Dr. Manuela Helene Elizabeth Joannou – Family Doctor | Perth, ON

Dr. Manuela Helene Elizabeth Joannou is a Family Doctor. Practicing at a family doctor practice in Perth, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Manuela Helene Elizabeth Joannou completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. She provides consultations in English.

Dr. Manuela Helene Elizabeth Joannou provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Common Acute Conditions

• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Diagnosing and managing common allergic reactions such as seasonal/perennial allergic rhinitis (hay fever), mild to moderate hives (urticaria), minor localized reactions to insect stings, and initial assessment of suspected mild food allergy symptoms. Does not include anaphylaxis management which is an emergency.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Diagnosis and management of common viral and bacterial infections affecting the nose, throat, sinuses, and larynx (e.g., common cold, influenza, acute sinusitis, strep throat, laryngitis), helping to relieve symptoms like cough, congestion, fever, and sore throat.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Joannou. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Proactive screening discussions and referrals for common cancers to ensure timely diagnosis and improve treatment outcomes.
• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.
• Stress Management, Burnout & Adjustment Disorder Support: Helping patients build resilience, develop adaptive coping mechanisms, and navigate stressful periods effectively to protect their mental and physical health.
• Smoking & Tobacco Cessation Programs & Support: Dedicated, non-judgmental support for your journey to become smoke-free, improving your immediate and long-term health significantly.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Evaluating common benign skin growths (skin tags, seborrheic keratoses, cherry angiomas, dermatofibromas). Performing skin biopsies (punch, shave, excisional) of suspicious lesions to rule out skin cancer, or offering in-office removal of benign lesions for cosmetic reasons or if causing irritation.

Note: This list highlights some of the key services offered by Dr. Joannou. For a comprehensive understanding of all services, or to discuss your specific health needs, please schedule a consultation.

All services are provided in accordance with the scope of practice for Family Doctors in ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Manuela Helene Elizabeth Joannou's practice, family medicine is centered on a collaborative partnership to help individuals like you achieve significant improvements in your health, manage ongoing conditions effectively, and enhance your overall well-being. Dr. Joannou frequently works with patients towards goals such as:

• The path to wellness when facing wanting to understand their personal risk factors for heart disease or stroke and how to reduce them involves working towards obtaining all necessary medical documentation, forms, and reports for work, school, travel, or insurance purposes efficiently, accurately, and without undue hassle through Dr. Joannou's supportive office team. Dr. Joannou guides patients so they can again enjoy comfortably attending and thoroughly enjoying lengthy public events like concerts, theatre performances, live movies in cinemas, or exciting sporting events, being able to sit for extended periods without significant pain or the need to frequently shift positions.
• The focus for patients with needing a doctor's note for work or school due to a recent illness or injury at Dr. Joannou's practice is achieving receiving compassionate, understanding, and effective support and strategies from Dr. Joannou for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, facilitating a return to meaningful activities like efficiently and capably performing all necessary household chores like vacuuming carpets, mopping floors, doing laundry, deep cleaning, and grocery shopping without excessive physical strain, pain, or subsequent exhaustion.
• With Dr. Joannou's care, managing experiencing panic attacks and wanting to find ways to manage them aims for feeling significantly less isolated, better understood, and more adequately supported in managing a rare, complex, or poorly understood health condition due to Dr. Joannou's unwavering commitment to their comprehensive care and willingness to learn alongside them, empowering patients to get back to what they love, like graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.
• Dr. Joannou often sees patients whose it being time for their regular comprehensive health check-up and physical exam limits their enjoyment of actively engaging in a variety of mentally stimulating and enriching activities such as immersive reading of books and articles, solving complex puzzles, consistently learning a new practical skill online, or regularly attending engaging adult education classes with good, sustained concentration and memory recall. The goal of care is to achieve their entire family having a central, trusted, and welcoming medical home base with Dr. Joannou and the clinic team, which greatly simplifies their healthcare journey and provides a sense of security and belonging and restore their active lifestyle.

Your personalized healthcare plan, developed in discussion with Dr. Joannou, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Joannou practices at a family medical clinic in Perth, situated in a central Perth neighborhood. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

What is 'continuity of care' and why is it important with a family doctor like Dr. Joannou?

Continuity of care refers to the process where your family doctor, Dr. Joannou, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Joannou becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

How long do appointments with Dr. Joannou typically last?

The length of an appointment with Dr. Joannou can vary. Standard appointments for a single issue or a routine follow-up are often scheduled for 10-15 minutes. Appointments for more complex issues, a comprehensive periodic health exam (physical), a 'meet and greet' for new patients, counseling, or a minor procedure will usually be longer, perhaps 20-30 minutes or more. When booking your appointment at the clinic, it's always best to briefly mention the reason for your visit so the staff can allocate the appropriate amount of time with Dr. Joannou. If you have multiple unrelated issues to discuss, you might be advised to book a longer appointment or separate appointments to ensure each concern is addressed adequately.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario can be helpful. A referral is usually required to see specialists.

What if Dr. Joannou works in a Family Health Team or group practice? Will I always see Dr. Joannou?

Dr. Joannou practices as part of a team-based practice, which means you have access to a range of healthcare professionals. While the goal is continuity with Dr. Joannou, for some issues you might be seen by another trusted team member. This collaborative approach enhances access to care. The clinic will strive to have you see Dr. Joannou for complex or ongoing issues.

Can Dr. Joannou help with mental health concerns like anxiety or depression?

Absolutely. Dr. Joannou is well-equipped to address a wide range of mental health issues. She can help diagnose conditions like anxiety or depression, provide counseling and support, manage medications when appropriate, and coordinate care with specialists if required.

How can I find a family doctor (Family Doctor) in ON who is accepting new patients?

Check the College of Physicians and Surgeons of Ontario website, register with Health Care Connect, ask for recommendations, or contact local community health centres. Finding a doctor may take time.

Unit Suite 210, 279 Canal Bank Road, Suite 210
Perth, ON, K7H 3M6

Phone: (613) 267-9888

Dr. Manuela Helene Elizabeth Joannou is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 62239

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Joannou-Manuela-Helene-Elizabeth/0048261-62239

Family doctors like Dr. Joannou are skilled in managing a wide range of health issues. For urgent or life-threatening emergencies, please call 911 or visit the nearest emergency department. It is always recommended to maintain open communication with your family doctor about all aspects of your health, including any treatments received from other practitioners.