About
As a skilled Internist / Geriatrician, Dr. Subagini Parameswaranathan offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Peterborough, ON, she serves the surrounding communities with a commitment to providing high-quality, evidence-based care. Her practice adheres strictly to the standards and ethical guidelines established by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Parameswaranathan's role focuses on delivering comprehensive care in Internal Medicine and Geriatric Care, addressing complex medical conditions prevalent among adult and senior populations.
Dr. Parameswaranathan graduated with a Medical Degree from Chengalpattu Medical College in India and has completed extensive postgraduate medical training in Internal Medicine and Geriatric Medicine. Her certifications include board eligibility and specialized training in managing adult and geriatric health issues, ensuring her practice aligns with current clinical standards and best practices.
Her clinical philosophy emphasizes an evidence-based and informative approach, committed to optimizing health outcomes and quality of life for her patients. She is dedicated to serving the Peterborough community and speaks English and Tamil, facilitating effective communication with a diverse patient population. Dr. Parameswaranathan is passionate about providing patient-centered care that respects individual values and preferences.
Dr. Parameswaranathan provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
Select Infectious & Inflammatory Conditions
- Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- 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
- Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
- Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
- Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
Dr. Parameswaranathan 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.
- 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.
- Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
- 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.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Frailty Evaluation and Management: Assessing for frailty (increased vulnerability) and developing interventions to enhance resilience, function, and independence.
Note: This list represents some of the key services offered by Dr. Parameswaranathan. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Parameswaranathan'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. Parameswaranathan's practice is located in downtown Peterborough, in the central neighborhood of the city. The clinic is conveniently situated near the Peterborough Lift Lock National Historic Site and Trent University Symons Campus. Accessible via Peterborough Transit, the location is easily reachable for most patients. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Parameswaranathan? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Parameswaranathan 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. Parameswaranathan. 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.
- How does a Geriatrician's role differ?
- A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy (multiple medications). Dr. Parameswaranathan, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. She often takes a very holistic view, considering social and functional aspects alongside medical issues.
- What typically happens during a first consultation?
- During your initial visit, Dr. Parameswaranathan will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. She will likely perform a relevant physical examination. Following this assessment, she will discuss her findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
- Will Dr. Subagini Parameswaranathan replace my family doctor?
- No, Dr. Parameswaranathan acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Parameswaranathan will communicate findings and recommendations back to your family doctor.
- Does Dr. Subagini Parameswaranathan 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. Parameswaranathan 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. She can provide information and facilitate these discussions.
1 Hospital Drive
Peterborough, ON K9J 7C6
Phone: (705) 876-5838 | Fax: (705) 876-5156
The facility is wheelchair accessible.
Dr. Parameswaranathan 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/Parameswaranathan-Subagini/0339156-142071