Dr. Barnabas Nwarbebe Njozing

Dr. Barnabas Nwarbebe Njozing 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

• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.

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): 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.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.

Common Acute Conditions

• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Managing acute episodes of vomiting and diarrhea to support recovery, ensure adequate hydration, and rule out more serious underlying causes.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Addressing common symptoms of UTIs and providing effective, evidence-based treatment to eradicate the infection and restore urinary health.

Mental Health Concerns

• 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.
• 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.
• 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 Njozing. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Providing a safe and understanding space to navigate the complex emotional, cognitive, and physical reactions to loss, and connecting with specialized bereavement services or support groups if needed.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Providing comprehensive assessment, empathetic counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common mental health conditions.
• 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.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Supporting the unique physical, emotional, and social health needs of adolescents during a critical period of development.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Supporting families by addressing developmental and behavioral questions with empathy, offering practical advice, and facilitating access to necessary assessments and support services.

Note: This list highlights some of the key services offered by Dr Njozing. 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 ForceMedic Lasalle, Office, 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 Njozing frequently works with patients towards goals such as:

• Addressing a tick bite and concerns about Lyme disease, especially after hiking with Dr Njozing often leads to managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr Njozing's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, enabling patients to more freely engage in 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.
• The focus for patients with shortness of breath that comes on suddenly or is worse than their usual asthma/COPD at Dr Njozing's practice is achieving their teenager demonstrating a smoother and more confident transition into managing their own health responsibilities and navigating the adult healthcare system, thanks to ongoing guidance and mentorship from Dr Njozing, facilitating a return to meaningful activities like feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations.

Your personalized healthcare plan, developed in discussion with Dr Njozing, 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 Njozing's practice at ForceMedic Lasalle, Office, is situated in a family medical practice in the central LaSalle neighborhood of LaSalle. 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.

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

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr Njozing. After assessing your condition, if Dr Njozing believes specialist care is necessary for diagnosis or management, he will discuss this with you and make the appropriate referral. Our office will handle sending the required information to the specialist. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can sometimes be long, so Dr Njozing will continue to manage your care and provide support in the interim.

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 in Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to utilize resources such as the website of the Collège des médecins du Québec, which may have a physician search tool, or to contact local community health centres. A referral from a family doctor is usually required to see most medical specialists.

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

Your family doctor (Quebec) 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.

How long do appointments with Dr Njozing typically last?

The length of an appointment with Dr Njozing 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 ForceMedic Lasalle, Office, it's always best to briefly mention the reason for your visit so the staff can allocate the appropriate amount of time with Dr Njozing. 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 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 and effort. The Collège des médecins du Québec may have a 'Find a Doctor' tool on their website. You can also try contacting local community health centres or CLSCs (Centres locaux de services communautaires) directly. Asking friends, family, or colleagues for recommendations is another good approach. Be persistent, as it may take time to secure an appointment.

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

The recommended frequency for check-ups or periodic health exams with Dr Njozing varies 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 Njozing follows. It's best to discuss your individual needs with Dr Njozing 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 (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, such as cosmetic procedures or certain types of medical notes, may not be covered and might have an associated fee. Please confirm with ForceMedic Lasalle, Office if you have questions about specific services and coverage.

What if Dr Njozing works in a Family Health Team or group practice? Will I always see Dr Njozing?

Dr. Njozing practices as part of ForceMedic Lasalle, Office, which means you have access to a range of healthcare professionals. While the goal is to promote continuity with your primary family doctor, Dr. Njozing, for some routine follow-ups or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care. The clinic will always strive to have you see Dr. Njozing for complex or ongoing issues.

ForceMedic Lasalle, Office
2229 av Dollard
LaSalle, QC, H8N 1S2

Phone: (514) 365-5885

Dr. Barnabas Nwarbebe Njozing 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: 20667

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20667

Family doctors like Dr Njozing 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.