About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Shanil Vinode Narayan serves as a trusted medical specialist. Practicing in Stratford, ON, he provides comprehensive care in Internal Medicine and Geriatric Care to adult patients, including seniors. His practice adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, safe, and patient-centred medical services.
Dr. Narayan graduated with a Medical Degree from Queen's University in 1999 and has completed extensive post-graduate medical training in internal medicine and geriatrics. His certifications include board certification in Internal Medicine, with ongoing professional development to stay current with advances in his fields of expertise. He is committed to lifelong learning and clinical excellence.
His clinical philosophy emphasizes a professional and clinical approach, focusing on individualized patient care. Fluent in English, Dr. Narayan is dedicated to serving the Stratford community and surrounding areas with compassion, integrity, and evidence-based medicine. He strives to foster a collaborative doctor-patient relationship to optimize health outcomes.
Dr. Narayan provides expert care for adults with a wide range of medical conditions, including:
Management of Chronic Diseases
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
- 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.
Select Infectious & Inflammatory Conditions
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
Geriatric Syndromes & Focused Elder Care
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management 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.
Dr. Narayan 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.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- 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.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- 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.
Note: This list represents some of the key services offered by Dr. Narayan. 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. Narayan'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. Narayan's practice is situated in the central Stratford area, conveniently accessible from nearby neighborhoods and local points of interest such as Stratford General Hospital and Stratford Festival Theatre. The location is well-served by public transit options, making it accessible for patients from surrounding communities. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Narayan? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Narayan 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. Narayan. 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 typically happens during a first consultation?
- During your initial visit, Dr. Narayan will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss Dr. Narayan's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
- Is the focus mainly on diseases or also on daily function?
- While diagnosing and managing diseases like Falls, Mobility & Balance Disorders or Perioperative Medical Optimization is crucial, Dr. Narayan also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Frailty Assessment & Management), and participation in meaningful activities.
444 Douro Street
Stratford, ON N5A 0E6
Phone: (519) 273-0100 | Fax: (519) 273-0675
The facility is wheelchair accessible.
Dr. Narayan 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/Narayan-Shanil-Vinode/0159159-73606