Dr. Ramsey Gregory Gerard Powell – Internist / Geriatrician | Welland, ON

Dr. Ramsey Gregory Gerard Powell is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Welland, ON, he serves the surrounding communities, ensuring access to quality healthcare for older adults and individuals with multifaceted medical needs. Dr. Powell adheres to the highest standards of medical practice set by the College of Physicians and Surgeons of Ontario (CPSO), maintaining rigorous standards of professionalism and patient safety.

He graduated with a Medical Degree from Memorial University of Newfoundland Faculty of Medicine (Canada) and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Care. His certifications include board certification in Internal Medicine and additional subspecialty training in Geriatric Medicine, equipping him with advanced skills to manage complex health issues common in aging populations.

Dr. Powell’s clinical philosophy emphasizes a professional and patient-centered approach. He is committed to delivering evidence-based care tailored to the individual needs of each patient. Fluent in English, he strives to foster clear communication and trusted patient-provider relationships. His practice is rooted in compassion, clinical excellence, and a dedication to improving quality of life for his patients.

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

Endocrine & Metabolic Disorders

• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.

Complex Diagnostic & Multi-System Issues

• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.

Geriatric Syndromes & Focused Elder Care

• 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.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.

Dr. Powell 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.

• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• 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.

Note: This list represents some of the key services offered by Dr. Powell. 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. Powell'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. Powell's practice is located in North Welland, within the Niagara College Area neighborhood of Welland. The clinic is situated in close proximity to Merritt Island Park and is within easy reach of the Pembroke Regional Hospital. Patients can access the facility via Niagara Region Transit (NRT) and Welland Transit routes. The practice is within a short distance of popular local landmarks, providing convenient access for patients in the region. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Powell 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. Powell. 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 happens after the initial consultation?

After your assessment, Dr. Powell 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. Powell 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.

Does Dr. Powell discuss goals of care or advance care planning?

Yes, discussing goals of care is an important part of patient-centered practice, especially in managing chronic illness or in geriatric care. Dr. Powell encourages conversations about patient values, preferences for future medical treatment, and advance care planning (including identifying a substitute decision-maker) to ensure care aligns with what matters most to the patient. He can provide information and facilitate these discussions.

What typically happens during a first consultation?

During your initial visit, Dr. Powell will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss Dr. Powell's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

Pembroke Regional Hospital
65 Third Street
Welland, ON L3B 5X9

Phone: (709) 770-3407

The facility is wheelchair accessible.

Dr. Powell 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/Powell-Ramsey-Gregory-Gerard/0335752-124782