About
With extensive experience in Internal Medicine and Geriatric Care, Dr. Thomas Elliott Sprague serves as a trusted medical specialist. Practicing in Edmonton, AB, he provides comprehensive care in Internal Medicine and Geriatric Care. His practice is committed to serving adults, including older adults and seniors, within a warm and community-focused environment. Dr. Sprague adheres to the high standards set by the College of Physicians and Surgeons of Alberta (CPSA), ensuring safe and ethical medical practice.
Dr. Sprague graduated with a Doctor of Medicine (MD) from the University of British Columbia in 2013. He completed extensive post-graduate medical training, including residency in Internal Medicine and specialized fellowships in Geriatrics. His training emphasizes a holistic approach to complex adult health issues, emphasizing patient-centered care and evidence-based medicine.
He is committed to providing compassionate, accessible, and community-oriented healthcare. Dr. Sprague speaks English fluently and strives to foster a trusting relationship with his patients. His clinical philosophy is centered on warmth, respect, and collaboration, aiming to improve quality of life for his patients and their families.
Dr. Sprague provides expert care for adults with a wide range of medical conditions, including:
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.
- Cognitive Impairment & Dementia Syndromes: Comprehensive assessment for memory loss/cognitive changes; diagnosis and management of Alzheimer's disease, vascular dementia, and others.
- Nutritional Assessment & Weight Loss: Investigating unintentional weight loss and malnutrition, providing guidance on nutritional support for older adults.
Complex Diagnostic & Multi-System Issues
- Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
Select Infectious & Inflammatory Conditions
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
Dr. Sprague 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.
- Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.
- Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
- 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.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
Note: This list represents some of the key services offered by Dr. Sprague. 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. Sprague'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 Alberta (CPSA).
Dr. Sprague's practice is located in the SE: Mill Woods South (Sakaw, Menisa) neighborhood of Edmonton. The clinic is conveniently situated near the University Hospital and is easily accessible via Edmonton Transit Service (ETS), including LRT and bus routes. The facility is wheelchair accessible. Parking is available at the facility.
- How is payment handled for appointments with Dr. Sprague? Is it covered by Alberta Health Care Insurance Plan (AHCIP)?
- In AB, medical consultations with specialists like Dr. Sprague are typically covered by your provincial health insurance (Alberta Health Care Insurance Plan (AHCIP)) 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 Alberta Health Care Insurance Plan (AHCIP) 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. Sprague. 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.
- What is the appointment cancellation policy?
- We understand that unforeseen circumstances arise. If you need to cancel or reschedule your appointment, please provide at least 24-48 hours' notice so we can offer the time slot to another patient waiting for consultation. Failure to provide sufficient notice may result in a missed appointment fee (if applicable per clinic policy). Please contact the office directly to make changes.
- What typically happens during a first consultation?
- During your initial visit, Dr. Sprague will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. He will likely perform a relevant physical examination. Following this assessment, he will discuss his findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.
1100 Youville Drive West NW, Box 138
Edmonton, AB T6L 5X8
Phone: (780) 392-9347 | Fax: (780) 392-9347
The facility is wheelchair accessible.
Dr. Sprague is a licensed physician regulated by the College of Physicians and Surgeons of Alberta (CPSA) under the Health Professions Act in AB. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=7b610587-49f5-4c42-8dbf-9e3e780ee2e6&i=1378