Dr. Marc-Antoine Lagacé

Dr. Marc-Antoine Lagacé 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

• 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.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Performing basic pre-employment medicals or fitness-for-work assessments as required by some employers (typically non-WCB/WSIB related, fees may apply). Providing advice on general workplace health and safety, injury prevention, and initial assessment of health concerns potentially related to occupational exposures or ergonomics, with appropriate referrals if specialized occupational medicine input is needed.
• 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.

Dermatological Skin Conditions

• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.
• 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.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).
• 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).
• 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.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.
• 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.

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

• Care for Minor Injuries & Acute Musculoskeletal Complaints: Assessing and treating minor injuries such as sprains, strains, simple fractures (initial assessment and referral for casting/splinting if needed), minor cuts/lacerations (suturing if appropriate), superficial burns, and acute episodes of back or neck pain.
• Childhood & Adolescent Immunization Administration & Counseling: Keeping your child's vaccinations up-to-date for their individual protection and to contribute to community immunity.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): A first point of contact for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, and clear pathways to specialized care and school supports.
• Acne Vulgaris & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity and skin type.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Providing ongoing care and management for a variety of other long-term health issues such as chronic gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), chronic anemia, and more, focusing on symptom control and quality of life.

Note: This list highlights some of the key services offered by Dr Lagacé. 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 GMF Clinique médicale de La Baie, 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 Lagacé frequently works with patients towards goals such as:

• Patients experiencing needing support, resources, and a concrete plan to help them quit smoking for good this time often seek Dr Lagacé's help to improve their quality of life. A key goal is having their diverse family structure, unique cultural needs, and individual communication preferences consistently understood, acknowledged, and respectfully incorporated into all aspects of their care by Dr Lagacé and the entire clinic team, supporting their return to activities like patiently and effectively teaching their children or grandchildren important life skills, sharing enjoyable intergenerational activities, or simply offering wise guidance and loving support as they grow.
• For those challenged by feeling unusually tired and completely run down for weeks, not just a day or two of fatigue, Dr Lagacé offers strategies to reach their adolescent child receiving confidential, empathetic, respectful, and age-appropriate holistic care from Dr Lagacé for sensitive health topics including sexual health, mental well-being, body image, or substance use concerns, which can mean rediscovering the joy of regularly attending and actively participating in religious services, meaningful cultural events, important community group meetings, or engaging hobby clubs, feeling socially connected, included, and valued.

Your personalized healthcare plan, developed in discussion with Dr Lagacé, 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 Lagacé practices at GMF Clinique médicale de La Baie, located in the La Baie neighborhood of Saguenay. The clinic enjoys a convenient location near Place du Royaume (Mall) and is easily accessible via Société de transport du Saguenay (STS). 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 do not need a referral to see a family doctor in Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the website of the Collège des médecins du Québec, may be helpful in your search. A referral from a family doctor is usually required to see specialists.

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

Managing multiple health conditions is a core part of Dr Lagacé's practice. He will work with you to understand your overall health, help manage various chronic diseases simultaneously, optimize your medications, and coordinate with specialists to ensure your care is integrated and patient-centered.

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 and effort. Check the website of the Collège des médecins du Québec; they often have a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or clinics directly. Provincial programs may also be available to assist you in finding a family physician.

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

A family doctor (Médecin de famille) in Quebec is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating illnesses, managing long-term health conditions, offering health education, and acting as your advocate within the healthcare system.

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

Bring your valid Régie de l'assurance maladie du Québec (RAMQ) card. An up-to-date list of all your medications (including dosages), any relevant medical records, recent test results, or letters from other doctors is also helpful, especially for your first visit or if you have a specific complex problem. A written list of your questions or concerns will help ensure you cover everything during your visit.

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 RAMQ for eligible residents with a valid health card. However, some services (e.g., cosmetic procedures, travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and may have associated fees. Confirm with GMF Clinique médicale de La Baie if you have questions about specific services or fees.

Does Dr Lagacé at GMF Clinique médicale de La Baie offer virtual (video) or phone appointments?

Yes, Dr Lagacé at GMF Clinique médicale de La Baie offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, or prescription renewals (not controlled substances). However, many conditions will still necessitate an in-person visit. Please discuss with our reception staff or Dr Lagacé if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with GMF Clinique médicale de La Baie regarding any potential fees for uninsured virtual services.

GMF Clinique médicale de La Baie
437 rue Albert
Saguenay, QC, G7B 3L5

Phone: (418) 544-7371

Dr. Marc-Antoine Lagacé 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: 18541

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=18541

Family doctors like Dr Lagacé 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.