Dr. Audrey Smith

Dr. Audrey Smith 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

• Type 2 Diabetes Mellitus & Prediabetes: Proactive, team-based care (often involving dietitians, diabetes educators, pharmacists) for type 2 diabetes and prediabetes, aiming to achieve optimal glycemic control, reduce cardiovascular risk, and improve overall quality of life.
• 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.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• 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.
• 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.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.

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).
• 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: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• 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).

Preventative Health Topics

• 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.
• 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.
• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.

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

• Management of Common Adult Acute & Chronic Illnesses: Providing continuous medical care for adult health issues, from sudden illnesses to long-term conditions, ensuring appropriate treatment and follow-up.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Connecting you with the most suitable medical experts and services for further investigation, management, or treatment of complex or specific conditions, ensuring clear communication of referral reasons and relevant history.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Supporting patients through the grieving process with empathy, validation, and practical advice for coping and finding meaning.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): Initial assessment and ongoing management for ADHD in children, adolescents, and adults, which may involve diagnostic screening tools, collaboration with schools/families, behavioral strategies, lifestyle coaching, medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases or co-occurring conditions.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Administering a full range of routine childhood and adult immunizations, booster shots (e.g., tetanus, pertussis), seasonal flu vaccines, and common travel vaccinations (e.g., Hepatitis A/B, Typhoid) to protect against preventable infectious diseases.

Note: This list highlights some of the key services offered by Dr Smith. 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 CSSS du Rocher Percé, 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 Smith frequently works with patients towards goals such as:

• When a recurring ear infection, or their child tugging at their ear and being fussy impacts daily life, Dr Smith helps patients strive for feeling genuinely and consistently supported by Dr Smith during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member, making activities such as consistently keeping all appointments for essential preventative dental care, vision checks, hearing tests, and other important allied health services as part of a comprehensive approach to their overall health maintenance possible again.
• Many patients have successfully addressed preparing for international travel and needing advice on health precautions, necessary vaccinations, or malaria prevention with Dr Smith's support. This often leads to successfully achieving their specific, meaningful, and personal health goals, whether it's achieving sustainable and healthy weight management, successfully quitting smoking or vaping after multiple attempts, consistently maintaining improved physical fitness levels, or achieving significantly better daily pain control and function and the ability to fully participate in 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 once more.

Your personalized healthcare plan, developed in discussion with Dr Smith, 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. Smith practices at CSSS du Rocher Percé, situated in a family medical practice in the central Chandler neighborhood of Chandler. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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 (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with CSSS du Rocher Percé if you have questions about specific non-insured services or potential fees.

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

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 new patient clinics directly may also yield results. Finding a family doctor who is accepting new patients can be challenging and may take time.

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 (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.

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 if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like the local health authority website or the Collège des médecins du Québec patient-doctor matching service (if available) may be helpful. A referral is usually required from a family doctor to see most medical specialists.

CSSS du Rocher Percé
633 rue Daigneault
Chandler, QC, G0C 1K0

Phone: (418) 689-2572

Dr. Audrey Smith 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: 91016

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=91016

Family doctors like Dr Smith 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.