About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Pauline Karen Kosalka serves as a trusted medical specialist. Practicing in Sudbury, ON, she provides comprehensive care in Internal Medicine and Geriatric Care. She is committed to delivering high-quality healthcare services to adults, including seniors, adhering to the standards set by the College of Physicians and Surgeons of Ontario (CPSO). Her focus is on offering personalized, evidence-based treatment tailored to each patient's unique needs.
Dr. Kosalka graduated with a Medical Degree from McMaster University in 2017, Canada. She has completed extensive post-graduate medical training, including residencies and certifications in Internal Medicine and Geriatric Medicine. Her training has equipped her with a broad skill set to manage complex adult health conditions and age-related health issues effectively.
Her clinical philosophy emphasizes clear and educational communication, ensuring patients and their families understand their health conditions and treatment options. Dr. Kosalka is dedicated to serving the Sudbury community and speaks fluent English. She believes in collaborative care, working closely with patients and healthcare teams to optimize health outcomes and improve quality of life.
Dr. Kosalka provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
Endocrine & Metabolic Disorders
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
Dr. Kosalka 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.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
- 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.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
Note: This list represents some of the key services offered by Dr. Kosalka. 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. Kosalka'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. Kosalka's practice is located in Downtown Sudbury, within the Minnow Lake and Ramsey Lake Area neighborhoods. The clinic is situated within Milton District Hospital, providing easy access for patients in the community. The facility is near the Mackey Building (City Hall Annex) and is conveniently accessible via GOVA Transit (Greater Sudbury Transit). Patients can reach the clinic by bus, and parking is available at the facility. The facility is wheelchair accessible.
- How is payment handled for appointments with Dr. Kosalka? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Kosalka 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. Kosalka. 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.
- 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. Kosalka uses this holistic approach to develop a personalized care plan.
- What kind of tests might Dr. Pauline Kosalka order?
- Depending on your specific medical situation, Dr. Kosalka may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). She will explain why any tests are being recommended.
- What typically happens during a first consultation?
- During your initial visit, Dr. Kosalka will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. She will likely perform a relevant physical examination. Following this assessment, she will discuss her findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
Milton District Hospital
41 Ramsey Lake Rd
Sudbury, ON P3E 5J1
Phone: (705) 523-7100 | Fax: (705) 523-7340
The facility is wheelchair accessible.
Dr. Kosalka 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/Kosalka-Pauline-Karen/0317976-112305