Dr. Sarah Mohamedsaeed Mahmoud Shalhoub – Internist / Geriatrician | London, ON

As a skilled Internist / Geriatrician, Dr. Sarah Mohamedsaeed Mahmoud Shalhoub offers expert diagnostic services and management for a wide range of adult health issues. Practicing in London, ON, she serves the surrounding communities with a focus on providing comprehensive care in Internal Medicine and Geriatric Care. She adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that her practice meets all professional and ethical guidelines.

Dr. Shalhoub graduated with a Medical Degree from King Abdul Aziz University in 2003 (Saudi Arabia). She completed extensive post-graduate medical training, including residency and specialized certifications in Internal Medicine and Geriatric Care, equipping her with advanced skills to address complex adult health conditions.

Her clinical philosophy emphasizes clear and educational communication, patient-centered care, and holistic management of health. Committed to serving the London community, she speaks both Arabic and English, ensuring effective communication with diverse patient populations and fostering trust through understanding and respect.

Dr. Shalhoub 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.
• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.

Select Infectious & Inflammatory Conditions

• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Complex Diagnostic & Multi-System Issues

• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• 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.

Dr. Shalhoub 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.

• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.

Note: This list represents some of the key services offered by Dr. Shalhoub. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Shalhoub'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. Shalhoub practices in Downtown London, within the North London East neighbourhood. The clinic is conveniently located within Carleton Place Hospital, offering easy access for patients in the area. The practice is situated near Fanshawe Conservation Area, providing a peaceful environment. Accessibility is facilitated via the London Transit Commission (LTC), ensuring convenient public transportation options. The facility is wheelchair accessible. Parking is available at the facility.

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

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

Does Dr. Shalhoub 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. Shalhoub 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. She can provide information and facilitate these discussions.

What are typical wait times for an appointment?

Wait times for specialist appointments can vary significantly depending on the urgency of the referral, the volume of requests, and Dr. Shalhoub's availability. Our office prioritizes referrals based on medical need. We strive to see patients as promptly as possible and will contact you once the referral is processed to schedule an appointment. You can inquire about approximate wait times when booking.

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 (Urinary Incontinence Assessment), and polypharmacy (multiple medications). Dr. Shalhoub, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. She often takes a very holistic view, considering social and functional aspects alongside medical issues.

Carleton Place Hospital
268 Grosvenor St
London, ON N6A 4V2

Phone: (519) 646-6311

The facility is wheelchair accessible.

Dr. Shalhoub 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/Shalhoub-Sarah-Mohamedsaeed-Mahmoud/0278991-99242