Dr. Olexandra Koshkina – Internist / Geriatrician | Richmond Hill, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Olexandra Koshkina serves as a trusted medical specialist. Practicing in Richmond Hill, ON, she provides comprehensive care in Internal Medicine and Geriatric Care. Her practice is committed to serving adults, including older adults and seniors, with warmth and a community-focused approach. Dr. Koshkina adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that every patient receives safe, ethical, and personalized care.

Dr. Olexandra Koshkina graduated with her Medical Degree from the University of Dublin in 2013, Ireland. She has completed extensive postgraduate medical training, including residencies and fellowships in Internal Medicine and Geriatrics, which have equipped her with a broad and nuanced skill set to address complex adult health issues. Her ongoing commitment to medical education ensures she remains up-to-date with the latest clinical guidelines and best practices.

Her clinical philosophy centers around providing compassionate, patient-centered care in a warm and welcoming environment. She believes in building strong relationships with her patients and their families to support health, independence, and quality of life. Fluent in English and Russian, Dr. Koshkina strives to make her care accessible and understandable for diverse communities in Richmond Hill and the surrounding areas.

Dr. Koshkina provides expert care for adults with a wide range of medical conditions, including:

Geriatric Syndromes & Focused Elder Care

• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.

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.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.

Select Infectious & Inflammatory Conditions

• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Dr. Koshkina 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.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.

Note: This list represents some of the key services offered by Dr. Koshkina. 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. Koshkina'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).

Located in the Langstaff area of Richmond Hill within the Magenta Health facility, Dr. Koshkina’s practice is conveniently situated in the South Richvale neighborhood. The clinic is close to the Elgin Mills Crossing Shopping Centre and Richmond Green Sports Centre and Park, making it easily accessible for local residents. Patients can reach the clinic via York Region Transit (YRT) / Viva, with stops nearby for added convenience. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Koshkina? Is it covered by Ontario Health Insurance Plan (OHIP)?

In ON, medical consultations with specialists like Dr. Koshkina 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. Koshkina. 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.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Falls, Mobility & Balance Disorders or Syncope (Fainting) Evaluation), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Urinary Incontinence Assessment). Your family doctor can best determine if a specialist consultation is needed.

Magenta Health
360 Medical Centre
Richmond Hill, ON L4B 3Y7

Phone: (905) 881-0360 | Fax: (905) 881-3601

The facility is wheelchair accessible.

Dr. Koshkina 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/Koshkina-Olexandra/0311194-109341