About
Dr. Shiyu Lu is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Toronto, ON, he serves the surrounding communities with a patient-centered approach. His practice adheres strictly to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Lu specializes in managing a wide range of adult medical conditions, emphasizing thorough assessments and personalized treatment plans to optimize health outcomes.
Dr. Lu graduated with a Medical Degree from Schulich School of Medicine and Dentistry in Canada. He has completed extensive post-graduate training in Internal Medicine and Geriatric Care, including residency programs and subspecialty certifications. His training emphasizes evidence-based practice, interdisciplinary coordination, and continuous professional development to stay current with emerging medical advances.
His clinical philosophy centers on education, clarity, and compassionate care. Dr. Lu is committed to supporting his patients through clear communication, patient education, and shared decision-making. Fluent in English, he aims to foster a welcoming environment where patients feel empowered to participate actively in their health management. He is dedicated to serving the Toronto community with integrity and professionalism.
Dr. Lu 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.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
Geriatric Syndromes & Focused Elder Care
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
- Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
Select Infectious & Inflammatory Conditions
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
Dr. Lu 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.
- Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
- Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
- 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.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
- Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
Note: This list represents some of the key services offered by Dr. Lu. 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. Lu'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. Lu's practice is located in the vibrant Bay Street Corridor (Discovery District) neighborhood of Toronto. The facility is situated close to Kensington Market, providing easy access for patients in the city core. The location is highly accessible via Toronto's TTC system, including subway lines, streetcars, and bus routes, facilitating convenient transportation options. The practice is situated in a wheelchair-accessible facility. Parking is available at the facility, with additional paid parking options nearby for those arriving by car.
- How is payment handled for appointments with Dr. Lu? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Lu 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. Lu. 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. Lu 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. Lu's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
- Can a family member or friend accompany me to the appointment?
- Yes, absolutely. Patients are welcome to bring a family member, friend, or caregiver to their appointment for support, to help recall information, or to ask questions. Especially for complex discussions or if memory is a concern, having a second person present can be very beneficial.
- Does Dr. Shiyu Lu 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. Lu 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. He can provide information and facilitate these discussions.
Unit 105 & 106, 200 Elizabeth St
Toronto, ON M5G 2C4
Phone: (226) 919-6646
The facility is wheelchair accessible.
Dr. Lu 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/Lu-Shiyu/0335161-132845