Dr. Diane Ruth Loland Thomson – Family Doctor | Duncan, BC

Dr. Diane Ruth Loland Thomson is a Family Doctor. Practicing at a family doctor practice in Duncan, BC, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She 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. She 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. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Diane Ruth Loland Thomson completed her MD (University of British Columbia, 1984). She brings valuable clinical experience to the practice. She holds Certification in the College of Family Physicians of Canada (CCFP). 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 dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. She provides consultations in English.

Dr. Diane Ruth Loland Thomson 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

• 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.
• 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.
• 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.
• 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.

Preventative Health Topics

• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.
• 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.
• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.

Joint Muscle Pain

• 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.
• 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.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.

Common Chronic Conditions

• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).
• 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: Primary care strategies to protect and preserve kidney health, including tight blood pressure and glycemic control, and education on kidney-friendly habits.
• 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.

Common Acute Conditions

• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Care for acute respiratory illnesses, including advice on symptom management, appropriate use of antibiotics (only if bacterial infection is confirmed or highly suspected), and guidance on when to seek further medical attention for complications.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Diagnosis and treatment for a wide range of common acute skin issues including cellulitis (mild, uncomplicated), fungal infections (e.g., athlete's foot, ringworm, candidiasis), allergic rashes (e.g., hives, contact dermatitis), impetigo, shingles (herpes zoster), insect bites/stings with significant local reactions, and minor superficial burns.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.

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

• Hospital Discharge Follow-Up & Transitions of Care Management: Providing prompt and comprehensive follow-up care after hospital stays, emergency room visits, or specialist procedures to ensure a smooth and safe transition back to the community. This includes medication reconciliation, review of discharge summaries and specialist reports, management of ongoing issues, addressing any new concerns, and coordination of any further treatment, rehabilitation, or home care services.
• Acne Vulgaris & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity and skin type.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Assisting patients with necessary medical documentation for third-party requests.
• Routine Health Check-ups & Physicals for Adults: Scheduled visits for adults designed to proactively manage health risks, detect potential problems early, and offer personalized guidance on maintaining optimal health and well-being.
• Diagnosis & Management of Common Acute Childhood Illnesses: Providing prompt, effective, and child-friendly care for common infections and acute conditions to ensure quick recovery and prevent complications.

Note: This list highlights some of the key services offered by Dr. Thomson. 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. Diane Ruth Loland Thomson'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. Thomson frequently works with patients towards goals such as:

• Struggling with wanting to create a healthier home environment for their family's well-being? Dr. Thomson helps patients target accessing crucial mental health support, initial assessment, and evidence-based treatment in a familiar, readily accessible, and completely non-stigmatizing primary care environment meticulously provided by Dr. Thomson, making a return to activities such as simply and profoundly relaxing, completely unwinding, and thoroughly enjoying quiet, restorative moments of peace, mindfulness, and genuine contentment at home without being constantly plagued or interrupted by intrusive health worries, pain, or discomfort more achievable.
• Dr. Thomson assists individuals in navigating concerns about exposure to an infectious disease like measles or chickenpox. A successful outcome, like noticeably reducing their reliance on, and need for, urgent care clinics or hospital emergency room visits for conditions that are now being effectively managed or prevented through proactive, continuous, and comprehensive primary care with Dr. Thomson, means they can get back to regularly engaging in deeply personal spiritual practices, reflective mindfulness exercises, or formal meditation sessions that significantly contribute to their inner peace, emotional balance, stress reduction, and overall holistic well-being.
• If trouble with seasonal allergies that over-the-counter medications aren't adequately helping with is preventing you from confidently travelling domestically for weekend getaways or internationally for extended explorations with greater assurance in their health, stamina, and ability to manage new foods, climates, and environments successfully, Dr. Thomson can help. The aim is to achieve having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr. Thomson through personalized family medicine care.

Your personalized healthcare plan, developed in discussion with Dr. Thomson, 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. Thomson's practice is located at a family medical clinic in Duncan, situated in a family medical practice in the central Duncan neighborhood of Duncan. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until our clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with our clinic or Dr. Thomson during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(250) 746-4401] may also provide instructions or resources for after-hours care.

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

A family doctor (British Columbia) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

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

Always bring your health card to your appointment with Dr. Thomson. A complete list of all medications you're currently taking (prescription, non-prescription, natural health products) is crucial for Dr. Thomson 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.

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 that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources such as the College of Physicians and Surgeons of BC website may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

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

Yes, Dr. Thomson 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, 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. Thomson 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.

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

The College of Physicians and Surgeons of BC often has a 'Find a Doctor' tool or list on their website. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. Finding a family doctor who is accepting new patients can take time and effort.

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

As a family doctor, Dr. Thomson is specifically trained to manage patients with multiple health problems (multimorbidity) and complex care needs. She will take a holistic approach, considering how your various conditions interact and how treatments for one might affect another. Dr. Thomson will help prioritize your health concerns, coordinate care with any specialists involved, manage your medications to avoid harmful interactions (polypharmacy review), and develop a comprehensive care plan that aligns with your overall health goals and quality of life. Open communication about all your conditions and concerns is key.

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 some travel medicine consultations, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

103-149 Ingram St
Duncan, BC, V9L 1N8

Phone: (250) 746-4401

Dr. Diane Ruth Loland Thomson 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: 4396

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/304399/Thomson%2CDiane

Family doctors like Dr. Thomson 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.