Dr. Tej Narendra Sheth

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

Management of Chronic Diseases

• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Complex Diagnostic & Multi-System Issues

• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.
• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.

Dr. Sheth 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.

• Thyroid Disorder Management: Diagnosis and ongoing management of conditions like hypothyroidism, hyperthyroidism, and thyroid nodules.
• Coordination of Specialist Care: Acting as a central point of contact to help manage and coordinate input from various medical specialists for patients with multi-system diseases.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.

Note: This list represents some of the key services offered by Dr. Sheth. 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. Sheth'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. Sheth's practice is located in the Hamilton North End, within the Beasley neighborhood of Hamilton. The location is conveniently situated near Hamilton General Hospital, providing easy access for patients requiring hospital-based services. Patients can reach the clinic via Hamilton Street Railway (HSR), with stops nearby. The facility is wheelchair accessible. Parking is available at the facility, with designated spaces for patients and visitors.

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

In ON, medical consultations with specialists like Dr. Sheth 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. Sheth. 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 long should I expect my appointment to last?

Initial consultations with Dr. Sheth 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.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Calcium and Parathyroid Disorders or Cardiovascular Conditions is crucial, Dr. Sheth 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 (Chronic Kidney Disease (CKD)), and participation in meaningful activities.

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 (Thyroid Disorders), and polypharmacy (multiple medications). Dr. Sheth, with expertise in Internal Medicine and Geriatric Care, 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.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Cognitive Impairment & Dementia Syndromes or Evaluation of Undifferentiated Symptoms), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Complex Infections Consultation). Your family doctor can best determine if a specialist consultation is needed.

237 Barton Street
Hamilton, ON L8L 2X2

Phone: (905) 577-1423 | Fax: (905) 577-1474

The facility is wheelchair accessible.

Dr. Sheth 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/Sheth-Tej-Narendra/0150418-72561