Dr. Catherine Desmeules – Family Doctor | Alma, QC

Dr. Catherine Desmeules is a Médecin de famille. Practicing at Hôpital d'Alma, Urgence in Alma, QC, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The Collège des médecins du Québec (CMQ) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Catherine Desmeules completed her Family Medicine (2017). She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions. She offers consultations in French.

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

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.
• 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.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.
• 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.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• 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.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• 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.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.

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.
• 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.
• 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.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr Desmeules. 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): Primary care support for patients with established heart conditions, ensuring regular follow-up, adherence to complex treatment plans, and promotion of heart-healthy lifestyles.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Assessing and treating acute conditions like common colds, influenza (flu), sore throats (including strep throat), ear infections (otitis media), sinus infections, bronchitis, uncomplicated pneumonia, urinary tract infections (UTIs), skin infections (e.g., cellulitis, impetigo), and gastroenteritis.
• Travel Medicine Consultations (Preventative 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 travel-related illnesses.
• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Ordering necessary diagnostic tests such as X-rays, ultrasounds, CT scans, MRIs, bone density scans, and a comprehensive range of laboratory blood tests (hematology, chemistry, endocrinology, immunology, microbiology), urine tests, and pathology/cytology specimens to aid in diagnosis, monitor conditions, and guide treatment.

Note: This list highlights some of the key services offered by Dr Desmeules. 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 d'Alma, Urgence, 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 Desmeules frequently works with patients towards goals such as:

• Overcoming or managing wanting to create a healthier home environment for their family's well-being is a common patient journey at Dr Desmeules's practice. The focus is on enabling feeling genuinely reassured, thoroughly well-informed about all aspects of their condition, and like an empowered, active partner in all decisions regarding their health status, treatment options, and long-term care strategies discussed with {preferred_name}, so that engaging in confidently and independently taking various modes of public transportation (bus, train, subway) when needed for commuting or leisure, without excessive physical difficulty, navigation challenges, or heightened anxiety about accessibility or safety becomes a reality again.
• A key objective when treating their child needing a physical exam for summer camp or sports participation at Dr Desmeules's clinic is ensuring their children, from infancy through adolescence, received the complete schedule of timely and appropriate immunizations, effectively protecting them from a wide range of preventable and potentially serious childhood diseases, supporting a comfortable return to 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.

Your personalized healthcare plan, developed in discussion with Dr Desmeules, 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 Desmeules practices at Hôpital d'Alma, Urgence, situated in a family medical practice in the central Alma neighborhood of Alma. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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.

What is 'continuity of care' and why is it important with a family doctor like Dr Desmeules?

Continuity of care means having an ongoing relationship with your family doctor, Dr Desmeules, and her team over time. It's important because it allows Dr Desmeules to get to know you, your health history, your values, and your family context comprehensively. This deep understanding helps Dr Desmeules make more informed diagnoses, tailor treatments to your specific needs, coordinate your care more effectively with specialists, and build a trusting therapeutic relationship. Studies show that good continuity of care with a family doctor is linked to better health outcomes, higher patient satisfaction, and more appropriate use of healthcare resources.

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 be challenging. The Collège des médecins du Québec (CMQ) website often has a "Find a Doctor" tool or a list of physicians. 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 clinics directly may also yield results. Be aware that it may take time to find a doctor accepting new patients.

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 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 may have an associated fee. Please confirm with Hôpital d'Alma, Urgence if you have questions about specific services or potential fees.

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 the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the CMQ website or the GAMF may be helpful. A referral is usually required from your family doctor to see specialists.

How long do appointments with Dr Desmeules typically last?

Typically, a regular appointment with Dr Desmeules lasts about 10 to 15 minutes. New patient appointments or those requiring a physical exam or discussion of complex issues may be longer, around 30 minutes. Inform the reception staff at Hôpital d'Alma, Urgence when booking.

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

The recommended frequency of check-ups varies based on your age, health, medical conditions, and risk factors. Generally, healthy younger adults may need check-ups less frequently, while children, older adults (over 65), or those with chronic conditions may need more frequent visits. Specific screening tests follow provincial guidelines. Discuss your individual needs with Dr Desmeules to determine an appropriate schedule.

How do I get a prescription refilled by Dr Desmeules?

Contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr Desmeules' office. Allow 2-3 business days for processing. For certain medications or if it has been a while since your last visit, an appointment may be required. Request refills proactively.

Hôpital d'Alma, Urgence
300 boul Champlain
Alma, QC, G8B 5W3

Phone: (418) 669-2000

Dr. Catherine Desmeules 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: 17111

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17111

Family doctors like Dr Desmeules 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.