Dr. William James Coke – Internist / Geriatrician | Mississauga, ON

Dr. William James Coke, a respected Internist / Geriatrician, focuses on evidence-based medicine and personalized care plans. Practicing in Mississauga, ON, he serves the surrounding communities with a commitment to providing comprehensive care in Internal Medicine and Geriatric Care. His practice adheres to the standards set by the College of Physicians and Surgeons of Ontario (CPSO), ensuring high-quality, patient-centered services.

Dr. Coke graduated with a Medical Degree from McGill University Faculty of Medicine and Health Sciences in 1974, Canada. He completed extensive post-graduate medical training, including specialized residencies and certifications in Internal Medicine and Geriatrics, enabling him to manage complex health conditions in adult and senior populations effectively.

His clinical philosophy is rooted in an evidence-based and informative approach, emphasizing thorough assessments, personalized treatment plans, and a focus on maintaining quality of life. Dr. Coke is dedicated to serving the Mississauga community and speaks English fluently, ensuring clear communication and compassionate care.

Dr. Coke 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.
• Chronic Liver Disease: Diagnosis and management of various liver conditions such as fatty liver disease, chronic hepatitis, and cirrhosis complications.
• Dyslipidemia (High Cholesterol): Assessment and management of abnormal lipid levels through lifestyle advice and medication to reduce cardiovascular risk.

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.
• 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.
• 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. Coke 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.

• Management of Complex Chronic Diseases: Ongoing care and treatment optimization for adults managing multiple chronic conditions such as diabetes, heart disease, kidney disease, hypertension, and respiratory illnesses.
• Management of Chronic Respiratory Conditions: Ongoing care for conditions such as COPD, asthma, and interstitial lung diseases, focusing on symptom control and exacerbation prevention.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Advance Care Planning Discussions: Facilitating conversations about future healthcare preferences and goals of care, including discussions about powers of attorney for personal care.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.

Note: This list represents some of the key services offered by Dr. Coke. 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. Coke'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. Coke's practice is situated in the Churchill Meadows neighborhood of Mississauga, within a facility located in close proximity to St. Michael's Hospital. Patients can access the clinic easily from nearby landmarks such as the Hazel McCallion Central Library and Cooksville GO Station. The location is well-served by MiWay (Mississauga Transit), ensuring convenient public transportation options. The facility is wheelchair accessible. Parking is available at the facility.

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

In ON, medical consultations with specialists like Dr. Coke 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. Coke. 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 is involved in a Comprehensive Geriatric Assessment (CGA)?

A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Coke uses this holistic approach to develop a personalized care plan.

Is the focus mainly on diseases or also on daily function?

While diagnosing and managing diseases like Urinary Incontinence Assessment or Syncope (Fainting) Evaluation is crucial, Dr. Coke also places significant emphasis on maintaining or improving daily function and quality of life, especially for older adults. The goal is often to help patients remain as independent and active as possible, addressing issues like mobility, self-care (Delirium Prevention & Management), and participation in meaningful activities.

When should someone be referred to an Internist or Geriatrician?

Referrals are typically appropriate for adults with complex diagnostic challenges, poorly controlled chronic diseases (like advanced Cognitive Impairment & Dementia Syndromes or Management of Patients with Multiple Comorbidities), multiple interacting medical conditions, or unexplained symptoms. For older adults, referrals are common for geriatric syndromes such as falls, memory decline, frailty, or complex medication management (Osteoporosis & Metabolic Bone Disease). Your family doctor can best determine if a specialist consultation is needed.

St. Michael's Hospital
2200 Eglinton Ave. West
Mississauga, ON L5M 2N1

Phone: (905) 813-1100

The facility is wheelchair accessible.

Dr. Coke 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/Coke-William-James/0134659-70778