Dr. Jean Grégoire – Family Doctor | Saint-Georges, QC

Dr. Jean Grégoire is a Médecin de famille. Practicing at Clinique familiale de Saint-Georges in Saint-Georges, QC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The Collège des médecins du Québec (CMQ) 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. Jean Grégoire completed his Family Medicine (2010), 1981. He brings valuable clinical experience to the practice. 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 fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home; advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services. He offers consultations in French.

Dr. Jean Grégoire 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

• Type 2 Diabetes Mellitus & Prediabetes: Managing all aspects of type 2 diabetes and prediabetes with personalized treatment plans. This includes regular blood sugar monitoring (self-monitoring, A1c, continuous glucose monitoring (CGM) discussion), prescription and adjustment of medications (oral hypoglycemics, GLP-1 agonists, SGLT2 inhibitors, insulin), comprehensive diet and exercise counseling, and proactive screening and management of diabetes-related complications (retinopathy, nephropathy, neuropathy, foot problems, cardiovascular disease).
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Individualized, evidence-based care plans for individuals living with hypertension, focusing on patient education, shared decision-making, and promoting long-term adherence to treatment for optimal cardiovascular health.
• 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.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• 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): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.

Joint Muscle Pain

• 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.
• 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.
• 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): 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.

Common Acute Conditions

• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Care for acute respiratory illnesses, including advice on symptom management, appropriate use of antibiotics (only if bacterial infection is confirmed or highly suspected), and guidance on when to seek further medical attention for complications.
• 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.
• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Care for acute lung infections, focusing on appropriate antimicrobial therapy when indicated, supportive measures (rest, hydration, symptom relief), and guidance for a full recovery, with escalation to hospital care if severe.

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

• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Performing therapeutic joint injections (e.g., corticosteroid injections) for certain conditions like osteoarthritis, bursitis, or tendinitis in specific joints (e.g., knee, shoulder) to reduce pain and inflammation, if appropriately trained and equipped.
• Routine Health Check-ups & Physicals for Adults: Comprehensive care focused on health promotion and disease prevention throughout adulthood.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• 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.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Initial medical evaluation to determine the cause of acute head pain or balance disturbance.

Note: This list highlights some of the key services offered by Dr Grégoire. 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 Clinique familiale de Saint-Georges, 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 Grégoire frequently works with patients towards goals such as:

• For patients where difficulty breathing, wheezing, or a flare-up of their asthma or COPD that needs attention is a concern, Dr Grégoire focuses on plans that lead to benefiting from Dr Grégoire's proactive and systematic approach to mental health screening and discussion during routine visits, leading to earlier identification and support for emerging psychological distress, supporting their ability to passionately playing their favorite competitive or recreational sport – be it soccer on weekends, league hockey, a round of golf, a tennis match, or pickup basketball – regularly, skillfully, and without the constant dread of debilitating pain, flare-ups, or fear of re-injury.
• If shortness of breath that comes on suddenly or is worse than their usual asthma/COPD is preventing you from 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, Dr Grégoire can help. The aim is to achieve feeling genuinely and consistently supported by Dr Grégoire during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member through personalized family medicine care.

Your personalized healthcare plan, developed in discussion with Dr Grégoire, 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 Grégoire's practice at Clinique familiale de Saint-Georges is situated in a family medical practice in central Saint-Georges neighborhood of Saint-Georges. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

If Dr Grégoire determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), he will discuss the reasons with you and initiate a referral. This usually involves Dr Grégoire sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at Clinique familiale de Saint-Georges will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with Clinique familiale de Saint-Georges if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr Grégoire.

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

With Dr Grégoire, 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 Grégoire works with you to create a personalized prevention plan.

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 that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to use provincial resources to find a doctor. A referral from a family doctor is usually required to see most medical specialists.

Can Dr Grégoire help with mental health concerns like anxiety or depression?

Family doctors like Dr Grégoire are integral to supporting patients' mental health. He can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr Grégoire.

Is seeing a family doctor (Médecin de famille) covered by Régie de l&#x27;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 provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Clinique familiale de Saint-Georges if you have questions about specific services or potential fees.

Does Dr Grégoire at Clinique familiale de Saint-Georges offer virtual (video) or phone appointments?

Yes, Dr Grégoire at Clinique familiale de Saint-Georges offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr Grégoire if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Clinique familiale de Saint-Georges regarding any potential fees for uninsured virtual services.

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

A family doctor (in Quebec) 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 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 can take time and effort. You can check the website of the Collège des médecins du Québec, which may have a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or clinics directly. There may also be provincial programs available to assist you in finding a family doctor.

Clinique familiale de Saint-Georges
927 150e Rue
Saint-Georges, QC, G5Y 0J1

Phone: (418) 228-8001

Dr. Jean Grégoire 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: 81048

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=81048

Family doctors like Dr Grégoire 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.