About
Dr. Peter Lawrence Gross is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, he serves the surrounding communities with a patient-centered approach rooted in evidence-based medicine. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in every aspect of care.
He provides comprehensive care in Internal Medicine and Geriatric Care, addressing the unique health needs of adult patients, including older adults and seniors. Dr. Gross has completed extensive post-graduate medical training, equipping him with the expertise necessary to manage complex multi-system diseases and age-related health issues effectively.
With a clinical philosophy grounded in evidence-based and informative practices, Dr. Gross is committed to delivering personalized care tailored to each patient's medical history and health goals. He speaks English fluently and is dedicated to serving the Toronto community with compassion and professionalism.
Dr. Gross provides expert care for adults with a wide range of medical conditions, including:
Complex Diagnostic & Multi-System Issues
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
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.
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
Geriatric Syndromes & Focused Elder Care
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
- Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
Dr. Gross 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.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
- Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- 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.
Note: This list represents some of the key services offered by Dr. Gross. 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. Gross'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. Gross's practice is located in the Bay Street Corridor (Discovery District) neighborhood of Toronto within the St. Joseph's Care Group. The location is conveniently situated near the Art Gallery of Ontario and Chinatown Centre, making it easily accessible for patients in the downtown Toronto area. The clinic is well-served by public transportation, including TTC subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Gross? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Gross 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. Gross. 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. Gross'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.
- Is Dr. Gross affiliated with a specific hospital?
- Hospital privileges can vary. Dr. Gross may have admitting privileges or provide consultation services at Toronto hospitals. This affiliation allows for coordinated care if hospitalization is required. If you are admitted, the hospital team may consult Dr. Gross as needed, or he might be involved in your care depending on the specific hospital and service arrangements. Please confirm details with the office if needed.
- 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 Chronic Liver Disease or Investigation of Anemia), 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 (Polypharmacy & Medication Optimization). Your family doctor can best determine if a specialist consultation is needed.
- What happens after the initial consultation?
- After your assessment, Dr. Gross will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Gross may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.
St. Joseph's Care Group
200 Elizabeth Street, P O Box 3251
Toronto, ON M5G 2C4
Phone: (416) 340-3423
The facility is wheelchair accessible.
Dr. Gross 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/Gross-Peter-Lawrence/0056464-68052