Dr. Ana-Maria Grama

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

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.

Common Chronic Conditions

• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions, including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.
• 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.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Creating a safe, non-judgmental, and youth-friendly healthcare environment where teenagers feel comfortable discussing their health concerns openly, receive accurate information, build a trusting relationship with their doctor, and are empowered to take charge of their health.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.

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

• Insomnia & Sleep Disorder Management (Primary Care Approach): Comprehensive management of common sleep disorders to restore restorative sleep patterns and improve overall health and alertness.
• 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.
• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.
• Hospital Discharge Follow-Up & Transitions of Care Management: Providing prompt and comprehensive follow-up care after hospital stays, emergency room visits, or specialist procedures to ensure a smooth and safe transition back to the community. This includes medication reconciliation, review of discharge summaries and specialist reports, management of ongoing issues, addressing any new concerns, and coordination of any further treatment, rehabilitation, or home care services.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Offering compassionate support, active listening, and initial counseling for individuals experiencing grief due to the loss of loved ones, significant life transitions, or other forms of bereavement.

Note: This list highlights some of the key services offered by Dr Grama. 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 ELNA Médical — Pierrefonds, 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 Grama frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr Grama about wanting to discuss fertility concerns or get initial advice before trying to conceive is to achieve successfully and completely completing a course of treatment for an acute infection (like pneumonia or a significant skin infection) or a new condition under Dr Grama's diligent, meticulous care and important follow-up monitoring. This success paves the way for them to re-engage with effectively and independently managing their personal budget, complex financial responsibilities, investment decisions, or household bill payments with sustained mental acuity and organizational skill.
• Patients experiencing wanting reliable advice and a realistic plan on how to eat healthier, manage their weight better, or start exercising safely often seek Dr Grama's help to improve their quality of life. A key goal is their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from Dr Grama, supporting their return to activities like feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations.

Your personalized healthcare plan, developed in discussion with Dr Grama, 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 Grama's practice at ELNA Médical — Pierrefonds is situated in a family medical practice in the central Pierrefonds neighborhood of Pierrefonds. 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.

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

Finding a family doctor in Quebec who is accepting new patients can be challenging. The Collège des médecins du Québec often has a "Find a Doctor" tool or list on their website. You can also use the Guichet d'accès à un médecin de famille (GAMF). Asking friends, family, or colleagues for recommendations is also helpful. Contacting local community health centres or clinics that specifically mention accepting new patients is another avenue to explore. It may take time and persistence.

What should I do if I have an urgent medical issue when ELNA Médical — Pierrefonds 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 ELNA Médical — Pierrefonds 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 ELNA Médical — Pierrefonds or Dr Grama during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(514) 684-0474] 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 to see a family doctor in Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like the Guichet d'accès à un médecin de famille (GAMF) or the Collège des médecins du Québec website may be helpful in your search. A referral from a family doctor is usually required to see specialists.

What exactly is a family doctor (Médecin de famille) and what is their role?

Your family doctor (Médecin de famille) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. She 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 she provides, understanding your health history and individual needs, is fundamental to effective family medicine.

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. 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 ELNA Médical — Pierrefonds if you have questions about specific services or potential fees.

ELNA Médical — Pierrefonds
50-12774 Boul Gouin O
Pierrefonds, QC, H8Z 1W5

Phone: (514) 684-0474

Dr. Ana-Maria Grama 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: 19095

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=19095

Family doctors like Dr Grama 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.