Dr. Tharini Ram Ganeshram – Family Doctor | Ajax, ON

Dr. Tharini Ram Ganeshram is a Family Doctor. Practicing at East Lake Centre in Ajax, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Tharini Ram Ganeshram completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. She is fluent in English and also offers consultations in Kannada and Tamil.

Dr. Tharini Ram Ganeshram provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Pediatric Common Issues

• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.

Joint Muscle Pain

• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Ganeshram. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Management of Common Adult Acute & Chronic Illnesses: Diagnosing and treating a wide spectrum of acute illnesses commonly affecting adults (e.g., respiratory infections, UTIs, skin conditions) and providing ongoing management for prevalent chronic diseases (e.g., hypertension, diabetes, asthma, arthritis).
• Eating Disorder Screening & Referral Coordination: Primary care role in early recognition of eating disorders and ensuring patients access comprehensive treatment pathways.
• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Assessment and management of sudden onset skin rashes and other common skin ailments to relieve symptoms and promote healing.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Confidential screening for common STBBIs (e.g., chlamydia, gonorrhea, syphilis, HIV, Hepatitis B/C) based on risk factors and guidelines. Includes counseling on prevention, safe practices, partner notification if applicable, and providing treatment for common STIs.

Note: This list highlights some of the key services offered by Dr. Ganeshram. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At East Lake Centre, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Ganeshram frequently works with patients towards goals such as:

• The focus for patients with feeling very irritable or having mood swings that are out of character at Dr. Ganeshram's practice is achieving successfully and confidently navigating the often complex, fragmented, and sometimes overwhelming healthcare system with Dr. Ganeshram acting as their knowledgeable guide, steadfast advocate, and central, reliable coordinator of all their medical care, facilitating a return to meaningful activities like diligently learning a new foreign language, mastering a complex musical instrument, or developing a sophisticated artistic skill that requires significant focus, patience, dexterity, and long-term dedication.
• If wanting to understand if genetic testing is appropriate for them based on family history has put patiently and effectively teaching their children or grandchildren important life skills, sharing enjoyable intergenerational activities, or simply offering wise guidance and loving support as they grow on hold, Dr. Ganeshram works with patients toward achieving significantly better control over chronic inflammatory or allergic conditions like asthma, allergic rhinitis, or eczema, leading to markedly fewer disruptive flare-ups, reduced reliance on rescue medications, and an improved daily experience free from constant symptoms, helping them regain their previous level of function.
• Struggling with a persistent itchy scalp or dandruff that's not improving? Dr. Ganeshram helps patients target receiving appropriate and timely referrals for genetic counseling or testing through Dr. Ganeshram when indicated by significant family history of heritable conditions or specific clinical findings, making a return to activities such as fully sharing and enjoying relaxed, convivial meals and engaging conversations with their loved ones without being constantly preoccupied by nagging physical pain, digestive discomfort, or restrictive dietary anxieties more achievable.
• If feeling stressed about caregiving responsibilities for an elderly parent or sick relative is a barrier, Dr. Ganeshram develops strategies aimed at having common minor injuries (like uncomplicated sprains, strains, or cuts needing sutures), acute infections (such as UTIs or skin infections), or bothersome skin conditions (like warts or acne) treated effectively, efficiently, and conveniently within the familiar setting of Dr. Ganeshram's clinic, facilitating the ability to enjoy possessing the physical stamina and mental resilience to complete a full, demanding day of sightseeing, museum visits, or participation in workshops and conferences while on vacation or during business travel.

Your personalized healthcare plan, developed in discussion with Dr. Ganeshram, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Ganeshram's practice at East Lake Centre is situated in the Audley South, Duffins Bay neighborhood of Ajax. The clinic is conveniently located near Harwood Centre and is accessible via Durham Region Transit (DRT). Street parking and nearby public or paid lots typically offer convenient options for visitors.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect, your local health authority website, or the College of Physicians and Surgeons of Ontario's patient-doctor matching service (if available) may be helpful. A referral is usually required from a family doctor to see most medical specialists.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Finding a family doctor in Ontario who is accepting new patients may take time and effort. You can check the College of Physicians and Surgeons of Ontario's website, which often has a "Find a Doctor" tool or list. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations, and contact local community health centres or new patient clinics directly.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by OHIP for eligible Ontario residents with a valid health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and may have an associated fee. Please confirm with East Lake Centre if you have questions about specific services or fees.

What exactly is a family doctor (Family Doctor) and what is their role?

Your family doctor (Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

East Lake Centre
Unit Suite 601, 300 Rossland Rd E, Suite 601
Ajax, ON, L1Z 0M1

Phone: (905) 239-7663

Dr. Tharini Ram Ganeshram is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 92410

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Ganeshram-Tharini-Ram/0261770-92410

Family doctors like Dr. Ganeshram are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.