Dr. Julie Patricia Maranda

Dr. Julie Patricia Maranda 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

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Long-term support and care for managing the symptoms of degenerative joint disease and other chronic musculoskeletal pain, focusing on self-management and maintaining an active lifestyle.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.
• 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.
• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).

Joint Muscle Pain

• 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: 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: 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).
• 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.

Pediatric Common Issues

• 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.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.
• 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.
• 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.

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

• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.
• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• 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.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Supporting your efforts to adopt and maintain healthier habits across multiple domains for a better quality of life and disease prevention.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Management of common skin lesions, including simple diagnostic and removal procedures where appropriate within primary care.

Note: This list highlights some of the key services offered by Dr. Maranda. 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 ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At P A C E Clinic, 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. Maranda frequently works with patients towards goals such as:

• Many seek Dr. Maranda's help for wanting to get a baseline ECG because of family heart history before starting a new exercise program. The collaborative goal is feeling a genuine, strong, and enduring sense of partnership and close collaboration with Dr. Maranda in working consistently and effectively towards their mutually agreed-upon, meaningful health goals and overall state of well-being, allowing a return to valued activities like actively and diligently engaging in their prescribed recovery process and rehabilitation program after an unexpected injury, a planned surgery, or a significant medical event by consistently following all professional advice and exercises.
• A frequent goal for patients seeing Dr. Maranda about concerns about thinning hair or hair loss that seems more than normal is to achieve achieving a significantly healthier and more balanced lifestyle that demonstrably reduces their risk of developing future preventable health problems and notably enhances their overall physical and mental resilience. 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.
• Many patients have successfully addressed it being time for their regular comprehensive health check-up and physical exam with Dr. Maranda's support. This often leads to having a reliable, knowledgeable, consistently accessible, and compassionate go-to medical professional in Dr. Maranda for the vast majority of their entire family's diverse and evolving health needs, from newborn care and pediatrics through to adult medicine and geriatrics and the ability to fully participate in successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations once more.
• The path to wellness when facing a tick bite and concerns about Lyme disease, especially after hiking involves working towards their child's academic performance or social engagement noticeably improving after Dr. Maranda played a key role in identifying and initiating management for underlying health conditions, attention issues, or learning differences. Dr. Maranda guides patients so they can again enjoy actively participating in local civic life, serving on community boards, contributing to neighborhood associations, or engaging in grassroots advocacy groups with consistent energy, passion, and intellectual commitment.

Your personalized healthcare plan, developed in discussion with Dr. Maranda, 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. Maranda practices at P A C E Clinic, situated in a family medical practice in the central Hawkesbury neighborhood of Hawkesbury. 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 ON who is accepting new patients?

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a ‘Find a Doctor’ tool or list on their website. In Ontario, you can also register with Health Care Connect. Asking friends, family, or colleagues for recommendations is also helpful. You can try contacting local community health centres or new patient clinics directly. Please be aware that it may take time.

Do I need a referral to see a family doctor (Family Doctor) in ON?

Generally, you do not need a referral to see a family doctor in Ontario if that doctor is accepting new patients. However, finding a family doctor accepting new patients can be difficult. Resources like Health Care Connect in Ontario, your local health authority website, or the College of Physicians and Surgeons of Ontario patient-doctor matching service (if available) may assist you in finding a physician. A referral from your family doctor is usually required to see medical specialists.

How long do appointments with Dr. Maranda typically last?

Typically, a regular appointment with Dr. Maranda to discuss a specific health concern or for a follow-up lasts about 10 to 15 minutes. However, if you are a new patient, scheduled for a complete physical exam, or need to discuss multiple or complex health matters, the appointment will likely be scheduled for a longer duration, such as 30 minutes. Please inform the reception staff at P A C E Clinic about the nature of your visit when booking, so sufficient time with Dr. Maranda can be arranged.

What should I bring with me to my appointment with Dr. Maranda?

To each appointment with Dr. Maranda at P A C E Clinic, please ensure you have your provincial health card. A current, detailed list of all your medications (name, dose, frequency) is very important. If you're coming about a specific issue and have related reports (like X-rays, specialist letters, or recent lab results), please bring those along. It's also a good idea to jot down any questions or symptoms you want to discuss with Dr. Maranda beforehand so you don't forget anything important during your visit.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid 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 may have an associated fee. Please confirm with P A C E Clinic if you have questions about specific services or potential fees.

I have multiple health problems. How does Dr. Maranda handle complex care?

If you have several health issues, Dr. Maranda is well-equipped to be your central point of care. Her role includes understanding how your different conditions and their treatments might impact each other, helping you navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Maranda will work with you and other specialists to manage your health comprehensively.

What exactly is a family doctor (Family Doctor) 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.

P A C E Clinic
Unit Suite 602, 1111 Ghislain Street, Suite 602
Hawkesbury, ON, K6A 3G5

Phone: (613) 632-1111

Dr. Julie Patricia Maranda is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 72244

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Maranda-Julie-Patricia/0153165-72244

Family doctors like Dr. Maranda 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.