About
As a skilled Internist / Geriatrician, Dr. Rachel Spevack offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Montréal, QC, she serves the surrounding communities. Her practice is committed to providing comprehensive care in Internal Medicine and Geriatric Care, adhering to the high standards set by the Collège des médecins du Québec (CMQ).
Dr. Spevack graduated with a Medical Degree in 2017 and has completed extensive post-graduate medical training, including residency in Internal Medicine with a focus on Geriatrics. Her training equips her with the knowledge and skills necessary to manage complex medical conditions in adult and senior populations.
Her clinical philosophy emphasizes clear and educational communication, ensuring patients understand their health conditions and treatment options. She is dedicated to serving the Montréal community, speaking both English and French fluently, and fostering a respectful, patient-centered approach to healthcare.
Dr. Spevack provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
- 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.
Management of Chronic Diseases
- Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
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.
Dr. Spevack 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.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
Note: This list represents some of the key services offered by Dr. Spevack. 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. Spevack'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 Collège des médecins du Québec (CMQ).
Dr. Spevack's practice is located in the vibrant Plateau Mont-Royal South / Village East neighborhood of Montréal, within the Hôpital communautaire Notre-Dame. The location offers easy access via the Pont Jacques-Cartier Access and is well served by the Société de transport de Montréal (STM), including metro and bus services. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Spevack? Is it covered by Régie de l'assurance maladie du Québec (RAMQ)?
- In QC, medical consultations with specialists like Dr. Spevack are typically covered by your provincial health insurance (Régie de l'assurance maladie du Québec (RAMQ)) 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 Régie de l'assurance maladie du Québec (RAMQ) 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. Spevack. 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.
- Can a family member or friend accompany me to the appointment?
- Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.
Hôpital communautaire Notre-Dame
1560 rue Sherbrooke E
Montréal, QC H2L 4M1
Phone: (514) 413-8777
The facility is wheelchair accessible.
Dr. Spevack is a licensed physician regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. Patients are typically seen by referral from their primary care physician.
Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17638