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Ongoing management of chronic GERD (acid reflux) and PUD, including lifestyle modifications (diet, weight, smoking cessation), prescription of acid-suppressing medications (PPIs, H2 blockers), H. pylori testing and eradication, and monitoring for complications or need for endoscopy.
• Type 2 Diabetes Mellitus & Prediabetes: Helping you live well with diabetes by providing ongoing education, support for self-management behaviors, access to diabetes education programs, and strategies to prevent or delay long-term complications, empowering you to take control of your health.

Pediatric Common Issues

• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Regular monitoring of physical growth (height, weight, head circumference using growth charts), developmental milestones (gross motor, fine motor, language, social-emotional using tools like Rourke Baby Record or Greig Health Record), nutrition/feeding practices (breastfeeding, formula, introduction of solids, healthy eating for older children), and providing age-appropriate anticipatory guidance to parents/caregivers on safety (e.g., car seats, safe sleep, poison prevention, injury prevention), behavior, sleep, dental health, and fostering healthy habits from infancy through school age.
• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Creating a safe, non-judgmental, and youth-friendly healthcare environment where teenagers feel comfortable discussing their health concerns openly, receive accurate information, build a trusting relationship with their doctor, and are empowered to take charge of their health.

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• 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): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• 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): Helping individuals navigate feelings of sadness, hopelessness, and other depressive symptoms, aiming to restore emotional well-being, daily functioning, and prevent relapse.

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

• Coordination with Allied Health Professionals & Community Health Services: Facilitating access to a broad network of allied health and community services to support your overall health plan, recovery, rehabilitation, and long-term management needs.
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Assessment and management of sudden onset skin rashes and other common skin ailments to relieve symptoms and promote healing.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Confidential screening for common STBBIs (e.g., chlamydia, gonorrhea, syphilis, HIV, Hepatitis B/C) based on risk factors and guidelines. Includes counseling on prevention, safe practices, partner notification if applicable, and providing treatment for common STIs.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Performing objective medical assessments for various administrative or regulatory requirements.
• Acne Vulgaris & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity and skin type.

Note: This list highlights some of the key services offered by Dr. Mathews. 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 Dr. Nicole Megan Mathews's practice, 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. Mathews frequently works with patients towards goals such as:

• Patients with feeling a bit down, persistently sad, or having lost interest in activities they usually enjoy for a few weeks now 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. Mathews's comprehensive guidance, treatment plan, and care coordination with allied health professionals under Dr. Mathews's care, often allowing them to resume feeling well-prepared, physically able, and mentally positive for attending and fully participating in significant, once-in-a-lifetime family or social events like weddings, milestone anniversaries, international reunions, or major academic graduations without former limitations.
• The path to wellness when facing getting a comprehensive skin check for new or changing spots, especially with a history of significant sun exposure or family history of skin cancer involves working towards experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Mathews's diligent, guideline-based monitoring and timely therapeutic adjustments. Dr. Mathews guides patients so they can again enjoy confidently and independently taking various modes of public transportation (bus, train, subway) when needed for commuting or leisure, without excessive physical difficulty, navigation challenges, or heightened anxiety about accessibility or safety.
• If feeling unusually tired and completely run down for weeks, not just a day or two of fatigue is a barrier, Dr. Mathews develops strategies aimed at managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Mathews's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, facilitating the ability to enjoy actively participating in local civic life, serving on community boards, contributing to neighborhood associations, or engaging in grassroots advocacy groups with consistent energy, passion, and intellectual commitment.
• It's rewarding for Dr. Mathews to see patients with wanting to discuss options for medical assistance in dying (MAID) for a terminal condition (in provinces where applicable) achieve successfully managing their multiple (often complex) medications with significantly fewer side effects, demonstrably better adherence to the prescribed regimen, and a much clearer understanding of each medication's specific purpose, benefits, and potential interactions, thanks to Dr. Mathews's careful oversight and return to important activities like meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr. Mathews, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation.

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

Dr. Mathews practices at a family medical clinic in Milton, situated in the Milton Central/North/East (Old Milton, Dempsey, Clarke, Beaty, Coates) neighborhood of Milton. The clinic is conveniently located near the Commercial Corridor and is accessible via Milton 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, your local health unit's website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) may be helpful. 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 (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 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 may take time and effort. You can check the College of Physicians and Surgeons of Ontario's website; they often have 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. It can be challenging, so be patient and persistent.

What should I do if I have an urgent medical issue when the clinic is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until our clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with our clinic or Dr. Mathews during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(905) 878-6793] may also provide instructions or resources for after-hours care.

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

Family doctors like Dr. Mathews are integral to supporting patients' mental health. She can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr. Mathews.

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

If Dr. Mathews determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), she will discuss the reasons with you and initiate a referral. This usually involves Dr. Mathews sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at the clinic will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with our clinic if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr. Mathews.

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 may have an associated fee. Please confirm with our clinic if you have questions about specific services or fees.

470 Bronte Street South
Milton, ON, L9T 2J4

Phone: (905) 878-6793

Dr. Nicole Megan Mathews 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: 83738

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Mathews-Nicole-Megan/0226982-83738

Family doctors like Dr. Mathews 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.