COVID-19 is placing stress on Canada's public health system. Our clinic is starting to offer virtual care to make sure that we can continue to care for our patients safely and effectively. This means that we will be using video and audio technologies for some patient visits rather than asking all patients to come into our office. Some of these technologies are provided by the Province. Others have been provided by vendors like Google, or Apple to help make discussions with your care provider as easy as possible during these difficult times. Some health concerns can be addressed with virtual care alone, but in some cases your doctor may ask you to visit a hospital or other health care facility if necessary, for a physical examination.

We do our best to make sure that any information you give to us during virtual care visits is private and secure, but no video or audio tools are ever completely secure. There is an increased security risk that your health information may be intercepted or disclosed to third parties when using video or audio communications tools. To help us keep your information safe and secure, you can:

Understand that emails, calls, or texts you receive are not secure in the same way as a private appointment in an exam room.

Use a private computer/device (i.e., not an employer's or third party's computer/device), secure accounts, and a secure internet connection. For example, using a personal and encrypted email account is more secure than an unencrypted email account, and your access to the Internet on your home network will generally be more secure than an open guest Wi-Fi connection.

You should also understand that electronic communication is not a substitute for in-person communication or clinical examinations, where appropriate, or for attending the Emergency Department when needed (including for any urgent care that may be required).

If you are concerned about using video or audio tools for virtual care, you can ask our office to arrange for you to visit a different healthcare provider or other health care center where you can be seen in person. However, please note that visiting a health care provider in person comes with a higher risk of coming into contact with COVID-19 and the possibility of spreading the virus.

By providing your information, you agree to let us collect, use, or disclose your personal health information through video or audio communications (while following applicable privacy laws) in order to provide you with care. In particular, the following means of electronic communication may be used (identify all that apply): email, videoconferencing (including Skype, Facetime, etc.), text messaging (including instant messaging), website/portal, OnCall.

April 1, 2020

A note to our patients. We have suspended all in-office visits at this time due to COVID 19. However, if you have an appointment currently booked with our office you will receive a call 2 days prior to that appointments. We will advise you how we will be able to proceed. Wishing you and your family safety and vitality during this challenging time.

If you need a renewal your prescriptions during the COVID-19 #stayathome period, please have your pharmacy fax your renewal request. Our fax number is 905-639-7647. Be well!

Update About Our Office During This Outbreak of Corona Virus : March 15, 2020

On the advice of the Ministry of Health we are changing our office protocols to ensure minimization of risk to our patients and our staff.

Starting the week of March 16, 2020 we will try to change as many patients visits as we can to virtual electronic visits. Initially most will be by phone. There are some patients who have already made arrangements to come to the office and, if they do, we will see them, once again minimizing risks by using frequent hand washing and minimized personal contact.

For the majority of scheduled patients we will set up visits through OnCall Health. One of the problems with phone visits is that each person requires individualized attention and some visits unexpectedly may take longer than others. We will make every effort to keep on schedule but at times we may be delayed.

Dr Lawrence Komer
Medical Director
The Komer Clinics

COVID-19 Annoucement | Office Updates

Testosterone & Death | Dr. Lawrence D. Komer Medical Professional Corporation

Dr. Lawrence D. Komer Medical Professional Corporation

Does Low Testosterone Increase The Risk of Death?

Dr. Komer comments…

My comments on the article below: This confirms the findings on some other studies. Endocrinologists often do not deal with testosterone. The Masters Men’s Clinic now has over 1000 men on testosterone replacement and have refined treatment protocols to ensure safety and effectiveness. The incidence of problems is extremely low and the benefits can be very substantial, not only in life and death terms such as this study , but also in quality of life. The commonest symptoms of low testosterone are any or all of the following: fatigue, poor quality of sleep, falling asleep after meals, irritability, depression, joint and muscle ache after workouts, a lack of vitality and erectile dysfunction.

Dr L Komer

Low testosterone ‘increases death risk’

Wednesday, 06 Jun 2007 10:49

Testosterone is the main male sex hormone

Men with low levels of testosterone may have an increased risk of death over the age of 50, new research claims.

Scientists behind the study say it is the first to link deficiency of this sex hormone with increased death from all causes over time in relatively healthy men living in the community.

Study author Dr Gail Laughlin argued that the research “strongly suggests that the association between testosterone levels and death is not simply due to some acute illness”.

Higher levels of testosterone were not linked with a decreased risk of mortality.

The results were presented yesterday at The Endocrine Society’s annual meeting in Toronto.

Researchers studied all causes of death in nearly 800 men aged between 50 and 91 over an 18-year period from the 1970s onwards.

This group had a 33 per cent greater risk of death during the following years than men with higher testosterone levels.

The study ruled out other factors including smoking, drinking, physical activity level or pre-existing diseases (such as diabetes or heart disease) as contributing to this increased risk.

Men with low testosterone were more likely to have elevated markers of inflammation, which may contribute to diseases, and larger waist girth along with a number of cardiovascular and diabetes disease risk factors related to this type of fat build-up.

“It’s very possible that lifestyle determines what level of testosterone a patient has – it may be possible to alter the testosterone level by lowering obesity,” said principal investigator Dr Elizabeth Barrett-Connor.

“We are very excited about these findings, which have important implications, but we are not ready to say that men should go out and get testosterone to prolong their lives. We’re not ready to take this to the prescribing pharmacist.”