Dr. Jana Piorecky Holden

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

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• 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.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.

Dermatological Skin Conditions

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Ongoing primary care for COPD, empowering patients with self-management techniques and coordinating care with respiratory specialists when necessary.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Diagnosing and providing ongoing treatment for common forms of anemia to maintain energy levels and overall health.
• 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.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).

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

• Urgent Care for Non-Life-Threatening Conditions: Providing assessment and management for urgent medical issues that are not life-threatening but require prompt attention, such as minor allergic reactions, asthma flare-ups, or infections needing timely treatment.
• Patient Education on Specific Health Conditions & Self-Management: Ensuring patients and their families understand their medical conditions and treatment plans, encouraging active participation in their own care.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Providing comprehensive assessment, empathetic counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common mental health conditions.
• 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.
• 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.

Note: This list highlights some of the key services offered by Dr. Holden. 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 AB and the ethical and professional standards set by The College of Physicians & Surgeons of Alberta (CPSA).

At Jana Holden Clinic Leduc, 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. Holden frequently works with patients towards goals such as:

• When a follow-up for a recent concussion to ensure they are recovering properly impacts daily life, Dr. Holden helps patients strive for developing a deeply trusted, respectful, and enduring long-term therapeutic relationship with their dedicated and accessible primary care physician, Dr. Holden, built on open communication and mutual respect, making activities such as meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr. Holden, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation possible again.
• Many patients have successfully addressed experiencing unusual fatigue and muscle aches that aren't explained by physical activity with Dr. Holden's support. This often leads to receiving necessary, appropriate, and well-coordinated timely referrals to highly-regarded specialists or specialized programs, leading to advanced specialized diagnosis, cutting-edge treatment, or valuable second opinions when required for complex or rare health issues, all facilitated by Dr. Holden and the ability to fully participate in meaningfully and collaboratively contributing to important household decision-making processes, family event planning, or shared domestic responsibilities with clarity and fairness once more.

Your personalized healthcare plan, developed in discussion with Dr. Holden, 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.

Jana Holden Clinic Leduc is situated in the Leduc City, Leduc Business Park, Edmonton International Airport (YEG) Area, Nisku Industrial Park neighborhood of Leduc. The clinic is conveniently located near Commercial Development and is accessible via Leduc Transit (including routes to EIA & Edmonton). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

Is seeing a family doctor (Family Doctor) covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary visits to a family doctor are typically covered by the Alberta Health Care Insurance Plan (AHCIP) 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 Jana Holden Clinic Leduc 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 AB?

Generally, you do not need a referral to see a family doctor in Alberta if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to check the College of Physicians and Surgeons of Alberta website or contact local health authorities for assistance. A referral is usually required to see specialists.

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

You can check the College of Physicians and Surgeons of Alberta website for a "Find a Doctor" tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or 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 Alberta) 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.

How do I get a prescription refilled by Dr. Holden?

For most prescription refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr. Holden's office. Allow 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances), or if it has been a while since your last visit, an appointment may be required. It's best to request refills proactively.

Jana Holden Clinic Leduc
28-5201 50 ST
Leduc, AB, T9E 6T4

Phone: (780) 986-6200

Dr. Jana Piorecky Holden is regulated by the Health Professions Act (Alberta) in AB and is a registered member in good standing with The College of Physicians & Surgeons of Alberta (CPSA).

Registration Number: 11712

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=a8889dcc-fd4e-442d-8b18-5fbeaa01d616&i=630

Family doctors like Dr. Holden 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.