Dr. Michel Langlois

Dr. Michel Langlois 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

• 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.
• 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).
• 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.

Pediatric Common Issues

• 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.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, and school-aged children, including clear guidance for parents on home care, symptom relief, and when to seek urgent re-assessment.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Supporting new parents in caring for their infant, addressing common concerns (colic, reflux, sleep patterns), and promoting bonding and healthy attachment.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Creating a safe, non-judgmental, and youth-friendly healthcare environment where teenagers feel comfortable discussing their health concerns openly, receive accurate information, build a trusting relationship with their doctor, and are empowered to take charge of their health.

Mental Health Concerns

• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• 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.

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

• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Administering a full range of routine childhood and adult immunizations, booster shots (e.g., tetanus, pertussis), seasonal flu vaccines, and common travel vaccinations (e.g., Hepatitis A/B, Typhoid) to protect against preventable infectious diseases.
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Providing pre-travel consultations for individuals travelling to common international destinations. This includes risk assessment based on itinerary, advice on food and water safety, insect bite prevention (malaria, dengue, Zika), altitude sickness prevention, and administration of necessary routine and travel-specific vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if certified). Complex itineraries may require referral.
• Adolescent Health Care & Counseling (Incl. Sexual Health, Mental Health, Lifestyle): Creating a safe, non-judgmental, and supportive healthcare environment for teenagers to discuss their health concerns, receive accurate information, and develop healthy decision-making skills.
• Coordination with Allied Health Professionals & Community Health Services: Referring to and collaborating effectively with other healthcare providers integral to comprehensive care, such as physiotherapists, occupational therapists, dietitians, psychologists, social workers, speech-language pathologists, chiropractors, pharmacists, optometrists, audiologists, and various community support services (e.g., home care, mental health teams, diabetes education programs, addiction services, public health units).

Note: This list highlights some of the key services offered by Dr Langlois. 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 Pavillon Saint-Alexandre, 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 Langlois frequently works with patients towards goals such as:

• Many patients have successfully addressed wanting to discuss fertility concerns or get initial advice before trying to conceive with Dr Langlois's support. This often leads to having their children's physical growth parameters, crucial cognitive and language development, and social-emotional well-being consistently and meticulously monitored by Dr Langlois during regular well-child visits, with any emerging concerns or developmental deviations addressed promptly, appropriately, and effectively and the ability to fully participate in consistently sleeping soundly and deeply through the entire night on a regular basis and waking up feeling genuinely refreshed, fully restored, and ready to embrace the day ahead with clarity once more.
• Managing wanting to discuss their child's nutritional needs as a vegetarian or vegan effectively is a priority for Dr Langlois. The aim is receiving appropriate, tailored, and thorough care and advice for travel health from Dr Langlois, including all necessary vaccinations and preventative measures, ensuring safer, healthier, and more enjoyable international trips for leisure or work, which helps patients get back to enjoying 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.

Your personalized healthcare plan, developed in discussion with Dr Langlois, 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 Langlois's practice at Pavillon Saint-Alexandre is situated in a family medical practice in the central Thetford Mines neighborhood of Thetford Mines. 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.

What does 'preventative care' involve with a family doctor like Dr Langlois?

With Dr Langlois, preventative care means taking proactive steps to maintain your health and prevent future illness. This encompasses services like scheduled immunizations, screenings for diseases you might be at risk for (based on age, family history, etc.), discussions about lifestyle modifications to reduce risks (e.g., related to nutrition, physical activity, substance use), and regular health assessments to monitor your overall status. Dr Langlois works with you to create a personalized prevention plan.

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. Provincial resources, such as the Guichet d’accès à un médecin de famille (GAMF), may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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

If Dr Langlois determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), he will discuss the reasons with you and initiate a referral. This usually involves Dr Langlois sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at Pavillon Saint-Alexandre will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with Pavillon Saint-Alexandre if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr Langlois.

How often should I see Dr Langlois for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr Langlois can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr Langlois follows. It's best to discuss your individual needs with Dr Langlois to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'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 (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Confirm with Pavillon Saint-Alexandre if you have questions about specific non-insured 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.

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 or list. In Quebec, you can also use the Guichet d’accès à un médecin de famille (GAMF). Asking friends, family, or colleagues for recommendations, or contacting local community health centres or new patient clinics directly, may also be helpful. Finding a family doctor who is accepting new patients can be challenging and may take time.

Pavillon Saint-Alexandre
1651 rue Notre Dame Est
Thetford Mines, QC, G6G 0C1

Phone: (418) 338-7777

Dr. Michel Langlois 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: 71198

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=71198

Family doctors like Dr Langlois 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.