Dr. Thasvir Krishna Gayapershad

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

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• 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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.

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

• Fungal, Viral & Bacterial Skin Infections: Effective remedies for bothersome infections of the skin, hair, and nails.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Comprehensive primary care for patients with various thyroid conditions, including initial investigation of thyroid abnormalities and coordination with endocrinology if needed.
• Chronic Pain Management (Musculoskeletal, Neuropathic - Primary Care Approach): Helping individuals understand and cope with chronic pain, aiming to improve daily function, sleep, mood, and overall quality of life.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Performing objective medical assessments for various administrative or regulatory requirements.

Note: This list highlights some of the key services offered by Dr. Gayapershad. 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 Super Clinic, 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. Gayapershad frequently works with patients towards goals such as:

• Struggling with concerns about exposure to an infectious disease like measles or chickenpox? Dr. Gayapershad helps patients target achieving a significantly healthier and more balanced lifestyle that demonstrably reduces their risk of developing future preventable health problems and notably enhances their overall physical and mental resilience, making a return to activities such as actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr. Gayapershad, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans more achievable.
• Many patients have successfully addressed their teenager needing a confidential space to discuss sensitive health concerns like sexual health or mental well-being with Dr. Gayapershad's support. This often leads to successfully navigating the initial emotional and practical challenges of a new, unexpected serious diagnosis with Dr. Gayapershad's consistent, empathetic support, reliable information, and proactive care coordination and the ability to fully participate in feeling mentally sharp, agile, and capable enough to readily engage in complex problem-solving tasks, intricate strategic thinking exercises, or detailed analytical work required in their profession or personal projects once more.
• Many seek Dr. Gayapershad's help for experiencing sudden hearing loss or ringing in their ears (tinnitus). The collaborative goal is feeling significantly less isolated, better understood, and more adequately supported in managing a rare, complex, or poorly understood health condition due to Dr. Gayapershad's unwavering commitment to their comprehensive care and willingness to learn alongside them, allowing a return to valued activities like 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.
• Dr. Gayapershad often sees patients whose a persistent hoarse voice or a lump in their neck that they are concerned about limits their enjoyment of consistently being a reliable, present, actively contributing, and supportive member of their immediate family unit, extended family network, and valued social circles, fulfilling important roles and responsibilities. The goal of care is to achieve finding effective, practical, and often simple solutions for common but persistently bothersome issues like recurrent allergies, chronic skin rashes, or disruptive digestive upset, expertly guided by Dr. Gayapershad and restore their active lifestyle.

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

Dr. Gayapershad practices at Super Clinic, a family medical practice in a central Orangeville neighborhood of Orangeville. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

What happens if Dr. Gayapershad determines I need to see a medical specialist?

If Dr. Gayapershad determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), he will discuss the reasons with you and initiate a referral. This usually involves Dr. Gayapershad sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at Super Clinic will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with Super Clinic if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr. Gayapershad.

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 the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Confirm with Super Clinic if you have questions about specific non-insured services or potential fees.

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

Generally, you don't need a referral to see a family doctor if they are accepting new patients. Finding a doctor accepting new patients can be challenging; use resources like Health Care Connect in Ontario or the College of Physicians and Surgeons of Ontario website. A referral is usually required to see specialists.

How often should I see Dr. Gayapershad for a check-up or physical exam?

The recommended frequency for check-ups varies based on your age, health, existing conditions, and risk factors. Generally, healthy younger adults may need less frequent check-ups (e.g., every 2-5 years), while children, older adults (e.g., annually over 65), or those with chronic conditions may need more frequent visits (e.g., annually or semi-annually). Discuss your individual needs with Dr. Gayapershad.

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

Check the College of Physicians and Surgeons of Ontario website (often has a 'Find a Doctor' tool), register with Health Care Connect in Ontario, ask for recommendations, or contact local community health centres. It can be challenging and may take time.

I have multiple health problems. How does Dr. Gayapershad handle complex care?

Dr. Gayapershad is trained to manage patients with multiple health problems (multimorbidity). He takes a holistic approach, considering how your conditions interact and how treatments for one might affect another. He will help prioritize your concerns, coordinate care with specialists, manage your medications, and develop a comprehensive care plan.

Super Clinic
100 Rolling Hills Drive, Medical Center and Walk in Clinic
Orangeville, ON, L9W 4X9

Phone: (519) 941-2410

Dr. Thasvir Krishna Gayapershad 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: 102231

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Gayapershad-Thasvir-Krishna/0289204-102231

Family doctors like Dr. Gayapershad 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.