Dr. Tierry Toledano – Internist / Geriatrician | Lachine, QC

Dr. Tierry Toledano, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Lachine, QC, he serves the surrounding communities with a commitment to delivering comprehensive and patient-centered care. His practice is located within CUSM - Campus Lachine, situated near the central Lachine neighborhood, with proximity to local points of interest such as the Lachine Canal and nearby parks. The facility is easily accessible via public transit options including bus routes and the Montreal Metro system. The practice’s premises are wheelchair accessible, ensuring equitable access for all patients.

He is licensed by the Collège des médecins du Québec (CMQ) with license number 11309. Dr. Toledano completed his medical degree in 2011 and has undertaken extensive postgraduate training in Internal Medicine and Geriatric Care, including fellowships and specialty certifications. His training emphasizes a thorough understanding of complex adult and older adult health issues, equipping him to manage diverse medical conditions with a high standard of clinical excellence.

Dr. Toledano adopts a professional and clinical approach rooted in evidence-based practices. He is dedicated to providing high-quality care to adults, including seniors, with a focus on optimizing health outcomes, maintaining functionality, and improving quality of life. Fluent in French, he ensures effective communication with his diverse patient population and is committed to serving the Lachine community with integrity and compassion.

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

Management of Chronic Diseases

• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.
• Hypertension (High Blood Pressure): Diagnosis, treatment titration, and long-term management of primary and secondary hypertension to mitigate cardiovascular risk.
• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.

Complex Diagnostic & Multi-System Issues

• Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
• Management of Patients with Multiple Comorbidities: Coordinating care and treatment plans for individuals managing several complex health conditions simultaneously.
• Syncope (Fainting) Evaluation: Comprehensive work-up to determine the cause of fainting spells or loss of consciousness.

Endocrine & Metabolic Disorders

• Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
• Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
• Thyroid Disorders: Management of hypothyroidism, hyperthyroidism, thyroid nodules, and other thyroid conditions.

Dr. Toledano 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.

• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Comprehensive Diagnostic Assessment: In-depth evaluation for adults with complex, unclear, or multi-system medical conditions, involving detailed history, physical examination, and coordination of necessary investigations.
• Medication Review and Optimization (Deprescribing): Systematic review of all medications (polypharmacy) to ensure appropriateness, minimize side effects and interactions, and deprescribe unnecessary drugs.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
• Preventative Health Risk Assessment: Evaluating individual risk factors for major chronic diseases (e.g., cardiovascular disease, osteoporosis) and developing preventative strategies.

Note: This list represents some of the key services offered by Dr. Toledano. 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. Toledano'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 Collège des médecins du Québec (CMQ).

Dr. Tierry Toledano's practice is situated near the central Lachine neighborhood within the CUSM - Campus Lachine, providing easy access to residents of Lachine and surrounding areas. The location is conveniently accessible via multiple public transit options, including bus routes and the Montreal Metro. The facility is located close to local points of interest such as the Lachine Marina and the Lachine Historical Museum. Parking is available at the facility, and the premises are fully wheelchair accessible, ensuring comfortable access for all patients.

How is payment handled for appointments with Dr. Toledano? Is it covered by Régie de l'assurance maladie du Québec (RAMQ)?

In QC, medical consultations with specialists like Dr. Toledano are typically covered by your provincial health insurance (Régie de l'assurance maladie du Québec (RAMQ)) 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 Régie de l'assurance maladie du Québec (RAMQ) 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. Toledano. 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.

How does a Geriatrician's role differ?

A Geriatrician is an Internist (or Family Physician) with additional specialized training focused on the unique health needs of older adults (often 65+). They excel at managing 'geriatric syndromes' like falls, frailty, memory loss, and polypharmacy. Dr. Toledano, with expertise in Internal Medicine and Geriatric Care, applies principles of geriatric care to optimize health, function, and quality of life for older patients. He often takes a very holistic view, considering social and functional aspects alongside medical issues.

What kind of tests might Dr. Tierry Toledano order?

Depending on your specific medical situation, Dr. Toledano may order various tests to aid in diagnosis or management. These could include blood tests, urine tests, imaging studies (like X-rays, ultrasounds, CT scans), electrocardiograms (ECGs), or referrals for other specialized tests (like pulmonary function tests or bone density scans). He will explain why any tests are being recommended.

CUSM - Campus Lachine
650 16e Avenue
Lachine, QC H8S 3N5

Phone: (514) 637-2351

The facility is wheelchair accessible.

Dr. Toledano is a licensed physician regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in QC. Patients are typically seen by referral from their primary care physician.

Verify registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=11309