Dr. James Dominic Clem

Dr. James Dominic Clem provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

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.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, thyroid antibodies) to maintain optimal thyroid function and well-being.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.

Dermatological Skin Conditions

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• 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.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.

Mental Health Concerns

• 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.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.

Pediatric Common Issues

• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Supporting new parents in caring for their infant, addressing common concerns (colic, reflux, sleep patterns), and promoting bonding and healthy attachment.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.

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

• 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.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Helping you identify factors contributing to poor sleep and develop effective, sustainable strategies to improve sleep quality, duration, and daytime functioning.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Assessing new or sudden onset headaches or dizziness to differentiate between common causes (e.g., tension headache, migraine, benign positional vertigo) and more serious underlying conditions, providing initial management and referral if indicated.
• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Coordinating appropriate cancer screening tests tailored to your age, gender, family history, and individual risk factors, facilitating early detection.

Note: This list highlights some of the key services offered by Dr. Clem. 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. James Dominic Clem'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. Clem frequently works with patients towards goals such as:

• Managing feeling unusually tired and completely run down for weeks, not just a day or two of fatigue effectively is a priority for Dr. Clem. The aim is having their diverse family structure, unique cultural needs, and individual communication preferences consistently understood, acknowledged, and respectfully incorporated into all aspects of their care by Dr. Clem and the entire clinic team, which helps patients get back to enjoying spontaneously making and eagerly keeping enjoyable plans with a wide circle of friends for various social outings such as dinners out, casual coffee chats, shared recreational activities, or weekend excursions.
• With Dr. Clem's care, managing a persistent metallic taste in their mouth or other unusual sensory changes aims for 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 Dr. Clem, empowering patients to get back to what they love, like being able to fully focus on, deeply appreciate, and thoroughly enjoy life's simple, everyday pleasures like listening to favorite music with undivided attention, watching a beautiful sunset in awe, spending quiet, contemplative time in nature, or losing themselves in a captivating book.
• Many seek Dr. Clem's help for a tick bite and concerns about Lyme disease, especially after hiking. The collaborative goal is receiving appropriate and timely referrals for genetic counseling or testing through Dr. Clem when indicated by significant family history of heritable conditions or specific clinical findings, allowing a return to valued activities like meticulously planning, eagerly anticipating, and thoroughly enjoying well-deserved, adventurous, or relaxing vacations and novel travel experiences, both near and far, without the constant nagging worry about potential health flare-ups, unexpected medical needs, or physical limitations.

Your personalized healthcare plan, developed in discussion with Dr. Clem, 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. Clem's practice is located at a family medical clinic in Vancouver, situated in the Downtown Vancouver (Coal Harbour, Waterfront) neighborhood. The clinic is conveniently located near Queen Elizabeth Park and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Finding a family doctor in BC who is accepting new patients can be challenging. The College of Physicians and Surgeons of BC often has a ‘Find a Doctor’ tool or list on their website that you can check. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. Please be aware that it may take time to find a doctor accepting new patients.

What exactly is a family doctor (Family Doctor) 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.

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, most travel medicine consultations, sick notes for work/school, insurance forms, and driver’s medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

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. Provincial resources, such as the College of Physicians and Surgeons of BC website, may be helpful in finding a doctor. A referral from a family doctor is usually required to see most medical specialists.

900 Hastings St W Ste 800, Harrison Healthcare
Vancouver, BC, V6C 1E5

Phone: (604) 206-8000

Dr. James Dominic Clem 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: J3793

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/346215/Clem%2CJames

Family doctors like Dr. Clem 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.