Dr. Terrence Patrick McPherson – Internist / Geriatrician | London, ON

Dr. Terrence Patrick McPherson is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in London, ON, he serves the surrounding communities with a warm and community-focused approach. He adheres to the highest standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring safe and effective care for his patients.

Dr. McPherson graduated with a Medical Degree from Memorial University of Newfoundland Faculty of Medicine in 2003, completing extensive post-graduate medical training in internal medicine and geriatrics. His education and certification enable him to address a wide spectrum of adult health issues with expertise and compassion.

With a patient-centered philosophy, Dr. McPherson emphasizes warm, respectful, and community-oriented care. He speaks English fluently and is committed to serving his local London community, fostering trusting relationships with his patients and their families.

Dr. McPherson 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.
• Cardiovascular Conditions: Medical management of heart failure, coronary artery disease (stable), arrhythmias (like atrial fibrillation), and valvular heart disease.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.

Geriatric Syndromes & Focused Elder Care

• 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.
• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.

Select Infectious & Inflammatory Conditions

• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Dr. McPherson 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.

• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• 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.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• 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. McPherson. 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. McPherson'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. McPherson's practice is located in the Woodfield area within the Wortley Village neighbourhood of London, ON. The clinic is situated within Montfort Hospital, conveniently accessible to residents in the Riverbend Area. Patients can reach the clinic via the London Transit Commission (LTC), with nearby bus stops providing easy transportation options. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. McPherson 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. McPherson. 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. Terrence Patrick McPherson handle prescription refills?

Generally, ongoing prescription refills should be managed through your family doctor (primary care provider). Dr. McPherson 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.

What kind of tests might Dr. McPherson order?

Depending on your specific medical situation, Dr. McPherson may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.

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 Diabetes Mellitus (Type 1 & 2) or Perioperative Medical Optimization), 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. Your family doctor can best determine if a specialist consultation is needed.

How does Dr. McPherson communicate with my family doctor?

Clear communication with your referring physician is a priority. Dr. McPherson will send a comprehensive consultation letter outlining the assessment findings, diagnosis (if established), and treatment recommendations. This ensures your family doctor is fully informed and can continue to coordinate your overall care effectively.

Montfort Hospital
g70-339 Wellington Road, Department of Anaesthesia
London, ON N6C 5Z9

Phone: (519) 858-2333 | Fax: (519) 858-3603

The facility is wheelchair accessible.

Dr. McPherson 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/McPherson-Terrence-Patrick/0223688-82632