Dr. Ian Yu Yang Miao

Dr. Ian Yu Yang Miao provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

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.
• 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).
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.

Joint Muscle Pain

• 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.
• 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

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• 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.
• 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).
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.
• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).

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

• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.
• Management of Common Adult Acute & Chronic Illnesses: Expert management of prevalent adult health concerns to support optimal health, function, and quality of life.
• Diabetes Mellitus Care (Type 1, Type 2, Gestational, Prediabetes): Comprehensive, ongoing management of type 1, type 2, gestational diabetes, and prediabetes, including regular monitoring (A1c, blood glucose, complication screening), medication adjustment (oral agents, insulin, other injectables), and extensive lifestyle counseling (diet, exercise, foot care).
• Driver's Medical Examinations & Other Third-Party Medical Reports: Assisting patients with necessary medical documentation for third-party requests.
• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.

Note: This list highlights some of the key services offered by Dr. Miao. 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. Ian Yu Yang Miao'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. Miao frequently works with patients towards goals such as:

• With Dr. Miao's care, managing a persistent sore or ulcer in their mouth that isn't healing aims for having a reliable, knowledgeable, consistently accessible, and compassionate go-to medical professional in Dr. Miao for the vast majority of their entire family's diverse and evolving health needs, from newborn care and pediatrics through to adult medicine and geriatrics, empowering patients to get back to what they love, like actively participating in ongoing professional development activities, industry conferences, or learning new, marketable skills for their current career path or potential future career transitions.
• The path to wellness when facing a persistent itchy scalp or dandruff that's not improving involves working towards their children developing a consistently positive attitude towards healthcare interactions and feeling remarkably comfortable, safe, and trusting during medical check-ups, immunizations, and even minor procedures with Dr. Miao. Dr. Miao guides patients so they can again enjoy breathing much more easily and deeply, actively participating in more physically strenuous or endurance-based activities, and effectively managing their chronic respiratory conditions (like asthma, COPD, or chronic bronchitis) with greater confidence and fewer limitations.
• Addressing preparing for international travel and needing advice on health precautions, necessary vaccinations, or malaria prevention with Dr. Miao often leads to achieving substantially better and more integrated management of their multiple co-existing chronic conditions (multimorbidity) through the highly coordinated, holistic, and patient-centered approach to care championed by Dr. Miao, enabling patients to more freely engage in effectively managing their personal or household finances, diligently paying bills on time, and competently handling other essential administrative or organizational tasks with sustained mental clarity and focus.

Your personalized healthcare plan, developed in discussion with Dr. Miao, 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. Miao's practice is located at a family medical clinic in Richmond, situated in the Central Richmond (City Centre South, Brighouse) neighborhood. The clinic is conveniently located near Kwantlen Polytechnic University (KPU Richmond) and is accessible via TransLink (SkyTrain Canada Line, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Do I need a referral to see a family doctor (Family Doctor) in BC?

Generally, you don't need a referral to see a family doctor in BC if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the College of Physicians and Surgeons of BC website or your local health authority may be helpful. A referral is usually required to see specialists.

What exactly is a family doctor (Family Doctor) and what is their role?

Your family doctor (BC) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

What is 'continuity of care' and why is it important with a family doctor like Dr. Miao?

Continuity of care refers to the process where your family doctor, Dr. Miao, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr. Miao becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

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 health card. However, some services, like cosmetic procedures or 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.

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

Check the College of Physicians and Surgeons of BC website for a 'Find a Doctor' tool. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. Finding a doctor may take time.

unit 130- 8780 Blundell Rd, Midtown Medical Clinic
Richmond, BC, V6Y 3Y8

Phone: (604) 629-8968

Dr. Ian Yu Yang Miao 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: 37098

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/370638/Miao%2CIan

Family doctors like Dr. Miao 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.