Dr. Michelle Tolszczuk

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

Dermatological Skin Conditions

• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Primary care support for individuals with psoriasis, coordinating with specialist care as needed for more advanced treatment options and comprehensive management of this chronic systemic condition.

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Comprehensive management strategies for COPD, focusing on smoking cessation support (critical for slowing progression), appropriate pharmacological therapy (bronchodilators, inhaled corticosteroids), supplemental oxygen therapy assessment (if needed), pulmonary rehabilitation referrals, influenza/pneumococcal vaccinations, and proactive management of exacerbations to improve quality of life, reduce symptoms (breathlessness, chronic cough, sputum production), and slow disease progression.
• Dyslipidemia (High Cholesterol, High Triglycerides): Screening, diagnosis, and management of abnormal lipid profiles (high LDL cholesterol, low HDL cholesterol, high triglycerides) through lifestyle modifications (heart-healthy diet, physical activity, weight management) and, when indicated, prescription of lipid-lowering medications (e.g., statins, ezetimibe, fibrates, PCSK9 inhibitors) based on cardiovascular risk assessment.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Investigating causes of chronic or recurrent anemia (e.g., fatigue, pallor) through blood tests (CBC, iron studies, B12, folate, ferritin). Managing common types such as iron deficiency anemia (oral/IV iron supplementation, dietary advice) and vitamin B12 or folate deficiency anemia (supplementation), and identifying/addressing underlying causes (e.g., malabsorption, chronic blood loss, dietary insufficiency).
• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Helping patients control symptoms of heartburn, regurgitation, and epigastric pain, and prevent long-term issues associated with chronic acid exposure or ulcers.

Mental Health Concerns

• 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.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Assessing symptoms of depression (low mood, loss of interest/pleasure, fatigue, changes in sleep/appetite) and other mood disorders. Offering empathetic supportive counseling, discussing and initiating treatment options including lifestyle interventions, evidence-based antidepressant medications, and facilitating referrals to psychotherapy or psychiatry for moderate to severe or treatment-resistant cases.

Preventative Health Topics

• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• 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.

Pediatric Common Issues

• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• 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.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Diagnosing and managing common chronic conditions in pediatric patients, such as asthma (including education on inhaler/spacer technique, trigger avoidance, development of personalized asthma action plans for home and school), eczema (atopic dermatitis - focusing on skincare, emollients, topical corticosteroids/calcineurin inhibitors, trigger management), and allergic rhinitis (hay fever). Includes initial assessment and guidance for food allergies, with referral to pediatric allergists for confirmation and comprehensive management if indicated.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.

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

• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Ensuring seamless access to specialized medical care through efficient and well-documented referrals, acting as your central coordinator and advocate within the healthcare system.
• Evaluation of Acute Musculoskeletal Injuries (Sprains, Strains): Assessing acute injuries like ankle sprains, muscle strains (e.g., hamstring, quadriceps), and ligament injuries, providing advice on RICE (Rest, Ice, Compression, Elevation), pain control, and determining the need for imaging or specialist referral.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: Diagnosing and treating common causes of acute digestive upset, and offering supportive care to prevent complications.
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Support and treatment for chronic lung diseases, including referrals for pulmonary rehabilitation and specialist care when indicated.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Confidential screening for common STBBIs (e.g., chlamydia, gonorrhea, syphilis, HIV, Hepatitis B/C) based on risk factors and guidelines. Includes counseling on prevention, safe practices, partner notification if applicable, and providing treatment for common STIs.

Note: This list highlights some of the key services offered by Dr Tolszczuk. 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 EXAMED-clinique travail santé, 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 Tolszczuk frequently works with patients towards goals such as:

• Dr Tolszczuk supports patients through their child having a sudden high fever, being very irritable, and not acting like themselves, aiming for outcomes like experiencing significantly improved physical function, greater ease of mobility, and markedly reduced daily pain as a result of managing complex musculoskeletal issues or sports injuries under Dr Tolszczuk's comprehensive guidance, treatment plan, and care coordination with allied health professionals, so they can return to activities such as dedicating many enjoyable and focused hours to their beloved garden, whether it's meticulously planting delicate flowers, diligently tending to a productive vegetable patch, or undertaking more strenuous yard work like raking leaves or shoveling snow, without significant subsequent back, knee, or shoulder pain.
• A frequent goal for patients seeing Dr Tolszczuk about wanting to discuss screening for osteoporosis or how to maintain bone health is to achieve gaining a much clearer and personalized understanding of their individual health risks (e.g., cardiovascular disease based on Framingham score, inherited cancer predispositions, osteoporosis risk) and practical, actionable, evidence-based steps they can realistically take to mitigate these risks effectively. This success paves the way for them to re-engage with proactively, responsibly, and knowledgeably caring for their own comprehensive health needs and the diverse preventative care requirements of their entire family, fostering a culture of wellness at home.

Your personalized healthcare plan, developed in discussion with Dr Tolszczuk, 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 Tolszczuk practices at EXAMED-clinique travail santé, located in the Sainte-Foy Central (Cité Universitaire South) neighborhood of Québec City. The clinic is conveniently located near Porte Saint-Jean and is accessible via Réseau de transport de la Capitale (RTC). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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

An initial 'meet and greet' or new patient visit with Dr Tolszczuk 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 Tolszczuk 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?

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

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, but there are resources to help. The Collège des médecins du Québec often has a "Find a Doctor" tool or list on their website. You can also use the Guichet d'accès à un médecin de famille (GAMF). Asking friends, family, or colleagues for recommendations is also a good strategy. Contacting local community health centres or clinics that specialize in accepting new patients directly is another option. Be aware that it may take time to find a suitable doctor.

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, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. It's best to confirm with EXAMED-clinique travail santé if you have questions about specific non-insured services or potential fees.

Can Dr Tolszczuk help with mental health concerns like anxiety or depression?

Family doctors like Dr Tolszczuk are integral to supporting patients' mental health. She can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr Tolszczuk.

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 like the GAMF or the Collège des médecins du Québec website may be helpful. A referral from a family doctor is usually required to see most medical specialists.

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

Dr. Tolszczuk practices as part of EXAMED-clinique travail santé, a team-based practice. This means you have access to a range of healthcare professionals. While the goal is to promote continuity with your primary family doctor, Dr. Tolszczuk, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. EXAMED-clinique travail santé will always strive to have you see Dr. Tolszczuk for complex or ongoing issues where that continuity is most crucial.

EXAMED-clinique travail santé
1033 rte de l'Église
Québec City, QC, G1V 3W1

Phone: (418) 781-6406

Dr. Michelle Tolszczuk 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: 90281

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=90281

Family doctors like Dr Tolszczuk 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.