Dr. Farshad Nokam – Family Doctor | Burnaby, BC

Dr. Farshad Nokam is a Family Doctor. Practicing at a family doctor practice in Burnaby, 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. His focus is 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. Farshad Nokam completed his MD (Tabriz University of Medical Sciences and Health Services, 2001). 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 fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness. He is fluent in English and also offers consultations in Persian (farsi) and Turkish.

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

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Diagnosing and managing common allergic reactions such as seasonal/perennial allergic rhinitis (hay fever), mild to moderate hives (urticaria), minor localized reactions to insect stings, and initial assessment of suspected mild food allergy symptoms. Does not include anaphylaxis management which is an emergency.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.
• 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.

Joint Muscle Pain

• 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.
• 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.

Mental Health Concerns

• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Providing primary care support for individuals and families navigating the challenges of ADHD, helping to optimize focus, reduce impulsivity/hyperactivity, improve executive functioning, and enhance overall quality of life and academic/occupational success.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• 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: Helping individuals build resilience, develop adaptive coping mechanisms (e.g., problem-solving, relaxation techniques, mindfulness), and navigate stressful periods effectively to protect their mental and physical health.

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.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.

Common Chronic Conditions

• Dyslipidemia (High Cholesterol, High Triglycerides): Screening, diagnosis, and management of abnormal lipid profiles (high LDL cholesterol, low HDL cholesterol, high triglycerides) through lifestyle modifications (heart-healthy diet, physical activity, weight management) and, when indicated, prescription of lipid-lowering medications (e.g., statins, ezetimibe, fibrates, PCSK9 inhibitors) based on cardiovascular risk assessment.
• 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.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.

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

• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Guidance on making sustainable lifestyle modifications for improved energy levels, weight management, mood regulation, and longevity.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Thoroughly evaluating persistent sleep problems (difficulty falling asleep, staying asleep, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals, and judiciously considering short-term medication if necessary after addressing underlying causes.
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Support and treatment for chronic lung diseases, including referrals for pulmonary rehabilitation and specialist care when indicated.

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

• Managing a follow-up appointment to manage their diabetes, review their blood sugar log, and adjust their medications if needed effectively is a priority for Dr. Nokam. The aim is their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, Dr. Nokam, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, which helps patients get back to enjoying feeling physically strong, mentally resilient, and emotionally capable of consistently handling the often unpredictable and demanding day-to-day responsibilities of active parenting, grand-parenting, or intensive caregiving roles.
• Dr. Nokam often sees patients whose getting advice on how to manage shift work and its impact on their health limits their enjoyment of fully and enthusiastically engaging in a wide range of desired social activities, valued community events, and spending quality, meaningful time with close friends and loved ones without being frequently limited or sidelined by bothersome or unpredictable health concerns. The goal of care is to achieve markedly avoiding unnecessary, costly, or potentially risky specialist visits, diagnostic tests, or hospitalizations due to the proactive, thorough, and guideline-concordant primary care provided by Dr. Nokam and restore their active lifestyle.
• Patients often come to Dr. Nokam regarding their child has a foreign object stuck in their nose or ear (and it seems minor enough for the clinic). Working together, they aim for having common minor injuries (like uncomplicated sprains, strains, or cuts needing sutures), acute infections (such as UTIs or skin infections), or bothersome skin conditions (like warts or acne) treated effectively, efficiently, and conveniently within the familiar setting of Dr. Nokam's clinic, making a return to being able to fully focus on, deeply appreciate, and thoroughly enjoy life's simple, everyday pleasures like listening to favorite music with undivided attention, watching a beautiful sunset in awe, spending quiet, contemplative time in nature, or losing themselves in a captivating book feasible.

Your personalized healthcare plan, developed in discussion with Dr. Nokam, 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. Nokam's practice is located at a family medical clinic in Burnaby, situated in the Metrotown Area, Burnaby South neighborhood of Burnaby. The clinic is conveniently located near Burnaby Village Museum and is accessible via TransLink (SkyTrain Expo/Millennium Lines, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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. Nokam during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(604) 250-9493] may also provide instructions or resources for after-hours care.

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 be challenging and may take time.

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

The recommended frequency for check-ups or periodic health exams with Dr. Nokam 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. Nokam follows. It's best to discuss your individual needs with Dr. Nokam 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.

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.

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. 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 our clinic if you have questions about specific non-insured services or potential fees.

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

Generally, you do not need a referral from another doctor to see a family doctor if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources or the College of Physicians and Surgeons of BC may be helpful. A referral is usually required from a family doctor to see most medical specialists.

3819 Sunset Street
Burnaby, BC, V5G 1T4

Phone: (604) 250-9493

Dr. Farshad Nokam 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: 39272

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/376201/Nokam%2CFarshad

Family doctors like Dr. Nokam 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.