Dr. Marie-Josée Sauvé

Dr. Marie-Josée Sauvé 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

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.

Adult Common Health Issues

• 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.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.
• 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.

Common Chronic Conditions

• 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.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine 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 screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).

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.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.

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

• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Initial evaluation of the impact of work on health and vice-versa.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Providing confidential, respectful, and age-appropriate primary care for teenagers, addressing a range of issues including puberty, acne, body image, mental health (anxiety, depression, stress), sexual health education, contraception, STI screening, substance use counseling, and promoting healthy lifestyle choices (nutrition, exercise, sleep).
• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Coordinating appropriate cancer screening tests tailored to your age, gender, family history, and individual risk factors, facilitating early detection.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Providing first-line care for common minor injuries, including wound care advice, pain management strategies, and guidance on activity modification and rehabilitation.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including action plans and inhaler technique), eczema (atopic dermatitis), allergic rhinitis (hay fever), and food allergies (initial assessment and referral if needed), focusing on symptom control, trigger avoidance, and improving quality of life.

Note: This list highlights some of the key services offered by Dr Sauvé. 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 Baril-Sauvé, 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 Sauvé frequently works with patients towards goals such as:

• If needing support to cope with a new diagnosis of a chronic illness for themself/themselves or a family member is a barrier, Dr Sauvé develops strategies aimed at 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 Sauvé, facilitating the ability to enjoy successfully maintaining a clean, organized, and uncluttered living space that actively contributes to their sense of calm, mental clarity, physical safety, and overall feelings of well-being at home.
• Dr Sauvé frequently helps patients who are dealing with their baby needing their scheduled well-baby visit to check growth and get their important vaccinations. The primary aim is achieving their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, Dr Sauvé, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, which often allows them to confidently resume graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.

Your personalized healthcare plan, developed in discussion with Dr Sauvé, 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 Sauvé's practice at Clinique Médicale Baril-Sauvé is situated in a family medical practice in the central La Malbaie neighborhood of La Malbaie. 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.

Can Dr Sauvé help with mental health concerns like anxiety or depression?

Family doctors like Dr Sauvé are integral to supporting patients' mental health. She 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 Sauvé.

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

Your family doctor (QC) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. She manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care she provides, understanding your health history and individual needs, is fundamental to effective family medicine.

What happens if Dr Sauvé determines I need to see a medical specialist?

As your family doctor, Dr Sauvé acts as your primary care coordinator. If she believes your condition requires specialized assessment or treatment, she will explain why a specialist consultation is necessary and will arrange the referral. Dr Sauvé 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 Clinique Médicale Baril-Sauvé informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr Sauvé can continue to coordinate your overall care effectively.

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 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 Clinique Médicale Baril-Sauvé if you have questions about specific non-insured services or potential fees.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

Finding a family doctor in QC who is accepting new patients can be challenging. You can try checking the website of the Collège des médecins du Québec, which may have a "Find a Doctor" tool or list. You can also use the Guichet d'accès à un médecin de famille (GAMF). Asking friends, family, or colleagues for recommendations, or contacting local community health centres or new patient clinics directly, may also be helpful. It may take time to find a doctor.

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 QC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources like the GAMF or the Collège des médecins du Québec website may be helpful. A referral is usually required from a family doctor to see most medical specialists.

Clinique Médicale Baril-Sauvé
30 boul Kane
La Malbaie, QC, G5A 1J2

Phone: (418) 665-2366

Dr. Marie-Josée Sauvé 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: 84324

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=84324

Family doctors like Dr Sauvé 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.