Dr. James Forbes Howie – Family Doctor | Kamloops, BC

Dr. James Forbes Howie is a Family Doctor. Practicing at Royal Inland Hospital in Kamloops, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. James Forbes Howie completed his MD (University of British Columbia, 1981). He brings valuable clinical experience to the practice. He holds Certification in the College of Family Physicians of Canada (CCFP). He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances; fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home. He is fluent in English and also offers consultations in French.

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

Dermatological Skin Conditions

• 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.
• 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.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• 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.

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): 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).
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• 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.

Adult Common Health Issues

• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.

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

• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Expert assessment and management of everyday acute illnesses affecting respiratory, urinary, skin, and other systems to help you recover quickly and prevent complications.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): Diagnosing and providing primary care management for common musculoskeletal issues such as osteoarthritis, mechanical low back pain, neck pain, rotator cuff tendinopathy, bursitis, and other non-specific joint or muscle pain.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Assisting patients with necessary medical documentation for third-party requests.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Assessing and treating minor injuries such as sprains, strains, simple fractures (initial assessment and referral for casting/splinting if needed), minor cuts/lacerations (suturing if appropriate), superficial burns, and acute episodes of back or neck pain.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.

Note: This list highlights some of the key services offered by Dr. Howie. 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 Royal Inland Hospital, 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. Howie frequently works with patients towards goals such as:

• Many patients have successfully addressed ongoing digestive issues like persistent heartburn after meals, uncomfortable bloating, or frequent stomach upset with Dr. Howie's support. This often leads to having their children's physical growth parameters, crucial cognitive and language development, and social-emotional well-being consistently and meticulously monitored by Dr. Howie during regular well-child visits, with any emerging concerns or developmental deviations addressed promptly, appropriately, and effectively and the ability to fully participate in 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 once more.
• For those challenged by wanting to discuss screening for osteoporosis or how to maintain bone health, Dr. Howie offers strategies to reach having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. Howie, which can mean rediscovering the joy of simply and thankfully getting through each and every day without their physical or mental health being a primary, constant source of pervasive worry, nagging discomfort, significant functional limitation, or a barrier to their desired activities.
• Patients with a sudden, unexplained weakness or numbness on one side of their body – they know this could be urgent can find relief and achieve successfully managing their multiple (often complex) medications with significantly fewer side effects, demonstrably better adherence to the prescribed regimen, and a much clearer understanding of each medication's specific purpose, benefits, and potential interactions, thanks to Dr. Howie's careful oversight under Dr. Howie's care, often allowing them to resume regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation without former limitations.

Your personalized healthcare plan, developed in discussion with Dr. Howie, 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. Howie practices at Royal Inland Hospital, situated in the North Shore (Brocklehurst, North Kamloops) neighborhood of Kamloops. The clinic is conveniently located near Kamloops Airport (YKA) and is accessible via the Kamloops Transit System (BC Transit). Free patient parking is often available on-site or on nearby streets.

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, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Royal Inland Hospital 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 don't need a referral to see a family doctor in BC if the doctor is accepting new patients. However, finding a family doctor accepting new patients can be challenging. You may find it helpful to check the College of Physicians and Surgeons of BC website, contact local community health centres, or ask for recommendations. A referral from a family doctor is usually required to see specialists.

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

Your family doctor (in British Columbia) 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.

What happens if Dr. Howie determines I need to see a medical specialist?

As your family doctor, Dr. Howie acts as your primary care coordinator. If he believes your condition requires specialized assessment or treatment, he will explain why a specialist consultation is necessary and will arrange the referral. Dr. Howie will send your pertinent medical details to the specialist. The specialist's office will then typically contact you to book the appointment. It's important to keep Royal Inland Hospital informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr. Howie can continue to coordinate your overall care effectively.

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 take time and effort. The College of Physicians and Surgeons of BC website 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.

Royal Inland Hospital
PO Box 24082 Stn Northills Centre
Kamloops, BC, V2B 8R3

Phone: (250) 314-4260

Dr. James Forbes Howie 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: 6229

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/303417/Howie%2CJames

Family doctors like Dr. Howie 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.