Dr. Irene May Yan Chan

Dr. Irene May Yan Chan 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

• 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.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• 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): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Diagnosing IBS based on symptom criteria after ruling out other conditions, and providing primary care management strategies including dietary advice (e.g., low FODMAP diet introduction, fiber management), lifestyle modifications, stress reduction techniques, and symptomatic treatment for abdominal pain, bloating, diarrhea, and/or constipation.
• 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.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Individualized, evidence-based care plans for individuals living with hypertension, focusing on patient education, shared decision-making, and promoting long-term adherence to treatment for optimal cardiovascular health.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Administering the complete schedule of publicly funded childhood vaccines (e.g., DTaP-IPV-Hib, Pneumococcal conjugate and polysaccharide, MMR, Varicella, Meningococcal conjugate (Groups A,C,Y,W-135 and Group B), Hepatitis B, Rotavirus, Human Papillomavirus (HPV), Influenza) to protect against serious and preventable infectious diseases, according to current provincial and national (NACI) guidelines.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.

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

• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Developing personalized strategies to control hypertension and lipid levels effectively, involving patient partnership in shared decision-making and goal setting.
• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Ongoing management of stable cardiovascular conditions like coronary artery disease (CAD), congestive heart failure (CHF), and atrial fibrillation (AFib), often in collaboration with cardiologists, focusing on medication optimization (e.g., anticoagulants for AFib), risk factor reduction, symptom monitoring, and patient education.
• Chronic Pain Management (Musculoskeletal, Neuropathic - Primary Care Approach): Helping individuals understand and cope with chronic pain, aiming to improve daily function, sleep, mood, and overall quality of life.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: Evaluating acute abdominal pain, nausea, vomiting, diarrhea, or constipation to determine potential causes (e.g., gastroenteritis, food poisoning, appendicitis, diverticulitis), provide appropriate management for symptom relief and hydration, or facilitate urgent referral if a serious condition is suspected.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.

Note: This list highlights some of the key services offered by Dr. Chan. 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. Irene May Yan Chan'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. Chan frequently works with patients towards goals such as:

• If chest pain or pressure, especially with exertion or other concerning symptoms – they know this could be urgent is preventing you from confidently travelling domestically for weekend getaways or internationally for extended explorations with greater assurance in their health, stamina, and ability to manage new foods, climates, and environments successfully, Dr. Chan can help. The aim is to achieve receiving a clear, understandable, and timely diagnosis for their persistent health concern, finally bringing peace of mind and a concrete path forward for treatment or management under Dr. Chan's care through personalized family medicine care.
• Many patients have successfully addressed feeling constantly thirsty or needing to urinate much more often than before, possibly indicating diabetes with Dr. Chan's support. This often leads to successfully and completely completing a course of treatment for an acute infection (like pneumonia or a significant skin infection) or a new condition under Dr. Chan's diligent, meticulous care and important follow-up monitoring and the ability to fully participate in independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity once more.
• For those challenged by a persistent metallic taste in their mouth or other unusual sensory changes, Dr. Chan offers strategies to reach navigating the unique physical and emotional journey of pregnancy, childbirth, and the demanding postpartum period with excellent, comprehensive, and reassuring medical guidance, continuity of care, and unwavering supportive care from Dr. Chan, which can mean rediscovering the joy of simply and profoundly relaxing, completely unwinding, and thoroughly enjoying quiet, restorative moments of peace, mindfulness, and genuine contentment at home without being constantly plagued or interrupted by intrusive health worries, pain, or discomfort.

Your personalized healthcare plan, developed in discussion with Dr. Chan, 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. Chan's practice is located at a family medical clinic in Vancouver, situated in the Riley Park-Little Mountain East neighborhood. The clinic is conveniently located near the Commercial Corridor and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Free patient parking is often available on-site or on nearby streets.

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. Resources like the College of Physicians and Surgeons of British Columbia website or local health authority websites may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

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, such as cosmetic procedures or travel medicine consultations, may not be covered and may have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

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 British Columbia, which often has a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor may take time and effort.

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

A family doctor (in British Columbia) 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.

4123 Fraser St
Vancouver, BC, V5V 4E9

Phone: (604) 876-8063

Dr. Irene May Yan Chan 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: 23439

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/308090/Chan%2CIrene

Family doctors like Dr. Chan 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.