Dr. Barbara Ann Main

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

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.

Preventative Health Topics

• Weight Management & Obesity Prevention/Treatment: Supporting individuals in achieving and maintaining a healthy body weight through non-stigmatizing, patient-centered approaches that focus on sustainable lifestyle habits, improved metabolic health, and overall well-being rather than solely on rapid weight loss or restrictive dieting.
• 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.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Primary care support for general occupational health questions, routine employment-related medical screenings, and facilitating a safe return to work after illness or injury.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.

Common Chronic Conditions

• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• 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).
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.

Mental Health Concerns

• 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.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Supporting individuals experiencing persistent worry, panic attacks, social phobia, or generalized anxiety with a patient-centered and collaborative approach to care, focusing on symptom reduction and functional improvement.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.

Dermatological Skin Conditions

• 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.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.

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

• Coordination with Allied Health Professionals & Community Health Services: Facilitating access to a broad network of allied health and community services to support your overall health plan, recovery, rehabilitation, and long-term management needs.
• Comprehensive Periodic Health Exams (Check-ups): Regularly scheduled check-ups to monitor overall health, update immunizations, perform age-appropriate screenings, and provide personalized lifestyle counseling.
• Evaluation of Acute Musculoskeletal Injuries (Sprains, Strains): Providing initial care for recent musculoskeletal trauma to support healing, reduce inflammation, and facilitate a safe return to activity.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Interpreting test results in the context of your overall clinical picture, discussing their implications with you clearly, and arranging appropriate follow-up or further investigation.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Working with patients to manage their kidney health through regular check-ups, proactive interventions, and education on preserving kidney function.

Note: This list highlights some of the key services offered by Dr. Main. 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 Fraternal Order Of Eagles, 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. Main frequently works with patients towards goals such as:

• Overcoming or managing their baby needing their scheduled well-baby visit to check growth and get their important vaccinations is a common patient journey at Dr. Main's practice. The focus is on enabling experiencing significant and prompt relief from debilitating acute symptoms like severe pain, high fever, intractable coughs, or distressing allergic reactions, allowing a swift return to their daily activities, work, and family responsibilities, so that engaging in successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations becomes a reality again.
• For patients where experiencing frequent or severe headaches or migraines that are disrupting their work and family life is a concern, Dr. Main focuses on plans that lead to successfully managing their multiple (often complex) medications with significantly fewer side effects, demonstrably better adherence to the prescribed regimen, and a much clearer understanding of each medication's specific purpose, benefits, and potential interactions, thanks to Dr. Main's careful oversight, supporting their ability to adeptly managing daily life stressors, unexpected personal challenges, and demanding professional pressures in a healthy, resilient, constructive, and adaptive way, maintaining emotional equilibrium.
• With Dr. Main's care, managing a persistent sore or ulcer in their mouth that isn't healing aims for seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr. Main's ongoing education, consistent encouragement, and positive role modeling, empowering patients to get back to what they love, like consistently maintaining good, ergonomic posture and avoiding musculoskeletal discomfort while working for extended periods at a computer station, office desk, or in other sedentary job roles.

Your personalized healthcare plan, developed in discussion with Dr. Main, 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. Main's practice at Fraternal Order Of Eagles is located in the Penticton Central, South End, Kaledon, Okanagan Falls, Naramata Bench (Rural South) neighborhood of Penticton. The clinic is conveniently located near Cascades Casino and is accessible via South Okanagan-Similkameen Transit System (BC Transit). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Does Dr. Barbara Ann Main at Fraternal Order Of Eagles offer virtual (video) or phone appointments?

Yes, Dr. Main at Fraternal Order Of Eagles 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. Main if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Fraternal Order Of Eagles regarding any potential fees for uninsured virtual services.

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. She serves 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.

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

The recommended frequency for check-ups or periodic health exams with Dr. Main 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. Main follows. It's best to discuss your individual needs with Dr. Main 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 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. 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. Confirm with Fraternal Order Of Eagles if you have questions about specific non-insured services or potential fees.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Main?

Your first appointment with Dr. Main is an important opportunity to establish care. She will likely review your detailed medical history, including past illnesses, surgeries, allergies, immunizations, and family health history. She will also want to discuss your current health concerns, any medications you are taking (prescription, over-the-counter, supplements), and your lifestyle habits (diet, exercise, smoking, alcohol use). A basic physical examination may be performed. This visit is also a chance for you to ask questions about Dr. Main's practice style and for her to explain clinic policies (e.g., booking appointments, prescription refills, communication). The main goal is to gather comprehensive baseline information to provide you with the best possible ongoing care.

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

Generally, you don't 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 a local health authority website or the College of Physicians and Surgeons of BC patient-doctor matching service) may be helpful. A referral *is* usually required from a family doctor to see most medical specialists.

What does 'preventative care' involve with a family doctor like Dr. Main?

Preventative care with Dr. Main focuses on keeping you healthy and identifying potential health problems before they become serious or cause symptoms. This involves services tailored to your age, gender, and risk factors, such as routine check-ups, age-appropriate cancer screenings, immunizations, blood pressure and cholesterol checks, screening for diabetes, counseling on healthy lifestyle choices, and risk assessments. The primary goal is to prevent illness, detect diseases early, and promote your long-term health and well-being.

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

Check the College of Physicians and Surgeons of BC website. They often have a 'Find a Doctor' tool. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time.

Fraternal Order Of Eagles
148 Oliver Pl
Penticton, BC, V2A 0H1

Phone: (250) 460-1732 | Website: http://www.bcfoe.com/

Dr. Barbara Ann Main 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: 24674

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/311637/Main%2CBarbara

Family doctors like Dr. Main 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.