Dr. David Norman Clarke – Family Doctor | Nakusp, BC

Dr. David Norman Clarke is a Family Doctor. Practicing at a family doctor practice in Nakusp, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. He focuses on 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. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. David Norman Clarke completed his MD (University of Western Ontario, 1982). He brings valuable clinical experience to the practice. He holds Certification in the College of Family Physicians of Canada (CCFP). He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home; a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances. He provides consultations in English.

Dr. David Norman Clarke 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

• 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).
• 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.
• 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.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.

Dermatological Skin Conditions

• 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: 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.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Primary care support for individuals with psoriasis, coordinating with specialist care as needed for more advanced treatment options and comprehensive management of this chronic systemic condition.

Joint Muscle Pain

• 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).
• 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.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - ‘fibro fog’, mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• 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.

Common Chronic Conditions

• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Ongoing management of chronic GERD (acid reflux) and PUD, including lifestyle modifications (diet, weight, smoking cessation), prescription of acid-suppressing medications (PPIs, H2 blockers), H. pylori testing and eradication, and monitoring for complications or need for endoscopy.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions, including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.

Common Acute Conditions

• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• 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.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.

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

• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Offering initial treatment strategies including activity modification advice, pain relief options (oral/topical medications), exercise recommendations, and referrals to physiotherapy, chiropractic, or sports medicine specialists when indicated.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Working with patients to manage their kidney health through regular check-ups, proactive interventions, and education on preserving kidney function.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Expert medical care and guidance for your child at every stage of development, promoting optimal physical, cognitive, and emotional health.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Comprehensive management of common sleep disorders to restore restorative sleep patterns and improve overall health and alertness.

Note: This list highlights some of the key services offered by Dr. Clarke. 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. David Norman Clarke'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. Clarke frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr. Clarke about their child needing a physical exam for summer camp or sports participation is to achieve learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health. This success paves the way for them to re-engage with comfortably and confidently navigating crowded, stimulating public spaces like busy shopping malls, bustling farmers' markets, large airports, or public transit hubs without feeling overwhelmed, excessively stressed, or physically unsafe.
• Dr. Clarke assists individuals in navigating wanting to learn more about the shingles vaccine or other adult immunizations they might need. A successful outcome, like feeling substantially more hopeful and less overwhelmed about managing a difficult or life-altering health condition after comprehensive consultations and collaborative care planning with Dr. Clarke, means they can get back to actively and successfully participating in continuing education programs, challenging professional development courses, or confidently pursuing new and exciting career opportunities with sustained vigor, focus, and good health.
• For many individuals, needing a referral for allergy testing due to ongoing symptoms can be a real barrier. Dr. Clarke's approach focuses on achieving benefiting from seamlessly and efficiently coordinated care, where Dr. Clarke actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page, making it possible for patients to once again enjoy nurturing and maintaining strong, supportive, and deeply fulfilling relationships with their immediate family members, close friends, and wider social network through regular, active, and meaningful engagement.

Your personalized healthcare plan, developed in discussion with Dr. Clarke, 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. Clarke's practice is located at a family medical clinic in Nakusp, situated in a family medical practice in the central Nakusp neighborhood of Nakusp. 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.

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 British Columbia website, may be helpful in locating a doctor. A referral from a family doctor is usually required to see most medical 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 provincial health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and may have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

Does Dr. Clarke at {clinic_name_if_available_else_your_clinic} offer virtual (video) or phone appointments?

Yes, Dr. Clarke at our clinic offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, or prescription renewals for ongoing medications (excluding controlled substances). However, many conditions requiring a physical examination will necessitate an in-person visit. Please discuss with our reception staff or Dr. Clarke if a virtual appointment is suitable for your needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

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

The recommended frequency for check-ups varies based on your age, overall health, existing medical conditions, and risk factors. Generally, healthy younger adults may need less frequent check-ups, while children, older adults, or those with chronic conditions may benefit from more frequent visits. It's best to discuss your individual needs with Dr. Clarke to determine an appropriate schedule.

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, diagnosing and treating illnesses, managing chronic conditions, 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.

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

You can check the website of the College of Physicians and Surgeons of British Columbia for a "Find a Doctor" tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor who is accepting new patients may take time and effort.

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

If Dr. Clarke determines you need a specialist, he will discuss this with you and initiate a referral. He will send a referral letter to the specialist's office. Wait times for specialist appointments can vary. The clinic staff will inform you once the referral is sent, and the specialist's office will usually contact you to schedule an appointment. Please follow up with our clinic if you haven't heard from the specialist within a reasonable timeframe.

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

Preventative care aims to stop health issues from occurring or catch them early. This includes regular physical exams, vaccinations, screenings for common conditions, and personalized advice on maintaining a healthy lifestyle. It's about being proactive with your health.

106 Broadway Street, Saddle Mountain Medical Clinic
Nakusp, BC, V0G 1R0

Phone: (250) 265-3694

Dr. David Norman Clarke 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: 1447

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/382770/Clarke%2CDavid

Family doctors like Dr. Clarke 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.