Dr. Thomas Vernon Frederick Fear – Internist / Geriatrician | Richmond Hill, ON

As a skilled Internist / Geriatrician, Dr. Thomas Vernon Frederick Fear offers expert diagnostic services and management for a wide range of adult health issues. Practicing in Richmond Hill, ON, he serves the surrounding communities, adhering to the high standards set by the College of Physicians and Surgeons of Ontario (CPSO). Dr. Fear provides comprehensive care in Internal Medicine and Geriatric Care, focusing on optimizing health and quality of life for his patients, including older adults and seniors.

Dr. Fear graduated with a Medical Degree from Schulich School of Medicine and Dentistry in 2015, in Canada. He has completed extensive post-graduate medical training, including residency in Internal Medicine and specialized certification in Geriatric Medicine. His training emphasizes evidence-based practice, patient-centered care, and continuous professional development to stay current with advancements in internal medicine and geriatrics.

With a clear and educational approach, Dr. Fear is committed to providing accessible and compassionate healthcare to the Richmond Hill community. He speaks English fluently and values open communication, ensuring patients understand their conditions and treatment options. His clinical philosophy centers on personalized care, thorough diagnostic evaluation, and collaborative decision-making to achieve the best outcomes for his patients.

Dr. Fear provides expert care for adults with a wide range of medical conditions, including:

Select Infectious & Inflammatory Conditions

• 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.
• Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Complex Diagnostic & Multi-System Issues

• Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
• 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.

Dr. Fear 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.

• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Second Opinion Consultations: Providing an independent expert review and opinion on complex diagnoses or treatment plans.

Note: This list represents some of the key services offered by Dr. Fear. 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. Fear'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. Fear's practice is located in central Richmond Hill, in the Mill Pond neighborhood. The clinic is situated within Pain Care Clinics, conveniently accessible via York Region Transit (YRT) and Viva. The nearby landmarks include Seneca College King Campus and Phyllis Rawlinson Park. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Fear 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. Fear. 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. Thomas Fear handle prescription refills?

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

How long should I expect my appointment to last?

Initial consultations with Dr. Fear are comprehensive and typically require more time, often ranging from 45 to 75 minutes, depending on the complexity of your medical history and concerns. Follow-up appointments are usually shorter. We recommend allowing ample time for your visit, including check-in and potential waiting periods.

What should I bring to my first appointment?

Please bring:

• Your provincial health card (Ontario Health Insurance Plan (OHIP) card).
• The referral letter if you have it.
• A complete list of ALL your current medications (prescriptions, over-the-counter, vitamins, herbs), including doses. Bringing the actual bottles/packaging is often very helpful.
• A list of your past medical history, surgeries, and known allergies.
• Any relevant medical reports, lab results, or imaging (X-ray, CT, MRI) reports you possess.
• A list of your specific questions or concerns for Dr. Fear.

Pain Care Clinics
10 Trench St
Richmond Hill, ON L4C 4Z3

Phone: (905) 883-2064 | Fax: (905) 883-2065

The facility is wheelchair accessible.

Dr. Fear 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/Fear-Thomas-Vernon-Frederick/0303307-106170