Your guide to healthy living.
This is your chance to live well.
This is your chance to live well.
Please be advised that there is only one Dr. Kevin Lai who is a University of Toronto graduate, Family Medicine specialist working in Ontario, who used to work as emergency department doctor, and is currently also providing weight management programs and psychotherapy for mental health issues.
However, there are several medical professionals whom you may mistake him for...
Please do not be mistaken for the internist who practices in Nainamo, BC, or the chiropractor in Vancouver, BC (both who are called Dr. Kevin Lai exactly), or Dr. Kafai Lai (an orthopedic surgeon in Ontario, his name sounds the same if you say it fast), or Dr. Kenneth Lai (who works in York Region), or Dr. Godwin Lai (an ER physician who also worked in the same ER as Dr. Lai), or Dr. Henry Lai (who is also a U of T family medicine graduate, who also works in the ER, and who also works at a pain clinic that is similarly named Poly Clinic), or the Hong Fook youth worker named exactly Kevin Lai who also roams Toronto, or Dr. Michael Lai (who works on Spadina Avenue, and looks awfully alot like Dr. Kevin Lai...)
We have had patients who show up at our family medicine clinic, look Dr. Lai straight in the eye and swear that Dr. Lai operated on their hips; and remember being told directly by Dr. Lai to make a followup appointment 6 weeks after surgery. Dr. Kevin Lai does not operate.
We have had requests for followup from a hospital or ER visit at Royal Victoria Hospital, however, Dr. Kevin Lai does not work in Barrie.
We have had requests from insurance companies looking for medical records for patients who were seen by the other Dr. Lai's in this world. Please don't be offended if you don't get the answer you are looking for, because Dr. Kevin Lai might not have been the actually doctor who saw you in the ER. In any event, you can contact the hospital medical records directly for any ER records, in the cases where Dr. Kevin Lai actually did see you while he was working at Humber River years ago.
We also have had drug reps who come looking to detail us on medical marijuana or other pain medications, however, Dr. Kevin Lai is not pain specialist.
We have even had the pleasure of meeting a fine youth worker also named Kevin Lai, who works for Hong Fook Mental Health Association. This actually thoroughly confused our secretaries when he called wanting to book an appointment for his client. Dr. Kevin Lai does treat mental health with psychotherapy; but why would he need to call his own office and make an appointment for his client?
Although we may have similar or the same names, Dr. Kevin Lai is unique and so are you. For your own unique customized health care, please ask your doctor for a referral, and see for yourself.
A user's guide to getting the best health care the city has to offer, without blowing a gasket
Vincent Lam, Toronto Life
Get the low down on how to navigate the health system yourself with this great article published in Toronto Life.
Have you ever heard your family or friends from back home tell you this?
"Don't bother going to the family doctor, you should go see a specialist for your problem."
"Family doctors know a little bit about many things, but not alot about anything."
When you come to Canada, you will learn that Canadians are very proud of their health care system (or at least the ideals of what it should be like), and the success of their system is based on strong primary care. Leading the primary care system are specialists called Family Doctors.
"In my home country, when I have stomach pain, I go to the hospital and see a gastroenterologist (intestinal specialist) and get a colonoscopy right away!"
Beware of playing choose-your-own-adventure medical care, do so at your own peril !
In Canada, patients need to go to their family doctor first for any non-emergency medical problems. The hospital emergency department is reserved for people with emergencies (like you are going to die or be severely disabled if you don't get immediate help). You can go to the emergency department (ED) or emergency room (ER) for your problem, but you will likely wait for hours, be seen for 2 minutes by a busy ER doctor, and then be kicked out and told to see your family doctor anyways. You can try to go to a walk-in-clinic (WIC), but those doctors do not consider themselves your family doctor, as they only deal with your one-time specific problem, and then tell you to find a family doctor. Meanwhile, you would have wasted so much time, money and effort, when you could have just seen your family doctor in the first place.
"But, I think the general practice doctors (GP) in Canada must be similar to the general practitioners / doctors in my home country!"
In some countries, most doctors train to be specialists because there is no such thing as a family doctor. In some countries, the doctors who aren't specialist but see general simple problems, may only have basic medical training (starting right after highschool) because they couldn't study any further or couldn't climb up the hospital ladder. These rural general practitioners may do alot because they have to, and their experience gives them the needed skills. It is understandable, that you may insist on "seeing the best", and "the best must be a specialist."
In Canada, doctors need to have finished a university degree before even applying for medical school. Most doctors don't even get to go to medical school (get an MD) until they have finished a Masters, or even a PhD! For the lucky few who are admitted to medical school after a Bachelor's degree, they are usually considered to be at the top of their class. All doctors trained in Canada go through a minimum 4 years of an MD degree. Then they do more training in residency, another 2-3 years. The specialists only start their specialty training after that when they decide to focus on one particular medical field. By then, they are relieved that they don't need to remember the other medical fields, because they will have nothing to do with their own chosen specialty.
In the past, there were a breed of Canadian doctors called general practioners (GP), who only finished 1 year of rotating internship after their MD degree, and became family doctors for the Canadian population. However, their ongoing years of continual medical education (CME) learning and decades of on-the-job experience made them valuable and highly qualified to diagnose and manage your health.
As science progresses, and as people live longer, there is an ever increasing body of knowledge that a doctors needs to know. The textbooks are thicker, people's medical problems became more complicated, and so emerged the specialty known as Family Medicine. All family doctors that graduate now from the Canadian medical system must be trained in the specialty of Family Medicine (a minimum 2 year post-graduated program).
Family Medicine specialists are trained to take your problem or symptom, which could be caused by hundreds of different things under the sun, and rapidly narrow down the possibilities to make a diagnosis. For all the problems that are not diagnosable (NYD), they can at least tell you that it is a benign condition (not a serious problem), because they have seen alot of conditions under the sun. You can rest well at night with confidence. Not only can these family doctors diagnose, they also treat and manage your conditions. That's right, in Canada, family doctors treat the majority of specialty conditions for the general population. There is not enough medical specialists (nor money) around to have everyone see a medical specialist. Family Medicine specialists have trained alongside other medical specialists to develop competencies in areas such as: cardiology, gastroenterology, respirology, endocrinology, obstetrics and gynecology, pediatrics, psychiatry, neurology, nephrology, otolaryngology, opthalmology, dermatology, urology, hematology, general surgery, rheumatology, orthopedics, emergency medicine, infectious diseases, geriatrics, radiology, and more! A large proportion of medical burdens such as hypertension, heart disease, diabetes, asthma, COPD, arthritis, pediatric care, women's health, and mental health are managed by mainly by your family doctors.
"So when can I see a real specialist?"
When your particular family doctor cannot manage your specific problem because of time, experience, or complexity, then you doctor may refer you to see a specialist. That's right, to see a medical or surgical specialist in Canada, you need to be referred by a family doctor, after having assessed you and making a medical judgement that your problem warrants a specialist. Otherwise, your family doctor will have been able to assess, diagnose, and provided the medically necessary treatment to you already. If your family doctor recommends surgery, then they will refer you to a surgeon. If your family doctor recommends seeing a specialist, then they will refer you to a medical specialist.
If you go, yourself, to a medical or surgical specialist with a problem that ends up not being part of the particular specialist's field of medicine, then they will likely tell you to go home and see your family doctor. It is not the specialist's problem. They can't be bothered by you. It is still your problem, and you are not satisfied. Do yourself a favour, see your family doctor first and let them determine what the right course of action is for caring for your whole person.
"But I don't need a family doctor now. I just ask Dr. Google when I have a problem!"
That may be the case. However, when you do need a doctor, you will need a family doctor. But when you want a family doctor, you may not be able to find an available family doctor. Therefore, find yourself a family doctor now, so when you eventually need medical care, you will have an existing doctor-patient relationship to draw upon for help.
Besides, Dr. Google brought you here, and we're telling you to find a family doctor. So Dr. Google must be right!
"I went to a family doctor / walk-in doctor, and he mis-diagnosed me!"
Sorry about your experience. That sounds terrible. Mistakes do happen in medicine. Medical problems can also be an evolving process; meaning at the early stages of an illness, you may not show all the signs and symptoms, and it could still be several different possibilities. Diagnosis is both an art and science. This is the challenge of Family Medicine, making the diagnosis when it is not blatantly obvious. There are also bad doctors out there. However, a majority are good doctors, and they do have your best interest at heart. They've studied, and worked hard to be the best at what they do: to make the right diagnosis and manage your health. Find yourself a good doctor. If you are not getting better, or your condition is getting worse, then go back to your good doctor, and they will reassess the situation. This helps prevent missing something important that is slowly evolving.
"So you are telling me that Family Doctors are Specialist?!"
Did you know that the doctors you might see in the emergency department, or take care of you in the hospital ward, or deliver your babies are Family Medicine specialists (CCFP) who have additional training in emergency medicine, obstetrics, or internal medicine fields? You think you are seeing a regular specialist, but really you are seeing a family medicine specialist! If they're good enough for Canadians, then its good enough for you!
The practice of Family Medicine is meant to be a Patient's Medical Home, providing seemless care, through all the stages of your life, and integrating with your other health services.
At Get Well Clinic... We Welcome You Home!
Shannon Youn, DCh
Varicose veins are enlarged and sometimes twisted veins found most commonly on the lower limb. At times, varicose veins along with reticular and spider veins (smaller, less prominent dilated veins) are more of a cosmetic concern, while other times, they may be signs of circulatory problems, specifically venous insufficiency. In other words, your veins are not functioning efficiently to work against gravity and bring the blood back to your heart. Rather, the blood pools and consequently dilates the veins in your lower body. See your health care professional when varicose veins are accompanied with aching, heavy, swollen, and/or painful legs, or skin discolourations.
Compression Stockings or compression socks are significant components to the management of venous issues. Compression stockings offer gradual compression up the limb, with the highest level of compression at the ankle to promote blood flow back to the heart. They also come in various degrees of compression to accommodate different severities of venous conditions. They are great for people who work sitting or standing for long periods of time throughout the day, as well as pregnant women and frequent travellers.
Book an appointment with a Chiropodist today for compression stockings. He or she can provide more information and tell you if you would benefit from them. A Chiropodist can measure and dispense compression stockings if you bring with you a doctor’s prescription.
Contact us now to be fitted for compression stockings today! 416-508-5691.