Dr. Paul Oykhman – Internist / Geriatrician | Richmond Hill, ON

As a skilled Internist / Geriatrician, Dr. Paul Oykhman offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Richmond Hill, ON, he serves the surrounding communities, providing comprehensive care in Internal Medicine and Geriatric Care. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that patients receive safe and quality medical services.

Dr. Oykhman graduated with a Medical Degree from the University of Alberta Faculty of Medicine and Dentistry in 2014. He has completed extensive post-graduate medical training, including residency and specialized certifications in Internal Medicine and Geriatrics. This rigorous training equips him with the expertise to manage complex adult and geriatric health conditions effectively.

His clinical philosophy emphasizes a clear and educational approach, aiming to empower patients through understanding their health conditions. Dr. Oykhman is committed to serving the Richmond Hill community with compassionate, patient-centered care. He is fluent in English and Russian, facilitating effective communication with diverse patient populations.

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

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

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.

Geriatric Syndromes & Focused Elder Care

• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.

Dr. Oykhman 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.

• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.

Note: This list represents some of the key services offered by Dr. Oykhman. 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. Oykhman'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. Oykhman's practice is located in the central Mill Pond neighborhood of Richmond Hill, ON, in close proximity to Bayview Secondary School and various shopping plazas. The location is easily accessible via York Region Transit (YRT) and Viva bus services. The facility is wheelchair accessible. Parking is available at the facility.

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

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

How does Dr. Paul Oykhman communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. Oykhman will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.

How long should I expect my appointment to last?

Initial consultations with Dr. Oykhman are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

What is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Oykhman uses this holistic approach to develop a personalized care plan.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

9325 Yonge Street
Richmond Hill, ON L4C 0A8

Phone: (905) 508-8876 | Fax: (905) 508-1087

The facility is wheelchair accessible.

Dr. Oykhman 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/Oykhman-Paul/0306904-108451