Archive for ‘Uncategorized’

February 22, 2017

How to find a health App for your device



We use our electronic devices for a variety of reasons, one of which can be to help manage our health. And luckily, there are several apps available that can be very beneficial. In order to help support our patients on utilizing apps that are most beneficial for them, the Ontario Telemedicine Network has created a resource that identifies and reviews apps that support patients manage their health. was launched in September 2016 in collaboration with the Women’s College Hospital Institute for Health System Solutions and Virtual Care (WIHV). The team reviews and rates commonly used health apps using the following six criteria – clinical validity, usability, privacy and security, accessibility, safety and reliability.

Below are a few common topics and apps reviewed:


Migranes: Migrane Buddy; iHeadache; Headache Diary Pro; HeadacheDiary (EchoHeadache)


Hypertension: Blood Pressure (My Heart); Blood pressure (SmartBP); iBP Blood Pressure; Blood Pressure Companion; Blood Pressure Monitor- Family Lite


Smoking Cessation: SmartQuit; SmokeFree; QuitNow!; Kwit; Quit Pro


January 27, 2017

Periodic Health Exams (aka: Checkups)


We did an article a few months ago on Periodic Health Exams (see post from June 15, 2016), but many people ask around this time of the year about booking for their ‘Annual Physicals,’ so we want to provide you with some answers.


While it’s wonderful to hear patient’s wanting to keep up with their health, the College of Family Physicians of Canada state “physical examinations are an important part of fostering a relationship between a patient and their family physician, but an examination does not necessarily need to occur on an annual basis.1” They further state that “the clinical decision to perform a physical examination on a patient should be based on medical necessity.1


Information from Choosing Wisely Canada state “there have been many studies of the effects of annual checkups… [and] in general, they probably won’t help you stay well and live longer. And usually they don’t help you avoid hospital stays or keep you from dying of cancer or heart disease.2


Thus, for most healthy individuals, ‘annual physicals’ are no longer recommended; in fact, we’re not even calling them ‘annual physicals’ anymore, but are referred to as ‘periodic health exams,’ because that is what they are… i.e. ‘periodic’. The frequency of the periodic health exams are determined by your family doctor and you based on your health. You can discuss with your family doctor on the individualized plan for you.


You can view the pamphlet below from Choosing Wisely Canada on Health Check-ups:

Additionally, here is a quick video on Periodic Health Exams:



  1. College of Family Physicians of Canada (2013). Annual physical examination by province/territory in Canada. Retrieved Jan 25, 2017 from
  2. Choosing Wisely Canada (2014). Health checkups: When you need them—and when you don’t. Retrieved Jan 25, 2017 from
January 5, 2017


We do not care where you have had your flu shot, whether our office or a pharmacy. But if you are 65 years or older, PLEASE let us know if you have had your flu shot elsewhere so we do not have to spend time trying to reach you to make sure you get a shot!


December 23, 2016

Seasonal Holiday Hours

These are our holiday hours:

Closed Dec 26 and 27.

Dec 28/29/30: 9 am to 7pm

Closed Jan 2

Jan 3/4/5/6: 9 am to 7 pm.

During these two weeks we will be short staffed and appreciate your patience.

December 13, 2016

Betti’s new hours

From Jan 1 until the end of March 2017, our nurse, Betti, will be working Wednesdays from 9 am until 5pm and Thursdays 11 am to 7pm.

She will resume her usual hours (Monday 11 to 7 and Wednesday 9 to 5) in April 2017

October 23, 2016

Flu Vaccines: 2016/17

The Ministry has now delivered the influenza vaccines to our office.

The current supply is ONLY for people 65 years or older and those with chronic diseases such as diabetes, chronic lung disease and any disease or medication that may affect your immune system.

The shots are available from our nurse without appointment on a drop in basis  Wednesdays from 9 am to noon and Thursdays from 3:30pm to 7 pm.

We will post when the vaccine is available for everyone else.


PLEASE NOTE: if you are 65 yrs old or over you must inform our office if you have had the flu shot elsewhere so we can track it in your chart.

August 5, 2016

Staff changes: Good-bye Halima!

Well, after 8 years of excellent work at our office, Halima is leaving.

Her husband has taken a job out of town and they are both leaving Toronto.

We wish Halima well in her new life and are very grateful for having known her. Halima has been nothing short of a fantastic employee.

She is being replaced by Ashley who is in training as of today (Aug 5, 2016) and will take over all of Halima’s duties by the end of August.

July 25, 2016

Summer and Sunscreen


The summer sun has been around for a little while now, and we all want to get as much of it while we can during these short summer months. Despite enjoying the easy-going days of the summer season, it is still important to be on high-alert for sun safety! This month we’re looking at how we can protect our largest organ – our skin – from the harmful rays of the sun.

Sunscreen is one of a multitude of ways we can (and must!) protect ourselves from the sun. Sunscreens consist of products that can be applied to the face and body to help protect the skin, consisting of creams, sprays, and lip balms. When applying, it is important to remember the tops of the feet, ears, and backs of the hands – easy places to forget!

Wearing a hat is important for the protection of the scalp, which can be a little more difficult to reach with sunscreen, and be sure to remember sunglasses to protect the eyes. Adults generally need about a shot glass worth of sunscreen to cover the whole body, and about a teaspoon for the face. And remember to reapply – water activities and sweating mean that more frequent application is necessary. Next time you’re at the clinic, take a peek at our education board to learn some helpful tips, or check out the Canadian Cancer Society’s website about sun protection:

Micaela Hardy-Moffat, RN, Clinical Educatior

June 15, 2016

Do I need a checkup?

Health Checkups: Making the Most of Your Time

As adapted from

Annual physicals are usually not necessary – studies suggest that they do not, in fact, lead to better health outcomes. So when should you see your doctor? If you are unsure about how often you should come for a checkup, ask! You can establish a schedule with your doctor as you both see fit. Choosing Wisely Canada states, “People in their twenties often do not see a doctor for several years without risking their health, while older people who have developed risks for certain diseases may see a doctor more often”. Here are a few indicators that you might need a visit to the doctor for a 15 minute check-up:

  • When you are ill or experiencing a symptom that could mean you are ill
  • For the management of chronic conditions (high blood pressure, diabetes)
  • To check on the effects of a new medication
  • To discuss risk factors such as smoking or obesity, or lifestyle discussions like family planning
  • For prenatal care during pregnancy
  • For well baby and well child checks and to catch up on immunizations

If you feel your concern might require extra time, please let the front staff know when booking your appointment so that more time can be scheduled for your visit.

You might be wondering about where preventative care comes into play. Preventative care is helpful for just that: the prevention or early detection of illness and disease. Here is a brief overview of the Cancer Care Ontario Guidelines for Breast, Cervical, and Colorectal Cancer screening:

  • Cervical cancer/pap tests: every 3 years for women age 21 to 70 years
  • Breast cancer/mammogram: every 2 years for women age 50 to 74 years
  • Colon cancer/fecal occult blood test: every 2 years for men and women age 50 to 74 years

Note: These guidelines are subject to change based on family history, or history of findings that require further investigation.

Not sure if you should come in for a visit? Here are some very useful and reputable web sites that are great places to start if you are hoping to do some research:


Micaela Hardy-Moffat, RN
Clinical Educator
Spadina Health Centre


May 30, 2016

Office fee schedule for patients

Non-OHIP Services

The Ministry of Health does not pay for the following services and you will be billed directly for them (cash or cheque only please).



Sick notes (for work or school)                                     $10

Return to work notes                                                $10

Basic/ Simple forms                                                $20 and up

Complex forms                                                            $30 and up

Mailed requisitions                                                $10

Massage/Orthotics notes without visit            $10 (per note)

Federal Disability Tax Credit Form                        $40


Consultation                                                            $40 for visit (ask if more than 1 person)

Travel vaccine administration                                    $10 per shot            (vaccine cost not included)


(ie. Exams for Ministry of Transport, daycare, camps, etc) – includes form completion

Adult examination + form                                    $100

Child examination + form                                                $50


Mole removal                                                             1 lesion $45            / 2 lesions $70

Skin tag removal                                                             starting at $30 depending on number

RECORDS TRANSFER                        $30 for first 20 pages, then $0.25 per page thereafter

TYPED LETTERS                                    $75 and up; Depends time required to do – please ask MD


Updated December 4, 2015