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The ICU Recovery Clinic in an innovative resource at the Toronto Western Hospital that is dedicated to addressing the multifaceted recovery needs of individuals who have survived a critical illness. This clinic is a natural extension of research done by investigators at the University of Toronto and around the world that has highlighted the existence of significant neuropsychological, mental health, physical and functional challenges among survivors of critical illness in the months and years after discharge. The ICU Recovery Clinic strives to minimize post-intensive care syndrome (PICS) and maximize recovery.
We welcome patients discharged from the ICU and their family members and/or caregivers to our clinic. We provide care for patients experiencing symptoms related to critical illness.
Patients recovering from critical illness may experience a combination of cognitive, psychological and physical signs and symptoms that remain for months to many years after critical illness, known as post-intensive care syndrome (PICS). The common symptoms of PICS include:
Our clinic provides a wide array of interdisciplinary services each Wednesday and Friday afternoon in the TWH Clinic with the goal of coordinating post-ICU care, easing the transition from intensive care to home, and providing mental health treatment and cognitive rehabilitation. Directed by Elizabeth Wilcox, our team is comprised of an intensive care nurse practitioner, an intensive care dietician, an intensive care pharmacist, and a case manager. Services provided by our clinic include:
An initial evaluation will be individualized for each patient, but it is likely to include the following:
Someone will call you to give you a time for your first appointment at the ICU Recovery Clinic. If you would like to be seen before then please send an email request to
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 30 to 60 minutes.
Learn more about
what you can expect when you have a clinic appointment.
For additional information about Post-Intensive Care Syndrome (PICS):
Preeti Dhar, MDGeneral Surgeon & ICU Physician
Karen Ng, MDGeriatrician
Katrina Laso, RNICU Nurse
Chester Mangaliman, RNICU Nurse
Debra MacGarvie, RDDietician
Jennifer Teng, PharmDPharmacist
Rebecca Hall, RRTRespiratory Therapist
Amanda Rampersaud, RRTRespiratory Therapist
You will be contacted with information about your first appointment.
Please bring the following to your appointment. Not all of these items may be needed for your appointment. Our clinic or your referring doctor will let you know what you must bring.
Please arrive 15 minutes before your appointment.
When you arrive, you will sign in with the receptionist. You will need your health card (OHIP card) to sign-in. If you do not have an OHIP card, please bring another form of government-issued photo ID, such as a driver’s license or passport.
You may be given a Measuring Health Equity Questionnaire to fill out. This form contains questions about your background. We collect this information to find out who we serve and what unique needs you may have. The form is voluntary and you can choose ‘prefer not to answer’ to any or all questions. However, the information you choose to give us will help us improve the quality of care for you and others.
First appointments take longer than follow-up appointments. Your first appointment can take 2 hours or more. Follow-up appointments usually take 15 to 30 minutes. We do everything we can to stay on time but sometimes unforeseen circumstances may delay your appointment.
At the end of your first appointment, the nurse or doctor will give you a contact list for your health care team. If you don’t get a contact list, feel free to ask for it.
After every appointment, a member of your health care team will tell you about your next visit. Be sure you understand what is going to happen next. For example, know the time and place of your next visit or if someone will call you with this information.
If you are unsure about what your next steps are, don’t be afraid to ask a member of your team. We are here to help you.
We understand that reaching us by phone can sometimes be difficult. Often our phone lines are busy or are turned over to the message centre so our staff can prepare for clinic visits or help other patients. We make every effort to return your call within 24 hours. Our staff will try to reach you 2 times. If we are not able to reach you directly you may need to call us again.