Dr. Marc Robert Joseph Likharovich-Fournier

Dr. Marc Robert Joseph Likharovich-Fournier provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Dermatological Skin Conditions

• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Primary care support for individuals with psoriasis, coordinating with specialist care as needed for more advanced treatment options and comprehensive management of this chronic systemic condition.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity, skin type, patient preference, and potential impact on self-esteem.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.

Adult Common Health Issues

• 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).
• 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): 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).

Common Chronic Conditions

• Type 2 Diabetes Mellitus & Prediabetes: Helping you live well with diabetes by providing ongoing education, support for self-management behaviors, access to diabetes education programs, and strategies to prevent or delay long-term complications, empowering you to take control of your health.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.

Joint Muscle Pain

• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: A first point of contact for work-related or activity-induced repetitive strain injuries, guiding effective conservative management, facilitating return to function, and providing documentation for workplace accommodations if necessary. Referral to specialists (e.g., sports medicine, orthopedics, physiatry) if symptoms are persistent, severe, or require further investigation/intervention.
• 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.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.

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

• Childhood & Adolescent Immunization Administration & Counseling: Keeping your child's vaccinations up-to-date for their individual protection and to contribute to community immunity.
• 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.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: Evaluating acute abdominal pain, nausea, vomiting, diarrhea, or constipation to determine potential causes (e.g., gastroenteritis, food poisoning, appendicitis, diverticulitis), provide appropriate management for symptom relief and hydration, or facilitate urgent referral if a serious condition is suspected.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Supporting the unique physical, emotional, and social health needs of adolescents during a critical period of development.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Comprehensive management of common sleep disorders to restore restorative sleep patterns and improve overall health and alertness.

Note: This list highlights some of the key services offered by Dr. Likharovich-Fournier. 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. Marc Robert Joseph Likharovich-Fournier'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. Likharovich-Fournier frequently works with patients towards goals such as:

• It's rewarding for Dr. Likharovich-Fournier to see patients with concerns about their blood pressure readings being a bit high at the pharmacy machine, or cholesterol levels from a recent screening achieve having their unique cultural background, personal values, spiritual beliefs, and communication preferences consistently respected and thoughtfully incorporated into their personalized healthcare plan by an attentive and culturally sensitive Dr. Likharovich-Fournier and return to important activities like dedicating many enjoyable and focused hours to their beloved garden, whether it's meticulously planting delicate flowers, diligently tending to a productive vegetable patch, or undertaking more strenuous yard work like raking leaves or shoveling snow, without significant subsequent back, knee, or shoulder pain.
• A frequent goal for patients seeing Dr. Likharovich-Fournier about a follow-up appointment to manage their diabetes, review their blood sugar log, and adjust their medications if needed is to achieve benefiting from Dr. Likharovich-Fournier's proactive and systematic approach to mental health screening and discussion during routine visits, leading to earlier identification and support for emerging psychological distress. This success paves the way for them to re-engage with consistently maintaining good, ergonomic posture and avoiding musculoskeletal discomfort while working for extended periods at a computer station, office desk, or in other sedentary job roles.
• Overcoming or managing feeling stressed about caregiving responsibilities for an elderly parent or sick relative is a common patient journey at Dr. Likharovich-Fournier's practice. The focus is on enabling noticeably reducing their reliance on, and need for, urgent care clinics or hospital emergency room visits for conditions that are now being effectively managed or prevented through proactive, continuous, and comprehensive primary care with Dr. Likharovich-Fournier, so that engaging in 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 becomes a reality again.

Your personalized healthcare plan, developed in discussion with Dr. Likharovich-Fournier, 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. Likharovich-Fournier practices at a family medical clinic in Nanaimo, situated in the South Nanaimo, University District neighborhood of Nanaimo. The clinic is conveniently located near Nanaimo Regional General Hospital and is accessible via Regional District of Nanaimo Transit System (BC Transit). Free patient parking is often available on-site or on nearby streets.

Can Dr. Likharovich-Fournier help with mental health concerns like anxiety or depression?

Family doctors like Dr. Likharovich-Fournier are integral to supporting patients' mental health. He can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr. Likharovich-Fournier.

What exactly is a family doctor (Family Doctor) and what is their role?

A family doctor (BC) is a physician who has completed post-graduate training in family medicine. He is skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

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?

Finding a family doctor accepting new patients can be challenging. The College of Physicians and Surgeons of BC often has a 'Find a Doctor' tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. It may take time.

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

When you first meet Dr. Likharovich-Fournier as a new patient, expect to spend time discussing your complete health profile. He will likely ask about your past medical history, significant family illnesses, all current medications (including vitamins and supplements), allergies, lifestyle factors like diet and exercise, and any specific health concerns or goals you have. This comprehensive intake helps Dr. Likharovich-Fournier understand your overall health status and begin to formulate a long-term care plan. It's also an excellent time to ask any questions you may have about his approach to medicine or clinic procedures.

What happens if Dr. Likharovich-Fournier determines I need to see a medical specialist?

As your family doctor, Dr. Likharovich-Fournier acts as your primary care coordinator. If he believes your condition requires specialized assessment or treatment, he will explain why a specialist consultation is necessary and will arrange the referral. Dr. Likharovich-Fournier will send your pertinent medical details to the specialist. The specialist's office will then typically contact you to book the appointment. It's important to keep our clinic informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr. Likharovich-Fournier can continue to coordinate your overall care effectively.

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

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding one can be challenging. Provincial resources or the College of Physicians and Surgeons of BC may be helpful. A referral *is* usually needed from a family doctor to see most specialists.

102-55 Victoria Rd, AVI
Nanaimo, BC, V9R 5N9

Phone: (250) 754-9111

Dr. Marc Robert Joseph Likharovich-Fournier 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: 68847

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/358169/Likharovich-Fournier%2CMarc

Family doctors like Dr. Likharovich-Fournier 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.