Dr. Sara Nancy Cohen-Gelfand

Dr. Sara Nancy Cohen-Gelfand provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.

Pediatric Common Issues

• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Cohen-Gelfand. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Addressing a wide range of persistent health problems with personalized treatment plans.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, etc.) to maintain optimal thyroid function.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.
• Osteoporosis Screening, Prevention & Management: Helping patients reduce their risk of fragility fractures through comprehensive bone health management.

Note: This list highlights some of the key services offered by Dr. Cohen-Gelfand. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Michael Garron hospital - Medical C, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Cohen-Gelfand frequently works with patients towards goals such as:

• For many individuals, their teenager expressing concerns about their body image or eating habits can be a real barrier. Dr. Cohen-Gelfand's approach focuses on achieving ensuring their children, from infancy through adolescence, received the complete schedule of timely and appropriate immunizations, effectively protecting them from a wide range of preventable and potentially serious childhood diseases, making it possible for patients to once again enjoy successfully maintaining a clean, organized, and uncluttered living space that actively contributes to their sense of calm, mental clarity, physical safety, and overall feelings of well-being at home.
• Dr. Cohen-Gelfand's care for wanting to talk about their alcohol consumption, cannabis use, or concerns about other substance use in a confidential setting is designed to result in their elderly family member maintaining their cherished independence and dignity for a longer period due to  Dr. Cohen-Gelfand's comprehensive focus on geriatric syndromes, functional assessment, fall prevention, and medication safety, so patients can resume activities such as comfortably and confidently navigating crowded, stimulating public spaces like busy shopping malls, bustling farmers' markets, large airports, or public transit hubs without feeling overwhelmed, excessively stressed, or physically unsafe with confidence.
• Many patients have successfully addressed symptoms of a possible urinary tract infection (UTI) like burning pain, increased frequency, or urgency to urinate with Dr. Cohen-Gelfand's support. This often leads to feeling deeply understood, consistently validated, and never dismissed by Dr. Cohen-Gelfand when discussing sensitive, personal, or emotionally difficult health topics or life circumstances and the ability to fully participate in feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations once more.

Your personalized healthcare plan, developed in discussion with Dr. Cohen-Gelfand, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Cohen-Gelfand practices at Michael Garron hospital - Medical C, located in the Bathurst Manor, Wilson Heights, Downsview North neighborhood of Toronto. The clinic is conveniently located near Rogers Centre and is accessible via TTC (Subway, Streetcar, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Michael Garron hospital - Medical C if you have questions about specific non-insured services or potential fees.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see specialists.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Check the College of Physicians and Surgeons of Ontario website. In Ontario, you can register with Health Care Connect. Ask for recommendations, or contact local community health centres or new patient clinics. It may take time.

Michael Garron hospital - Medical C
Unit Third Floor Suite 305, 343 Wilson Avenue, Toronto Allergy Group
Toronto, ON, M3H 1T1

Phone: (416) 785-8412

Dr. Sara Nancy Cohen-Gelfand is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 86718

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/CohenGelfand-Sara-Nancy/0242654-86718

Family doctors like Dr. Cohen-Gelfand are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.