Dr. Michael William Pascas – Internist / Geriatrician | Prince George, BC

Dr. Michael William Pascas is a dedicated Internist / Geriatrician committed to providing comprehensive medical care for adults, with a focus on complex conditions and geriatric health. Practicing in Prince George, BC, he serves the surrounding communities. His practice adheres to the standards and ethical guidelines established by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring quality and patient safety. Special interests within Internal Medicine and Geriatric Care include Specialty practice - internal medicine, emphasizing the management of multi-systemic diseases and age-related health issues.

Dr. Pascas graduated with a Doctor of Medicine (MD) from the University of British Columbia in 2014. He completed relevant postgraduate training and certifications in internal medicine and geriatrics, equipping him with the latest evidence-based approaches to complex adult care. His training emphasizes a holistic and patient-centered approach to health management, especially for older adults with multiple comorbidities.

With a clear and educational clinical philosophy, Dr. Pascas is committed to delivering evidence-based, compassionate care tailored to each patient’s needs. He is dedicated to the health and well-being of his patients in Prince George and speaks English fluently. His approach emphasizes patient education, shared decision-making, and collaborative care to promote optimal health outcomes.

Dr. Pascas provides expert care for adults with a wide range of medical conditions, including:

Select Infectious & Inflammatory Conditions

• Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
• Fever of Unknown Origin (FUO) Workup: Systematic investigation to determine the cause of prolonged, unexplained fevers.
• Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.

Management of Chronic Diseases

• Chronic Respiratory Diseases: Care for conditions like COPD, asthma, and interstitial lung disease, focusing on optimizing lung function and managing symptoms.
• Chronic Kidney Disease (CKD): Monitoring kidney function, managing complications (anemia, bone disease, electrolytes), and strategies to slow disease progression.
• Diabetes Mellitus (Type 1 & 2): Comprehensive management including glucose control strategies, complication prevention, and patient education.

Geriatric Syndromes & Focused Elder Care

• Delirium Prevention & Management: Identifying risk factors for delirium (acute confusion) in hospitalized or ill older adults and implementing management strategies.
• Urinary Incontinence Assessment: Evaluation and management of bladder control issues common in older adults.
• Falls, Mobility & Balance Disorders: Multifactorial assessment to identify causes of falls and gait instability; implementation of prevention strategies.

Dr. Pascas manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.

• Consultation for Undiagnosed Symptoms: Expert evaluation for patients experiencing persistent or puzzling symptoms that require specialized diagnostic investigation to determine the underlying cause.
• Osteoporosis and Bone Health Management: Screening, diagnosis, and treatment of osteoporosis to prevent fractures in older adults.
• Perioperative Medical Consultation: Assessing and managing medical risks (e.g., cardiac, respiratory) for patients undergoing surgery to ensure safety and optimize post-operative recovery.
• Management of Geriatric Syndromes: Specialized care for common age-related conditions including falls, frailty, cognitive impairment (dementia, delirium), polypharmacy, urinary incontinence, and malnutrition.
• Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).

Note: This list represents some of the key services offered by Dr. Pascas. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Pascas's scope of practice, please discuss with your referring physician or contact the clinic.

All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC).

Dr. Pascas's practice is located in West Prince George, within the College Heights neighborhood of Prince George. The clinic’s proximity to Pine Centre Mall makes it easily accessible for patients. The location is well-served by the Prince George Transit System (BC Transit), providing convenient transportation options. The facility is wheelchair accessible. Parking is available at the facility.

How is payment handled for appointments with Dr. Pascas? Is it covered by Medical Services Plan (MSP)?

In BC, medical consultations with specialists like Dr. Pascas are typically covered by your provincial health insurance (Medical Services Plan (MSP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Medical Services Plan (MSP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.

Can I book an appointment directly or do I absolutely need a referral?

A referral from your family physician or another medical specialist is required to see Dr. Pascas. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.

Why is reviewing multiple medications (polypharmacy) important?

As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.

What should I do if I have an urgent medical problem?

Dr. Pascas's office provides specialist consultations and is not equipped for emergency care. If you have an urgent medical issue or emergency, please contact your family doctor, go to the nearest hospital Emergency Department, or call 911.

1475 Edmonton St
Prince George, BC V2M 1S2

Phone: (250) 565-2000 | Fax: (250) 645-6070

The facility is wheelchair accessible.

Dr. Pascas is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.

Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/336653/Pascas%2CMichael