Dr. Nirosshan Thiruchelvam, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Toronto, ON, he serves the surrounding communities with a warm and community-focused approach. As a licensed physician under the College of Physicians and Surgeons of Ontario (CPSO), he provides comprehensive care in Internal Medicine and Geriatric Care, emphasizing the unique needs of each patient, especially older adults and seniors.
Dr. Thiruchelvam graduated with a Medical Degree from the University of Jaffna Faculty of Medicine in Sri Lanka. He completed extensive postgraduate medical training, acquiring key certifications in internal medicine and geriatric care, which enable him to deliver expert, multidisciplinary management for a variety of complex health conditions.
His clinical philosophy is centered on warmth, community engagement, and patient empowerment. Committed to the Toronto area, Dr. Thiruchelvam speaks English, Sinhalese, and Tamil, ensuring effective communication and culturally sensitive care for diverse patient populations. He is dedicated to fostering trusting relationships and helping his patients achieve optimal health and well-being throughout their aging journey.
Dr. Thiruchelvam provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
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
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
Dr. Thiruchelvam 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.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- 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.
- 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.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
Note: This list represents some of the key services offered by Dr. Thiruchelvam. 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. Thiruchelvam'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. Thiruchelvam's practice is situated in the Davisville North neighborhood of Toronto, ON. The location is conveniently close to the vibrant Little Italy and the University of Toronto (St. George Campus) on the south edge. Patients can easily access the clinic via TTC, including subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Thiruchelvam? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Thiruchelvam 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. Thiruchelvam. 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. Nirosshan Thiruchelvam handle prescription refills?
- Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Thiruchelvam will make initial recommendations or adjustments, but routine refills are best handled by your family doctor who manages your overall care, unless specific arrangements are made for certain specialized medications.
- Can Dr. Nirosshan Thiruchelvam provide advice on healthy aging?
- Yes, as part of a comprehensive assessment, Dr. Thiruchelvam can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.
- Is Dr. Thiruchelvam affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Thiruchelvam may have admitting privileges or provide consultation services at Toronto hospitals or other local facilities. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Thiruchelvam as needed, or he might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.
- 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. Thiruchelvam.
308-586 Eglinton Ave E
Toronto, ON M4P 1P2
Phone: (647) 430-7191 | Fax: (647) 430-5343
The facility is wheelchair accessible.
Dr. Thiruchelvam 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/Thiruchelvam-Nirosshan/0339244-137655