Dr. Karen Tong – Family Doctor | Lachine, QC

Dr. Karen Tong is a Médecin de famille. Practicing at MedNam Lachine Clinic in Lachine, 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. Karen Tong completed her Family Medicine (2018). 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 commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; fostering continuity of care and building long-term relationships with patients and their families, providing a trusted medical home. She offers consultations in French.

Dr. Karen Tong 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: 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.
• 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.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Performing comprehensive driver's medicals to ensure individuals meet the health standards necessary for safe vehicle operation, promoting road safety for all.
• 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.
• 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.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.

Dermatological Skin Conditions

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.

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

• Assessment & Management of Anxiety, Depression & Mood Disorders: Ongoing management and support for anxiety and mood disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Providing timely medical care for a wide range of infections, including diagnosis, appropriate treatment (e.g., antibiotics when indicated by bacterial infection), and advice for symptom relief and recovery.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Providing a safe and understanding space to navigate the complex emotional, cognitive, and physical reactions to loss, and connecting with specialized bereavement services or support groups if needed.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Creating a safe, non-judgmental, and supportive healthcare environment for teenagers to discuss their health concerns, receive accurate information, and develop healthy decision-making skills.
• Fungal, Viral & Bacterial Skin Infections: Diagnosis and treatment of common superficial infections like tinea (ringworm, athlete's foot), candidiasis, warts (cryotherapy, topical agents), molluscum contagiosum, herpes simplex/zoster (shingles), impetigo, and folliculitis, using appropriate topical or oral antifungal, antiviral, or antibacterial medications.

Note: This list highlights some of the key services offered by Dr Tong. 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 MedNam Lachine 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 Tong frequently works with patients towards goals such as:

• It's rewarding for Dr Tong to see patients with feeling generally 'unwell' or 'off' without a clear reason for a while achieve receiving a clear, understandable, and timely diagnosis for their persistent health concern, finally bringing peace of mind and a concrete path forward for treatment or management under Dr Tong's care and return to important activities like consistently being a reliable, present, actively contributing, and supportive member of their immediate family unit, extended family network, and valued social circles, fulfilling important roles and responsibilities.
• Managing feeling stressed about caregiving responsibilities for an elderly parent or sick relative effectively is a priority for Dr Tong. The aim is receiving necessary, appropriate, and well-coordinated timely referrals to highly-regarded specialists or specialized programs, leading to advanced specialized diagnosis, cutting-edge treatment, or valuable second opinions when required for complex or rare health issues, all facilitated by Dr Tong, which helps patients get back to enjoying patiently, effectively, and enjoyably helping their school-aged children or young grandchildren with challenging homework assignments, creative school projects, or extracurricular learning activities that require sustained patience, focus, and clear communication.

Your personalized healthcare plan, developed in discussion with Dr Tong, 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 Tong practices at MedNam Lachine Clinic, a family medical practice in the central Lachine neighborhood of Lachine. 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.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you don't need a referral to see a family doctor in Quebec if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources such as the website of the Collège des médecins du Québec or local health authority websites may be helpful in finding a doctor. A referral from a family doctor is usually required to see specialists.

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

Your family doctor (Quebec) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. She manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care she provides, understanding your health history and individual needs, is fundamental to effective family medicine.

Is seeing a family doctor (Médecin de famille) covered by Régie de l&#x27;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 health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have an associated fee. Please confirm with MedNam Lachine Clinic if you have questions about specific services or potential fees.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr Tong?

Your first appointment with Dr. Tong will involve a discussion of your complete health profile. She will ask about your medical history, family illnesses, medications, allergies, lifestyle, and any health concerns or goals. This comprehensive intake helps Dr. Tong understand your health status and create a long-term care plan. It's also a good time to ask questions.

What does 'preventative care' involve with a family doctor like Dr Tong?

Preventative care with Dr. Tong focuses on keeping you healthy. This includes check-ups, age-appropriate cancer screenings, immunizations, blood pressure and cholesterol checks, diabetes screening, and counseling on healthy lifestyle choices. The goal is to prevent illness and detect diseases early.

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

Finding a family doctor in Quebec who is accepting new patients may take time. Check the Collège des médecins du Québec website, local health authority websites, or ask for recommendations from friends and family. Contacting local community health centres or new patient clinics directly may also be helpful.

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

Continuity of care means having an ongoing relationship with your family doctor. It allows Dr. Tong to understand your health history and needs, leading to better diagnoses, tailored treatments, and a trusting relationship. Studies show it leads to better health outcomes.

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

Bring your valid RAMQ card, a list of your current medications (including vitamins and supplements), and any relevant medical records or test results. A written list of your questions or concerns is also helpful.

MedNam Lachine Clinic
301-2000 rue Notre-Dame
Lachine, QC, H8S 2G4

Phone: (514) 780-1873

Dr. Karen Tong 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: 18666

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=18666

Family doctors like Dr Tong 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.