Dr. Thomas Leslie Spaxman

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

Preventative Health Topics

• Travel Medicine Advice & Routine/Travel Vaccinations: Offering essential travel health services and tailored advice to protect your health while abroad, based on current international health regulations, CDC/WHO recommendations, and your specific travel plans.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• Weight Management & Obesity Prevention/Treatment: Supporting individuals in achieving and maintaining a healthy body weight through non-stigmatizing, patient-centered approaches that focus on sustainable lifestyle habits, improved metabolic health, and overall well-being rather than solely on rapid weight loss or restrictive dieting.

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.

Adult Common Health Issues

• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

Common Acute Conditions

• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Managing various acute dermatological conditions with appropriate topical or oral medications (antibiotics, antifungals, corticosteroids, antihistamines) to alleviate itching, redness, pain, swelling, and discomfort.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Managing lower respiratory tract infections that cause persistent cough (productive or non-productive), chest discomfort, shortness of breath, and fever.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Type 2 Diabetes Mellitus & Prediabetes: Helping you live well with diabetes by providing ongoing education, support for self-management behaviors, access to diabetes education programs, and strategies to prevent or delay long-term complications, empowering you to take control of your health.

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

• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and monitor for complications like thyroid nodules or goiter.
• Coordination with Allied Health Professionals & Community Health Services: Working as part of a multidisciplinary team to provide holistic, patient-centered care that addresses all aspects of your physical, mental, and social well-being.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Helping patients manage their heart health long-term after cardiac events or diagnoses, focusing on secondary prevention and maintaining functional capacity.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Addressing a wide range of persistent health problems with personalized treatment plans.

Note: This list highlights some of the key services offered by Dr. Spaxman. 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 Kingston General Hospital, 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. Spaxman frequently works with patients towards goals such as:

• A key objective when treating a persistent hoarse voice or a lump in their neck that they are concerned about at Dr. Spaxman's clinic is their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Spaxman, supporting a comfortable return to confidently travelling domestically for weekend getaways or internationally for extended explorations with greater assurance in their health, stamina, and ability to manage new foods, climates, and environments successfully.
• The path to wellness when facing dealing with chronic constipation despite trying home remedies involves working towards successfully managing a challenging perinatal period, including issues like gestational diabetes or postpartum mood disorders, with the integrated medical, emotional, and practical support provided by Dr. Spaxman. Dr. Spaxman guides patients so they can again enjoy successfully and relatively stress-free managing daily commutes on often crowded or unpredictable public transport systems or by car in heavy traffic without significant exacerbation of physical pain or anxiety symptoms.
• When needing a physician's signature for a disability parking permit application impacts daily life, Dr. Spaxman helps patients strive for feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr. Spaxman in a completely safe, confidential, and entirely supportive clinical environment, making activities such as efficiently managing and maintaining their home environment, including undertaking light repairs, seasonal maintenance, or significant organizational projects, with physical capability and sustained energy possible again.
• Managing joint pain in their knees, hips, or hands that's been getting worse and making movement difficult effectively is a priority for Dr. Spaxman. The aim is learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health, which helps patients get back to enjoying consistently keeping all appointments for essential preventative dental care, vision checks, hearing tests, and other important allied health services as part of a comprehensive approach to their overall health maintenance.

Your personalized healthcare plan, developed in discussion with Dr. Spaxman, 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. Spaxman's practice is located at Kingston General Hospital in the West Brant neighborhood of Brantford. The clinic is conveniently located near Market Square Mall and is accessible via Brantford Transit. Free patient parking is often available on-site or on nearby streets.

How do I get a prescription refilled by Dr. Spaxman?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Spaxman's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Spaxman. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Spaxman, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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 Kingston General Hospital if you have questions about specific non-insured services or potential 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. 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.

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

The College of Physicians and Surgeons of Ontario 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. Contact local community health centres or new patient clinics directly. Finding a family doctor accepting new patients can be challenging and may take time.

Does Dr. Spaxman at Kingston General Hospital offer virtual (video) or phone appointments?

Yes, Dr. Spaxman at Kingston General Hospital offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Spaxman if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Kingston General Hospital regarding any potential fees for uninsured virtual services.

What if Dr. Spaxman works in a Family Health Team or group practice? Will I always see Dr. Spaxman?

Dr. Spaxman practices as part of a team-based practice, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr. Spaxman, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr. Spaxman for complex or ongoing issues where that continuity is most crucial.

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

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

Kingston General Hospital
72 Brant Ave, Department of Emergency Medicine
Brantford, ON, N3T 5Z8

Phone: (519) 756-8601

Dr. Thomas Leslie Spaxman 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: 71525

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Spaxman-Thomas-Leslie/0140150-71525

Family doctors like Dr. Spaxman 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.