Dr. Wendy Denise Millar-Book

Dr. Wendy Denise Millar-Book provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Common Chronic Conditions

• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Comprehensive primary care for patients with various thyroid conditions.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: A supportive approach to IBS, working with patients to identify triggers and develop effective coping mechanisms.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.

Preventative Health Topics

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• 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.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• 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).
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).

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

• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): First-line medical care for a variety of musculoskeletal complaints, aiming to alleviate pain, improve function, and guide appropriate further management.
• 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.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Primary care support for patients with established heart conditions, ensuring regular follow-up, adherence to complex treatment plans, and promotion of heart-healthy lifestyles.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.
• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.

Note: This list highlights some of the key services offered by Dr. Millar-Book. 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 H H S, 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. Millar-Book frequently works with patients towards goals such as:

• When getting advice on how to manage shift work and its impact on their health impacts daily life, Dr. Millar-Book helps patients strive for having all their health-related questions, no matter how complex or basic, answered clearly, patiently, without jargon, and in an easily understandable way by Dr. Millar-Book, fostering a strong sense of health literacy and shared understanding, making activities such as fully and enthusiastically engaging in a wide range of desired social activities, valued community events, and spending quality, meaningful time with close friends and loved ones without being frequently limited or sidelined by bothersome or unpredictable health concerns possible again.
• Dr. Millar-Book supports patients through concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative, aiming for outcomes like their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, Dr. Millar-Book, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, so they can return to activities such as confidently enjoying a varied, balanced, and largely unrestricted diet (unless medically indicated for very specific diagnosed conditions like celiac disease or severe allergies) without undue fear of triggering adverse reactions, pain, or significant digestive distress.
• Overcoming or managing their child needing a physical exam for summer camp or sports participation is a common patient journey at Dr. Millar-Book's practice. The focus is on enabling experiencing significant and prompt relief from debilitating acute symptoms like severe pain, high fever, intractable coughs, or distressing allergic reactions, allowing a swift return to their daily activities, work, and family responsibilities, so that engaging in wholeheartedly enjoying a diverse range of seasonal outdoor activities such as cross-country skiing or snowshoeing in winter, beachcombing or lake swimming in summer, vibrant apple picking or leaf-peeping hikes in autumn, and early spring gardening becomes a reality again.
• Many patients have successfully addressed questions or concerns about their child's growth, developmental milestones, or specific behaviors with Dr. Millar-Book's support. This often leads to 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. Millar-Book and the ability to fully participate in feeling well-prepared, physically able, and mentally positive for attending and fully participating in significant, once-in-a-lifetime family or social events like weddings, milestone anniversaries, international reunions, or major academic graduations once more.

Your personalized healthcare plan, developed in discussion with Dr. Millar-Book, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Millar-Book practices at H H S, a family medical practice in the central Waterford neighborhood of Waterford. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What is 'continuity of care' and why is it important with a family doctor like Dr. Millar-Book?

Continuity of care refers to the process where your family doctor, Dr. Millar-Book, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Millar-Book becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. She serves as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of her role is building long-term relationships with patients to promote overall health and well-being.

How often should I see Dr. Millar-Book for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Millar-Book can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Millar-Book follows. It's best to discuss your individual needs with Dr. Millar-Book to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

How do I get a prescription refilled by Dr. Millar-Book?

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. Millar-Book's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Millar-Book. 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. Millar-Book, 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 H H S if you have questions about specific non-insured services or potential fees.

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

Generally, you don't need a referral to see a family doctor if they are accepting new patients. Finding a family doctor who is accepting new patients can be challenging; resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see specialists.

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

Check the College of Physicians and Surgeons of Ontario website. 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. It may take time.

H H S
23 Main Street South, Henderson General Site
Waterford, ON, N0E 1Y0

Phone: (519) 443-6694

Dr. Wendy Denise Millar-Book 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: 65154

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/MillarBook-Wendy-Denise/0051175-65154

Family doctors like Dr. Millar-Book 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.