Description
About Dr. Sharmistha Mishra
As a skilled Internist / Geriatrician, Dr. Sharmistha Mishra offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Toronto, ON, she serves the surrounding communities with a commitment to providing comprehensive, patient-centered care. Her practice adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality medical services for her patients.
Dr. Mishra graduated with a Medical Degree from the University of Toronto in 2002 and has completed extensive post-graduate medical training in Internal Medicine and Geriatric Care. She has earned certification from the Royal College of Physicians and Surgeons of Canada, reflecting her expertise and dedication to continuous professional development in her fields of specialization.
Her clinical philosophy is grounded in evidence-based medicine and an informative approach, emphasizing thorough evaluation and personalized treatment plans. She is dedicated to serving adult patients, including older adults and seniors, in Toronto. Dr. Mishra speaks English fluently and strives to foster clear communication and shared decision-making with her patients.
Conditions Managed by Dr. Sharmistha Mishra
Dr. Mishra provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- 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.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
Complex Diagnostic & Multi-System Issues
- Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
Geriatric Syndromes & Focused Elder Care
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
Dr. Mishra 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.
Clinical Services Offered by Dr. Sharmistha Mishra
- Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
- 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.
- 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.
- Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
Note: This list represents some of the key services offered by Dr. Mishra. 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. Mishra'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).
Practice Location & Accessibility
Dr. Mishra's practice is located in the Garden District of Toronto, within the Ryerson neighborhood, close to the Ontario Legislative Building. The facility is easily accessible via TTC subway, streetcar, and bus routes. Patients can reach her office conveniently from various parts of Toronto. The practice is wheelchair accessible. Parking is available at the facility.
Frequently Asked Questions
- How is payment handled for appointments with Dr. Mishra? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Mishra 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. Mishra. 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. Sharmistha Mishra 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. Mishra 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.
- 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, and polypharmacy (multiple medications). Dr. Mishra, 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 holistic approach, considering social and functional factors alongside medical issues.
Contact & Licensing Information
30 Bond Street
Toronto, ON M5B 1W8
Phone: (416) 864-5746 | Fax: (416) 864-5310
The facility is wheelchair accessible.
Dr. Mishra 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/Mishra-Sharmistha/0191185-77964