Description
About Dr. Takaki Sameshima
With extensive experience in Internal Medicine and Geriatric Care, Dr. Takaki Sameshima serves as a trusted medical specialist. Practicing in Etobicoke, ON, he provides comprehensive care in Internal Medicine and Geriatric Care to adult patients, including seniors. His practice adheres to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring quality and safety in every aspect of patient care.
Dr. Sameshima graduated with a Medical Degree from the University of Toronto in 1971. He has completed extensive post-graduate medical training, including specialized residency and certification in Internal Medicine and Geriatric Medicine. His education and training form the foundation for his expert clinical practice, focusing on complex medical conditions affecting adults and older adults.
His clinical philosophy emphasizes clear and educational communication, aiming to empower patients with knowledge about their health. Dr. Sameshima is committed to serving the Etobicoke community with compassionate, evidence-based care. He speaks English fluently and takes a holistic approach in managing health, integrating medical, social, and functional aspects to optimize patient well-being.
Conditions Managed by Dr. Takaki Sameshima
Dr. Sameshima provides expert care for adults with a wide range of medical conditions, including:
Endocrine & Metabolic Disorders
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
Geriatric Syndromes & Focused Elder Care
- Frailty Assessment & Management: Identifying and managing frailty to improve resilience, maintain function, and enhance quality of life in older adults.
- Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
Select Infectious & Inflammatory Conditions
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic 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.
Dr. Sameshima 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.
Clinical Services Offered by Dr. Takaki Sameshima
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Driving Safety Assessment Consultation (Medical): Evaluating medical fitness to drive in older adults, considering cognitive, sensory, and physical factors.
- Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
- 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.
Note: This list represents some of the key services offered by Dr. Sameshima. 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. Sameshima'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).
Practice Location & Accessibility
Dr. Sameshima’s practice is situated in the central Etobicoke area, easily accessible from nearby neighborhoods such as The Kingsway, Mimico, and Long Branch. The location is well-served by local public transit options, including buses and subway connections, making it convenient for patients from various parts of Etobicoke and surrounding communities. The facility is wheelchair accessible, ensuring ease of access for all patients. Parking is available at the facility for those arriving by car.
Frequently Asked Questions
- How is payment handled for appointments with Dr. Sameshima? Is it covered by Ontario Health Insurance Plan (OHIP)?
- In ON, medical consultations with specialists like Dr. Sameshima 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. Sameshima. 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.
- Does Dr. Takaki Sameshima handle prescription refills?
- Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. Sameshima 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.
- Can Dr. Takaki Sameshima provide advice on healthy aging?
- Yes, as part of a comprehensive assessment, Dr. Sameshima can discuss evidence-based strategies for healthy aging. This might include advice on appropriate exercise, nutrition, preventative health screenings, vaccinations, cognitive health maintenance, and managing chronic conditions effectively to promote longevity and well-being.
- 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. Dr. Sameshima applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.
- How long should I expect my appointment to last?
- Initial consultations with Dr. Sameshima are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.
Contact & Licensing Information
190 Sherway Drive
Etobicoke, ON M9C 5N2
Phone: (416) 621-3714 | Fax: (416) 621-1247
The facility is wheelchair accessible.
Dr. Sameshima 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/Sameshima-Takaki/0020160-24948