Dr. Annie Rivest

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

Dermatological Skin Conditions

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Preventative Health Topics

• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.

Common Chronic Conditions

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Long-term support and care for managing the symptoms of degenerative joint disease and other chronic musculoskeletal pain, focusing on self-management and maintaining an active lifestyle.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Diagnosing IBS based on symptom criteria after ruling out other conditions, and providing primary care management strategies including dietary advice (e.g., low FODMAP diet introduction, fiber management), lifestyle modifications, stress reduction techniques, and symptomatic treatment for abdominal pain, bloating, diarrhea, and/or constipation.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, thyroid antibodies) to maintain optimal thyroid function and well-being.

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

• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.
• Patient Education on Specific Health Conditions & Self-Management: Educational resources and discussions to help you navigate your health journey confidently and make informed decisions.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Assessing new or sudden onset headaches or dizziness to differentiate between common causes (e.g., tension headache, migraine, benign positional vertigo) and more serious underlying conditions, providing initial management and referral if indicated.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Ongoing management of stable cardiovascular conditions like coronary artery disease (CAD), congestive heart failure (CHF), and atrial fibrillation (AFib), often in collaboration with cardiologists, focusing on medication optimization (e.g., anticoagulants for AFib), risk factor reduction, symptom monitoring, and patient education.
• Eating Disorder Screening & Referral Coordination: Screening for signs and symptoms of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder) during routine visits or when concerns arise. Providing initial support and psychoeducation, and facilitating timely referrals to specialized eating disorder programs, dietitians, and mental health professionals.

Note: This list highlights some of the key services offered by Dr Rivest. 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 GMF Saint-Paul, 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 Rivest frequently works with patients towards goals such as:

• Many seek Dr Rivest's help for a persistent sore or ulcer in their mouth that isn't healing. The collaborative goal is having their specific concerns about a child's unique developmental trajectory, learning style, or challenging behavior addressed by Dr Rivest with appropriate, validated screening tools, initial guidance, and highly effective, timely referrals to specialists or community programs when indicated, allowing a return to valued activities like actively participating in ongoing professional development activities, industry conferences, or learning new, marketable skills for their current career path or potential future career transitions.
• If ongoing digestive issues like persistent heartburn after meals, uncomfortable bloating, or frequent stomach upset is a barrier, Dr Rivest develops strategies aimed at their children developing a consistently positive attitude towards healthcare interactions and feeling remarkably comfortable, safe, and trusting during medical check-ups, immunizations, and even minor procedures with Dr Rivest, facilitating the ability to enjoy successfully maintaining a clean, organized, and uncluttered living space that actively contributes to their sense of calm, mental clarity, physical safety, and overall feelings of well-being at home.

Your personalized healthcare plan, developed in discussion with Dr Rivest, 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 Rivest practices at GMF Saint-Paul, located in the Repentigny West neighborhood of Repentigny. The clinic is conveniently located near Autoroute 40 Access and is accessible via exo (Secteur L'Assomption). Street parking and nearby public or paid lots typically offer convenient options for visitors.

What should I do if I have an urgent medical issue when GMF Saint-Paul 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 GMF Saint-Paul 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 GMF Saint-Paul or Dr Rivest during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(450) 585-3235] 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 the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the Guichet d'accès à un médecin de famille (GAMF), 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 try checking the website of the Collège des médecins du Québec, which may have a "Find a Doctor" tool. 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 directly may also yield results. Finding a family doctor can take time and effort.

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 RAMQ for eligible residents with a valid health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have associated fees. Please confirm with GMF Saint-Paul if you have questions about specific services.

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, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and coordinating your care with specialists when necessary. Building long-term relationships with patients is a key aspect of their role.

GMF Saint-Paul
200-447 rue Saint-Paul
Repentigny, QC, J5Z 0C9

Phone: (450) 585-3235

Dr. Annie Rivest 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: 98164

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=98164

Family doctors like Dr Rivest 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.