Dr. Maria Fortunata Lesperance – Family Doctor | Victoria, BC

Dr. Maria Fortunata Lesperance is a Family Doctor. Practicing at a family doctor practice in Victoria, BC, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She 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. 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. Maria Fortunata Lesperance completed her MD (University of British Columbia, 2017). She brings valuable clinical experience to the practice. She holds Certification in the College of Family Physicians of Canada (CCFP). 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 advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances. She provides consultations in English.

Dr. Maria Fortunata Lesperance 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

• 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: 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).
• 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.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• 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.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Providing primary care support for individuals and families navigating the challenges of ADHD, helping to optimize focus, reduce impulsivity/hyperactivity, improve executive functioning, and enhance overall quality of life and academic/occupational success.

Common Chronic Conditions

• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Diagnosing IBS based on symptom criteria after ruling out other conditions, and providing primary care management strategies including dietary advice (e.g., low FODMAP diet introduction, fiber management), lifestyle modifications, stress reduction techniques, and symptomatic treatment for abdominal pain, bloating, diarrhea, and/or constipation.

Pediatric Common Issues

• 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).
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.

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

• Fungal, Viral & Bacterial Skin Infections: Effective remedies for bothersome infections of the skin, hair, and nails.
• Diagnosis & Management of Common Acute Childhood Illnesses: Diagnosing and treating frequent acute illnesses in children and adolescents, such as ear infections (otitis media), streptococcal pharyngitis (strep throat), common colds, influenza, croup, bronchiolitis, roseola, hand-foot-mouth disease, gastroenteritis, and uncomplicated urinary tract infections.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common travel-related illnesses.
• Management of Common Adult Acute & Chronic Illnesses: Providing continuous medical care for adult health issues, from sudden illnesses to long-term conditions, ensuring appropriate treatment and follow-up.
• Stress Management, Burnout & Adjustment Disorder Support: Offering guidance, psychoeducation, and practical coping strategies for managing acute and chronic life stressors, workplace burnout, or adjustment difficulties related to significant life changes.

Note: This list highlights some of the key services offered by Dr. Lesperance. 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. Maria Fortunata Lesperance'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. Lesperance frequently works with patients towards goals such as:

• Addressing wanting to discuss their child's nutritional needs as a vegetarian or vegan with Dr. Lesperance often leads to finding effective, practical, and often simple solutions for common but persistently bothersome issues like recurrent allergies, chronic skin rashes, or disruptive digestive upset, expertly guided by Dr. Lesperance, enabling patients to more freely engage in safely, confidently, and comfortably lifting and carrying their growing young children, active grandchildren, or even multiple bags of groceries and other moderately heavy household items without undue strain or risk of injury.
• If their teenager expressing concerns about their body image or eating habits has put boldly taking on new, exciting challenges or ambitious, multi-stage projects either at work or in their personal life with a strong sense of self-efficacy, physical capability, and mental preparedness on hold, Dr. Lesperance works with patients toward seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr. Lesperance's ongoing education, consistent encouragement, and positive role modeling, helping them regain their previous level of function.
• Patients often come to Dr. Lesperance regarding their child showing signs of separation anxiety that's impacting school or daycare. Working together, they aim for learning effective, personalized, and evidence-based strategies for managing chronic daily stress, significantly improving their sleep quality and duration, or coping more adaptively and resiliently with life's inevitable challenges and adversities, with tools provided by Dr. Lesperance, making a return to successfully and relatively stress-free managing daily commutes on often crowded or unpredictable public transport systems or by car in heavy traffic without significant exacerbation of physical pain or anxiety symptoms feasible.

Your personalized healthcare plan, developed in discussion with Dr. Lesperance, 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. Lesperance practices at a family medical clinic in Victoria, situated in the James Bay, Beacon Hill Park Area neighborhood of Victoria. The clinic is conveniently located near Antique Row and is accessible via Victoria Regional Transit System (BC Transit). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What should I do if I have an urgent medical issue when the clinic is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until our clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with our clinic or Dr. Lesperance during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail may also provide instructions or resources for after-hours care.

How do I get a prescription refilled by Dr. Lesperance?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Lesperance's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Lesperance. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Lesperance, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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. Resources like the College of Physicians and Surgeons of BC website may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

A family doctor (British Columbia) 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 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.

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

Preventative care provided by Dr. Lesperance aims to stop health issues from occurring or to catch them at an early, more manageable stage. This includes regular physical exams, vaccinations, screenings for common conditions like certain cancers or heart disease risk factors (high blood pressure, high cholesterol), and personalized advice on maintaining a healthy lifestyle through diet, physical activity, and avoiding harmful habits like smoking. It’s about being proactive with your health rather than just treating problems as they arise, and Dr. Lesperance can help guide you in these efforts.

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

If you have several health issues, Dr. Lesperance is well-equipped to be your central point of care. Her role includes understanding how your different conditions and their treatments might impact each other, helping you to navigate the healthcare system, and ensuring that all aspects of your health are considered in your overall treatment plan. Dr. Lesperance will work with you and other specialists to manage your health comprehensively.

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, ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor who is accepting new patients may take time.

1107 Pandora Ave, Downtown Victoria Urgent and Primary Care Centre
Victoria, BC, V8V 3P8

Phone: (250) 519-3870

Dr. Maria Fortunata Lesperance 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: 59405

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/343776/Lesperance%2CMaria

Family doctors like Dr. Lesperance 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.