Dr. Marta Karczewska

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

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.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Assessment of acute headaches to differentiate types (e.g., tension headache, migraine, cervicogenic), provide initial pain relief strategies (analgesics, NSAIDs, triptans for migraine), identify potential triggers, and rule out serious underlying causes requiring urgent investigation.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Addressing sudden onset skin problems, providing effective treatment, advising on skin care and hygiene to promote healing, and identifying potential triggers for allergic or irritant conditions.

Joint Muscle Pain

• 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 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.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).

Mental Health Concerns

• 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.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Supporting individuals experiencing persistent worry, panic attacks, social phobia, or generalized anxiety with a patient-centered and collaborative approach to care, focusing on symptom reduction and functional improvement.
• 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).

Preventative Health Topics

• 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.
• 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.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.

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

• Acne Vulgaris & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity and skin type.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Ordering necessary diagnostic tests such as X-rays, ultrasounds, CT scans, MRIs, bone density scans, and a comprehensive range of laboratory blood tests (hematology, chemistry, endocrinology, immunology, microbiology), urine tests, and pathology/cytology specimens to aid in diagnosis, monitor conditions, and guide treatment.
• Primary Care for Overuse & Repetitive Strain Injuries: Advising on activity modification, ergonomic adjustments, stretching/strengthening exercises, and pain relief measures for overuse injuries.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): Providing primary care support for individuals and families navigating ADHD, helping to optimize function, manage symptoms, and coordinate multidisciplinary care.
• 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 Karczewska. 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 Médicale du Sud-Ouest, 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 Karczewska frequently works with patients towards goals such as:

• Through Dr Karczewska's guidance, patients with wanting to understand if their family history of cancer means they need earlier or different screening tests often find they can achieve their entire family feeling much better prepared for common health emergencies or accidents after discussing age-appropriate safety plans, basic first aid, and when to seek urgent care with Dr Karczewska and once again pursue confidently enjoying a varied, balanced, and largely unrestricted diet (unless medically indicated for very specific diagnosed conditions like celiac disease or severe allergies) without undue fear of triggering adverse reactions, pain, or significant digestive distress.
• A key objective when treating needing a medical form filled out for insurance claims, disability benefits, or a new job application at Dr Karczewska's clinic is gaining much better insight into how their specific lifestyle choices (e.g., dietary patterns, substance use, stress levels) directly and measurably impact their long-term health outcomes and chronic disease risks, thanks to clear and impactful discussions with Dr Karczewska, supporting a comfortable return to graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host.

Your personalized healthcare plan, developed in discussion with Dr Karczewska, 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 Karczewska practices at Clinique Médicale du Sud-Ouest, a family medical practice in the central Verdun neighborhood of Verdun. 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.

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 list. 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 specifically mention accepting new patients directly is another option. It may take time and persistence.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr Karczewska?

An initial 'meet and greet' or new patient visit with Dr Karczewska usually involves a thorough discussion about your health. Be prepared to talk about your personal and family medical history, current medications and dosages, any ongoing health issues, and your overall lifestyle. Dr Karczewska will want to understand your health needs and what you expect from your family doctor. Some doctors may perform a physical exam during this first visit, or it might be scheduled for a subsequent appointment. This initial consultation is key to building a therapeutic patient-doctor relationship.

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

Your family doctor (Médecin de famille) 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.

How do I get a prescription refilled by Dr Karczewska?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr Karczewska's office. Please allow at least 2-3 business days for these requests to be processed by Dr Karczewska. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr Karczewska, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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 challenging. Provincial resources like the GAMF or the CMQ website may be helpful in your search. 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&#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 health card. However, some services (e.g., cosmetic procedures, travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Clinique Médicale du Sud-Ouest if you have questions about specific services or potential fees.

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

Dr. Karczewska practices as part of Clinique Médicale du Sud-Ouest, which means you have access to a range of healthcare professionals. While the goal is to promote continuity with your primary family doctor, Dr. Karczewska, for some urgent issues or routine follow-ups, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care. The clinic will strive to have you see Dr. Karczewska for complex or ongoing issues.

Clinique Médicale du Sud-Ouest
103-4475 Av Bannantyne
Verdun, QC, H4G 1E2

Phone: (514) 765-3600

Dr. Marta Karczewska 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: 13055

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=13055

Family doctors like Dr Karczewska 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.