Dr. Shiv Kumar Saxena

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

Complex Diagnostic & Multi-System Issues

• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.

Geriatric Syndromes & Focused Elder Care

• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.

Dr. Saxena 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.

• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Caregiver Support and Education: Providing information, resources, and guidance to family members and caregivers involved in the care of an older adult.

Note: This list represents some of the key services offered by Dr. Saxena. 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. Saxena'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. Saxena's practice is located in the vibrant downtown area of Kitchener, in the Cedar Hill neighborhood. The clinic is conveniently situated near St. Mary's General Hospital, providing easy access for patients requiring hospital services. Patients can reach the clinic via Grand River Transit (GRT) bus routes and the ION Light Rail, making it accessible for those using public transportation. The facility is wheelchair accessible. Parking is available at the facility, ensuring convenience for patients arriving by car.

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

In ON, medical consultations with specialists like Dr. Saxena 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. Saxena. 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.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Thyroid Disorders or Nutritional Assessment & Weight Loss is crucial, Dr. Saxena 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 (Hypertension (High Blood Pressure)), and participation in meaningful activities.

Suite 205, 835 King Street West
Kitchener, ON N2G 1G3

Phone: (519) 749-4300 | Fax: (519) 749-4293

The facility is wheelchair accessible.

Dr. Saxena 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/Saxena-Shiv-Kumar/0225951-83243