Dr. Anupa Gnawali – Family Doctor | Cochrane, AB

Dr. Anupa Gnawali is a Family Doctor. Practicing at a family doctor practice in Cochrane, AB, they are dedicated to providing high-quality, comprehensive, and patient-centered family medical care. They are registered with The College of Physicians & Surgeons of Alberta (CPSA) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Dr. Gnawali's role focuses on 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. They serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Anupa Gnawali completed their MB ChB (South Africa, 2016). They brings valuable clinical experience to the practice. They has developed skills or a strong interest in areas such as comprehensive primary care within family practice. They is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of their practice philosophy include fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness. They is fluent in English and also offers consultations in Afrikaans, Nepali and Xhosa.

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

Common Chronic Conditions

• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.

Adult Common Health Issues

• 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).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• 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.

Mental Health Concerns

• 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: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Providing primary care support for individuals and families navigating the challenges of ADHD, helping to optimize focus, reduce impulsivity/hyperactivity, improve executive functioning, and enhance overall quality of life and academic/occupational success.

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.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.

Pediatric Common Issues

• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.

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

• Urgent Care for Non-Life-Threatening Conditions: Providing assessment and management for urgent medical issues that are not life-threatening but require prompt attention, such as minor allergic reactions, asthma flare-ups, or infections needing timely treatment.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Differentiating between benign and suspicious skin lesions, with prompt biopsy or referral to dermatology if skin cancer is suspected.
• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Coordinating appropriate cancer screening tests tailored to your age, gender, family history, and individual risk factors, facilitating early detection.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Facilitating timely and appropriate referrals to a wide range of medical specialists (e.g., cardiologists, dermatologists, gastroenterologists, neurologists, oncologists, pediatricians, psychiatrists, surgeons, etc.), subspecialists, and specialized diagnostic or treatment programs when specialized expertise or intervention is required beyond the scope of primary care.
• Well-Child & Well-Adolescent Visits (Growth & Development): Routine check-ups for infants, children, and adolescents to monitor physical growth, cognitive and social-emotional development, and provide anticipatory guidance to parents/guardians.

Note: This list highlights some of the key services offered by Dr. Gnawali. 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 AB and the ethical and professional standards set by The College of Physicians & Surgeons of Alberta (CPSA).

At Dr. Anupa Gnawali'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. Gnawali frequently works with patients towards goals such as:

• If their elderly relative seeming more confused or withdrawn lately is a barrier, Dr. Gnawali develops strategies aimed at their entire family feeling much better prepared for common health emergencies or accidents after discussing age-appropriate safety plans, basic first aid, and when to seek urgent care with Dr. Gnawali, facilitating the ability to enjoy regularly attending and actively participating in religious services, meaningful cultural events, important community group meetings, or engaging hobby clubs, feeling socially connected, included, and valued.
• Patients often come to Dr. Gnawali regarding feeling a lump in their breast or armpit that needs to be examined. Working together, they aim for navigating the unique physical and emotional journey of pregnancy, childbirth, and the demanding postpartum period with excellent, comprehensive, and reassuring medical guidance, continuity of care, and unwavering supportive care from Dr. Gnawali, making a return to making consistently informed, conscious, and positive decisions about their daily diet, overall nutrition, optimal hydration, and mindful eating habits for sustained energy and peak physical health feasible.

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

Dr. Gnawali's practice is located at a family medical clinic in Cochrane, situated in a family medical practice in the central Cochrane neighborhood of Cochrane. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

Finding a family doctor in Alberta who is accepting new patients can be challenging. The College of Physicians and Surgeons of Alberta often has a "Find a Doctor" tool or list on their website that you can check. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or clinics directly that specialize in accepting new patients may also be helpful. It may take time and persistence to secure a family doctor.

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

Your family doctor (Alberta) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

Does Dr. Gnawali at your clinic offer virtual (video) or phone appointments?

Yes, Dr. Gnawali at our clinic offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Gnawali if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

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

The recommended frequency for check-ups or periodic health exams with Dr. Gnawali 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. Gnawali follows. It's best to discuss your individual needs with Dr. Gnawali 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.

Is seeing a family doctor (Family Doctor) covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary visits to a family doctor are typically covered by the Alberta Health Care Insurance Plan (AHCIP) for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, 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 non-insured services or potential fees.

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

Generally, you do not need a referral to see a family doctor in Alberta 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 College of Physicians and Surgeons of Alberta website, may be helpful in locating a doctor. A referral from a family doctor is usually required to see most medical specialists.

How long do appointments with Dr. Gnawali typically last?

Typically, a regular appointment with Dr. Gnawali to discuss a specific health concern or for a follow-up lasts about 10 to 15 minutes. However, if you are a new patient, scheduled for a complete physical exam, or need to discuss multiple or complex health matters, the appointment will likely be scheduled for a longer duration, such as 30 minutes. Please inform the reception staff at the clinic about the nature of your visit when booking, so sufficient time with Dr. Gnawali can be arranged.

120 5 Th Ave W
Cochrane, AB, T4C 0G7

Phone: (403) 981-1999

Dr. Anupa Gnawali is regulated by the Health Professions Act (Alberta) in AB and is a registered member in good standing with The College of Physicians & Surgeons of Alberta (CPSA).

Registration Number: 034576

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=2c0fc7b0-cbda-4ba1-9c32-caf186c140f4&i=528

Family doctors like Dr. Gnawali 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.