Dr. Vivian Tin-Yee Ng – Internist / Geriatrician | Toronto, ON

With extensive experience in Internal Medicine and Geriatric Care, Dr. Vivian Tin-Yee Ng serves as a trusted medical specialist. Practicing in Toronto, ON, she provides comprehensive care in Internal Medicine and Geriatric Care, serving adult patients including seniors. Her practice is committed to delivering high-quality, patient-centred care in accordance with the standards set by the College of Physicians and Surgeons of Ontario (CPSO).

Dr. Ng graduated with a Medical Degree from McGill University Faculty of Medicine and Health Sciences in 2011. She has completed extensive post-graduate medical training, including residency and fellowship programs in Internal Medicine and Geriatrics, ensuring a thorough understanding of complex adult health issues and age-related conditions. Her certifications and ongoing professional development affirm her expertise and dedication to her specialty.

Her clinical philosophy emphasizes clear, educational communication and evidence-based practices. She is committed to serving the Toronto community with compassion and professionalism. Dr. Ng speaks both English and Chinese, facilitating effective communication with a diverse patient population.

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

Select Infectious & Inflammatory Conditions

• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.

Complex Diagnostic & Multi-System Issues

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

Management of Chronic Diseases

• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.

Dr. Ng 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.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Non-Surgical Management of Cardiovascular Conditions: Medical management of conditions like stable coronary artery disease, heart failure, arrhythmias, and hypertension.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Falls Risk Assessment and Prevention: Identifying factors contributing to falls in older adults and implementing strategies to improve balance, strength, and home safety.

Note: This list represents some of the key services offered by Dr. Ng. As a specialist in Internal Medicine and Geriatric Care, she provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Ng'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. Ng's practice is conveniently located in the Bayview Village neighborhood of Toronto, within St. Peter's Hospital. The location provides easy access for patients coming from various parts of the city. It is situated near Union Station, making it accessible via TTC subway, streetcar, and bus routes. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Ng 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. Ng. 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 typically happens during a first consultation?

During your initial visit, Dr. Ng will conduct a thorough review of your medical history, symptoms, and medications based on your referral and the information you provide. She will likely perform a relevant physical examination. Following this assessment, she will discuss Dr. Ng's findings, potential diagnoses, recommended further investigations (if any), and a proposed management plan. There will be time for you to ask questions.

How long should I expect my appointment to last?

Initial consultations with Dr. Ng 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.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

St. Peter's Hospital
4001 Leslie Street
Toronto, ON M2K 1E1

Phone: (416) 756-6000 | Fax: (647) 361-0822

The facility is wheelchair accessible.

Dr. Ng 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/Ng-Vivian-TinYee/0273311-95439