Dr. David Thomas Turineck

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

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Assessing symptoms of depression (low mood, loss of interest/pleasure, fatigue, changes in sleep/appetite) and other mood disorders. Offering empathetic supportive counseling, discussing and initiating treatment options including lifestyle interventions, evidence-based antidepressant medications, and facilitating referrals to psychotherapy or psychiatry for moderate to severe or treatment-resistant cases.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• 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.
• 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.

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Performing comprehensive driver's medicals to ensure individuals meet the health standards necessary for safe vehicle operation, promoting road safety for all.

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

• Patient Education on Specific Health Conditions & Self-Management: Ensuring patients and their families understand their medical conditions and treatment plans, encouraging active participation in their own care.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Providing pre-travel consultations for individuals travelling to common international destinations. This includes risk assessment based on itinerary, advice on food and water safety, insect bite prevention (malaria, dengue, Zika), altitude sickness prevention, and administration of necessary routine and travel-specific vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if certified). Complex itineraries may require referral.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Providing personalized, evidence-based advice and developing actionable plans for healthy eating, regular physical activity, optimal sleep hygiene, and effective stress management techniques to promote overall health, prevent chronic diseases, and enhance well-being.
• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.
• Chronic Pain Management (Musculoskeletal, Neuropathic - Primary Care Approach): Initial assessment and development of a management plan for chronic pain conditions (e.g., osteoarthritis, chronic low back pain, fibromyalgia, neuropathic pain), employing a multimodal approach including lifestyle advice, exercise recommendations, non-opioid and judicious opioid medication management, pain education, and referrals to specialized pain clinics, physiotherapy, or other therapies.

Note: This list highlights some of the key services offered by Dr Turineck. 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 Clinique d'urgence du Reine Elizabeth, 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 Turineck frequently works with patients towards goals such as:

• Patients with a new skin rash that's itchy, spreading quickly, or looks unusual and concerning can find relief and achieve obtaining all necessary medical documentation, forms, and reports for work, school, travel, or insurance purposes efficiently, accurately, and without undue hassle through {preferred_name}'s supportive office team under Dr Turineck's care, often allowing them to resume feeling well-prepared, physically able, and mentally positive for attending and fully participating in significant, once-in-a-lifetime family or social events like weddings, milestone anniversaries, international reunions, or major academic graduations without former limitations.
• Dr Turineck understands the impact of their child having a sudden high fever, being very irritable, and not acting like themselves. That's why treatment is geared towards feeling fully empowered by {preferred_name} to ask pertinent and challenging questions, openly voice their preferences and values regarding treatment options, and participate actively and meaningfully as a respected partner in all their healthcare decisions, helping patients get back to 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 with greater ease.

Your personalized healthcare plan, developed in discussion with Dr Turineck, 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 Turineck practices at Clinique d'urgence du Reine Elizabeth, a family medical practice in central Montréal neighborhood of Montréal. 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 if Dr Turineck works in a Family Health Team or group practice? Will I always see Dr Turineck?

Dr Turineck practices as part of Clinique d'urgence du Reine Elizabeth, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr Turineck, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. Clinique d'urgence du Reine Elizabeth will always strive to have you see Dr Turineck for complex or ongoing issues where that continuity is most crucial.

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

Continuity of care means having an ongoing relationship with your family doctor, Dr Turineck, and his team over time. It's important because it allows Dr Turineck to get to know you, your health history, your values, and your family context comprehensively. This deep understanding helps Dr Turineck 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 do I get a prescription refilled by Dr Turineck?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr Turineck's office. Please allow at least 2-3 business days for these requests to be processed by Dr Turineck. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr Turineck, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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. He serves 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.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you do not need a referral from another doctor to see a family doctor in QC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can sometimes be challenging. Provincial resources, such as the website of the Collège des médecins du Québec, may be helpful in finding a physician. A referral is usually required from a family doctor to see most medical specialists.

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

The recommended frequency for check-ups or periodic health exams with Dr Turineck can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr Turineck follows. It's best to discuss your individual needs with Dr Turineck to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

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 provincial health card. Some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Clinique d'urgence du Reine Elizabeth if you have questions about specific non-insured services or potential fees.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

You can check the website of the Collège des médecins du Québec, which often has 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 can be challenging and may take time.

Clinique d'urgence du Reine Elizabeth
2111 Av NorthCliffe
Montréal, QC, H4A 3K6

Phone: (514) 481-8276

Dr. David Thomas Turineck 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: 85569

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=85569

Family doctors like Dr Turineck 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.