Dr. Metin Karahoca

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

Mental Health Concerns

• 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.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• 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.

Joint Muscle Pain

• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Initial assessment, diagnosis, and conservative management of musculoskeletal pain and dysfunction related to repetitive tasks, sustained awkward postures, or ergonomic factors at work or during hobbies. This includes common conditions like carpal tunnel syndrome (mild-moderate), de Quervain's tenosynovitis, epicondylitis (tennis/golfer's elbow), trigger finger/thumb, rotator cuff tendinopathy, patellar tendinopathy, Achilles tendinopathy, and non-specific arm/neck/shoulder pain attributable to overuse.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• 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).
• 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.

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.
• Childhood Immunization Schedule Management & Counseling: Keeping your child's vaccinations fully up-to-date for their individual protection and to contribute to community (herd) immunity, thereby protecting vulnerable individuals.

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

• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Helping children and their families manage long-term health conditions effectively, enabling active participation in school and play.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Helping you identify factors contributing to poor sleep and develop effective, sustainable strategies to improve sleep quality, duration, and daytime functioning.
• 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.
• Coordination with Allied Health Professionals & Community Health Services: Facilitating access to a broad network of allied health and community services to support your overall health plan, recovery, rehabilitation, and long-term management needs.
• Joint Injections for Pain Relief (e.g., Corticosteroid - if trained/equipped): Offering targeted injections as part of a comprehensive management plan for certain types of joint pain.

Note: This list highlights some of the key services offered by Dr Karahoca. 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 Désy, 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 Karahoca frequently works with patients towards goals such as:

• Dr Karahoca often sees patients whose wishing to discuss advance care planning, making a living will, or appointing a healthcare proxy limits their enjoyment of successfully maintaining their cherished personal independence in all complex daily routines, intricate personal care tasks, and instrumental activities of daily living, which is especially crucial for aging seniors or individuals managing disabilities. The goal of care is to achieve successfully and permanently quitting smoking, vaping, or significantly reducing harmful substance use with the consistent, non-judgmental, evidence-based support, counseling, and resources provided by Dr Karahoca and restore their active lifestyle.
• A key objective when treating experiencing unexplained joint swelling or stiffness, especially in the mornings at Dr Karahoca's clinic is their entire family having a central, trusted, and welcoming medical home base with Dr Karahoca and the clinic team, which greatly simplifies their healthcare journey and provides a sense of security and belonging, supporting a comfortable return to 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.

Your personalized healthcare plan, developed in discussion with Dr Karahoca, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr Karahoca practices at Clinique Médicale Désy, a family medical practice in the central Montréal-Nord neighborhood of Montréal-Nord. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

How do I get a prescription refilled by Dr Karahoca?

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 Karahoca's office. Please allow at least 2-3 business days for these requests to be processed by Dr Karahoca. 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 Karahoca, 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.

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

Your family doctor (QC) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He 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 he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

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. Resources such as the website of the Collège des médecins du Québec may be helpful in your search. 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&#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. Some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have an associated fee. Please confirm with Clinique Médicale Désy if you have questions about specific services or potential fees.

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

You can check the website of the Collège des médecins du Québec, which often has a 'Find a Doctor' tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor may take time and effort.

Clinique Médicale Désy
203-12421 Boul Lacordaire
Montréal-Nord, QC, H1G 4L5

Phone: (514) 326-9060

Dr. Metin Karahoca 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: 16586

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=16586

Family doctors like Dr Karahoca 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.