Dr. Shirley Katz

Dr. Shirley Katz 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): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.

Common Chronic Conditions

• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, thyroid antibodies) to maintain optimal thyroid function and well-being.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Developing personalized strategies to reduce chronic joint and muscle pain, improve mobility and function, enhance coping mechanisms, and improve overall quality of life for those living with conditions like arthritis, persistent back pain or fibromyalgia.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Primary care approach to identifying and managing deficiencies or chronic conditions that lead to persistent anemia.

Common Acute Conditions

• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Assessment of acute headaches to differentiate types (e.g., tension headache, migraine, cervicogenic), provide initial pain relief strategies (analgesics, NSAIDs, triptans for migraine), identify potential triggers, and rule out serious underlying causes requiring urgent investigation.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.

Joint Muscle Pain

• 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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.

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

• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Providing in-office joint injections to alleviate symptoms and improve function in selected musculoskeletal conditions.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Providing confidential, respectful, and age-appropriate primary care for teenagers, addressing a range of issues including puberty, acne, body image, mental health (anxiety, depression, stress), sexual health education, contraception, STI screening, substance use counseling, and promoting healthy lifestyle choices (nutrition, exercise, sleep).
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Monitoring kidney function (e.g., eGFR, urine ACR), managing risk factors (especially diabetes and hypertension that can worsen CKD), medication review to avoid nephrotoxic drugs, and coordinating care for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Ordering necessary diagnostic tests such as X-rays, ultrasounds, CT scans, MRIs, bone density scans, and a comprehensive range of laboratory blood tests (hematology, chemistry, endocrinology, immunology, microbiology), urine tests, and pathology/cytology specimens to aid in diagnosis, monitor conditions, and guide treatment.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.

Note: This list highlights some of the key services offered by Dr. Katz. 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 Marathon Family Health Team, 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. Katz frequently works with patients towards goals such as:

• When wanting reliable advice and a realistic plan on how to eat healthier, manage their weight better, or start exercising safely affects a patient's ability to regularly attending and actively participating in religious services, meaningful cultural events, important community group meetings, or engaging hobby clubs, feeling socially connected, included, and valued, Dr. Katz works with them to develop a plan. Success means reaching having their specific concerns about a child's unique developmental trajectory, learning style, or challenging behavior addressed by Dr. Katz with appropriate, validated screening tools, initial guidance, and highly effective, timely referrals to specialists or community programs when indicated and getting back to their valued pursuits.
• Many patients have successfully addressed a lingering chesty cough with phlegm that's making them worried about bronchitis with Dr. Katz's support. This often leads to feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr. Katz in a completely safe, confidential, and entirely supportive clinical environment and the ability to fully participate in successfully and relatively stress-free managing daily commutes on often crowded or unpredictable public transport systems or by car in heavy traffic without significant exacerbation of physical pain or anxiety symptoms once more.
• Addressing wanting to discuss their child's nutritional needs as a vegetarian or vegan with Dr. Katz often leads to having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. Katz, enabling patients to more freely engage in comfortably and easily using stairs at home, in their workplace, or in various public places as needed throughout the day, without experiencing significant breathlessness, joint pain, or instability.
• Dr. Katz supports patients through concerns about exposure to an infectious disease like measles or chickenpox, aiming for outcomes like having all their health-related questions, no matter how complex or basic, answered clearly, patiently, without jargon, and in an easily understandable way by Dr. Katz, fostering a strong sense of health literacy and shared understanding, so they can return to activities such as feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations.

Your personalized healthcare plan, developed in discussion with Dr. Katz, 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. Katz practices at Marathon Family Health Team, a family medical practice in the central Thornhill neighborhood of Thornhill. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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 health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Marathon Family Health Team if you have questions about specific services or potential fees.

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

The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list on their website. In Ontario, you can also 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. Finding a family doctor who is accepting new patients can take time and be challenging.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

What is 'continuity of care' and why is it important with a family doctor like Dr. Katz?

Continuity of care refers to the process where your family doctor, Dr. Katz, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Katz becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

What should I do if I have an urgent medical issue when Marathon Family Health Team is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until Marathon Family Health Team reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with Marathon Family Health Team or Dr. Katz during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(905) 771-1779] may also provide instructions or resources for after-hours care.

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

Generally, you do not need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like Health Care Connect 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. Katz handle complex care?

If you have several health issues, Dr. Katz is well-equipped to be your central point of care. Her role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Katz will work with you and other specialists to manage your health comprehensively.

Marathon Family Health Team
17 - 531 Atkinson Ave, P O Box 399
Thornhill, ON, L4J 8L7

Phone: (905) 771-1779

Dr. Shirley Katz 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: 70683

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Katz-Shirley/0134183-70683

Family doctors like Dr. Katz 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.