Dr. Chia-Ching Nancy Chang

Dr. Chia-Ching Nancy Chang provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.

Joint Muscle Pain

• 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 effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• 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).
• 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.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• 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.

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

• Fungal, Viral & Bacterial Skin Infections: Managing common cutaneous infections to resolve symptoms and prevent spread or recurrence.
• Smoking & Tobacco Cessation Programs & Support: Offering comprehensive counseling, motivational interviewing, setting quit dates, developing personalized quit plans, and providing ongoing support, including prescription of medical aids (nicotine replacement therapy, varenicline, bupropion) to help individuals quit smoking and all forms of tobacco use.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Expert care to help you achieve and maintain healthy blood pressure and cholesterol targets, preventing long-term complications like heart attack, stroke, and kidney disease.

Note: This list highlights some of the key services offered by Dr. Chang. 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 ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Chia-Ching Nancy Chang'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. Chang frequently works with patients towards goals such as:

• Patients experiencing their infant having persistent diaper rash that isn't clearing up with over-the-counter creams often seek Dr. Chang's help to improve their quality of life. A key goal is having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. Chang, supporting their return to activities like effectively and independently managing their personal budget, complex financial responsibilities, investment decisions, or household bill payments with sustained mental acuity and organizational skill.
• Dr. Chang's care for wanting to discuss their child's nutritional needs as a vegetarian or vegan is designed to result in feeling much more confident and competent in managing minor common illnesses at home for themselves or their children after receiving clear, practical instructions and valuable anticipatory guidance from Dr. Chang, so patients can resume activities such as 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 with confidence.
• Many patients have successfully addressed wanting to understand their personal risk factors for heart disease or stroke and how to reduce them with Dr. Chang's support. This often leads to gaining a much clearer and personalized understanding of their individual health risks (e.g., cardiovascular disease based on Framingham score, inherited cancer predispositions, osteoporosis risk) and practical, actionable, evidence-based steps they can realistically take to mitigate these risks effectively and the ability to fully participate in fully and enthusiastically engaging in a wide range of desired social activities, valued community events, and spending quality, meaningful time with close friends and loved ones without being frequently limited or sidelined by bothersome or unpredictable health concerns once more.
• If a nagging low backache that's making it hard to sit, stand, or even sleep comfortably is a barrier, Dr. Chang develops strategies aimed at 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, facilitating the ability to enjoy generously volunteering their valuable time, unique skills, and boundless energy in their local community for causes they deeply believe in, feeling consistently healthy, capable, and motivated enough to contribute meaningfully and make a real difference.

Your personalized healthcare plan, developed in discussion with Dr. Chang, 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. Chang practices at a family medical clinic in Markham, situated in the Unionville (South), Buttonville, Milliken Mills West neighborhood of Markham. The clinic is conveniently located near Wismer Community Centre and is accessible via York Region Transit (YRT) / Viva. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr. Chang. After assessing your condition, if Dr. Chang believes specialist care is necessary for diagnosis or management, she 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. Chang will continue to manage your care and provide support in the interim.

Does Dr. Chang at her clinic offer virtual (video) or phone appointments?

Yes, Dr. Chang offers virtual (video) and 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. Chang if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

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

With Dr. Chang, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr. Chang works with you to create a personalized prevention plan.

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

Generally, you do not need a referral to see a family doctor in Ontario if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario may be helpful. A referral  is usually required from a family doctor to see most medical specialists.

I have multiple health problems. How does Dr. Chang handle complex care?

If you have several health issues, Dr. Chang is well-equipped to be your central point of care. Her role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Chang will work with you and other specialists to manage your health comprehensively.

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. 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.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by OHIP for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have a fee. Please confirm with our clinic if you have questions about specific services or potential fees.

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

Check the College of Physicians and Surgeons of Ontario website; they often have a 'Find a Doctor' tool. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a family doctor may take time.

3000 Highway 7 East
Markham, ON, L3R 6E1

Phone: (905) 480-1050

Dr. Chia-Ching Nancy Chang is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 75003

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Chang-ChiaChing-Nancy/0168491-75003

Family doctors like Dr. Chang 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.