Dr. Jeremy Piemontesi

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

Preventative Health Topics

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Guidance on making sustainable lifestyle modifications for improved energy levels, healthy weight management, better mood regulation, reduced risk of chronic illness (heart disease, diabetes, cancer), and enhanced longevity and quality of life.
• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.

Common Chronic Conditions

• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.

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

• 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.
• Hospital Discharge Follow-Up & Transitions of Care Management: Helping you navigate your health journey effectively after a hospital discharge, ensuring all aspects of your care plan are understood, implemented, and monitored.
• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Monitoring kidney function (e.g., eGFR, urine ACR), managing risk factors (especially diabetes and hypertension that can worsen CKD), medication review to avoid nephrotoxic drugs, and coordinating care for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Keeping your family's immunizations up-to-date to safeguard individual health and contribute to community immunity, including pre-travel health advice.

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

• The path to wellness when facing difficulty breathing, wheezing, or a flare-up of their asthma or COPD that needs attention involves working towards feeling significantly more comfortable, markedly less anxious, and substantially more trusting about visiting the doctor and engaging with the healthcare system due to the consistently positive, supportive, and long-standing therapeutic relationship they have established with Dr. Piemontesi. Dr. Piemontesi guides patients so they can again enjoy comfortably and easily using stairs at home, in their workplace, or in various public places as needed throughout the day, without experiencing significant breathlessness, joint pain, or instability.
• If wanting to understand if genetic testing is appropriate for them based on family history is preventing you from consistently driving safely, alertly, and comfortably for all necessary daily errands, regular commuting to work or school, or for longer leisure trips and family visits, without physical strain or cognitive impairment, Dr. Piemontesi can help. The aim is to achieve having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr. Piemontesi through personalized family medicine care.
• It's rewarding for Dr. Piemontesi to see patients with their elderly relative seeming more confused or withdrawn lately achieve receiving appropriate and timely referrals for genetic counseling or testing through Dr. Piemontesi when indicated by significant family history of heritable conditions or specific clinical findings and return to important activities like generously volunteering their valuable time, unique skills, and boundless energy in their local community for causes they deeply believe in, feeling consistently healthy, capable, and motivated enough to contribute meaningfully and make a real difference.

Your personalized healthcare plan, developed in discussion with Dr. Piemontesi, 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. Piemontesi practices at a family medical clinic in Victoria, situated in a well-regarded family medical practice in Victoria neighborhood of Victoria. The clinic is conveniently located near Fairmont Empress Hotel and is accessible via Victoria Regional Transit System (BC Transit). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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 (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, 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 don't need a referral to see a family doctor in BC if they are 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 or contact local community health centres. A referral is usually required to see specialists.

What if Dr. Piemontesi works in a Family Health Team or group practice? Will I always see Dr. Piemontesi?

Dr. Piemontesi practices as part of a team-based practice, which means you have access to other healthcare professionals. While the goal is to promote continuity with Dr. Piemontesi, you might be seen by another trusted team member for some routine follow-ups or specific services. The clinic will strive to have you see Dr. Piemontesi for complex or ongoing issues.

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

Your family doctor (BC) is your primary healthcare provider, trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and refer you to specialists when needed. The continuity of care they provide is fundamental to effective family medicine.

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

Absolutely. Dr. Piemontesi is well-equipped to address a wide range of mental health issues. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage medications when appropriate, and coordinate care with mental health specialists if required.

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. Check the College of Physicians and Surgeons of BC website, ask friends and family for recommendations, or contact local community health centres or new patient clinics directly.

835 Langford Pky, Langford Family Medicine- Primacy
Victoria, BC, V9B 4V5

Phone: (250) 478-8833

Dr. Jeremy Piemontesi 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: 67230

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/334395/Piemontesi%2CJeremy

Family doctors like Dr. Piemontesi 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.