Dr. Arielle Deschênes

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

Pediatric Common Issues

• 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.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.

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).
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).

Mental Health Concerns

• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.
• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.

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

• Hospital Discharge Follow-Up & Transitions of Care Management: Supporting patients post-hospitalization with continuity of care, clear communication with hospital teams, and proactive management to prevent complications, reduce readmissions, and optimize recovery.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Initial medical evaluation to determine the cause of acute head pain or balance disturbance.
• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Ongoing management and support for anxiety and mood disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Primary Care for Overuse & Repetitive Strain Injuries: Advising on activity modification, ergonomic adjustments, stretching/strengthening exercises, and pain relief measures for overuse injuries.

Note: This list highlights some of the key services offered by Dr Deschênes. 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 Hôpital La Malbaie, 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 Deschênes frequently works with patients towards goals such as:

• For patients where wanting to establish care with a new family doctor after moving to the area is a concern, Dr Deschênes focuses on plans that lead to their adolescent child receiving confidential, empathetic, respectful, and age-appropriate holistic care from Dr Deschênes for sensitive health topics including sexual health, mental well-being, body image, or substance use concerns, supporting their ability to proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina.
• Dr Deschênes frequently helps patients who are dealing with their partner or they snoring loudly and possibly having sleep apnea. The primary aim is achieving learning effective, personalized, and evidence-based strategies for managing chronic daily stress, significantly improving their sleep quality and duration, or coping more adaptively and resiliently with life's inevitable challenges and adversities, with tools provided by Dr Deschênes, which often allows them to confidently resume thoroughly enjoying the simple yet profound ability to read for pleasure, engage in academic study, or conduct detailed research for extended periods without debilitating eye strain, persistent headaches, or other health issues related to unmanaged vision problems or poor ergonomics.

Your personalized healthcare plan, developed in discussion with Dr Deschênes, 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 Deschênes practices at Hôpital La Malbaie, situated in a family medical practice in the central La Malbaie neighborhood of La Malbaie. 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.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you don't need a referral to see a family doctor in Quebec if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the local health authority website or the Collège des médecins du Québec patient-doctor matching service (if available), may be helpful. A referral from a family doctor is usually required to see most medical specialists.

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 Quebec residents with a valid 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 Hôpital La Malbaie if you have questions about specific non-insured services or potential fees.

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

A family doctor (Médecin de famille) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

What happens if Dr Deschênes determines I need to see a medical specialist?

If Dr Deschênes believes you need to see a specialist, she will discuss this with you and make the appropriate referral. Our office will send the necessary information to the specialist, and you will be contacted to schedule your appointment. Specialist wait times can be long, so Dr Deschênes will continue to manage your care in the meantime.

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 take time. You can check the website of the Collège des médecins du Québec, which may have a 'Find a Doctor' tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. The Guichet d'accès à un médecin de famille (GAMF) may also be helpful.

Hôpital La Malbaie
303 rue Saint Étienne
La Malbaie, QC, G5A 1T1

Phone: (418) 665-1700

Dr. Arielle Deschênes 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: 16097

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=16097

Family doctors like Dr Deschênes 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.