Dr. John Steward van der Merwe – Family Doctor | Lloydminster, AB

Dr. John Steward van der Merwe is a Family Doctor. Practicing at a family doctor practice in Lloydminster, AB, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians & Surgeons of Alberta (CPSA) 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. John Steward van der Merwe completed his MB BCh (South Africa, 2007). 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 is fluent in English and also offers consultations in Afrikaans.

Dr. John Steward van der Merwe 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

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• 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

• 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.
• 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.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).

Preventative Health Topics

• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.
• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.

Common Chronic Conditions

• 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.
• 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.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).

Pediatric Common Issues

• 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.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.

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

• Cardiovascular & Metabolic Risk Assessment & Management: Evaluating risk factors for heart disease, stroke, and type 2 diabetes, including blood pressure measurement, cholesterol (lipid panel) screening, blood glucose testing, and assessing lifestyle factors (diet, exercise, smoking, family history). Includes initiation of preventative medications if indicated.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Providing care for acute episodes of headache or dizziness/vertigo, offering relief strategies and guidance.
• Primary Care for Overuse & Repetitive Strain Injuries: Diagnosing and managing conditions resulting from repetitive stress or overuse, such as tendinopathies (e.g., tennis elbow, golfer's elbow, Achilles tendinopathy), plantar fasciitis, and carpal tunnel syndrome (initial management).
• Smoking & Tobacco Cessation Programs & Support: Offering comprehensive counseling, motivational interviewing, setting quit dates, developing personalized quit plans, and providing ongoing support, including prescription of medical aids (nicotine replacement therapy, varenicline, bupropion) to help individuals quit smoking and all forms of tobacco use.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Differentiating between benign and suspicious skin lesions, with prompt biopsy or referral to dermatology if skin cancer is suspected.

Note: This list highlights some of the key services offered by Dr. Merwe. 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 Dr. John Steward van der Merwe'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. Merwe frequently works with patients towards goals such as:

• Patients often come to Dr. Merwe regarding experiencing sudden flashes of light or floaters in their vision. Working together, they aim for feeling genuinely and consistently supported by Dr. Merwe 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, making a return to boldly taking on new, exciting challenges or ambitious, multi-stage projects either at work or in their personal life with a strong sense of self-efficacy, physical capability, and mental preparedness feasible.
• For many individuals, a minor injury like a sprained ankle from a misstep playing sports, or a small cut from cooking that might need stitches can be a real barrier. Dr. Merwe's approach focuses on achieving receiving a timely diagnosis of a previously unrecognized condition like obstructive sleep apnea, celiac disease, or hypothyroidism through Dr. Merwe's astute clinical screening and appropriate referral for confirmatory testing, leading to effective treatment and significantly improved quality of life, making it possible for patients to once again enjoy 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. Merwe, 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. Merwe's practice is located at a family medical clinic in Lloydminster, situated in a family medical practice in the central Lloydminster neighborhood of Lloydminster. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Finding a family doctor in Alberta who is accepting new patients can be challenging. The College of Physicians and Surgeons of Alberta often has a 'Find a Doctor' tool or list on their website that you can check. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. It's important to understand that this process may take time.

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 Alberta health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific 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 doctor accepting new patients can be difficult. Provincial resources, such as the College of Physicians and Surgeons of Alberta website, may be helpful in your search. A referral from your family doctor is usually required to see specialists.

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

Your family doctor (Alberta) 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.

1208 61 Ave
Lloydminster, AB, T9V 3S2

Phone: (780) 875-1595

Dr. John Steward van der Merwe 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: 025089

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=ad103f0c-fd0d-497f-bf39-4f77489a63ed&i=1483

Family doctors like Dr. Merwe 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.