Dr. Marilyn Smith

Dr. Marilyn Smith 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: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - ‘fibro fog’, mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out ‘red flag’ conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).

Mental Health Concerns

• 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).
• 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.
• 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.

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.
• 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).

Common Acute Conditions

• Lower Respiratory Tract Infections (Acute Bronchitis, Community-Acquired Pneumonia): Assessment and treatment for acute chest infections like acute bronchitis or mild to moderate community-acquired pneumonia, including determining the need for antibiotics based on clinical assessment and guidelines, and monitoring recovery closely.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Providing advice on RICE/POLICE principles (Rest/Protection, Optimal Loading, Ice, Compression, Elevation), pain relief options (analgesics, NSAIDs, heat/cold therapy), and gentle exercises for acute soft tissue injuries to promote healing.

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.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• 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.

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

• Evaluation of Acute Headaches & Dizziness / Vertigo: Assessing new or sudden onset headaches or dizziness to differentiate between common causes (e.g., tension headache, migraine, benign positional vertigo) and more serious underlying conditions, providing initial management and referral if indicated.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Specialized primary care for childhood chronic diseases to ensure optimal health, growth, and development with coordination with pediatric specialists when necessary.
• Comprehensive Lifestyle Counseling (Nutrition, Exercise, Sleep, Stress): Guidance on making sustainable lifestyle modifications for improved energy levels, weight management, mood regulation, and longevity.
• Fungal, Viral & Bacterial Skin Infections: Diagnosis and treatment of common superficial infections like tinea (ringworm, athlete's foot), candidiasis, warts (cryotherapy, topical agents), molluscum contagiosum, herpes simplex/zoster (shingles), impetigo, and folliculitis, using appropriate topical or oral antifungal, antiviral, or antibacterial medications.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Assessing and treating acute conditions like common colds, influenza (flu), sore throats (including strep throat), ear infections (otitis media), sinus infections, bronchitis, uncomplicated pneumonia, urinary tract infections (UTIs), skin infections (e.g., cellulitis, impetigo), and gastroenteritis.

Note: This list highlights some of the key services offered by Dr Smith. 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 des professionnels de la santé, Clinique A, 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 Smith frequently works with patients towards goals such as:

• When wanting to discuss their child’s nutritional needs as a vegetarian or vegan impacts daily life, Dr Smith helps patients strive for having common minor injuries (like uncomplicated sprains, strains, or cuts needing sutures), acute infections (such as UTIs or skin infections), or bothersome skin conditions (like warts or acne) treated effectively, efficiently, and conveniently within the familiar setting of Dr Smith’s clinic, making activities such as confidently, independently, and effectively managing their diagnosed chronic health conditions (like diabetes, asthma, or hypertension) on a daily basis with minimal disruption to their desired lifestyle and activities, feeling in control possible again.
• For those challenged by their child having a sudden high fever, being very irritable, and not acting like themselves, Dr Smith offers strategies to reach receiving proactive preventative care and targeted health screenings from Dr Smith that very likely averted a more serious, costly, or even life-threatening health issue from developing unnoticed or progressing to an advanced stage, which can mean rediscovering the joy of consistently maintaining good, ergonomic posture and avoiding musculoskeletal discomfort while working for extended periods at a computer station, office desk, or in other sedentary job roles.

Your personalized healthcare plan, developed in discussion with Dr Smith, 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 Smith practices at Clinique des professionnels de la santé, Clinique A, a family medical practice in a central Sorel-Tracy neighborhood. 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.

Does Dr Smith at Clinique des professionnels de la santé, Clinique A offer virtual (video) or phone appointments?

Yes, Dr Smith at Clinique des professionnels de la santé, Clinique A 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 Smith if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Clinique des professionnels de la santé, Clinique A regarding any potential fees for uninsured virtual services.

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

Yes, as your family doctor, Dr Smith plays a crucial role in mental healthcare. She is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. Dr Smith can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services such as psychiatrists, psychologists, or community mental health programs if more intensive or specialized care is needed. Dr Smith can provide ongoing support and management for many common mental health conditions.

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 the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to check resources such as the website of the Collège des médecins du Québec, or local health authority websites. A referral is usually required from a family doctor to see most medical 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 provincial health card. However, some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have an associated fee. Please confirm with Clinique des professionnels de la santé, Clinique A if you have questions about specific services or potential fees.

What should I expect during my first ‘meet and greet’ or new patient intake appointment with Dr Smith?

Your first appointment with Dr Smith will involve a review of your medical history, including past illnesses, surgeries, allergies, immunizations, and family health history. She will discuss your current health concerns, medications, and lifestyle habits. A basic physical examination may be performed. This is also a chance to ask questions about her practice style and clinic policies.

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 take time. Check the website of the Collège des médecins du Québec, local health authority websites, or ask for recommendations from friends and family. Contacting local community health centres or new patient clinics directly may also be helpful.

How do I get a prescription refilled by Dr Smith?

For most prescription refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr Smith's office. Allow at least 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances), an appointment may be required.

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

A family doctor, or general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families of all ages. They serve as your first point of contact for most health concerns, offering preventative care, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and coordinating care with specialists.

Clinique des professionnels de la santé, Clinique A
330 Av de l'Hôtel-Dieu
Sorel-Tracy, QC, J3P 1N4

Phone: (450) 742-9459

Dr. Marilyn Smith 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: 17056

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=17056

Family doctors like Dr Smith 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.