Dr. Roland Girgis Mikhail – Internist / Geriatrician | Windsor, ON

As a skilled Internist / Geriatrician, Dr. Roland Girgis Mikhail offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Windsor, ON, he serves the surrounding communities, providing comprehensive care in Internal Medicine and Geriatric Care. Dr. Mikhail adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and ethical medical practice for all his patients.

He graduated with a Medical Degree from Université de Montréal Faculté de Médecine in 1997 and has completed extensive post-graduate medical training. His certifications include comprehensive residency training in Internal Medicine and Geriatric Medicine, equipping him with the expertise to manage complex adult health conditions effectively.

Dr. Mikhail’s clinical philosophy emphasizes a clear, educational approach to patient care. He is committed to empowering his patients through understanding their health conditions and management options. Fluent in English and French, he strives to serve Windsor’s diverse community with compassion, professionalism, and a patient-centered approach.

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

Geriatric Syndromes & Focused Elder Care

• 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.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

Management of Chronic Diseases

• 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.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.

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.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.

Dr. Mikhail 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.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• 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 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.
• 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.

Note: This list represents some of the key services offered by Dr. Mikhail. 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. Mikhail'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. Mikhail’s practice is located in the Walkerville area of Windsor, within the Ottawa Street Village neighborhood. The location is conveniently situated near the Ottawa Street Shopping District and the Walkerville District, making it accessible for residents of Windsor and surrounding communities. Patients can easily reach the facility via Transit Windsor, which provides reliable public transportation options. The practice is situated in a building that is wheelchair accessible. Parking is available at the facility, ensuring convenient access for patients arriving by car.

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

In ON, medical consultations with specialists like Dr. Mikhail 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. Mikhail. 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. Mikhail.

What is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy (multiple medications). Dr. Mikhail, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.

2464 Howard Ave
Windsor, ON N8X 1J9

Phone: (519) 977-6643 | Fax: (519) 915-6326

The facility is wheelchair accessible.

Dr. Mikhail 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/Mikhail-Roland-Girgis/0142348-71763