Dr. Sin Ming Chien

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

Geriatric Syndromes & Focused Elder Care

• Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
• Polypharmacy & Medication Optimization: Expert review of multiple medications to reduce adverse effects, eliminate unnecessary drugs (deprescribing), and simplify regimens.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.

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.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.

Complex Diagnostic & Multi-System Issues

• Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.

Dr. Chien 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.

• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
• Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.

Note: This list represents some of the key services offered by Dr. Chien. 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. Chien'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. Chien's practice is located in areas near the central Scarborough neighborhood of Scarborough. The facility is situated within the London Health Sciences Centre, providing easy access for local residents. Patients can reach the clinic via public transit options, including local buses and subway connections. The surrounding area features nearby points of interest such as Scarborough Town Centre and Scarborough Bluffs. The clinic is committed to accessibility, and the facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Chien 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. Chien. 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 is the appointment cancellation policy?

We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours' notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.

What should I bring to my first appointment?

Please bring:

• Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
• The referral letter if you have it.
• A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
• A list of your past medical history, surgeries, and known allergies.
• Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
• A list of your specific questions or concerns for Dr. Chien.

What typically happens during a first consultation?

During your initial visit, Dr. Chien 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 his findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

London Health Sciences Centre
1371 Neilson Road, Emergency Department
Scarborough, ON M1B 4Z8

Phone: (416) 287-1891 | Fax: (416) 287-8218

The facility is wheelchair accessible.

Dr. Chien 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/Chien-Sin-Ming/0044518-58496