Dr. Brian William Vickers

Dr. Brian William Vickers 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.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• 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.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.

Preventative Health Topics

• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• 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.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• 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.

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).
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.
• 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.

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

• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Ongoing management of stable cardiovascular conditions like coronary artery disease (CAD), congestive heart failure (CHF), and atrial fibrillation (AFib), often in collaboration with cardiologists, focusing on medication optimization (e.g., anticoagulants for AFib), risk factor reduction, symptom monitoring, and patient education.
• Primary Care for Overuse & Repetitive Strain Injuries: Helping patients recover from repetitive strain conditions and prevent recurrence through education and targeted interventions.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Primary care strategies to protect kidney health, including blood pressure control, glycemic control in diabetics, dietary advice (e.g., protein, sodium, potassium considerations), and timely referrals to nephrology.
• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.
• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.

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

• For patients where managing ongoing pain from an old sports injury or a chronic condition like arthritis that limits their activities is a concern, Dr. Vickers focuses on plans that lead to having their pain, whether acute from a recent injury or chronic from a long-standing condition, acknowledged without dismissal, assessed comprehensively using a biopsychosocial lens, and managed more effectively with a personalized, multimodal plan from Dr. Vickers, supporting their ability to passionately pursuing their cherished creative hobbies (like painting, writing, or playing music), engaging in intellectually stimulating leisure interests, or dedicating time to new learning adventures with renewed enthusiasm and sustained focus.
• Dr. Vickers's care for feeling stressed about caregiving responsibilities for an elderly parent or sick relative is designed to result in receiving a clear, understandable, and timely diagnosis for their persistent health concern, finally bringing peace of mind and a concrete path forward for treatment or management under Dr. Vickers's care, so patients can resume activities such as proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations with confidence.
• Many patients have successfully addressed wanting to understand if genetic testing is appropriate for them based on family history with Dr. Vickers's support. This often leads 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. Vickers's careful oversight and the ability to fully participate in feeling mentally sharp, agile, and capable enough to readily engage in complex problem-solving tasks, intricate strategic thinking exercises, or detailed analytical work required in their profession or personal projects once more.

Your personalized healthcare plan, developed in discussion with Dr. Vickers, 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. Vickers practices at a family medical clinic in Vancouver, situated in the Kitsilano neighborhood. The clinic is conveniently located near the Shopping District and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Free patient parking is often available on-site or on nearby streets.

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 in BC if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the College of Physicians and Surgeons of BC website, may offer assistance in finding a doctor. A referral from a family doctor is usually required to see specialists.

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 health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and may have additional fees. Please confirm with our clinic if you have questions about specific services.

Can Dr. Vickers help with mental health concerns like anxiety or depression?

Family doctors like Dr. Vickers are integral to supporting patients' mental health. He can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr. Vickers.

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 for a "Find a Doctor" tool or list. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a family doctor can take time and effort.

What should I bring with me to my appointment with Dr. Vickers?

Bring your provincial health card. A current list of all your medications (name, dose, frequency) is very important. If you're coming about a specific issue and have related reports (like X-rays, specialist letters, or recent lab results), please bring those along. Jot down any questions or symptoms beforehand.

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

Dr. Vickers practices as part of a team-based practice, which means you may have access to other healthcare professionals. While the goal is continuity with Dr. Vickers, you might be seen by another team member for some routine follow-ups or specific services. The clinic will strive to have you see Dr. Vickers for complex issues.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (in BC) is a physician who provides continuous and comprehensive medical care for patients of all ages. Their role includes diagnosing and treating illnesses, managing long-term conditions, offering health education, and acting as your advocate within the healthcare system.

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

Dr. Vickers will arrange a referral to a specialist if needed, sending your medical details. The specialist's office will contact you to book an appointment. Keep the clinic informed of any specialist appointments and new diagnoses or treatments.

2016 1ST Ave W Unit 101
Vancouver, BC, V6J 1G8

Phone: (604) 500-0264

Dr. Brian William Vickers 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: J1629

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/359184/Vickers%2CBrian

Family doctors like Dr. Vickers 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.