Dr. Aref Sasi

Dr. Aref Sasi 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

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.
• 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.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.

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.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Performing comprehensive driver's medicals to ensure individuals meet the health standards necessary for safe vehicle operation, promoting road safety for all.
• Travel Medicine Advice & Routine/Travel Vaccinations: Offering essential travel health services and tailored advice to protect your health while abroad, based on current international health regulations, CDC/WHO recommendations, and your specific travel plans.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.

Common Chronic Conditions

• 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.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.
• 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.
• Type 2 Diabetes Mellitus & Prediabetes: Managing all aspects of type 2 diabetes and prediabetes with personalized treatment plans. This includes regular blood sugar monitoring (self-monitoring, A1c, continuous glucose monitoring (CGM) discussion), prescription and adjustment of medications (oral hypoglycemics, GLP-1 agonists, SGLT2 inhibitors, insulin), comprehensive diet and exercise counseling, and proactive screening and management of diabetes-related complications (retinopathy, nephropathy, neuropathy, foot problems, cardiovascular disease).

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.
• 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.
• 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).
• 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).

Common Acute Conditions

• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Providing advice on RICE/POLICE principles (Rest/Protection, Optimal Loading, Ice, Compression, Elevation), pain relief options (analgesics, NSAIDs, heat/cold therapy), and gentle exercises for acute soft tissue injuries to promote healing.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).

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

• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Creating a safe, non-judgmental, and supportive healthcare environment for teenagers to discuss their health concerns, receive accurate information, and develop healthy decision-making skills.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Assessing and treating acute conditions like common colds, influenza (flu), sore throats (including strep throat), ear infections (otitis media), sinus infections, bronchitis, uncomplicated pneumonia, urinary tract infections (UTIs), skin infections (e.g., cellulitis, impetigo), and gastroenteritis.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Providing pre-travel consultations for individuals travelling to common international destinations. This includes risk assessment based on itinerary, advice on food and water safety, insect bite prevention (malaria, dengue, Zika), altitude sickness prevention, and administration of necessary routine and travel-specific vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if certified). Complex itineraries may require referral.
• Comprehensive Periodic Health Exams (Check-ups): Thorough health assessments tailored to age and gender, including physical examination, review of health history, risk factor assessment, and discussion of preventative strategies.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Providing in-office joint injections to alleviate symptoms and improve function in selected musculoskeletal conditions.

Note: This list highlights some of the key services offered by Dr. Sasi. 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 Dr. Aref Sasi'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. Sasi frequently works with patients towards goals such as:

• Through Dr. Sasi's guidance, patients with wanting to understand if genetic testing is appropriate for them based on family history often find they can achieve their entire family having a central, trusted, and welcoming medical home base with Dr. Sasi and the clinic team, which greatly simplifies their healthcare journey and provides a sense of security and belonging and once again pursue being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection.
• For patients where experiencing unexplained bruising more easily than before is a concern, Dr. Sasi focuses on plans that lead to receiving necessary, appropriate, and well-coordinated timely referrals to highly-regarded specialists or specialized programs, leading to advanced specialized diagnosis, cutting-edge treatment, or valuable second opinions when required for complex or rare health issues, all facilitated by Dr. Sasi, supporting their ability to confidently enjoying a varied, balanced, and largely unrestricted diet (unless medically indicated for very specific diagnosed conditions like celiac disease or severe allergies) without undue fear of triggering adverse reactions, pain, or significant digestive distress.
• When a follow-up visit after being discharged from the hospital for an illness or surgery to ensure recovery is on track affects a patient's ability to 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, Dr. Sasi works with them to develop a plan. Success means reaching having their children's physical growth parameters, crucial cognitive and language development, and social-emotional well-being consistently and meticulously monitored by Dr. Sasi during regular well-child visits, with any emerging concerns or developmental deviations addressed promptly, appropriately, and effectively and getting back to their valued pursuits.

Your personalized healthcare plan, developed in discussion with Dr. Sasi, 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. Sasi practices at a family medical clinic in Vancouver, situated in the Yaletown, Downtown South neighborhood of Vancouver. The clinic is conveniently located near Granville Bridge and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). 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 the clinic 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 our clinic 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 our clinic or Dr. Sasi during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(604) 638-7546] may also provide instructions or resources for after-hours care.

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

Finding a family doctor in BC who is accepting new patients can be challenging. The College of Physicians and Surgeons of BC website 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 may take time to find a suitable doctor.

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 that doctor is accepting new patients. However, finding a doctor accepting new patients can be difficult. Provincial resources, such as the College of Physicians and Surgeons of BC website, may be helpful. A referral from a family doctor is usually required to see specialists.

How long do appointments with Dr. Sasi typically last?

The length of an appointment with Dr. Sasi can vary. Standard appointments for a single issue or a routine follow-up are often scheduled for 10-15 minutes. Appointments for more complex issues, a comprehensive periodic health exam (physical), a 'meet and greet' for new patients, counseling, or a minor procedure will usually be longer, perhaps 20-30 minutes or more. When booking your appointment at the clinic, it's always best to briefly mention the reason for your visit so the staff can allocate the appropriate amount of time with Dr. Sasi. If you have multiple unrelated issues to discuss, you might be advised to book a longer appointment or separate appointments to ensure each concern is addressed adequately.

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

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. Sasi's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Sasi. 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. Sasi, 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.

What exactly is a family doctor (Family Doctor) 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.

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, 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 our clinic if you have questions about specific services or potential fees.

803 Davie St, DermaPure
Vancouver, BC, V6Z 1B7

Phone: (604) 638-7546

Dr. Aref Sasi 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: 67826

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/340162/Sasi%2CAref

Family doctors like Dr. Sasi 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.