Dr. Gracia Mimran – Family Doctor | Dollard-des-Ormeaux, QC

Dr. Gracia Mimran is a Médecin de famille. Practicing at ELNA DDO GMF - Tiny Tots Medical Center in Dollard-des-Ormeaux, QC, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The Collège des médecins du Québec (CMQ) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine.

Dr Mimran's role focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors. Dr. Mimran completed her Family Medicine (2010), 1999. She brings valuable clinical experience to the practice and has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances. She offers consultations in French.

Dr. Gracia Mimran 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.
• 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).
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: A first point of contact for work-related or activity-induced repetitive strain injuries, guiding effective conservative management, facilitating return to function, and providing documentation for workplace accommodations if necessary. Referral to specialists (e.g., sports medicine, orthopedics, physiatry) if symptoms are persistent, severe, or require further investigation/intervention.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• 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.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).

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.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.

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

• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Assessment and management of sudden onset skin rashes and other common skin ailments to relieve symptoms and promote healing.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Providing personalized, evidence-based advice and developing actionable plans for healthy eating, regular physical activity, optimal sleep hygiene, and effective stress management techniques to promote overall health, prevent chronic diseases, and enhance well-being.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): A comprehensive approach to ADHD care, addressing challenges in attention, hyperactivity, and impulsivity across the lifespan.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Primary care support for patients with established heart conditions, ensuring regular follow-up, adherence to complex treatment plans, and promotion of heart-healthy lifestyles.

Note: This list highlights some of the key services offered by Dr Mimran. 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 ELNA DDO GMF - Tiny Tots Medical Center, 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 Mimran frequently works with patients towards goals such as:

• Patients with their child having difficulty with toilet training or experiencing bedwetting beyond a certain age can find relief and achieve 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} under Dr Mimran's care, often allowing them to resume 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 without former limitations.
• The path to wellness when facing having trouble falling asleep most nights, or waking up frequently and feeling exhausted involves working towards achieving significantly better control over chronic inflammatory or allergic conditions like asthma, allergic rhinitis, or eczema, leading to markedly fewer disruptive flare-ups, reduced reliance on rescue medications, and an improved daily experience free from constant symptoms. Dr Mimran guides patients so they can again enjoy efficiently managing and maintaining their home environment, including undertaking light repairs, seasonal maintenance, or significant organizational projects, with physical capability and sustained energy.

Your personalized healthcare plan, developed in discussion with Dr Mimran, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr Mimran's practice at ELNA DDO GMF - Tiny Tots Medical Center is situated in a family medical practice in the central Dollard-des-Ormeaux neighborhood of Dollard-des-Ormeaux. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. 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, 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 ELNA DDO GMF - Tiny Tots Medical Center if you have questions about specific non-insured services or potential fees.

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.

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 QC 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 Quebec website, may be helpful in your search. A referral is usually required from a family doctor to see most medical specialists.

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

You can try checking the website of the Collège des médecins du Québec, which may have a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or clinics directly. Keep in mind that finding a family doctor who is accepting new patients may take time and effort.

ELNA DDO GMF - Tiny Tots Medical Center
203-3400 rue du Marché
Dollard-des-Ormeaux, QC, H9B 2Y1

Phone: (514) 685-3531

Dr. Gracia Mimran 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: 99328

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=99328

Family doctors like Dr Mimran 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.