Dr. Marili van Der Merwe

Dr. Marili van Der Merwe provides comprehensive family medical care for a wide variety of health concerns affecting patients of all ages, including but not limited to:

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.
• 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.
• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.
• 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).

Dermatological Skin Conditions

• 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.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Managing lower respiratory tract infections that cause persistent cough (productive or non-productive), chest discomfort, shortness of breath, and fever.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Helping you cope with acute digestive illnesses by providing guidance on oral rehydration solutions, appropriate diet modification during and after illness, and when to seek medical attention for persistent or severe symptoms.

Joint Muscle Pain

• 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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• 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.

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

• Patient Education on Specific Health Conditions & Self-Management: Providing clear, understandable information about diagnosed health conditions, including causes, symptoms, treatment options, prognosis, and empowering patients with knowledge and skills for effective self-management (e.g., how to use an inhaler, monitor blood sugar, manage an action plan).
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Facilitating timely and appropriate referrals to a wide range of medical specialists (e.g., cardiologists, dermatologists, gastroenterologists, neurologists, oncologists, pediatricians, psychiatrists, surgeons, etc.), subspecialists, and specialized diagnostic or treatment programs when specialized expertise or intervention is required beyond the scope of primary care.
• Coordination with Allied Health Professionals & Community Health Services: Working as part of a multidisciplinary team to provide holistic, patient-centered care that addresses all aspects of your physical, mental, and social well-being.
• Primary Care for Overuse & Repetitive Strain Injuries: Helping patients recover from repetitive strain conditions and prevent recurrence through education and targeted interventions.
• Well-Child & Well-Adolescent Visits (Growth & Development): Routine check-ups for infants, children, and adolescents to monitor physical growth, cognitive and social-emotional development, and provide anticipatory guidance to parents/guardians.

Note: This list highlights some of the key services offered by Dr. Merwe. 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 Dr. Marili van Der Merwe'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. Merwe frequently works with patients towards goals such as:

• Dr. Merwe understands the impact of their child complaining of stomach aches frequently, possibly related to stress or diet. That's why treatment is geared towards receiving appropriate and timely referrals for genetic counseling or testing through Dr. Merwe when indicated by significant family history of heritable conditions or specific clinical findings, helping patients get back to joyfully and responsibly taking care of beloved family pets, which includes activities like daily walking, regular feeding, grooming, active playtime, and providing necessary veterinary care with greater ease.
• Many patients have successfully addressed a persistent sore or ulcer in their mouth that isn't healing with Dr. Merwe's support. This often leads to 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. Merwe and the ability to fully participate in being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection once more.

Your personalized healthcare plan, developed in discussion with Dr. Merwe, 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. Merwe's practice is located at a family medical clinic in Slave Lake, situated in a family medical practice in the central Slave Lake neighborhood of Slave Lake. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Generally, you don't need a referral to see a family doctor in Alberta if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the College of Physicians and Surgeons of Alberta website or local health authority websites may help you find a doctor. A referral from a family doctor is usually required to see specialists.

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.

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

If Dr. Merwe determines you need to see a specialist, she will discuss this with you and make the appropriate referral. Our office will send the necessary information to the specialist, and you will be contacted to schedule your appointment. Specialist wait times can be long, so Dr. Merwe will continue to manage your care in the meantime.

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

Finding a family doctor in Alberta who is accepting new patients can take time and effort. You can check the College of Physicians and Surgeons of Alberta website for a "Find a Doctor" tool, contact local community health centers, or ask friends and family for recommendations. There may also be provincial programs to assist with finding a family doctor.

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 health card. However, some services, like cosmetic procedures or sick notes for work, may not be covered and may have an associated fee. Please confirm with our clinic if you have questions about specific services.

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

Bring your health card and a list of all medications you are taking (prescription, non-prescription, and natural health products). For new patients, any past medical records or a health summary are beneficial. Bringing a blood sugar log and meter if you are diabetic can also be helpful. Preparing a list of your symptoms or questions beforehand can ensure all your concerns are addressed.

309 6 St NE
Slave Lake, AB, T0G 2A2

Phone: (780) 849-4155

Dr. Marili van Der Merwe 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: 028709

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=6eadfc54-4c4e-41c1-9206-93b2cca4756e&i=1484

Family doctors like Dr. Merwe 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.