Dr. Alexandre Jiang

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

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

Dermatological Skin Conditions

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Assessing symptoms of depression (low mood, loss of interest/pleasure, fatigue, changes in sleep/appetite) and other mood disorders. Offering empathetic supportive counseling, discussing and initiating treatment options including lifestyle interventions, evidence-based antidepressant medications, and facilitating referrals to psychotherapy or psychiatry for moderate to severe or treatment-resistant cases.
• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including education on inhaler/spacer technique, trigger avoidance, development of personalized asthma action plans for home and school), eczema (atopic dermatitis - focusing on skincare, emollients, topical corticosteroids/calcineurin inhibitors, trigger management), and allergic rhinitis (hay fever). Includes initial assessment and guidance for food allergies, with referral to pediatric allergists for confirmation and comprehensive management if indicated.

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Managing lower respiratory tract infections that cause persistent cough (productive or non-productive), chest discomfort, shortness of breath, and fever.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.
• 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.

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

• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Primary care strategies to protect kidney health, including blood pressure control, glycemic control in diabetics, dietary advice (e.g., protein, sodium, potassium considerations), and timely referrals to nephrology.
• Well-Child & Well-Adolescent Visits (Growth & Development): Age-appropriate developmental screenings, health supervision, and lifestyle counseling for children and teenagers, ensuring they meet key milestones.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: Diagnosing and treating common causes of acute digestive upset, and offering supportive care to prevent complications.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Management of uncomplicated musculoskeletal injuries and skin wounds in a primary care setting, with referrals to specialized care when necessary.
• Eating Disorder Screening & Referral Coordination: Primary care role in early recognition of eating disorders and ensuring patients access comprehensive treatment pathways.

Note: This list highlights some of the key services offered by Dr Jiang. 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 Médecin de familles in QC and the ethical and professional standards set by The Collège des médecins du Québec (CMQ).

At Hôpital de La Tuque, 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 Jiang frequently works with patients towards goals such as:

• Through Dr Jiang's guidance, patients with needing a physician's signature for a disability parking permit application often find they can achieve experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr Jiang's diligent, guideline-based monitoring and timely therapeutic adjustments and once again pursue feeling physically strong, mentally resilient, and emotionally capable of consistently handling the often unpredictable and demanding day-to-day responsibilities of active parenting, grand-parenting, or intensive caregiving roles.
• Dr Jiang supports patients through experiencing sudden flashes of light or floaters in their vision, aiming for outcomes like their child's academic performance or social engagement noticeably improving after Dr Jiang played a key role in identifying and initiating management for underlying health conditions, attention issues, or learning differences, so they can return to activities such as compassionately providing meaningful emotional, practical, and sometimes physical support to close friends, extended family members, or community acquaintances who may be going through their own difficult times or personal crises.

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

Dr Jiang's practice at Hôpital de La Tuque is situated in a family medical practice in the central La Tuque neighborhood of La Tuque. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What exactly is a family doctor (Médecin de famille) 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.

How often should I see Dr Jiang for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr Jiang can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr Jiang follows. It's best to discuss your individual needs with Dr Jiang to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

What should I do if I have an urgent medical issue when Hôpital de La Tuque is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until Hôpital de La Tuque reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with Hôpital de La Tuque or Dr Jiang during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(819) 523-4581] may also provide instructions or resources for after-hours care.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you do not need a referral from another doctor to see a family doctor in Quebec if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can sometimes be challenging, and provincial resources may be helpful. A referral is usually required from a family doctor to see most medical specialists.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

You can check the website of the Collège des médecins du Québec, which often has a 'Find a Doctor' tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It can be challenging and may take time to find a family doctor who is accepting new patients.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary visits to a family doctor are typically covered by the Régie de l'assurance maladie du Québec (RAMQ) for eligible residents with a valid provincial health card. Some services, such as cosmetic procedures or sick notes for work/school, may not be covered and might have an associated fee. Please confirm with Hôpital de La Tuque if you have questions about specific non-insured services or potential fees.

How do I get a prescription refilled by Dr Jiang?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr Jiang's office. Please allow at least 2-3 business days for these requests to be processed. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr Jiang, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

Hôpital de La Tuque
885 boul Ducharme
La Tuque, QC, G9X 3C1

Phone: (819) 523-4581

Dr. Alexandre Jiang is regulated by the Code des professions & Loi médicale (Québec) in QC and is a registered member in good standing with The Collège des médecins du Québec (CMQ).

Registration Number: 17464

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17464

Family doctors like Dr Jiang 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.