Dr. Lorne Edward De Paoli – Family Doctor | Ladysmith, BC

Dr. Lorne Edward De Paoli is a Family Doctor. Practicing at a family doctor practice in Ladysmith, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) 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. Lorne Edward De Paoli completed his MD (University of Alberta, 1985). 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; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness. He provides consultations in English.

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

Adult Common Health Issues

• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• 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.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Providing initial management strategies for RLS, including lifestyle modifications (e.g., regular exercise, good sleep hygiene, avoiding caffeine/alcohol close to bedtime), checking and correcting iron deficiency (ferritin levels), and considering pharmacological options (e.g., dopamine agonists like pramipexole/ropinirole, gabapentin enacarbil) for moderate to severe, frequent symptoms that significantly impact sleep or quality of life. Referral to neurology or sleep specialist for complex or refractory cases.

Mental Health Concerns

• Insomnia & Chronic Sleep Disturbances: Helping you identify and address factors contributing to poor sleep, and develop effective, sustainable strategies to improve sleep quality, duration, and daytime alertness and functioning.
• 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.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.

Pediatric Common Issues

• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Regular monitoring of physical growth (height, weight, head circumference using growth charts), developmental milestones (gross motor, fine motor, language, social-emotional using tools like Rourke Baby Record or Greig Health Record), nutrition/feeding practices (breastfeeding, formula, introduction of solids, healthy eating for older children), and providing age-appropriate anticipatory guidance to parents/caregivers on safety (e.g., car seats, safe sleep, poison prevention, injury prevention), behavior, sleep, dental health, and fostering healthy habits from infancy through school age.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).

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.
• 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.
• 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.

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

• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Performing therapeutic joint injections (e.g., corticosteroid injections) for certain conditions like osteoarthritis, bursitis, or tendinitis in specific joints (e.g., knee, shoulder) to reduce pain and inflammation, if appropriately trained and equipped.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Coordination with Allied Health Professionals & Community Health Services: Working as part of a multidisciplinary team to provide holistic, patient-centered care that addresses all aspects of your physical, mental, and social well-being.
• Eating Disorder Screening & Referral Coordination: Primary care role in early recognition of eating disorders and ensuring patients access comprehensive treatment pathways.

Note: This list highlights some of the key services offered by Dr. De Paoli. 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 BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Lorne Edward De Paoli'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. De Paoli frequently works with patients towards goals such as:

• Dr. De Paoli understands the impact of difficulty breathing, wheezing, or a flare-up of their asthma or COPD that needs attention. That's why treatment is geared towards feeling much more confident and competent in managing minor common illnesses at home for themselves or their children after receiving clear, practical instructions and valuable anticipatory guidance from Dr. De Paoli, helping patients get back to proudly and comfortably attending their children's or grandchildren's various school events, important sports games, recitals, graduations, and artistic performances without being hindered by physical discomfort or lack of stamina with greater ease.
• If managing ongoing pain from an old sports injury or a chronic condition like arthritis that limits their activities is a barrier, Dr. De Paoli develops strategies aimed at their adolescent child receiving confidential, empathetic, respectful, and age-appropriate holistic care from Dr. De Paoli for sensitive health topics including sexual health, mental well-being, body image, or substance use concerns, facilitating the ability to enjoy effortlessly keeping up actively and playfully with their energetic young children, adventurous grandchildren, or even active pets, without getting easily winded, overly sore, or needing to sit out frequently.
• For many individuals, wanting to discuss various birth control options to find what's best for them, or needing a Pap test can be a real barrier. Dr. De Paoli's approach focuses on achieving having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. De Paoli, making it possible for patients to once again enjoy independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity.

Your personalized healthcare plan, developed in discussion with Dr. De Paoli, 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. De Paoli's practice is located at a family medical clinic in Ladysmith, situated in a family medical practice in the central Ladysmith neighborhood of Ladysmith. 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.

What if Dr. De Paoli works in a Family Health Team or group practice? Will I always see Dr. De Paoli?

Dr. De Paoli may practice as part of a team-based practice, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr. De Paoli, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr. De Paoli for complex or ongoing issues where that continuity is most crucial.

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

Generally, you do not need a referral from another doctor to see a family doctor in BC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can sometimes be challenging, and using provincial resources (like a local health authority website or the College of Physicians and Surgeons of BC's patient-doctor matching service, if available) may be helpful. A referral  is usually required from a family doctor to see most medical specialists.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid provincial health card. However, some services (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

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

You can check the website of the College of Physicians and Surgeons of BC (they often have a 'Find a Doctor' tool or list), ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It can be challenging and may take time.

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

Your first appointment with Dr. De Paoli will involve reviewing your medical history (past illnesses, surgeries, allergies, immunizations, family history), discussing current health concerns, medications, and lifestyle habits. A basic physical examination may be performed. It's also a chance to ask questions about his practice style and clinic policies.

What exactly is a family doctor (Family Doctor) 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 coordinating specialist referrals. Building long-term relationships with patients is a key aspect of their role.

How do I get a prescription refilled by Dr. De Paoli?

For most refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr. De Paoli's office. Allow at least 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances) or if it has been a while since your last review, an appointment may be required. It is always best to request refills proactively.

1111 4th Ave, 1111 4th Ave
Ladysmith, BC, V9G 1A1

Phone: (250) 739-5777

Dr. Lorne Edward De Paoli is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 1897

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/305145/De%20Paoli%2CLorne

Family doctors like Dr. De Paoli 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.