Dr. Noemi Chavez Johnston – Family Doctor | London, ON

Dr. Noemi Chavez Johnston is a Family Doctor. Practicing at LHSC Victoria Hospital in London, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. She focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. Dr. Johnston serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Noemi Chavez Johnston completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home. She is fluent in English and also offers consultations in Spanish.

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

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).

Common Chronic Conditions

• 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.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.
• 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.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.

Pediatric Common Issues

• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• 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.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• 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.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.

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

• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Providing comprehensive assessment, empathetic counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common mental health conditions.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Providing first-line care for common minor injuries, including wound care advice, pain management strategies, and guidance on activity modification and rehabilitation.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Utilizing appropriate diagnostic investigations judiciously to ensure accurate medical assessment, informed decision-making, and efficient use of healthcare resources.
• 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.

Note: This list highlights some of the key services offered by Dr. Johnston. 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 LHSC Victoria Hospital, 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. Johnston frequently works with patients towards goals such as:

• For many individuals, experiencing sudden hearing loss or ringing in their ears (tinnitus) can be a real barrier. Dr. Johnston's approach focuses on achieving learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health, making it possible for patients to once again enjoy consistently maintaining a regular, enjoyable, and suitably challenging active lifestyle through various forms of exercise, preferred team or individual sports, invigorating outdoor adventures, or mindful movement practices like yoga or tai chi.
• Managing wanting to discuss options for medical assistance in dying (MAID) for a terminal condition (in provinces where applicable) effectively is a priority for Dr. Johnston. The aim is feeling significantly more comfortable, markedly less anxious, and substantially more trusting about visiting the doctor and engaging with the healthcare system due to the consistently positive, supportive, and long-standing therapeutic relationship they have established with Dr. Johnston, which helps patients get back to enjoying actively participating in ongoing professional development activities, industry conferences, or learning new, marketable skills for their current career path or potential future career transitions.
• When their elderly relative seeming more confused or withdrawn lately impacts daily life, Dr. Johnston helps patients strive for managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Johnston's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, making activities such as comfortably attending and thoroughly enjoying lengthy public events like concerts, theatre performances, live movies in cinemas, or exciting sporting events, being able to sit for extended periods without significant pain or the need to frequently shift positions possible again.
• Dr. Johnston often sees patients whose needing to get their routine immunizations updated or the annual flu shot for the whole family limits their enjoyment of independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity. The goal of care is to achieve obtaining all necessary medical documentation, forms, and reports for work, school, travel, or insurance purposes efficiently, accurately, and without undue hassle through Dr. Johnston's supportive office team and restore their active lifestyle.

Your personalized healthcare plan, developed in discussion with Dr. Johnston, 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. Johnston practices at LHSC Victoria Hospital, situated in the Downtown London, North London East neighborhood of London. The clinic is conveniently located near Fanshawe College (Main Campus) and is accessible via London Transit Commission (LTC). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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 in Ontario, your local health unit's website, or the College of Physicians and Surgeons of Ontario may be helpful in your search. A referral from a family doctor is usually required to see specialists.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Johnston?

When you first meet Dr. Johnston as a new patient, expect to spend time discussing your complete health profile. She will likely ask about your past medical history, significant family illnesses, all current medications (including vitamins and supplements), allergies, lifestyle factors like diet and exercise, and any specific health concerns or goals you have. This comprehensive intake helps Dr. Johnston understand your overall health status and begin to formulate a long-term care plan. It's also an excellent time to ask any questions you may have about her approach to medicine or clinic procedures.

What does 'preventative care' involve with a family doctor like Dr. Johnston?

Preventative care with Dr. Johnston focuses on keeping you healthy and identifying potential health problems before they become serious or cause symptoms. This involves a range of services tailored to your age, gender, and risk factors, such as routine check-ups (periodic health exams), age-appropriate cancer screenings (e.g., Pap tests, mammograms, colon cancer screening, PSA discussions), immunizations (flu shots, travel vaccines, routine boosters), blood pressure and cholesterol checks, screening for diabetes, counseling on healthy lifestyle choices (diet, exercise, smoking cessation, responsible alcohol use), and risk assessments for various conditions. The primary goal is to prevent illness, detect diseases early when they are most treatable, and promote your long-term health and well-being.

What should I do if I have an urgent medical issue when LHSC Victoria Hospital 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 LHSC Victoria Hospital 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 LHSC Victoria Hospital or Dr. Johnston during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(226) 667-8488] may also provide instructions or resources for after-hours care.

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 might have an associated fee. Please confirm with LHSC Victoria Hospital if you have questions about specific non-insured services or potential fees.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

You can check the website of the College of Physicians and Surgeons of Ontario, which often has a 'Find a Doctor' tool. In Ontario, you can also register with Health Care Connect. Ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor can take time.

What exactly is a family doctor (Family Doctor) and what is their role?

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

LHSC Victoria Hospital
Unit North Tower Room B8 045, 149 Oxford St E, Department of Psychiatry
London, ON, N6A 1T4

Phone: (226) 667-8488

Dr. Noemi Chavez Johnston 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: 103226

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Chavez-Johnston-Noemi/0295051-103226

Family doctors like Dr. Johnston 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.