Dr. Sean Robert Bulley – Internist / Geriatrician | Etobicoke, ON

As a skilled Internist / Geriatrician, Dr. Sean Robert Bulley offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Etobicoke, ON, he serves the surrounding communities with a warm and community-focused approach. He is committed to providing comprehensive care in Internal Medicine and Geriatric Care, ensuring that each patient receives personalized attention and support. Dr. Bulley adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), prioritizing patient safety, ethical practice, and continuous quality improvement.

Graduating with a Medical Degree from the University of Toronto in 1997, Dr. Bulley completed extensive postgraduate medical training, including residency and specialized fellowships in Internal Medicine and Geriatrics. His education and certifications reflect a deep dedication to lifelong learning and excellence in patient care. He stays current with evolving medical guidelines and best practices through ongoing professional development, ensuring his patients benefit from the latest evidence-based approaches.

Dr. Bulley's clinical philosophy is warm, compassionate, and community-oriented. He believes in building trusting relationships with his patients and their families, emphasizing clear communication and shared decision-making. Fluent in English, he strives to create a welcoming environment where patients feel comfortable discussing their health concerns. His goal is to enhance the quality of life for his patients, especially older adults, by providing thoughtful, comprehensive, and respectful care.

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

Geriatric Syndromes & Focused Elder Care

• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
• Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.

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.

Endocrine & Metabolic Disorders

• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Dr. Bulley 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.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• 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. Bulley. 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. Bulley'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. Bulley's practice is conveniently located near the central neighborhoods of Etobicoke, within easy reach of local points of interest such as the Mimico Creek and nearby parks. The location is accessible via multiple public transit options, including TTC bus routes and nearby subway stations, making it convenient for patients to attend appointments. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Bulley 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. Bulley. 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 happens after the initial consultation?

After your assessment, Dr. Bulley will typically send a detailed consultation report with findings and recommendations to your referring physician. Depending on your specific situation and the reason for referral, Dr. Bulley may arrange follow-up appointments, order further tests, or transition care management back to your family doctor with specialist guidance. The plan will be discussed with you.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

How long should I expect my appointment to last?

Initial consultations with Dr. Bulley are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

What kind of tests might Dr. Sean Robert Bulley order?

Depending on your specific medical situation, Dr. Bulley may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.

Michael Garron Hospital
85 The East Mall
Etobicoke, ON M8Z 5W4

Phone: (416) 621-2220 | Fax: (416) 621-2203

The facility is wheelchair accessible.

Dr. Bulley 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/Bulley-Sean-Robert/0139586-71598