Dr. Christina Michelle Harzan Foxall

Dr. Christina Michelle Harzan Foxall 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

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• 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.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Helping individuals with chronic bronchitis or emphysema manage their symptoms effectively, improve exercise tolerance, and maintain the best possible lung function through a multidisciplinary approach.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Individualized, evidence-based care plans for individuals living with hypertension, focusing on patient education, shared decision-making, and promoting long-term adherence to treatment for optimal cardiovascular health.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.

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.
• 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.
• 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.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.

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

• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Regular monitoring, evidence-based treatment (lifestyle modifications, medication selection and titration), and ongoing education for managing high blood pressure and dyslipidemia (high cholesterol/triglycerides) to reduce overall cardiovascular risk.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Providing timely medical care for a wide range of infections, including diagnosis, appropriate treatment (e.g., antibiotics when indicated by bacterial infection), and advice for symptom relief and recovery.
• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Ensuring your child meets key developmental stages and receives all recommended preventative health screenings and immunizations from birth through their teen years.
• Diagnosis & Management of Common Acute Childhood Illnesses: Diagnosing and treating frequent acute illnesses in children and adolescents, such as ear infections (otitis media), streptococcal pharyngitis (strep throat), common colds, influenza, croup, bronchiolitis, roseola, hand-foot-mouth disease, gastroenteritis, and uncomplicated urinary tract infections.

Note: This list highlights some of the key services offered by Dr. Harzan Foxall. 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. Christina Michelle Harzan Foxall'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. Harzan Foxall frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr. Harzan Foxall about experiencing sudden flashes of light or floaters in their vision is to achieve experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Harzan Foxall's diligent, guideline-based monitoring and timely therapeutic adjustments. This success paves the way for them to re-engage with consistently being a reliable, present, actively contributing, and supportive member of their immediate family unit, extended family network, and valued social circles, fulfilling important roles and responsibilities.
• Patients often come to Dr. Harzan Foxall regarding that persistent, dry cough that just won't seem to go away after a cold. Working together, they aim for feeling genuinely and consistently supported by Dr. Harzan Foxall during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member, making a return to thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness feasible.
• Dr. Harzan Foxall assists individuals in navigating wanting to learn more about the shingles vaccine or other adult immunizations they might need. A successful outcome, like their elderly parents or relatives receiving thoughtful, patient, dignified, and age-appropriate comprehensive care from Dr. Harzan Foxall that demonstrably enhances their functional abilities, safety, and overall quality of life in their later years, means they can get back to efficiently and capably performing all necessary household chores like vacuuming carpets, mopping floors, doing laundry, deep cleaning, and grocery shopping without excessive physical strain, pain, or subsequent exhaustion.

Your personalized healthcare plan, developed in discussion with Dr. Harzan Foxall, 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. Harzan Foxall practices at a family medical clinic in Golden, situated in a family medical practice in the central Golden neighborhood of Golden. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

Always bring your health card to your appointment with Dr. Harzan Foxall. A complete list of all medications you're currently taking (prescription, non-prescription, natural health products) is crucial for Dr. Harzan Foxall to review. For new patients, any past medical records or a health summary you can provide are beneficial. If you're diabetic, bringing your blood sugar log and meter can be helpful. Preparing a list of your symptoms or questions in advance can also make your appointment more productive and ensure all your concerns are addressed.

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

An initial 'meet and greet' or new patient visit with Dr. Harzan Foxall usually involves a thorough discussion about your health. Be prepared to talk about your personal and family medical history, current medications and dosages, any ongoing health issues, and your overall lifestyle. Dr. Harzan Foxall will want to understand your health needs and what you expect from your family doctor. Some doctors may perform a physical exam during this first visit, or it might be scheduled for a subsequent appointment. This initial consultation is key to building a therapeutic patient-doctor relationship.

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

Generally, you do not need a referral to see a family doctor in BC if the doctor is 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.

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

You can try several approaches to find a family doctor in BC accepting new patients. Check the College of Physicians and Surgeons of BC website; they often have a "Find a Doctor" tool or similar resource. Ask friends, family, or colleagues for recommendations. Contact local community health centres or clinics directly. Keep in mind that finding a family doctor can take time and effort.

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

Preventative care with Dr. Harzan Foxall focuses on preventing health problems or detecting them early. This includes regular check-ups, vaccinations, screenings for diseases like cancer, and advice on healthy lifestyle choices (diet, exercise, avoiding smoking). It's about proactive health management.

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 might have additional fees. Please confirm with our clinic if you have questions about specific services.

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

A family doctor, or general practitioner (GP), provides comprehensive primary healthcare for people of all ages. They are your first point of contact for most health concerns, offering preventative care, treating illnesses, managing chronic conditions, and referring you to specialists when needed. They build long-term relationships with patients to promote overall well-being.

What should I do if I have an urgent medical issue when the clinic is closed?

For life-threatening emergencies, call 911 or go to the nearest hospital emergency department. For urgent, non-life-threatening issues, consider visiting an urgent care centre or walk-in clinic. Check with our clinic during regular hours to see if after-hours services are available. Our clinic voicemail [(250) 344-5271] may also provide instructions or resources for after-hours care.

835 9 Ave S, Golden and District Hospital
Golden, BC, V0A 1H0

Phone: (250) 344-5271

Dr. Christina Michelle Harzan Foxall 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: 60760

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/345576/Harzan%20Foxall%2CChristina

Family doctors like Dr. Harzan Foxall 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.