Dr. Marlène Grimard

Dr. Marlène Grimard 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

• 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.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.
• 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).
• 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.

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).
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Regular monitoring of physical growth (height, weight, head circumference using growth charts), developmental milestones (gross motor, fine motor, language, social-emotional using tools like Rourke Baby Record or Greig Health Record), nutrition/feeding practices (breastfeeding, formula, introduction of solids, healthy eating for older children), and providing age-appropriate anticipatory guidance to parents/caregivers on safety (e.g., car seats, safe sleep, poison prevention, injury prevention), behavior, sleep, dental health, and fostering healthy habits from infancy through school age.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.

Common Chronic Conditions

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Helping individuals with chronic bronchitis or emphysema manage their symptoms effectively, improve exercise tolerance, and maintain the best possible lung function through a multidisciplinary approach.
• Type 2 Diabetes Mellitus & Prediabetes: Managing all aspects of type 2 diabetes and prediabetes with personalized treatment plans. This includes regular blood sugar monitoring (self-monitoring, A1c, continuous glucose monitoring (CGM) discussion), prescription and adjustment of medications (oral hypoglycemics, GLP-1 agonists, SGLT2 inhibitors, insulin), comprehensive diet and exercise counseling, and proactive screening and management of diabetes-related complications (retinopathy, nephropathy, neuropathy, foot problems, cardiovascular disease).

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

• Acne Vulgaris & Rosacea Management: Helping adolescents and adults manage inflammatory skin conditions effectively to improve skin appearance and quality of life.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Offering essential travel health services and advice to protect your health while abroad, tailored to your destination and activities.
• 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.
• Osteoporosis Screening, Prevention & Management: Helping patients reduce their risk of fragility fractures through comprehensive bone health management.

Note: This list highlights some of the key services offered by Dr Grimard. 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 Centre Médical le Mesnil, 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 Grimard frequently works with patients towards goals such as:

• If wanting to understand if genetic testing is appropriate for them based on family history is a barrier, Dr Grimard develops strategies aimed at benefiting from seamlessly and efficiently coordinated care, where she actively and effectively liaises with other healthcare providers, specialists, pharmacists, and various community services on their behalf, ensuring everyone is on the same page, facilitating the ability to enjoy boldly taking on new, exciting challenges or ambitious, multi-stage projects either at work or in their personal life with a strong sense of self-efficacy, physical capability, and mental preparedness.
• If feeling a bit down, persistently sad, or having lost interest in activities they usually enjoy for a few weeks now is preventing you from feeling confident enough in their stable health and physical abilities to make spontaneous, last-minute plans, embrace unexpected opportunities, or enthusiastically try new, unfamiliar activities or experiences, Dr Grimard can help. The aim is to achieve achieving significantly better control over chronic inflammatory or allergic conditions like asthma, allergic rhinitis, or eczema, leading to markedly fewer disruptive flare-ups, reduced reliance on rescue medications, and an improved daily experience free from constant symptoms through personalized family medicine care.

Your personalized healthcare plan, developed in discussion with Dr Grimard, 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 Grimard practices at Centre Médical le Mesnil, situated in a well-regarded family medical practice in the Québec City neighborhood of Québec City. The clinic is conveniently located near Église Saint-Jean-Baptiste and is accessible via Réseau de transport de la Capitale (RTC). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

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 often has a "Find a Doctor" tool or list on their website. 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 specialize in accepting new patients directly may also yield results. Please be aware that it may take time to find a suitable physician.

Is seeing a family doctor (Médecin de famille) covered by Régie de l&#x27;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, 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 Centre Médical le Mesnil if you have questions about specific services or potential fees.

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

A family doctor (Médecin de famille) is a physician who has completed post-graduate training in family medicine. They are skilled in providing continuous and comprehensive medical care, health maintenance, and preventive services to patients of all ages. This includes diagnosing and treating a vast array of illnesses, managing complex long-term health conditions, offering health education and counseling on lifestyle choices, and acting as your advocate and guide within the broader healthcare system.

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 they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the Collège des médecins du Québec website, may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

What if Dr Grimard works in a Family Health Team or group practice? Will I always see Dr Grimard?

Dr Grimard practices as part of Centre Médical le Mesnil, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr Grimard, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr Grimard for complex or ongoing issues where that continuity is most crucial.

Centre Médical le Mesnil
1300 Boul Lebourgneuf
Québec City, QC, G2K 2N1

Phone: (418) 624-1800

Dr. Marlène Grimard 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: 93103

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=93103

Family doctors like Dr Grimard 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.