Dr. Justine Mercier

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

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• 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.
• 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.

Adult Common Health Issues

• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Management includes advising on leg elevation, regular exercise (calf muscle pump activation), weight management, avoidance of prolonged standing/sitting, and recommending/prescribing appropriately fitted graduated compression stockings. Patient education on skin care to prevent venous ulcers.

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Helping patients manage the symptoms of psoriasis (scaling, plaques, itchiness) and reduce skin inflammation through effective topical therapies and supportive care.
• 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.

Mental Health Concerns

• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.

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

• 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.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Assisting patients with necessary medical documentation for third-party requests.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Expert care to help you achieve and maintain healthy blood pressure and cholesterol targets, preventing long-term complications like heart attack, stroke, and kidney disease.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Supporting individuals experiencing persistent worry, panic attacks, social anxiety, low mood, loss of interest, or other mood disturbances with a patient-centered and collaborative approach.
• 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.

Note: This list highlights some of the key services offered by Dr Mercier. 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 Hôpital, CLSC et Centre d'hébergement d'Asbestos, 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 Mercier frequently works with patients towards goals such as:

• Addressing wanting to understand if genetic testing is appropriate for them based on family history with Dr Mercier often leads to feeling genuinely reassured, thoroughly well-informed about all aspects of their condition, and like an empowered, active partner in all decisions regarding their health status, treatment options, and long-term care strategies discussed with Dr Mercier, enabling patients to more freely engage in meaningfully celebrating positive health milestones, consistently encouraging check-up results from Dr Mercier, and successfully achieving deeply personal wellness goals (big or small) with a profound sense of accomplishment and renewed motivation.
• Dr Mercier frequently helps patients who are dealing with preparing for international travel and needing advice on health precautions, necessary vaccinations, or malaria prevention. The primary aim is achieving achieving significantly better control over chronic inflammatory or allergic conditions like asthma, allergic rhinitis, or eczema, leading to markedly fewer disruptive flare-ups, reduced reliance on rescue medications, and an improved daily experience free from constant symptoms, which often allows them to confidently resume actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr Mercier, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans.

Your personalized healthcare plan, developed in discussion with Dr Mercier, 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 Mercier's practice at Hôpital, CLSC et Centre d'hébergement d'Asbestos is located in a family medical practice in the central Asbestos neighborhood of Asbestos. 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.

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 Hôpital, CLSC et Centre d'hébergement d'Asbestos if you have questions about specific non-insured services or potential fees.

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

The Collège des médecins du Québec often has a 'Find a Doctor' tool or list on its website. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. In Quebec, you can use the Guichet d'accès à un médecin de famille (GAMF). Finding a family doctor accepting new patients can be challenging and may take time.

What should I do if I have an urgent medical issue when Hôpital, CLSC et Centre d'hébergement d'Asbestos is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams offer after-hours on-call services; please check with Hôpital, CLSC et Centre d'hébergement d'Asbestos or Dr Mercier during regular hours to see if such arrangements are in place. Our clinic voicemail [(819) 879-7158] may also provide instructions or resources for after-hours care.

What should I bring with me to my appointment with Dr Mercier?

Always bring your health card. A complete list of all medications (prescription, non-prescription, natural health products) is crucial. For new patients, past medical records or a health summary are beneficial. If you're diabetic, bring your blood sugar log and meter. Preparing a list of symptoms or questions in advance can also help.

Does Dr Mercier at Hôpital, CLSC et Centre d'hébergement d'Asbestos offer virtual (video) or phone appointments?

Yes, Dr Mercier offers virtual (video) and/or phone appointments for certain consultations when clinically appropriate (e.g., discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications – not controlled substances, or certain mental health follow-ups). Many conditions will still necessitate an in-person visit. Please discuss with our reception staff or Dr Mercier if a virtual appointment might be suitable. Provincial health plan coverage for virtual visits may vary; please check with Hôpital, CLSC et Centre d'hébergement d'Asbestos regarding any potential fees for uninsured virtual services.

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

Your family doctor (Médecin de famille) 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.

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 they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources may be helpful. A referral *is* usually required from a family doctor to see most medical specialists.

Hôpital, CLSC et Centre d'hébergement d'Asbestos
475 3e Avenue
Asbestos, QC, J1T 1X6

Phone: (819) 879-7158

Dr. Justine Mercier 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: 20706

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20706

Family doctors like Dr Mercier 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.