Dr. Jacinthe Marceau

Dr. Jacinthe Marceau 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

• 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.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• 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.

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.
• 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.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Helping patients find relief from itchy, irritated, or dry eyes through appropriate primary care interventions and guidance.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

Pediatric Common Issues

• 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.
• 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.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Creating a safe, non-judgmental, and youth-friendly healthcare environment where teenagers feel comfortable discussing their health concerns openly, receive accurate information, build a trusting relationship with their doctor, and are empowered to take charge of their health.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.

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

• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Providing ongoing care for individuals with asthma or COPD to optimize symptom control, reduce frequency of flare-ups, and improve exercise tolerance and quality of life.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Administering a full range of routine childhood and adult immunizations, booster shots (e.g., tetanus, pertussis), seasonal flu vaccines, and common travel vaccinations (e.g., Hepatitis A/B, Typhoid) to protect against preventable infectious diseases.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Utilizing appropriate diagnostic investigations judiciously to ensure accurate medical assessment, informed decision-making, and efficient use of healthcare resources.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Creating a safe, non-judgmental, and supportive healthcare environment for teenagers to discuss their health concerns, receive accurate information, and develop healthy decision-making skills.

Note: This list highlights some of the key services offered by Dr Marceau. 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 CLSC du Fjord, 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 Marceau frequently works with patients towards goals such as:

• When their child having recurrent nosebleeds that seem excessive impacts daily life, Dr Marceau helps patients strive for having all their health-related questions, no matter how complex or basic, answered clearly, patiently, without jargon, and in an easily understandable way by Dr Marceau, fostering a strong sense of health literacy and shared understanding, making activities such as feeling notably resilient and physically capable enough to bounce back relatively quickly and completely from minor common illnesses, temporary setbacks, or periods of increased stress without prolonged disruption to their normal life possible again.
• Overcoming or managing foot pain, like sharp pain in their heel (plantar fasciitis) or a painful ingrown toenail is a common patient journey at Dr Marceau's practice. The focus is on enabling 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 Marceau, so that engaging in faithfully taking their cherished dog (or other pets) for long, brisk, enjoyable walks in the neighborhood park, through local trails, or along the beach every single day, regardless of the prevailing weather conditions, for mutual benefit becomes a reality again.

Your personalized healthcare plan, developed in discussion with Dr Marceau, 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 Marceau's practice at CLSC du Fjord is situated in a family medical practice in the central La Baie neighborhood of La Baie. 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 don't need a referral to see a family doctor in Quebec if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the local health authority website or the Collège des médecins du Québec may be helpful in your search. A referral from a family doctor is usually required to see specialists.

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 RAMQ for eligible Quebec residents with a valid health card. However, some services, like cosmetic procedures or travel medicine consultations, may not be covered and may have associated fees. Please confirm with CLSC du Fjord if you have questions about specific services or potential costs.

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

Your family doctor (in Quebec) 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.

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

Finding a family doctor in Quebec who is accepting new patients may take time and effort. 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. Provincial programs may also assist in connecting patients with physicians.

CLSC du Fjord
800 Rue Aimé-Gravel
La Baie, QC, G7B 2M4

Phone: (418) 544-3381

Dr. Jacinthe Marceau 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: 97024

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=97024

Family doctors like Dr Marceau 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.