Dr. Iuliana-Simona Dospinescu

Dr. Iuliana-Simona Dospinescu provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Common Acute Conditions

• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Helping you cope with acute digestive illnesses by providing guidance on oral rehydration solutions, appropriate diet modification during and after illness, and when to seek medical attention for persistent or severe symptoms.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Diagnosing and managing common allergic reactions such as seasonal/perennial allergic rhinitis (hay fever), mild to moderate hives (urticaria), minor localized reactions to insect stings, and initial assessment of suspected mild food allergy symptoms. Does not include anaphylaxis management which is an emergency.
• 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.

Joint Muscle Pain

• 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.
• 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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.

Dermatological Skin Conditions

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.
• 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.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.

Common Chronic Conditions

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Long-term support and care for managing the symptoms of degenerative joint disease and other chronic musculoskeletal pain, focusing on self-management and maintaining an active lifestyle.
• Dyslipidemia (High Cholesterol, High Triglycerides): Personalized treatment plans for managing elevated lipid levels, incorporating regular monitoring, patient education, and strategies for long-term cardiovascular disease prevention.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions, including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.

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

• Stress Management, Burnout & Adjustment Disorder Support: Helping patients build resilience, develop adaptive coping mechanisms, and navigate stressful periods effectively to protect their mental and physical health.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Regular monitoring, evidence-based treatment (lifestyle modifications, medication selection and titration), and ongoing education for managing high blood pressure and dyslipidemia (high cholesterol/triglycerides) to reduce overall cardiovascular risk.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): A first point of contact for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, and clear pathways to specialized care and school supports.
• Eating Disorder Screening & Referral Coordination: A sensitive and proactive approach to identifying potential eating disorders and connecting individuals with appropriate, specialized care.
• 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.

Note: This list highlights some of the key services offered by Dr Dospinescu. 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 GMF Médicentre Pincourt, 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 Dospinescu frequently works with patients towards goals such as:

• Many seek Dr Dospinescu's help for wanting to learn more about the shingles vaccine or other adult immunizations they might need. The collaborative goal is feeling significantly more comfortable, markedly less anxious, and substantially more trusting about visiting the doctor and engaging with the healthcare system due to the consistently positive, supportive, and long-standing therapeutic relationship they have established with Dr Dospinescu, allowing a return to valued activities like independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity.
• When their baby needing their scheduled well-baby visit to check growth and get their important vaccinations affects a patient's ability to effectively and efficiently managing demanding professional work responsibilities, complex household tasks, and personal projects without undue physical fatigue, mental fog, or chronic pain limitations, Dr Dospinescu works with them to develop a plan. Success means reaching having their pain, whether acute from a recent injury or chronic from a long-standing condition, acknowledged without dismissal, assessed comprehensively using a biopsychosocial lens, and managed more effectively with a personalized, multimodal plan from Dr Dospinescu and getting back to their valued pursuits.

Your personalized healthcare plan, developed in discussion with Dr Dospinescu, 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 Dospinescu practices at GMF Médicentre Pincourt, a family medical practice in the central Pincourt neighborhood of Pincourt. 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.

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 the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the website of the Collège des médecins du Québec or local health authority websites may be helpful in your search. A referral from a family doctor is usually required to see specialists.

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

To find a family doctor in Quebec who is accepting new patients, you can check the website of the Collège des médecins du Québec (they often have a "Find a Doctor" tool), use the Guichet d'accès à un médecin de famille (GAMF), ask friends and family for recommendations, or contact local community health centres directly. It may take time and effort to find a doctor.

What does 'preventative care' involve with a family doctor like Dr Dospinescu?

With Dr Dospinescu, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr Dospinescu works with you to create a personalized prevention plan.

How long do appointments with Dr Dospinescu typically last?

Appointment times with Dr Dospinescu vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr Dospinescu will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at GMF Médicentre Pincourt to ensure enough time is set aside with Dr Dospinescu to address your concerns thoroughly.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'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 health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and may have associated fees. Please confirm with GMF Médicentre Pincourt if you have questions about specific services.

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

Your family doctor (Médecin de famille) 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.

GMF Médicentre Pincourt
88 5e Avenue
Pincourt, QC, J7W 5K7

Phone: (514) 425-1000

Dr. Iuliana-Simona Dospinescu 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: 10058

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=10058

Family doctors like Dr Dospinescu 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.