Dr. Marielle Elizabeth Pratt

Dr. Marielle Elizabeth Pratt 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

• 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: 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 long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).

Adult Common Health Issues

• 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: 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).
• 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.

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Comprehensive management strategies for COPD, focusing on smoking cessation support (critical for slowing progression), appropriate pharmacological therapy (bronchodilators, inhaled corticosteroids), supplemental oxygen therapy assessment (if needed), pulmonary rehabilitation referrals, influenza/pneumococcal vaccinations, and proactive management of exacerbations to improve quality of life, reduce symptoms (breathlessness, chronic cough, sputum production), and slow disease progression.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Primary care strategies to protect and preserve kidney health, including tight blood pressure and glycemic control, and education on kidney-friendly habits.
• 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.

Pediatric Common Issues

• 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.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.
• 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).
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.

This list offers some examples of common conditions managed in family practice. A diagnosis is always based on an individual assessment by Dr. Pratt. 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.
• Hypertension & Lipid Disorder Management (High Blood Pressure & Cholesterol): Developing personalized strategies to control hypertension and lipid levels effectively, involving patient partnership in shared decision-making and goal setting.
• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• Patient Education on Specific Health Conditions & Self-Management: Educational resources and discussions to help you navigate your health journey confidently and make informed decisions.
• 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. Pratt. 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 AB and the ethical and professional standards set by The College of Physicians & Surgeons of Alberta (CPSA).

At Pratt Marielle Dr, 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. Pratt frequently works with patients towards goals such as:

• Many patients have successfully addressed concerns about thinning hair or hair loss that seems more than normal with Dr. Pratt's support. This often leads to their elderly parents or relatives receiving thoughtful, patient, dignified, and age-appropriate comprehensive care from Dr. Pratt that demonstrably enhances their functional abilities, safety, and overall quality of life in their later years and the ability to fully participate in easily and safely being able to kneel down to play on the floor with pets or young children, bend over to tie shoelaces or pick things up, or squat as needed for various daily tasks, gardening, or exercise routines without pain or instability once more.
• Struggling with a recurring ear infection, or their child tugging at their ear and being fussy? Dr. Pratt helps patients target markedly avoiding unnecessary, costly, or potentially risky specialist visits, diagnostic tests, or hospitalizations due to the proactive, thorough, and guideline-concordant primary care provided by Dr. Pratt, making a return to activities such as regularly and enthusiastically participating in various group fitness classes such as engaging yoga sessions, lively Zumba workouts, intense spin classes, or calming Pilates routines, all at their own pace, comfort level, and for their specific health benefits more achievable.

Your personalized healthcare plan, developed in discussion with Dr. Pratt, 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. Pratt practices at Pratt Marielle Dr, located in the St. Albert City neighborhood of St. Albert. The clinic is conveniently located near The Enjoy Centre and is accessible via St. Albert Transit (StAT) (Local & Commuter to Edmonton). Free patient parking is often available on-site or on nearby streets.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Does Dr. Pratt at Pratt Marielle Dr offer virtual (video) or phone appointments?

Yes, Dr. Pratt at Pratt Marielle Dr 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, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Pratt if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Pratt Marielle Dr regarding any potential fees for uninsured virtual services.

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

The College of Physicians and Surgeons of Alberta often has a 'Find a Doctor' tool or list on their website. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. Finding a family doctor who is accepting new patients can sometimes be challenging and may take time.

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

As your family doctor, Dr. Pratt 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. Pratt 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 Pratt Marielle Dr informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr. Pratt can continue to coordinate your overall care effectively.

What should I bring with me to my appointment with Dr. Pratt?

To each appointment with Dr. Pratt at Pratt Marielle Dr, please ensure you have your provincial health card. A current, detailed list of all your medications (name, dose, frequency) is very important. If you're coming about a specific issue and have related reports (like X-rays, specialist letters, or recent lab results), please bring those along. It's also a good idea to jot down any questions or symptoms you want to discuss with Dr. Pratt beforehand so you don't forget anything important during your visit.

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

Generally, you do not need a referral from another doctor to see a family doctor in Alberta 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 College of Physicians and Surgeons of Alberta website, may be helpful in locating a doctor. A referral from a family doctor is usually required to see most medical specialists.

Is seeing a family doctor (Family Doctor) covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary visits to a family doctor are typically covered by the Alberta Health Care Insurance Plan (AHCIP) for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures or driver's medicals, may not be covered and might have an associated fee. Please confirm with Pratt Marielle Dr if you have questions about specific services or potential fees.

Pratt Marielle Dr
62-143 Liberton Dr
St. Albert, AB, T8N 6A7

Phone: (780) 460-4562

Dr. Marielle Elizabeth Pratt is regulated by the Health Professions Act (Alberta) in AB and is a registered member in good standing with The College of Physicians & Surgeons of Alberta (CPSA).

Registration Number: 15547

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=de6057a4-e03d-4ab0-a64d-6769c8c493d7&i=1175

Family doctors like Dr. Pratt 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.