About
As a skilled Internist / Geriatrician, Dr. Nina Hagler Wine offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Vaughan, ON, she serves the surrounding communities with a focus on providing comprehensive care in Internal Medicine and Geriatric Care. Dr. Wine adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in her practice. Her dedication is centered on addressing the complex medical needs of adult patients, including seniors, in a compassionate and professional manner.
Dr. Wine graduated with a Medical Degree from Boston University in 1993 and has completed extensive post-graduate medical training, including residency and fellowship programs in internal medicine and geriatrics. She holds key certifications that demonstrate her expertise and commitment to ongoing professional development, ensuring her practice reflects the latest advancements and standards in her field.
Her clinical philosophy emphasizes a professional and clinical approach, prioritizing patient-centered care and evidence-based medicine. She is committed to serving the Vaughan community with integrity and compassion. Fluent in English and Hebrew, Dr. Wine values clear communication and strives to build trusting relationships with her patients to support optimal health outcomes.
Dr. Wine provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
Geriatric Syndromes & Focused Elder Care
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
Complex Diagnostic & Multi-System Issues
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
Dr. Wine 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 Geriatric Assessment (CGA): A holistic, multidimensional evaluation tailored to older adults, assessing medical conditions, functional ability, cognition, mood, nutrition, social support, and medication use.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- 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. Wine. 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. Wine'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. Wine's practice is located in the Concord Central area of Vaughan, within the Vaughan Metropolitan Centre (VMC) neighborhood. The clinic is conveniently situated near the Maple Community Centre and Maple GO Station, offering easy access for patients in the region. Patients can reach the clinic via York Region Transit (YRT) / Viva services. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Wine? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Wine 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. Wine. 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.
- Is the focus mainly on diseases or also on daily function?
- While diagnosing and managing diseases like Calcium and Parathyroid Disorders or Chronic Respiratory Diseases is crucial, Dr. Wine also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Frailty Assessment & Management), and participation in meaningful activities.
1600 Steeles Avenue West
Vaughan, ON L4K 4M2
Phone: (905) 763-8660 | Fax: (905) 763-0708
The facility is wheelchair accessible.
Dr. Wine 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/Wine-Nina-Hagler/0052979-66943