Dr. Estie van der Merwe

Dr. Estie van der Merwe provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Joint Muscle Pain

• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• 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.
• 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.

Preventative Health Topics

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• 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.
• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.

Adult Common Health Issues

• 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.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication 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).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.

Mental Health Concerns

• 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.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.

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

• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement 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 monitor for complications like thyroid nodules or goiter.
• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.
• 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.
• Comprehensive Periodic Health Exams (Check-ups): Proactive health evaluations designed to detect potential health issues early, manage existing conditions, and promote long-term wellness.
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Diagnosing and treating common acute skin problems such as eczema flare-ups, contact dermatitis, acne exacerbations, shingles (herpes zoster), fungal infections (e.g., ringworm, athlete's foot), hives (urticaria), and insect bites/stings with significant reactions.

Note: This list highlights some of the key services offered by Dr. Merwe. 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 AB and the ethical and professional standards set by The College of Physicians & Surgeons of Alberta (CPSA).

At Dr. Estie van der Merwe'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. Merwe frequently works with patients towards goals such as:

• The focus for patients with a follow-up visit after being discharged from the hospital for an illness or surgery to ensure recovery is on track at Dr. Merwe's practice is achieving feeling significantly less isolated, better understood, and more adequately supported in managing a rare, complex, or poorly understood health condition due to Dr. Merwe's unwavering commitment to their comprehensive care and willingness to learn alongside them, facilitating a return to meaningful activities like consistently sleeping soundly and deeply through the entire night on a regular basis and waking up feeling genuinely refreshed, fully restored, and ready to embrace the day ahead with clarity.
• Struggling with feeling more anxious, worried, or on edge than usual lately, affecting their daily life? Dr. Merwe helps patients target feeling significantly more comfortable, markedly less anxious, and substantially more trusting about visiting the doctor and engaging with the healthcare system due to the consistently positive, supportive, and long-standing therapeutic relationship they have established with Dr. Merwe, making a return to activities such as patiently and effectively teaching their children or grandchildren important life skills, sharing enjoyable intergenerational activities, or simply offering wise guidance and loving support as they grow more achievable.

Your personalized healthcare plan, developed in discussion with Dr. Merwe, 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. Merwe's practice is located at a family medical clinic in Edson, situated in a family medical practice in the central Edson neighborhood of Edson. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

How long do appointments with Dr. Merwe typically last?

Typically, a regular appointment with Dr. Merwe to discuss a specific health concern or for a follow-up lasts about 10 to 15 minutes. However, if you are a new patient, scheduled for a complete physical exam, or need to discuss multiple or complex health matters, the appointment will likely be scheduled for a longer duration, such as 30 minutes. Please inform the reception staff at the clinic about the nature of your visit when booking, so sufficient time with Dr. Merwe can be arranged.

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

Generally, you do not need a referral to see a family doctor in Alberta if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to use resources such as the College of Physicians and Surgeons of Alberta website or your local health authority website. A referral from a family doctor is usually required to see specialists.

Is seeing a family doctor (Family Doctor) covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary visits to a family doctor are typically covered by the Alberta Health Care Insurance Plan (AHCIP) for eligible residents with a valid health card. However, some services, such as cosmetic procedures, travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and may have associated fees. Please confirm with our clinic if you have questions about specific services and potential fees.

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

An initial "meet and greet" or new patient visit with Dr. Merwe 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. Merwe will want to understand your health needs and what you expect from your family doctor. A physical exam may be performed 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.

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

Continuity of care means having an ongoing relationship with your family doctor, Dr. Merwe, and her team over time. It's important because it allows Dr. Merwe to get to know you, your health history, your values, and your family context comprehensively. This deep understanding helps Dr. Merwe 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 can I find a family doctor (Family Doctor) in AB who is accepting new patients?

Finding a family doctor in Alberta who is accepting new patients can be challenging. You can check the website of the College of Physicians and Surgeons of Alberta, which often has a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time to find a suitable doctor.

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.

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

Yes, Dr. Merwe 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. Merwe 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.

PO Box 6660
Edson, AB, T7E 1A0

Phone: (780) 723-5531

Dr. Estie van der Merwe is regulated by the Health Professions Act (Alberta) in AB and is a registered member in good standing with The College of Physicians & Surgeons of Alberta (CPSA).

Registration Number: 020580

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=a78f6607-df8d-4981-8a4d-3eeef1c29119&i=1483

Family doctors like Dr. Merwe 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.