Dr. Alkarim Nurdin Kassam Karmali – Family Doctor | Maple Ridge, BC

Dr. Alkarim Nurdin Kassam Karmali is a Family Doctor. Practicing at Ridge Meadows Hospital in Maple Ridge, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His 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. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Alkarim Nurdin Kassam Karmali completed his MB ChB (University of Sheffield Medical School, 1981). He brings valuable clinical experience to the practice. He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. He provides consultations in English.

Dr. Alkarim Nurdin Kassam Karmali 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

• 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.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Managing acute episodes of vomiting and diarrhea to support recovery, ensure adequate hydration, and rule out more serious underlying causes.

Common Chronic Conditions

• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.
• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.

Joint Muscle Pain

• 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): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• 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).

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• 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).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.

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

• Coordination with Allied Health Professionals & Community Health Services: Referring to and collaborating effectively with other healthcare providers integral to comprehensive care, such as physiotherapists, occupational therapists, dietitians, psychologists, social workers, speech-language pathologists, chiropractors, pharmacists, optometrists, audiologists, and various community support services (e.g., home care, mental health teams, diabetes education programs, addiction services, public health units).
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Diagnosing and providing primary care management for common musculoskeletal issues such as osteoarthritis, mechanical low back pain, neck pain, rotator cuff tendinopathy, bursitis, and other non-specific joint or muscle pain.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Interpreting test results in the context of your overall clinical picture, discussing their implications with you clearly, and arranging appropriate follow-up or further investigation.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Performing objective medical assessments for various administrative or regulatory requirements.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Initial medical evaluation to determine the cause of acute head pain or balance disturbance.

Note: This list highlights some of the key services offered by Dr. Karmali. 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 BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Ridge Meadows Hospital, 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. Karmali frequently works with patients towards goals such as:

• Dr. Karmali assists individuals in navigating preparing for international travel and needing advice on health precautions, necessary vaccinations, or malaria prevention. A successful outcome, like their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Karmali, means they can get back to effectively and independently managing their personal budget, complex financial responsibilities, investment decisions, or household bill payments with sustained mental acuity and organizational skill.
• For those challenged by feeling a lump in their breast or armpit that needs to be examined, Dr. Karmali offers strategies to reach getting timely, astute, and accurate diagnoses for puzzling, unusual, or concerning symptoms from Dr. Karmali, leading to the prompt initiation of appropriate treatment pathways and significantly alleviating anxiety and uncertainty, which can mean rediscovering the joy of simply and thankfully getting through each and every day without their physical or mental health being a primary, constant source of pervasive worry, nagging discomfort, significant functional limitation, or a barrier to their desired activities.
• With Dr. Karmali's care, managing needing advice on managing their child's ADHD medication or school accommodations aims for their teenager demonstrating a smoother and more confident transition into managing their own health responsibilities and navigating the adult healthcare system, thanks to ongoing guidance and mentorship from Dr. Karmali, empowering patients to get back to what they love, like consistently driving safely, alertly, and comfortably for all necessary daily errands, regular commuting to work or school, or for longer leisure trips and family visits, without physical strain or cognitive impairment.

Your personalized healthcare plan, developed in discussion with Dr. Karmali, 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. Karmali practices at Ridge Meadows Hospital, located in the Central Maple Ridge, Haney neighborhood of Maple Ridge. The clinic is conveniently located near access to the Golden Ears Bridge and is accessible via TransLink (Bus, West Coast Express). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Generally, you do not need a referral to see a family doctor in BC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the local health authority website or The College of Physicians and Surgeons of BC may be helpful. A referral from a family doctor is usually required to see specialists.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and may have associated fees. Please confirm with Ridge Meadows Hospital if you have questions about specific non-insured services or potential fees.

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

Check the website of The College of Physicians and Surgeons of BC, which often has a "Find a Doctor" tool. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics directly. Finding a doctor may take time.

What does 'preventative care' involve with a family doctor like Dr. Karmali?

With Dr. Karmali, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr. Karmali works with you to create a personalized prevention plan.

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

Your family doctor (in British Columbia) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

How do I get a prescription refilled by Dr. Karmali?

For most prescription refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr. Karmali's office. Allow 2-3 business days for processing. For certain medications (e.g., narcotics) or if it has been a while since your last review, an appointment will be required. It is always best to request refills proactively.

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

Yes, Dr. Karmali plays a crucial role in mental healthcare. He can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate, and make referrals to specialized mental health services if needed. He can provide ongoing support and management for many common mental health conditions.

Ridge Meadows Hospital
11915 224 St, Fraser Medical Clinic
Maple Ridge, BC, V2X 6B2

Phone: (604) 463-1300

Dr. Alkarim Nurdin Kassam Karmali is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 4208

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/304787/Karmali%2CAlkarim

Family doctors like Dr. Karmali 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.