Our new location is:
36 Park Lawn Rd., Unit 6
Please use the door at the back of the commercial building. We provide free parking behind the building and Metro Plaza
Book Your Appointment by Calling:
- (416) 252-0404
- (289) 815-0052
Visit Our New Location!
About Your Physician: Dr. Sameh Michael MD, CCFP
Dr. Michael graduated 1991 from Faculty of Medicine in Egypt. He finished his residency in Family Medicine with interest in dermatology and cosmetic medicine. He went to the United Stated in 2001 to finish more studies at the University of Illinois. He has practiced at a varieties of countries around the world, but decided to finally start his family practice in Hamilton, Ontario, Canada.
He currently works as Assistant Clinical Professor at McMaster University, at the Department of Family Medicine. He is also a member of the medical board as a board examiner. He has a special interest in Cosmetic Medicine and has been well trained on majority of popular cosmetic procedures. He is very skilled in the field of Dermatology as well as skin care. He is married to Mrs. Hala who, is also in charge of managing their many clinics across the GTA. He has two children: Mira and Karen, both of who study Medical Science at Western University. He loves dogs, and has a crazy German Shepherd called Milo.
The Benefit of Periodic Preventative Health Visits
The traditional annual physical examination of asymptomatic adults is not supported by evidence of effectiveness and may result in harm. There is better value in a periodic (i.e., according to age, risk, and specific test intervals) preventive visit to provide preventive counseling and screening tests proven to be of benefit. Periodic preventive visits are particularly useful for people older than 65 years of age.
An annual physical examination of asymptomatic adults typically includes a review of the patient’s health history, medications, allergies, and organ systems, and a complete physical examination that may be followed by laboratory testing and discussion of health risks, life style behaviour, and social situation. A systematic review of 14 randomized controlled trials (RCTs) indicated that these general checkups do not reduce total mortality, cardiovascular mortality, or cancer mortality.
In comparison, a periodic preventive health visit of asymptomatic adults involves scheduling visits based on the age, sex, and health conditions of the individual to provide preventive counselling, immunization, and known effective screening tests. A meta-analysis of 19 trails on periodic preventive health visits among people older than 65 years indicated a decrease in mortality and increase in their likelihood of living independently in the community. This approach allows for a more detailed discussion of the benefits and risks of screening and a shared decision making approach in the context of each patient’s particular
13 Things Physicians and Patients Should Question
Don’t do imaging for lower-back pain unless red flags are present.
Don’t use antibiotics for upper respiratory infections that are likely viral in origin, such as influenza-like illness, or self-limiting, such as sinus infections of less than seven days of duration.
Don’t order screening chest X-rays and ECGs for asymptomatic or low risk outpatients.
Don’t screen women with PAP smears if under 21 years of age or over 69 years of age.
Don’t do annual screening blood tests unless directly indicated by the risk profile of the patient.
Don’t routinely do screening mammography for average risk women aged 40 – 49. Individual assessment of each woman’s preferences and risk should guide the discussion and decision regarding mammography screening in this age group.
Don’t do annual physical exams on asymptomatic adults with no significant risk factors.
Don’t order DEXA (Dual-Energy X-ray Absorptiometry) screening for osteoporosis on low risk patients.
Don’t advise non-insulin requiring diabetics to routinely self-monitor blood sugars between office visits.
Don’t order thyroid function tests in asymptomatic patients.
Don’t continue opioid analgesia beyond the immediate postoperative period or other episode of acute, severe pain.