Dr. Serena Lillian Mary Menezes – Family Doctor | Toronto, ON

Dr. Serena Lillian Mary Menezes is a Family Doctor. Practicing at a family doctor practice in Toronto, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Serena Lillian Mary Menezes completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. She provides consultations in English.

Dr. Serena Lillian Mary Menezes provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Providing primary care support for individuals and families navigating the challenges of ADHD, helping to optimize focus, reduce impulsivity/hyperactivity, improve executive functioning, and enhance overall quality of life and academic/occupational success.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Helping individuals navigate feelings of sadness, hopelessness, and other depressive symptoms, aiming to restore emotional well-being, daily functioning, and prevent relapse.

Common Chronic Conditions

• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Comprehensive management strategies for COPD, focusing on smoking cessation support (critical for slowing progression), appropriate pharmacological therapy (bronchodilators, inhaled corticosteroids), supplemental oxygen therapy assessment (if needed), pulmonary rehabilitation referrals, influenza/pneumococcal vaccinations, and proactive management of exacerbations to improve quality of life, reduce symptoms (breathlessness, chronic cough, sputum production), and slow disease progression.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.

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

• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Diagnosing and treating common acute skin problems such as eczema flare-ups, contact dermatitis, acne exacerbations, shingles (herpes zoster), fungal infections (e.g., ringworm, athlete's foot), hives (urticaria), and insect bites/stings with significant reactions.
• Eating Disorder Screening & Referral Coordination: Screening for signs and symptoms of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder) during routine visits or when concerns arise. Providing initial support and psychoeducation, and facilitating timely referrals to specialized eating disorder programs, dietitians, and mental health professionals.
• Cardiovascular & Metabolic Risk Assessment & Management: Evaluating risk factors for heart disease, stroke, and type 2 diabetes, including blood pressure measurement, cholesterol (lipid panel) screening, blood glucose testing, and assessing lifestyle factors (diet, exercise, smoking, family history). Includes initiation of preventative medications if indicated.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including action plans and inhaler technique), eczema (atopic dermatitis), allergic rhinitis (hay fever), and food allergies (initial assessment and referral if needed), focusing on symptom control, trigger avoidance, and improving quality of life.
• Patient Education on Specific Health Conditions & Self-Management: Ensuring patients and their families understand their medical conditions and treatment plans, encouraging active participation in their own care.

Note: This list highlights some of the key services offered by Dr. Menezes. 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 Dr. Serena Lillian Mary Menezes's practice, 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. Menezes frequently works with patients towards goals such as:

• It's rewarding for Dr. Menezes to see patients with a recurring ear infection, or their child tugging at their ear and being fussy achieve navigating the unique physical and emotional journey of pregnancy, childbirth, and the demanding postpartum period with excellent, comprehensive, and reassuring medical guidance, continuity of care, and unwavering supportive care from Dr. Menezes and return to important activities like 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.
• Through Dr. Menezes's guidance, patients with their infant having persistent diaper rash that isn't clearing up with over-the-counter creams often find they can achieve experiencing a marked and sustained improvement in their overall sense of well-being, daily energy levels, vitality, and a noticeable, positive enhancement in their day-to-day quality of life and functional capacity and once again pursue patiently, effectively, and enjoyably helping their school-aged children or young grandchildren with challenging homework assignments, creative school projects, or extracurricular learning activities that require sustained patience, focus, and clear communication.
• Many patients have successfully addressed a persistent hoarse voice or a lump in their neck that they are concerned about with Dr. Menezes's support. This often leads to noticeably reducing their reliance on, and need for, urgent care clinics or hospital emergency room visits for conditions that are now being effectively managed or prevented through proactive, continuous, and comprehensive primary care with Dr. Menezes and the ability to fully participate in easily and safely being able to kneel down to play on the floor with pets or young children, bend over to tie shoelaces or pick things up, or squat as needed for various daily tasks, gardening, or exercise routines without pain or instability once more.
• When feeling generally 'unwell' or 'off' without a clear reason for a while impacts daily life, Dr. Menezes helps patients strive for their entire family feeling much better prepared for common health emergencies or accidents after discussing age-appropriate safety plans, basic first aid, and when to seek urgent care with Dr. Menezes, making activities such as proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina possible again.

Your personalized healthcare plan, developed in discussion with Dr. Menezes, 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. Menezes practices at a family medical clinic in Toronto, situated in the St. James Town, Cabbagetown neighborhood of Toronto. The clinic is conveniently located near Exhibition Place and is accessible via TTC (Subway, Streetcar, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on their website. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time to find a suitable doctor.

How often should I see Dr. Menezes for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Menezes can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Menezes follows. It's best to discuss your individual needs with Dr. Menezes to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

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

Generally, you do not need a referral from another doctor to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect in Ontario may be helpful. A referral is usually required from a family doctor to see most medical specialists.

I have multiple health problems. How does Dr. Menezes handle complex care?

Managing multiple health conditions is a core part of what Dr. Menezes does. She will work with you to understand the full picture of your health, help manage various chronic diseases simultaneously, ensure your medications are optimized, and coordinate with different specialists to ensure your care is not fragmented. The goal is to provide integrated and patient-centered care that addresses all your needs effectively.

How do I get a prescription refilled by Dr. Menezes?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Menezes's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Menezes. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Menezes, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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 provincial health card. Some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have an associated fee. Please confirm with our clinic 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?

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

103-595 Parliament St
Toronto, ON, M4X 1P9

Phone: (416) 926-1006

Dr. Serena Lillian Mary Menezes 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: 113690

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Menezes-Serena-Lillian-Mary/0318983-113690

Family doctors like Dr. Menezes 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.