Dr. Gene Francis Thomas

Dr. Gene Francis Thomas 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

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Educating patients on sun safety measures (sunscreen, protective clothing, avoiding peak sun hours), the importance of regular skin self-examination using the ABCDEs of melanoma, and encouraging prompt reporting of any changing or new skin lesions.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.

Common Chronic Conditions

• 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.
• 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.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine 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 screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• 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.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.
• 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.

Pediatric Common Issues

• 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.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Supporting new parents in caring for their infant, addressing common concerns (colic, reflux, sleep patterns), and promoting bonding and healthy attachment.

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

• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• 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.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Diagnosing and providing primary care management for common musculoskeletal issues such as osteoarthritis, mechanical low back pain, neck pain, rotator cuff tendinopathy, bursitis, and other non-specific joint or muscle pain.
• Stress Management, Burnout & Adjustment Disorder Support: Helping patients build resilience, develop adaptive coping mechanisms, and navigate stressful periods effectively to protect their mental and physical health.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Supporting your efforts to adopt and maintain healthier habits across multiple domains for a better quality of life and disease prevention.

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

• Managing a painful, red eye that might be conjunctivitis (pink eye) or something else effectively is a priority for Dr. Thomas. The aim is receiving appropriate and timely referrals for genetic counseling or testing through {preferred_name} when indicated by significant family history of heritable conditions or specific clinical findings, which helps patients get back to enjoying being able to comfortably stand for reasonably extended periods when necessary, for example, while cooking intricate meals, attending a standing-room-only event, actively participating in a workshop, or waiting patiently in unavoidable queues.
• For those challenged by concerns about exposure to an infectious disease like measles or chickenpox, Dr. Thomas offers strategies to reach their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from {preferred_name}, which can mean rediscovering the joy of 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.
• When experiencing frequent or severe headaches or migraines that are disrupting their work and family life affects a patient's ability to successfully maintaining their cherished personal independence in all complex daily routines, intricate personal care tasks, and instrumental activities of daily living, which is especially crucial for aging seniors or individuals managing disabilities, Dr. Thomas works with them to develop a plan. Success means reaching successfully navigating the initial emotional and practical challenges of a new, unexpected serious diagnosis with {preferred_name}'s consistent, empathetic support, reliable information, and proactive care coordination and getting back to their valued pursuits.

Your personalized healthcare plan, developed in discussion with Dr. Thomas, 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. Thomas's practice is located at a family medical clinic in New Westminster, situated in the Downtown New Westminster, Quayside neighborhood. The clinic is conveniently located near the Uptown Business District and is accessible via TransLink (SkyTrain Expo Line, Bus). Free patient parking is often available on-site or on nearby streets.

Does Dr. Gene Francis Thomas at his clinic offer virtual (video) or phone appointments?

Yes, Dr. Thomas offers virtual (video) and 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. Thomas 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.

Can Dr. Thomas help with mental health concerns like anxiety or depression?

Absolutely. Dr. Thomas is well-equipped to address a wide range of mental health issues as part of comprehensive family practice. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage psychotropic medications when appropriate, and coordinate care with mental health specialists if required. If you're struggling with your mental well-being, Dr. Thomas is a good person to start the conversation with and seek help from in a confidential and supportive environment.

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.

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. Thomas during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(778) 378-3054] may also provide instructions or resources for after-hours care.

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. Provincial resources, such as the College of Physicians and Surgeons of BC website, may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

You can check the website of the College of Physicians and Surgeons of BC; they often have 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. It can be challenging and may take time.

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 (e.g., cosmetic procedures, most travel medicine consultations, sick notes, 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 services or potential fees.

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

The recommended frequency for check-ups varies based on your age, overall health, existing medical conditions, and risk factors. Generally, healthy younger adults may need less frequent check-ups, while children, older adults, or those with chronic conditions may benefit from more frequent visits. Discuss your individual needs with Dr. Thomas to determine an appropriate schedule. Regular check-ins are important for early detection and health maintenance.

397-104, 1015 Columbia Street
New Westminster, BC, V3M 6V3

Phone: (778) 378-3054

Dr. Gene Francis Thomas 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: J4386

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/376951/Thomas%2CGene

Family doctors like Dr. Thomas 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.