Dr. Morad Ghandour

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

Common Chronic Conditions

• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Primary care approach to identifying and managing deficiencies or chronic conditions that lead to persistent anemia.
• Type 2 Diabetes Mellitus & Prediabetes: Managing all aspects of type 2 diabetes and prediabetes with personalized treatment plans. This includes regular blood sugar monitoring (self-monitoring, A1c, continuous glucose monitoring (CGM) discussion), prescription and adjustment of medications (oral hypoglycemics, GLP-1 agonists, SGLT2 inhibitors, insulin), comprehensive diet and exercise counseling, and proactive screening and management of diabetes-related complications (retinopathy, nephropathy, neuropathy, foot problems, cardiovascular disease).
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Working collaboratively with patients to manage their kidney health through regular check-ups, proactive interventions, and coordination with specialist renal services when appropriate.
• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• 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.
• 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: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.

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

• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Utilizing appropriate diagnostic investigations judiciously to ensure accurate medical assessment, informed decision-making, and efficient use of healthcare resources.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Providing comprehensive assessment, empathetic counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common mental health conditions.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Comprehensive primary care for patients with various thyroid conditions, including initial investigation of thyroid abnormalities and coordination with endocrinology if needed.
• Stress Management, Burnout & Adjustment Disorder Support: Helping patients build resilience, develop adaptive coping mechanisms, and navigate stressful periods effectively to protect their mental and physical health.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.

Note: This list highlights some of the key services offered by Dr Ghandour. 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 Centre Médical Mieux-Être, 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 Ghandour frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr Ghandour about a nagging low backache that's making it hard to sit, stand, or even sleep comfortably is to achieve gaining much better insight into how their specific lifestyle choices (e.g., dietary patterns, substance use, stress levels) directly and measurably impact their long-term health outcomes and chronic disease risks, thanks to clear and impactful discussions with Dr. Ghandour. This success paves the way for them to re-engage with significantly reducing the frequency, duration, and severity of sick days from common illnesses for themselves and their children, leading to better attendance at work/school, improved overall productivity, and less household disruption.
• Patients with their teenager needing a confidential space to discuss sensitive health concerns like sexual health or mental well-being can find relief and achieve receiving a timely diagnosis of a previously unrecognized condition like obstructive sleep apnea, celiac disease, or hypothyroidism through Dr. Ghandour's astute clinical screening and appropriate referral for confirmatory testing, leading to effective treatment and significantly improved quality of life under Dr Ghandour's care, often allowing them to resume 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 without former limitations.

Your personalized healthcare plan, developed in discussion with Dr Ghandour, 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 Ghandour's practice at Centre Médical Mieux-Être is situated in a family medical practice in the central Saint-Léonard neighborhood of Saint-Léonard. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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

When you first meet Dr Ghandour as a new patient, expect to spend time discussing your complete health profile. He will likely ask about your past medical history, significant family illnesses, all current medications (including vitamins and supplements), allergies, lifestyle factors like diet and exercise, and any specific health concerns or goals you have. This comprehensive intake helps Dr Ghandour understand your overall health status and begin to formulate a long-term care plan. It's also an excellent time to ask any questions you may have about his approach to medicine or clinic procedures.

What should I bring with me to my appointment with Dr Ghandour?

For every appointment with Dr Ghandour, please bring your valid provincial health card (e.g., Régie de l'assurance maladie du Québec (RAMQ) card). It is also very helpful to bring an up-to-date list of all your current medications, including prescriptions, over-the-counter drugs, vitamins, and herbal supplements, along with their dosages. If you have them, any relevant medical records, recent test results (blood work, imaging reports), or letters from other doctors can be useful, especially if you are seeing Dr Ghandour for the first time or for a specific complex problem. Having a written list of your questions or concerns can also help ensure you cover everything you need to during your visit.

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.

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 they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. You may find it helpful to use provincial resources such as the College of Physicians and Surgeons of Quebec website or other patient-doctor matching services. A referral from a family doctor is usually required to see most medical specialists.

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 may take time and effort. You can check the website of the Collège des médecins du Québec, which often has a "Find a Doctor" tool or similar resources. You can also inquire with local community health centres, or contact the Guichet d'accès à un médecin de famille (GAMF) if applicable. Asking friends, family, or colleagues for recommendations is also helpful.

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

Absolutely. Dr Ghandour is well-equipped to address a wide range of mental health issues as part of comprehensive family practice. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage psychotropic medications when appropriate, and coordinate care with mental health specialists if required. If you're struggling with your mental well-being, Dr Ghandour is a good person to start the conversation with and seek help from in a confidential and supportive environment.

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 health card. However, some services, such as cosmetic procedures or some travel medicine consultations, may not be covered and may have associated fees. Please confirm with Centre Médical Mieux-Être if you have questions about specific services or potential fees.

Centre Médical Mieux-Être
336-7600 Boul Viau
Saint-Léonard, QC, H1S 2P3

Phone: (514) 255-7755

Dr. Morad Ghandour 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: 20940

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=20940

Family doctors like Dr Ghandour 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.