Dr. Marily Pépin

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

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).
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Supporting new parents in caring for their infant, addressing common concerns (colic, reflux, sleep patterns), and promoting bonding and healthy attachment.
• 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.

Common Acute Conditions

• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Diagnosing and managing common allergic reactions such as seasonal/perennial allergic rhinitis (hay fever), mild to moderate hives (urticaria), minor localized reactions to insect stings, and initial assessment of suspected mild food allergy symptoms. Does not include anaphylaxis management which is an emergency.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Diagnosis and treatment for a wide range of common acute skin issues including cellulitis (mild, uncomplicated), fungal infections (e.g., athlete's foot, ringworm, candidiasis), allergic rashes (e.g., hives, contact dermatitis), impetigo, shingles (herpes zoster), insect bites/stings with significant local reactions, and minor superficial burns.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Diagnosis and management of common viral and bacterial infections affecting the nose, throat, sinuses, and larynx (e.g., common cold, influenza, acute sinusitis, strep throat, laryngitis), helping to relieve symptoms like cough, congestion, fever, and sore throat.

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.
• 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).
• 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.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.

Dermatological Skin Conditions

• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• 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.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.

Preventative Health Topics

• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Guidance on making sustainable lifestyle modifications for improved energy levels, healthy weight management, better mood regulation, reduced risk of chronic illness (heart disease, diabetes, cancer), and enhanced longevity and quality of life.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Promoting individual and community resilience against infectious diseases through education, vaccination, and adherence to public health measures.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Recognizing and sensitively discussing how social determinants of health (e.g., income, housing, education, food security, access to services, discrimination, social isolation) impact a patient's health and well-being. Providing information and referrals to relevant community resources, social services, and support programs to help address these underlying factors.

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

• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Providing guidance on, ordering, and interpreting results for essential cancer screenings (e.g., Pap tests, HPV testing, mammograms, fecal immunochemical tests (FIT) for colon cancer, PSA discussions for prostate cancer, low-dose CT for lung cancer in high-risk individuals) based on current evidence-based guidelines.
• 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.
• Well-Child & Well-Adolescent Visits (Growth & Development): Scheduled visits to track your child's or teen's health trajectory, address any emerging concerns, and provide guidance on nutrition, safety, and healthy habits.
• Comprehensive Periodic Health Exams (Check-ups): Proactive health evaluations designed to detect potential health issues early, manage existing conditions, and promote long-term wellness.
• Assessment & Management of Common Joint Pain (Knee, Shoulder, Hip, Back): First-line medical care for a variety of musculoskeletal complaints, aiming to alleviate pain, improve function, and guide appropriate further management.

Note: This list highlights some of the key services offered by Dr Pépin. 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 Hôpital de Matane, CISSS du Bas-Saint-Laurent, 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 Pépin frequently works with patients towards goals such as:

• Managing concerns about their child's hearing or vision, or a failed school screening effectively is a priority for Dr Pépin. The aim is successfully achieving their specific, meaningful, and personal health goals, whether it's achieving sustainable and healthy weight management, successfully quitting smoking or vaping after multiple attempts, consistently maintaining improved physical fitness levels, or achieving significantly better daily pain control and function, which helps patients get back to enjoying passionately pursuing their cherished creative hobbies (like painting, writing, or playing music), engaging in intellectually stimulating leisure interests, or dedicating time to new learning adventures with renewed enthusiasm and sustained focus.
• Overcoming or managing needing a refill for their regular medications for an ongoing condition like high blood pressure or thyroid issues is a common patient journey at Dr Pépin's practice. The focus is on enabling 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 Pépin, so that engaging in feeling notably resilient and physically capable enough to bounce back relatively quickly and completely from minor common illnesses, temporary setbacks, or periods of increased stress without prolonged disruption to their normal life becomes a reality again.

Your personalized healthcare plan, developed in discussion with Dr Pépin, 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 Pépin practices at Hôpital de Matane, CISSS du Bas-Saint-Laurent, situated in a family medical practice in the central Matane neighborhood of Matane. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

Preventative care with Dr Pépin focuses on keeping you healthy and identifying potential health problems before they become serious or cause symptoms. This involves a range of services tailored to your age, gender, and risk factors, such as routine check-ups (periodic health exams), age-appropriate cancer screenings (e.g., Pap tests, mammograms, colon cancer screening, PSA discussions), immunizations (flu shots, travel vaccines, routine boosters), blood pressure and cholesterol checks, screening for diabetes, counseling on healthy lifestyle choices (diet, exercise, smoking cessation, responsible alcohol use), and risk assessments for various conditions. The primary goal is to prevent illness, detect diseases early when they are most treatable, and promote your long-term health and well-being.

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

If Dr Pépin determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), she will discuss the reasons with you and initiate a referral. This usually involves Dr Pépin sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at Hôpital de Matane, CISSS du Bas-Saint-Laurent will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with Hôpital de Matane, CISSS du Bas-Saint-Laurent if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr Pépin.

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

Finding a family doctor in Quebec who is accepting new patients can be challenging. The Collège des médecins du Québec (CMQ) website often has a "Find a Doctor" tool or similar resource. You can also use the Guichet d'accès à un médecin de famille (GAMF). Asking friends, family, or colleagues for recommendations is also helpful. Contacting local community health centres or clinics that focus on new patients directly may also yield results. Be aware that it may take time and persistence.

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 Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be difficult. Provincial resources like the Guichet d'accès à un médecin de famille (GAMF) or the CMQ website can assist. A referral from a family doctor is usually required to see specialists.

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 health card. However, some services, such as cosmetic procedures or sick notes for work, may not be covered and may have associated fees. Confirm with Hôpital de Matane, CISSS du Bas-Saint-Laurent if you have questions about specific services or fees.

What exactly is a family doctor (Médecin de famille) 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.

Hôpital de Matane, CISSS du Bas-Saint-Laurent
333 Rue Thibault
Matane, QC, G4W 2W5

Phone: (418) 562-3135

Dr. Marily Pépin 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: 15593

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=15593

Family doctors like Dr Pépin 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.