Dr. Laurence Sirois-Giguère

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

Preventative Health Topics

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• Weight Management & Obesity Prevention/Treatment: Supporting individuals in achieving and maintaining a healthy body weight through non-stigmatizing, patient-centered approaches that focus on sustainable lifestyle habits, improved metabolic health, and overall well-being rather than solely on rapid weight loss or restrictive dieting.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Supporting your efforts to adopt and maintain healthier habits across multiple domains of life for a better quality of life, increased resilience, and proactive disease prevention through shared goal setting and ongoing support.

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.
• 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: 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).

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Comprehensive management strategies for COPD, focusing on smoking cessation support (critical for slowing progression), appropriate pharmacological therapy (bronchodilators, inhaled corticosteroids), supplemental oxygen therapy assessment (if needed), pulmonary rehabilitation referrals, influenza/pneumococcal vaccinations, and proactive management of exacerbations to improve quality of life, reduce symptoms (breathlessness, chronic cough, sputum production), and slow disease progression.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Developing personalized strategies to reduce chronic joint and muscle pain, improve mobility and function, enhance coping mechanisms, and improve overall quality of life for those living with conditions like arthritis, persistent back pain or fibromyalgia.
• Asthma (All Ages) & Allergic Rhinitis: Working collaboratively with you (or your child) to achieve optimal asthma control, minimize symptoms (wheezing, coughing, shortness of breath), improve lung function, and reduce reliance on reliever medications.
• 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.

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

• Primary Care for Overuse & Repetitive Strain Injuries: Advising on activity modification, ergonomic adjustments, stretching/strengthening exercises, and pain relief measures for overuse injuries.
• 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.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and monitor for complications like thyroid nodules or goiter.
• Management of Common Adult Acute & Chronic Illnesses: Diagnosing and treating a wide spectrum of acute illnesses commonly affecting adults (e.g., respiratory infections, UTIs, skin conditions) and providing ongoing management for prevalent chronic diseases (e.g., hypertension, diabetes, asthma, arthritis).
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Providing ongoing care for individuals with asthma or COPD to optimize symptom control, reduce frequency of flare-ups, and improve exercise tolerance and quality of life.

Note: This list highlights some of the key services offered by Dr Sirois-Giguère. 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 Clinique médicale Rivière-Du-Moulin, 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 Sirois-Giguère frequently works with patients towards goals such as:

• Through Dr Sirois-Giguère's guidance, patients with needing support, resources, and a concrete plan to help them quit smoking for good this time often find they can achieve accessing crucial mental health support, initial assessment, and evidence-based treatment in a familiar, readily accessible, and completely non-stigmatizing primary care environment meticulously provided by Dr Sirois-Giguère and once again pursue nurturing and maintaining strong, supportive, and deeply fulfilling relationships with their immediate family members, close friends, and wider social network through regular, active, and meaningful engagement.
• Struggling with their child having issues with persistent allergies, eczema flare-ups, or food sensitivities? Dr Sirois-Giguère helps patients target their legitimate concerns about potential medication side effects or adverse drug reactions being taken seriously and investigated thoroughly by Dr Sirois-Giguère, often leading to helpful and safe adjustments in their prescribed treatment plan, making a return to activities such as proactively, responsibly, and knowledgeably caring for their own comprehensive health needs and the diverse preventative care requirements of their entire family, fostering a culture of wellness at home more achievable.

Your personalized healthcare plan, developed in discussion with Dr Sirois-Giguère, 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 Sirois-Giguère practices at Clinique médicale Rivière-Du-Moulin, situated in the Chicoutimi Central/Downtown neighborhood of Saguenay. The clinic is conveniently located near Parc de la Rivière-aux-Sables (Jonquière) and is accessible via Société de transport du Saguenay (STS). Free patient parking is often available on-site or on nearby streets.

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 can be challenging. The Collège des médecins du Québec often has a "Find a Doctor" tool or list on their website. You can also try using the Guichet d'accès à un médecin de famille (GAMF). Asking friends, family, or colleagues for recommendations is also helpful. Contacting local community health centres or new patient clinics directly may yield results. Please be aware that it may take time to find a suitable doctor.

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 Quebec 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 might have an associated fee. Please confirm with Clinique médicale Rivière-Du-Moulin if you have questions about specific services and potential fees.

What should I do if I have an urgent medical issue when Clinique médicale Rivière-Du-Moulin is closed?

If you have a life-threatening emergency, call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues, consider visiting an urgent care centre or a walk-in clinic. Clinique médicale Rivière-Du-Moulin may offer after-hours on-call services for their registered patients; please check with them during regular hours. Their voicemail [(418) 549-3564] may also provide instructions or resources for after-hours care.

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 in Quebec if they are accepting new patients. However, finding a doctor accepting new patients can be difficult. Provincial resources, such as the Collège des médecins du Québec website, may be helpful. A referral is usually required to see specialists.

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

A family doctor, or general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families of all ages. They serve as your first point of contact for most health concerns, offering preventative care, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and referring you to specialists when needed. Building long-term relationships with patients is a key aspect of their role.

Clinique médicale Rivière-Du-Moulin
D500-930 Rue Jacques-Cartier E
Saguenay, QC, G7H 7K9

Phone: (418) 549-3564

Dr. Laurence Sirois-Giguère 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: 17265

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17265

Family doctors like Dr Sirois-Giguère 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.