Dr. Giuliano Pomalaza

Dr. Giuliano Pomalaza 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

• 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.
• 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.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• 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.
• 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): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.

Pediatric Common Issues

• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Regular monitoring of physical growth (height, weight, head circumference using growth charts), developmental milestones (gross motor, fine motor, language, social-emotional using tools like Rourke Baby Record or Greig Health Record), nutrition/feeding practices (breastfeeding, formula, introduction of solids, healthy eating for older children), and providing age-appropriate anticipatory guidance to parents/caregivers on safety (e.g., car seats, safe sleep, poison prevention, injury prevention), behavior, sleep, dental health, and fostering healthy habits from infancy through school age.
• 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.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.

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

• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Supporting families by addressing developmental and behavioral questions with empathy, offering practical advice, and facilitating access to necessary assessments and support services.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Management of uncomplicated musculoskeletal injuries and skin wounds in a primary care setting, with referrals to specialized care when necessary.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• Management of Common Adult Acute & Chronic Illnesses: Expert management of prevalent adult health concerns to support optimal health, function, and quality of life.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Supporting individuals experiencing persistent worry, panic attacks, social anxiety, low mood, loss of interest, or other mood disturbances with a patient-centered and collaborative approach.

Note: This list highlights some of the key services offered by Dr Pomalaza. 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 Mon Doc, 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 Pomalaza frequently works with patients towards goals such as:

• For patients where a sudden, unexplained weakness or numbness on one side of their body – they know this could be urgent is a concern, Dr Pomalaza focuses on plans that lead to their entire family having a central, trusted, and welcoming medical home base with Dr Pomalaza and the clinic team, which greatly simplifies their healthcare journey and provides a sense of security and belonging, supporting their ability to 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.
• If wanting to learn more about the shingles vaccine or other adult immunizations they might need has put feeling profoundly secure, deeply supported, and well-understood in having a trusted, accessible, and long-term medical advisor and health partner in Dr Pomalaza for any and all health questions, new symptoms, or emerging concerns that arise throughout their lives on hold, Dr Pomalaza works with patients toward having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr Pomalaza, helping them regain their previous level of function.

Your personalized healthcare plan, developed in discussion with Dr Pomalaza, 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 Pomalaza practices at Mon Doc, located in the Duberger-Les Saules West neighborhood of Québec City. The clinic is conveniently located near the Commercial Corridor and is accessible via Réseau de transport de la Capitale (RTC). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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 (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 Mon Doc if you have questions about specific non-insured services or potential fees.

I have multiple health problems. How does Dr Pomalaza handle complex care?

If you have several health issues, Dr Pomalaza is well-equipped to be your central point of care. He's role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr Pomalaza will work with you and other specialists to manage your health comprehensively.

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

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to check the website of the Collège des médecins du Québec or use provincial resources to find a doctor. A referral is usually required from a family doctor to see most medical specialists.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr Pomalaza?

When you first meet Dr Pomalaza as a new patient, expect to spend time discussing your complete health profile. He will likely ask about your past medical history, significant family illnesses, all current medications (including vitamins and supplements), allergies, lifestyle factors like diet and exercise, and any specific health concerns or goals you have. This comprehensive intake helps Dr Pomalaza understand your overall health status and begin to formulate a long-term care plan. It's also an excellent time to ask any questions you may have about his approach to medicine or clinic procedures.

What if Dr Pomalaza works in a Family Health Team or group practice? Will I always see Dr Pomalaza?

Dr Pomalaza practices as part of Mon Doc, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr Pomalaza, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. Mon Doc will always strive to have you see Dr Pomalaza for complex or ongoing issues where that continuity is most crucial.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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

To find a family doctor in QC who is accepting new patients, you can check the website of the Collège des médecins du Québec, 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. Keep in mind that finding a family doctor can sometimes take time and effort.

Mon Doc
1147 Rue Charles-Albanel
Québec City, QC, G1X 4T9

Phone: (418) 877-6767

Dr. Giuliano Pomalaza 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: 20902

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20902

Family doctors like Dr Pomalaza 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.