Dr. Mariola Sylwia Januszewska

Dr. Mariola Sylwia Januszewska 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

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• 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.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.

Common Acute Conditions

• 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.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Care for acute respiratory illnesses, including advice on symptom management, appropriate use of antibiotics (only if bacterial infection is confirmed or highly suspected), and guidance on when to seek further medical attention for complications.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• 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.
• 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.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Diagnosing (often clinical, supported by serum uric acid levels; joint aspiration for crystal analysis if diagnostically uncertain or to rule out septic arthritis) and managing acute gout or pseudogout attacks with appropriate anti-inflammatory medications (NSAIDs like naproxen/indomethacin, colchicine, oral or intra-articular corticosteroids).
• 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.
• 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.
• 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.

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

• Routine Health Check-ups & Physicals for Adults: Providing regular comprehensive health assessments for adults of all ages to monitor overall health status, review lifestyle factors, update immunizations, and perform or coordinate age and gender-appropriate preventative screenings.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Supporting families by addressing developmental and behavioral questions with empathy, offering practical advice, and facilitating access to necessary assessments and support services.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Performing therapeutic joint injections (e.g., corticosteroid injections) for certain conditions like osteoarthritis, bursitis, or tendinitis in specific joints (e.g., knee, shoulder) to reduce pain and inflammation, if appropriately trained and equipped.
• Stress Management, Burnout & Adjustment Disorder Support: Supportive counseling and problem-solving for stress-related symptoms, promoting well-being and preventing escalation to more severe mental health conditions.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: Diagnosing and treating common causes of acute digestive upset, and offering supportive care to prevent complications.

Note: This list highlights some of the key services offered by Dr. Januszewska. 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 BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Mariola Sylwia Januszewska'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. Januszewska frequently works with patients towards goals such as:

• Many seek Dr. Januszewska's help for needing help to manage side effects from a new medication prescribed by a specialist. The collaborative goal is their child's academic performance or social engagement noticeably improving after Dr. Januszewska played a key role in identifying and initiating management for underlying health conditions, attention issues, or learning differences, allowing a return to valued activities like confidently and effectively advocating for their own complex health needs, specific treatment preferences, and the essential healthcare requirements of their family members when interacting within the broader, sometimes impersonal, healthcare system.
• Through Dr. Januszewska's guidance, patients with feeling unusually tired and completely run down for weeks, not just a day or two of fatigue often find they can achieve benefiting from seamlessly and efficiently coordinated care, where Dr. Januszewska actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page and once again pursue comfortably and easily using stairs at home, in their workplace, or in various public places as needed throughout the day, without experiencing significant breathlessness, joint pain, or instability.
• For many individuals, concerns about their child's hearing or vision, or a failed school screening can be a real barrier. Dr. Januszewska's approach focuses on achieving noticeably reducing their reliance on, and need for, urgent care clinics or hospital emergency room visits for conditions that are now being effectively managed or prevented through proactive, continuous, and comprehensive primary care with Dr. Januszewska, making it possible for patients to once again enjoy feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations.

Your personalized healthcare plan, developed in discussion with Dr. Januszewska, 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. Januszewska's practice is located at a well-regarded family medical practice in Surrey, within a convenient Surrey neighborhood. The clinic is situated near Surrey City Centre (SFU Surrey, City Hall, Library) and is easily accessible via TransLink (SkyTrain Expo Line, Bus). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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

Finding a family doctor in British Columbia who is accepting new patients can be challenging. The College of Physicians and Surgeons of BC website often has a "Find a Doctor" tool or a list of physicians. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or clinics directly that specialize in new patients may also be helpful. Please be aware that it may take time to find a suitable family doctor.

What is 'continuity of care' and why is it important with a family doctor like Dr. Januszewska?

Continuity of care means having an ongoing relationship with your family doctor, Dr. Januszewska, and her team over time. It's important because it allows Dr. Januszewska to get to know you, your health history, your values, and your family context comprehensively. This deep understanding helps Dr. Januszewska make more informed diagnoses, tailor treatments to your specific needs, coordinate your care more effectively with specialists, and build a trusting therapeutic relationship. Studies show that good continuity of care with a family doctor is linked to better health outcomes, higher patient satisfaction, and more appropriate use of healthcare resources.

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

Your family doctor (British Columbia) 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.

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

Generally, you do not need a referral to see a family doctor in BC if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources such as the HealthLinkBC website or the College of Physicians and Surgeons of BC website may be helpful in your search. A referral from a family doctor is usually required to see specialists.

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

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr. Januszewska. After assessing your condition, if Dr. Januszewska believes specialist care is necessary for diagnosis or management, she will discuss this with you and make the appropriate referral. Our office will handle sending the required information to the specialist. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can sometimes be long, so Dr. Januszewska will continue to manage your care and provide support in the interim.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid provincial health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

301A-15252 32 Ave
Surrey, BC, V3Z 0R7

Phone: (604) 538-6505

Dr. Mariola Sylwia Januszewska is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 24649

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/311190/Januszewska%2CMariola

Family doctors like Dr. Januszewska 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.