About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Peter Graff serves as a trusted medical specialist. Practicing in North Vancouver, BC, he serves the surrounding communities, providing comprehensive care to adult patients, including seniors. His practice adheres to the high standards and ethical guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring quality and safety in all clinical interactions.
Dr. Graff graduated with an MB BS from the University of the Witwatersrand in 1980, South Africa. He has completed relevant postgraduate training and certifications in internal medicine and geriatrics, equipping him with a broad and in-depth understanding of complex adult health issues. His continuous professional development ensures he stays current with evolving medical practices and guidelines.
His clinical philosophy emphasizes a professional and clinical approach to patient care. Dr. Graff is committed to serving the North Vancouver community with integrity and compassion. He communicates fluently in English, ensuring clear and effective dialogue with his patients and their families.
Dr. Graff provides expert care for adults with a wide range of medical conditions, including:
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
Management of Chronic Diseases
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
Endocrine & Metabolic Disorders
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
Dr. Graff 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.
- 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.
- 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.
- Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
Note: This list represents some of the key services offered by Dr. Graff. 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. Graff'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 British Columbia (CPSBC).
Dr. Graff's practice is located in North Vancouver, BC, near the central North Vancouver neighborhood of North Vancouver. The facility is situated within Lions Gate Hospital, providing convenient access for patients in the area. It is easily accessible via local public transit, with nearby bus routes serving the hospital. The practice is close to local points of interest such as Lions Gate Village and Capilano Mall. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Graff? Is it covered by Medical Services Plan (MSP)?
- In BC, medical consultations with specialists like Dr. Graff are typically covered by your provincial health insurance (Medical Services Plan (MSP)) 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 Medical Services Plan (MSP) 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. Graff. 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 should I do if I have an urgent medical problem?
- Dr. Graff's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.
Lions Gate Hospital
200-101 16th St W
North Vancouver, BC V7M 1T3
Phone: (604) 904-0810 | Fax: (604) 904-0812 | Website: http://www.vch.ca/locations-and-services/find-locations/find-locations?site_id=95
The facility is wheelchair accessible.
Dr. Graff is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/306409/Graff%2CPeter