Dr. Michelle Dumais

Dr. Michelle Dumais 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

• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Helping you cope with acute digestive illnesses by providing guidance on oral rehydration solutions, appropriate diet modification during and after illness, and when to seek medical attention for persistent or severe symptoms.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.
• 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.

Mental Health Concerns

• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• 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).

Dermatological Skin Conditions

• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Diagnosis and treatment of common superficial bacterial skin infections such as impetigo (honey-crusted lesions), folliculitis (infected hair follicles), and uncomplicated cellulitis (localized skin infection with redness, warmth, swelling, pain) or erysipelas. Management includes topical antibiotics (e.g., mupirocin, fusidic acid) for localized infections or oral antibiotics (e.g., cephalexin, cloxacillin, clindamycin) for more extensive or systemic involvement. Advice on wound care and hygiene.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Diagnosis (clinical, skin scraping/KOH preparation, fungal culture if needed) and treatment of common superficial fungal infections including tinea corporis (ringworm), tinea pedis (athlete's foot), tinea cruris (jock itch), tinea capitis (scalp ringworm - requires oral therapy), tinea versicolor (pityriasis versicolor), cutaneous candidiasis (e.g., intertrigo, diaper rash), and onychomycosis (fungal nail infections). Treatment involves topical antifungal creams/lotions/shampoos (e.g., clotrimazole, miconazole, terbinafine, ketoconazole) or oral antifungal medications (e.g., terbinafine, itraconazole, fluconazole) for more extensive, resistant, or nail/hair infections.

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

• Primary Care for Overuse & Repetitive Strain Injuries: Helping patients recover from repetitive strain conditions and prevent recurrence through education and targeted interventions.
• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• Weight Management & Healthy Weight Strategies: Collaboratively discussing healthy weight goals based on BMI, waist circumference, and overall health status. Providing guidance on balanced nutrition, portion control, mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating), and addressing underlying factors contributing to weight issues. Medical options may be discussed if appropriate based on guidelines and individual assessment.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Differentiating between benign and suspicious skin lesions, with prompt biopsy or referral to dermatology if skin cancer is suspected.
• Childhood & Adolescent Immunization Administration & Counseling: Providing timely and safe immunizations according to provincial and national public health guidelines, ensuring children are fully protected.

Note: This list highlights some of the key services offered by Dr Dumais. 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 Bas-Saguenay, 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 Dumais frequently works with patients towards goals such as:

• It's rewarding for Dr Dumais to see patients with a persistent metallic taste in their mouth or other unusual sensory changes achieve seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr Dumais's ongoing education, consistent encouragement, and positive role modeling and return to important activities like simply and thankfully getting through each and every day without their physical or mental health being a primary, constant source of pervasive worry, nagging discomfort, significant functional limitation, or a barrier to their desired activities.
• Dr Dumais frequently helps patients who are dealing with wanting to discuss preventative health screenings appropriate for their age, gender, and family history risks. The primary aim is achieving learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health, which often allows them to confidently resume thoroughly enjoying the simple yet profound ability to read for pleasure, engage in academic study, or conduct detailed research for extended periods without debilitating eye strain, persistent headaches, or other health issues related to unmanaged vision problems or poor ergonomics.

Your personalized healthcare plan, developed in discussion with Dr Dumais, 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 Dumais practices at Clinique médicale du Bas-Saguenay, a family medical practice in central L'Anse-Saint-Jean. 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.

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, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Clinique médicale du Bas-Saguenay if you have questions about specific non-insured services or potential fees.

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

The Collège des médecins du Québec often has a 'Find a Doctor' tool or list on its website. You can also use the Guichet d'accès à un médecin de famille (GAMF). Ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor can be challenging and may take time.

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

The recommended frequency for check-ups varies based on your age, health, medical conditions, and risk factors. Generally, healthy younger adults may need check-ups less frequently (e.g., every 2-5 years), while children, older adults (e.g., annually over 65), or those with chronic conditions may need more frequent visits (e.g., annually or semi-annually). Dr Dumais follows established provincial guidelines for specific screening tests. Discuss your individual needs with her to determine an appropriate schedule.

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

Dr Dumais practices as part of Clinique médicale du Bas-Saguenay, a team-based practice. While the goal is continuity with your primary doctor, for some issues or services, you might be seen by another trusted team member. This enhances access to care. The clinic will strive to have you see Dr Dumais for complex or ongoing issues.

What should I do if I have an urgent medical issue when Clinique médicale du Bas-Saguenay is closed?

For life-threatening emergencies, call 911 or go to the nearest hospital. For urgent, non-life-threatening issues, consider an urgent care centre or walk-in clinic. Check with Clinique médicale du Bas-Saguenay during regular hours to see if they offer after-hours services. Their clinic voicemail [(418) 272-2112] may also provide instructions or resources.

Do I need a referral to see a family doctor (Médecin de famille) in QC?

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding one can be challenging. Provincial resources may be helpful. A referral is usually required to see specialists.

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

An initial visit usually involves a thorough discussion about your health. Be prepared to discuss your personal and family medical history, current medications, ongoing health issues, and lifestyle. Dr Dumais will understand your health needs and expectations. A physical exam may be performed during this first visit or scheduled later.

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, trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure access to specialized medical services through referrals when needed. The continuity of care they provide is fundamental to effective family medicine.

Clinique médicale du Bas-Saguenay
180 Route 170
L'Anse-Saint-Jean, QC, G0V 1J0

Phone: (418) 272-2112

Dr. Michelle Dumais 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: 95396

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=95396

Family doctors like Dr Dumais 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.