About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Robert Donald Silver serves as a trusted medical specialist. Practicing in Toronto, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. He is committed to serving the surrounding communities with a warm, community-focused approach, ensuring that his patients receive attentive and personalized healthcare. Dr. Silver adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), maintaining excellence in his clinical practice.
Dr. Silver graduated with a Medical Degree from Dalhousie University Faculty of Medicine in 1978.0 (Canada), and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Care. His certifications include recognition by the College of Physicians and Surgeons of Ontario (CPSO), reflecting his commitment to ongoing professional development and adherence to provincial standards.
He adopts a warm and community-oriented philosophy, emphasizing compassionate patient care and health promotion. Fluent in English, Dr. Silver values building trusting relationships with his patients and their families, supporting them through their healthcare journeys with respect and understanding.
Dr. Silver provides expert care for adults with a wide range of medical conditions, including:
Complex Diagnostic & Multi-System Issues
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
Select Infectious & Inflammatory Conditions
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
Management of Chronic Diseases
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
Dr. Silver 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.
- 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.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.
Note: This list represents some of the key services offered by Dr. Silver. 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. Silver'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. Silver's practice is located in the vibrant Kensington Market, Chinatown, and Grange Park neighborhoods of Toronto. The clinic is situated within the Royal Ottawa Hospital, offering easy access for patients. It is conveniently close to the Old City Hall and the Financial District Core, making it accessible for professionals and residents alike. The location is well-served by public transportation, including the 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. Silver? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Silver 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. Silver. 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 Dr. Robert Donald Silver provide advice on healthy aging?
- Yes, as part of a comprehensive assessment, Dr. Silver can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.
- What exactly does an Internist (Internal Medicine Specialist) do?
- An Internist is a medical doctor who specializes in diagnosing, treating, and preventing complex diseases primarily in adults. They are experts in managing conditions affecting multiple organ systems (Chronic Kidney Disease (CKD), Urinary Incontinence Assessment), handling challenging diagnostic puzzles, and coordinating care for patients with multiple chronic illnesses. They often serve as consultants to other physicians.
- What typically happens during a first consultation?
- During your initial visit, Dr. Silver 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. Silver's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
Royal Ottawa Hospital
399 Bathurst St
Toronto, ON M5T 2S8
Phone: (416) 603-6453 | Fax: (416) 603-7378
The facility is wheelchair accessible.
Dr. Silver 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/Silver-Robert-Donald/0031087-43067