Dr. Gilles Larouche

Dr. Gilles Larouche 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

• 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): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• 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.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Primary care support for individuals with psoriasis, coordinating with specialist care as needed for more advanced treatment options and comprehensive management of this chronic systemic condition.

Common Acute Conditions

• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Initial assessment, diagnosis, and management of common minor acute injuries like ankle sprains, muscle strains (e.g., hamstring, calf), ligament tears (low grade), and acute episodes of uncomplicated low back or neck pain.
• 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.
• 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.
• 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.

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

• 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.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Helping patients manage their heart health long-term after cardiac events or diagnoses, focusing on secondary prevention and maintaining functional capacity.
• Management of Common Adult Acute & Chronic Illnesses: Expert management of prevalent adult health concerns to support optimal health, function, and quality of life.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Working with patients to manage their kidney health through regular check-ups, proactive interventions, and education on preserving kidney function.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Offering essential travel health services and advice to protect your health while abroad, tailored to your destination and activities.

Note: This list highlights some of the key services offered by Dr Larouche. 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 Médecin de familles in QC and the ethical and professional standards set by The Collège des médecins du Québec (CMQ).

At CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie, 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 Larouche frequently works with patients towards goals such as:

• Through Dr Larouche's guidance, patients with wanting to create a healthier home environment for their family's well-being often find they can achieve experiencing notably fewer sick days from work or school for themselves or their children, leading to improved productivity and less disruption to daily life, due to better prevention strategies and more effective management of common illnesses under Dr Larouche's care and once again pursue feeling profoundly secure, deeply supported, and well-understood in having a trusted, accessible, and long-term medical advisor and health partner in Dr Larouche for any and all health questions, new symptoms, or emerging concerns that arise throughout their lives.
• The path to wellness when facing getting a comprehensive skin check for new or changing spots, especially with a history of significant sun exposure or family history of skin cancer involves working towards receiving compassionate, understanding, and effective support and strategies from Dr Larouche for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions. Dr Larouche guides patients so they can again enjoy meticulously planning, eagerly anticipating, and thoroughly enjoying well-deserved, adventurous, or relaxing vacations and novel travel experiences, both near and far, without the constant nagging worry about potential health flare-ups, unexpected medical needs, or physical limitations.

Your personalized healthcare plan, developed in discussion with Dr Larouche, 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 Larouche practices at CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie, situated in a family medical practice in the central La Baie neighborhood of La Baie. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

Does Dr Larouche at CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie offer virtual (video) or phone appointments?

Yes, Dr Larouche at CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie 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 Larouche if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie regarding any potential fees for uninsured virtual services.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you do not need a referral to see a family doctor in Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the local health authority website or the Collège des médecins du Québec, may be helpful in finding a doctor. A referral is usually required from a family doctor to see most medical specialists.

What should I bring with me to my appointment with Dr Larouche?

Always bring your health card to your appointment with Dr Larouche. A complete list of all medications you're currently taking (prescription, non-prescription, natural health products) is crucial for Dr Larouche to review. For new patients, any past medical records or a health summary you can provide are beneficial. If you're diabetic, bringing your blood sugar log and meter can be helpful. Preparing a list of your symptoms or questions in advance can also make your appointment more productive and ensure all your concerns are addressed.

What exactly is a family doctor (Médecin de famille) and what is their role?

Your family doctor (in Quebec) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

Finding a family doctor in Quebec who is accepting new patients may take time and effort. You can check the website of the Collège des médecins du Québec, which may 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. Be aware that this can be a challenging process.

Is seeing a family doctor (Médecin de famille) covered by Régie de l&#x27;assurance maladie du Québec (RAMQ) in QC?

Medically necessary visits to a family doctor are typically covered by the Régie de l'assurance maladie du Québec (RAMQ) for eligible residents with a valid provincial 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 CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie if you have questions about specific services or potential fees.

CIUSSS Saguenay-Lac-Saint-Jean, Hôpital de La Baie
1000 rue Dr Desgagné
La Baie, QC, G7B 3P9

Phone: (418) 544-3381

Dr. Gilles Larouche is regulated by the Code des professions & Loi médicale (Québec) in QC and is a registered member in good standing with The Collège des médecins du Québec (CMQ).

Registration Number: 86296

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=86296

Family doctors like Dr Larouche 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.