Dr. Francis M. Y. C. Chan

Dr. Francis M. Y. C. Chan 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

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.
• 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).
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.
• 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.
• 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.

Preventative Health Topics

• 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.
• 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.
• 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.

Common Chronic Conditions

• 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.
• Asthma (All Ages) & Allergic Rhinitis: Working collaboratively with you (or your child) to achieve optimal asthma control, minimize symptoms (wheezing, coughing, shortness of breath), improve lung function, and reduce reliance on reliever medications.
• 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.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, thyroid antibodies) to maintain optimal thyroid function and well-being.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Supporting individuals experiencing persistent worry, panic attacks, social phobia, or generalized anxiety with a patient-centered and collaborative approach to care, focusing on symptom reduction and functional improvement.

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

• Coordination with Allied Health Professionals & Community Health Services: Referring to and collaborating effectively with other healthcare providers integral to comprehensive care, such as physiotherapists, occupational therapists, dietitians, psychologists, social workers, speech-language pathologists, chiropractors, pharmacists, optometrists, audiologists, and various community support services (e.g., home care, mental health teams, diabetes education programs, addiction services, public health units).
• Weight Management & Healthy Weight Strategies: Supporting individuals in achieving and maintaining a healthy body weight through evidence-based, non-stigmatizing approaches that focus on sustainable lifestyle habits and overall well-being rather than restrictive dieting.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Keeping your family's immunizations up-to-date to safeguard individual health and contribute to community immunity, including pre-travel health advice.
• 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.

Note: This list highlights some of the key services offered by Dr. Chan. 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 Caledonian Clinic, 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. Chan frequently works with patients towards goals such as:

• Patients often come to Dr. Chan regarding experiencing panic attacks and wanting to find ways to manage them. Working together, they aim for their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Chan, making a return to graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host feasible.
• Overcoming or managing wanting to discuss various birth control options to find what's best for them, or needing a Pap test is a common patient journey at Dr. Chan's practice. The focus is on enabling feeling fully empowered by Dr. Chan 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, so that engaging in effectively managing their personal or household finances, diligently paying bills on time, and competently handling other essential administrative or organizational tasks with sustained mental clarity and focus becomes a reality again.
• Dr. Chan understands the impact of needing a referral to a physiotherapist, psychologist, or other allied health professional. That's why treatment is geared towards feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr. Chan in a completely safe, confidential, and entirely supportive clinical environment, helping patients get back to 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 with greater ease.

Your personalized healthcare plan, developed in discussion with Dr. Chan, 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. Chan's practice is located at the Caledonian Clinic in the North Nanaimo neighbourhood of Nanaimo. The clinic enjoys convenient proximity to Nanaimo North Town Centre and is easily accessible via the Regional District of Nanaimo Transit System (BC Transit). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

A family doctor (BC) 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 BC health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Caledonian 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 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. You may find it helpful to check the College of Physicians and Surgeons of BC website, or contact local community health centres. A referral is usually required to see specialists.

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

You can try checking the website of The College of Physicians and Surgeons of British Columbia, 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 may take time and effort.

Caledonian Clinic
143-4750 Rutherford Rd
Nanaimo, BC, V9T 4K6

Phone: (250) 753-3202 | Website: https://www.caledonianclinic.ca/

Dr. Francis M. Y. C. Chan 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: 23025

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/308181/Chan%2CFrancis

Family doctors like Dr. Chan 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.