Dr. Joanie Defoy – Family Doctor | Amos, QC

Dr. Joanie Defoy is a Médecin de famille. Practicing at CISSSAT - Hôpital d'Amos in Amos, QC, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She 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. Her 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. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Joanie Defoy completed her Family Medicine (2020). She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions. She offers consultations in French.

Dr. Joanie Defoy 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 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.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.

Adult Common Health Issues

• 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.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.

Joint Muscle Pain

• 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.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• 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).
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.

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

• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.
• Well-Child & Well-Adolescent Visits (Growth & Development): Routine check-ups for infants, children, and adolescents to monitor physical growth, cognitive and social-emotional development, and provide anticipatory guidance to parents/guardians.
• Eating Disorder Screening & Referral Coordination: Screening for signs and symptoms of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder) during routine visits or when concerns arise. Providing initial support and psychoeducation, and facilitating timely referrals to specialized eating disorder programs, dietitians, and mental health professionals.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Confidential screening for common STBBIs (e.g., chlamydia, gonorrhea, syphilis, HIV, Hepatitis B/C) based on risk factors and guidelines. Includes counseling on prevention, safe practices, partner notification if applicable, and providing treatment for common STIs.

Note: This list highlights some of the key services offered by Dr Defoy. 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 CISSSAT - Hôpital d'Amos, 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 Defoy frequently works with patients towards goals such as:

• Managing a minor injury like a sprained ankle from a misstep playing sports, or a small cut from cooking that might need stitches effectively is a priority for Dr Defoy. The aim is their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, Dr Defoy, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, which helps patients get back to enjoying 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.
• A frequent goal for patients seeing Dr Defoy about needing advice on managing their child's ADHD medication or school accommodations is to achieve feeling genuinely and consistently supported by Dr Defoy 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. This success paves the way for them to re-engage with possessing the physical stamina and mental resilience to complete a full, demanding day of sightseeing, museum visits, or participation in workshops and conferences while on vacation or during business travel.

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

Dr Defoy practices at CISSSAT - Hôpital d'Amos, situated in a family medical practice in the central Amos neighborhood of Amos. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

What is 'continuity of care' and why is it important with a family doctor like Dr Defoy?

Continuity of care refers to the process where your family doctor, Dr Defoy, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr Defoy becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'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 CISSSAT - Hôpital d'Amos if you have questions about specific non-insured services or potential fees.

What exactly is a family doctor (Médecin de famille) 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.

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

Yes, as your family doctor, Dr Defoy plays a crucial role in mental healthcare. She is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. Dr Defoy can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services such as psychiatrists, psychologists, or community mental health programs if more intensive or specialized care is needed. Dr Defoy can provide ongoing support and management for many common mental health conditions.

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

Dr Defoy practices as part of CISSSAT - Hôpital d'Amos, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr Defoy, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr Defoy for complex or ongoing issues where that continuity is most crucial.

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 if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources or the College of Physicians and Surgeons of Quebec may have helpful tools. A referral is usually required to see specialists.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

Check the website of the Collège des médecins du Québec, which often has a 'Find a Doctor' tool. You can also use the Guichet d'accès à un médecin de famille (GAMF). Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics directly. Finding a doctor may take time.

CISSSAT - Hôpital d'Amos
622 4E Rue O
Amos, QC, J9T 2S2

Phone: (819) 732-3341

Dr. Joanie Defoy 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: 20404

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20404

Family doctors like Dr Defoy 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.