About
Dr. François James Graham is a dedicated Allergist / Immunologist, committed to providing expert care for patients of all ages with allergic or immunologic conditions. Practicing at CHUM, Service d'Immuno-Allergie in Montréal, QC, he is a trusted provider of specialized allergy and immunology care in the community. The clinic is dedicated to delivering high-quality, patient-centered care for a wide range of allergic and immunologic conditions, utilizing up-to-date diagnostic tools and treatment strategies. The practice adheres to the standards set by the Collège des médecins du Québec (CMQ), ensuring that all care meets rigorous professional and ethical guidelines.
Dr. Graham holds a Medical Degree from a recognized Canadian or international medical school. Following medical school, he completed residency training, typically in Internal Medicine or Pediatrics, and then pursued a fellowship in Clinical Immunology and Allergy. With over 7 years of experience practicing as an Allergist / Immunologist since 2017, he has developed a comprehensive understanding of complex allergic and immune disorders. He has completed rigorous postgraduate training and holds the necessary certifications to practice as an Allergist / Immunologist in Quebec, ensuring his expertise aligns with provincial and national standards.
Driven by a commitment to accurate diagnosis and personalized management, Dr. Graham emphasizes empowering patients with knowledge about their conditions and self-management strategies. He utilizes evidence-based approaches and the latest advancements in allergy and immunology to optimize patient outcomes. His professional philosophy centers on improving quality of life by minimizing symptoms and preventing severe reactions. Collaborating with primary care providers and other specialists, Dr. Graham offers comprehensive, integrated care. He provides allergy and immunology consultations in French, ensuring accessible communication for his diverse patient base.
Dr. François James Graham provides expert diagnosis and management for a wide range of allergic and immunologic conditions, including:
Food and Drug Allergies
Dr. Graham manages accurate diagnosis through testing and challenges is crucial.
- Eosinophilic Esophagitis (EoE) - Allergy Related: Symptoms include difficulty swallowing, food impaction, and abdominal pain.
- Anaphylaxis (Severe Allergic Reaction): Requires immediate treatment with epinephrine and emergency medical care.
- Common Food Allergies (e.g., Peanut, Tree Nuts, Milk, Egg, Soy, Wheat, Fish, Shellfish): Requires careful dietary management, label reading, and an emergency action plan.
Insect Sting and Other Specific Allergies
Dr. Graham manages venom immunotherapy can be life-saving for severe insect sting allergies.
- Mast Cell Disorders (e.g., Mastocytosis, Mast Cell Activation Syndrome): Managed with medications to control mast cell mediator release and symptoms.
- Insect Sting Allergies (Bee, Wasp, Hornet, Yellow Jacket, Fire Ant): Diagnosis involves skin testing or blood tests for venom-specific IgE.
- Alpha-Gal Allergy (Red Meat Allergy): Symptoms typically occur 3-6 hours after meat consumption.
Respiratory Allergies
Dr. Graham manages includes allergic rhinitis (hay fever) and allergic asthma.
- Chronic Sinusitis (Allergy-Related): Symptoms include nasal congestion, facial pain/pressure, and post-nasal drip.
- Allergic Rhinitis (Hay Fever): Can be seasonal (e.g., pollen allergies) or perennial (e.g., dust mite allergies).
- Allergic Asthma: Allergen immunotherapy may be beneficial for some patients.
This list is not exhaustive. For a comprehensive evaluation of your condition, a consultation with Dr. François James Graham is necessary.
- Management of Atopic Dermatitis (Eczema): Treatment for chronic inflammatory skin condition, often linked to allergies.
- Evaluation and Management of Primary Immunodeficiencies (PID): Diagnosis and care for individuals with inherited disorders of the immune system leading to recurrent or severe infections.
- Recurrent Infection Evaluation: Comprehensive investigation for patients experiencing unusually frequent, severe, or prolonged infections.
- Asthma Diagnosis and Management: Comprehensive care for asthma, including diagnosis, personalized treatment plans with inhalers and other medications.
- Pulmonary Function Testing (Spirometry) for Asthma: Measures how much air you can inhale and exhale, and how quickly you can exhale.
- Blood Tests for Allergy (e.g., Specific IgE testing): Laboratory blood tests to measure specific IgE antibodies to various allergens.
Note: This list provides an overview. Specific diagnostic tests and treatment plans are determined after a thorough consultation with Dr. Graham.
Allergy and immunology services are provided in accordance with the standards of practice set by the Collège des médecins du Québec (CMQ) and relevant Canadian Society of Allergy and Clinical Immunology (CSACI) and international guidelines. A referral from a physician is generally required for consultation.
Dr. Graham practices at the CHUM, Service d'Immuno-Allergie, located in Montréal's Ville-Marie East (Quartier Latin, Village) neighborhood. The clinic is conveniently situated near the Biosphère and is easily accessible via the Société de transport de Montréal (STM), including Métro and Bus options. The facility is equipped for allergy testing and consultations, providing a professional and welcoming environment for patients seeking allergy and immunology care. Parking is typically available nearby, with some accessible spots for patients requiring accommodations. The clinic offers a supportive setting dedicated to high-quality allergy and immunology services for the Montréal community.
- Do I need a referral to see Dr. Graham?
- For most consultations with Dr. Graham that are medically necessary and covered by Régie de l'assurance maladie du Québec (RAMQ), a referral from your family doctor is typically needed. This helps in coordinating your care effectively. Some specialized allergy clinics or services might have different referral processes, so it's always good to check with their office. The clinic's fax number for referrals is typically (514) 412-7514.
- What are some common conditions treated by Dr. Graham?
- Dr. Graham treats a wide spectrum of allergic and immunologic conditions. Common ones include allergic rhinitis (hay fever), asthma, food allergies, drug allergies, insect sting allergies, atopic dermatitis (eczema), urticaria (hives), angioedema, and primary immunodeficiency diseases. He specializes in the diagnosis, treatment, and management of allergies, asthma, and disorders of the immune system.
- Are services from Dr. Graham covered by provincial health insurance?
- Most specialized medical care for allergies, asthma, and immune disorders provided by Dr. Graham under Régie de l'assurance maladie du Québec (RAMQ) is covered. This typically includes appointments and medically indicated diagnostic tests. However, some specific treatments like allergen immunotherapy (allergy shots/drops) or certain advanced biologics may have varying coverage criteria or require special authorization. Consultations with an Allergist / Immunologist like Dr. Graham, as well as medically necessary diagnostic tests (e.g., skin prick tests for common allergens) and management of conditions like asthma or immunodeficiencies, are generally covered by Régie de l'assurance maladie du Québec (RAMQ). However, allergen immunotherapy (allergy shots or sublingual tablets/drops) and some newer biologic medications may have specific coverage criteria or require special authorization. It is recommended to confirm coverage details with Dr. Graham's office or Régie de l'assurance maladie du Québec (RAMQ).
- What is involved in an evaluation for a possible immunodeficiency by Dr. Graham?
- If an immunodeficiency is suspected (e.g., due to recurrent, severe, or unusual infections), Dr. Graham will conduct a thorough evaluation. This typically involves a detailed medical and family history, a physical examination, and specialized laboratory tests to assess different components of the immune system (like antibody levels, white blood cell counts and function). The goal is to identify any underlying immune system weakness and develop an appropriate management plan.
- How does Dr. Graham help manage food allergies?
- For food allergies, Dr. Graham focuses on precise diagnosis, clear guidance on avoiding the trigger food(s), and ensuring you are prepared for accidental exposures with an emergency plan and epinephrine. Ongoing support and education for patients and families are key components of care.
- What does an Allergist / Immunologist like Dr. Graham specialize in?
- An Allergist / Immunologist, such as Dr. Graham, is a medical doctor (MD) who has specialized training in diagnosing, treating, and managing allergies, asthma, and immunologic disorders. This includes conditions like hay fever, food allergies, eczema, hives, primary immunodeficiencies, and autoimmune diseases with immunologic components. Dr. Graham emphasizes a comprehensive approach to patient care, ensuring tailored treatment plans and ongoing support.
- Does Dr. Graham offer allergen immunotherapy (allergy shots/drops)?
- Allergen immunotherapy is a key treatment offered by specialists like Dr. Graham for certain allergies. Whether through allergy shots or sublingual options, this therapy aims to modify your immune response to allergens, leading to long-term symptom relief. Dr. Graham would assess your specific allergies and discuss the benefits and process of immunotherapy if it's appropriate.
CHUM, Service d'Immuno-Allergie
1000 Rue Saint-Denis, 4e Étage, Pavillon B
Montréal, QC H2X 2P1
Office Phone: (514) 890-8444 | Office Fax: (514) 412-7514
Dr. Graham is a licensed Allergist / Immunologist regulated by the Collège des médecins du Québec (CMQ) under the Medical Act in Quebec. A referral from a family physician or another specialist is generally required for a consultation with Dr. Graham, particularly for services covered by Régie de l'assurance maladie du Québec (RAMQ).
Verify Dr. Graham's registration with the Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17109