Dr. Steven Ely Gryn – Internist / Geriatrician | London, ON

As a skilled Internist / Geriatrician, Dr. Steven Ely Gryn offers expert diagnostic services and management for a wide range of adult health issues. Practicing in London, ON, he serves the surrounding communities with a commitment to providing high-quality, patient-centered care. Dr. Gryn adheres to the standards and ethical guidelines set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring that all services meet provincial regulatory requirements. His focus is on delivering comprehensive care in Internal Medicine and Geriatric Care, addressing the complex health needs of adult patients, including seniors.

Dr. Gryn graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2009, completing extensive postgraduate training in internal medicine and geriatrics. His education included rigorous clinical rotations and fellowships that prepared him to manage a broad spectrum of adult health conditions. He holds key certifications in internal medicine, demonstrating his expertise and dedication to continuous professional development.

With a clear and educational approach, Dr. Gryn is committed to improving health outcomes through thorough assessment, patient education, and personalized treatment plans. He speaks English fluently and is dedicated to serving the London community with compassionate, evidence-based care focused on enhancing quality of life for his patients.

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

Select Infectious & Inflammatory Conditions

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

Management of Chronic Diseases

• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.

Geriatric Syndromes & Focused Elder Care

• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.

Dr. Gryn 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.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• 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.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.

Note: This list represents some of the key services offered by Dr. Gryn. 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. Gryn'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. Gryn's practice is located in Downtown London, within the North London East neighborhood. The clinic is situated inside the Royal Victoria Hospital, providing easy access for patients in the community. The location is conveniently near Thames Valley Golf Course and is accessible via the London Transit Commission (LTC) bus routes. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Gryn 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. Gryn. 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 Chronic Liver Disease or Complex Infections Consultation is crucial, Dr. Gryn 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 (Diabetes Mellitus (Type 1 & 2)), and participation in meaningful activities.

Does Dr. Gryn handle prescription refills?

Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Gryn will make initial recommendations or adjustments, but routine refills are best handled by your family doctor who manages your overall care, unless specific arrangements are made for certain specialized medications.

Royal Victoria Hospital
339 Windermere Road, Department of Laboratory Medicine
London, ON N6A 5A5

Phone: (519) 663-2922 | Fax: (519) 663-3217

The facility is wheelchair accessible.

Dr. Gryn 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/Gryn-Steven-Ely/0259264-90550