About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Robert William Grande serves as a trusted medical specialist. Practicing in Perth, ON, he provides comprehensive care in Internal Medicine and Geriatric Care. His practice is committed to serving adults, including older adults and seniors, with a focus on personalized, evidence-based treatment. Dr. Grande adheres strictly to the standards and guidelines established by the College of Physicians and Surgeons of Ontario (CPSO), ensuring the highest level of professional integrity and patient safety.
Dr. Grande graduated with his Medical Degree from the Schulich School of Medicine and Dentistry in 1979, in Canada. He has completed extensive post-graduate medical training, including specialized residency in Internal Medicine, and has earned certifications in geriatrics and internal medicine, reflecting his dedication to ongoing professional development and clinical excellence.
His clinical philosophy centers on a professional and clinical approach, emphasizing thorough assessment and individualized care plans. Dr. Grande is committed to the health and well-being of his patients in Perth and the surrounding communities. He communicates fluently in English and strives to foster a compassionate and collaborative doctor-patient relationship.
Dr. Grande provides expert care for adults with a wide range of medical conditions, including:
Select Infectious & Inflammatory Conditions
- 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.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
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.
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
Geriatric Syndromes & Focused Elder Care
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
Dr. Grande 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.
- 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.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
Note: This list represents some of the key services offered by Dr. Grande. 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. Grande'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. Grande's practice is situated near the central Perth neighborhood of Perth, Ontario. The location is conveniently accessible via local public transit routes, with nearby points of interest including Perth Town Hall and the Perth Museum. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Grande? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Grande 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. Grande. 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 bring to my first appointment?
- Please bring:
- Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
- The referral letter if you have it.
- A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
- A list of your past medical history, surgeries, and known allergies.
- Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
- A list of your specific questions or concerns for Dr. Grande.
Suite 801, 33 Drummond Street West
Perth, ON K7H 2K1
Phone: (613) 267-1500 | Fax: (613) 267-6614
The facility is wheelchair accessible.
Dr. Grande 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/Del-Grande-Robert-William/0028331-33154