Dr. My Lan Graziani

Dr. My Lan Graziani 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

• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Providing prompt care for sudden or severe headaches, offering effective relief, and establishing a plan for ongoing management if headaches are recurrent or chronic.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Providing advice on RICE/POLICE principles (Rest/Protection, Optimal Loading, Ice, Compression, Elevation), pain relief options (analgesics, NSAIDs, heat/cold therapy), and gentle exercises for acute soft tissue injuries to promote healing.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Diagnosis and treatment for a wide range of common acute skin issues including cellulitis (mild, uncomplicated), fungal infections (e.g., athlete's foot, ringworm, candidiasis), allergic rashes (e.g., hives, contact dermatitis), impetigo, shingles (herpes zoster), insect bites/stings with significant local reactions, and minor superficial burns.

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity, skin type, patient preference, and potential impact on self-esteem.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• 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.

Common Chronic Conditions

• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Helping individuals with chronic bronchitis or emphysema manage their symptoms effectively, improve exercise tolerance, and maintain the best possible lung function through a multidisciplinary approach.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Individualized, evidence-based care plans for individuals living with hypertension, focusing on patient education, shared decision-making, and promoting long-term adherence to treatment for optimal cardiovascular health.
• 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).
• Irritable Bowel Syndrome (IBS) - Primary Care Management: A supportive approach to IBS, working with patients to identify triggers and develop effective coping mechanisms.

Adult Common Health Issues

• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Managing common types of nutritional anemia such as iron deficiency anemia (oral or intravenous iron supplementation, dietary advice to increase iron intake and absorption, investigation for source of chronic blood loss if suspected - e.g., GI bleed, heavy menses) and megaloblastic anemia due to vitamin B12 or folate deficiency (oral or parenteral supplementation, dietary counseling, investigation for underlying causes like pernicious anemia, malabsorption syndromes - celiac disease, Crohn's, post-gastric surgery, medication effects - metformin, PPIs).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• 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 Graziani. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• Chronic Pain Management (Musculoskeletal, Neuropathic - Primary Care Approach): Initial assessment and development of a management plan for chronic pain conditions (e.g., osteoarthritis, chronic low back pain, fibromyalgia, neuropathic pain), employing a multimodal approach including lifestyle advice, exercise recommendations, non-opioid and judicious opioid medication management, pain education, and referrals to specialized pain clinics, physiotherapy, or other therapies.
• 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.
• Well-Child & Well-Adolescent Visits (Growth & Development): Scheduled visits to track your child's or teen's health trajectory, address any emerging concerns, and provide guidance on nutrition, safety, and healthy habits.
• 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.

Note: This list highlights some of the key services offered by Dr Graziani. 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 de médecine de Famille St. Mary's, 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 Graziani frequently works with patients towards goals such as:

• Overcoming or managing experiencing bothersome symptoms of menopause like hot flashes, night sweats, or mood swings is a common patient journey at Dr Graziani's practice. The focus is on enabling accessing crucial mental health support, initial assessment, and evidence-based treatment in a familiar, readily accessible, and completely non-stigmatizing primary care environment meticulously provided by Dr. Graziani, so that engaging in thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness becomes a reality again.
• A frequent goal for patients seeing Dr Graziani about shortness of breath that comes on suddenly or is worse than their usual asthma/COPD is to achieve achieving more restorative and consistent sleep patterns and experiencing increased daytime energy levels and cognitive function after effectively addressing underlying sleep disturbances with Dr. Graziani's comprehensive assessment and management plan. This success paves the way for them to re-engage with fully sharing and enjoying relaxed, convivial meals and engaging conversations with their loved ones without being constantly preoccupied by nagging physical pain, digestive discomfort, or restrictive dietary anxieties.

Your personalized healthcare plan, developed in discussion with Dr Graziani, 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 Graziani practices at Centre de médecine de Famille St. Mary's, a family medical practice in central Montréal. 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 for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Centre de médecine de Famille St. Mary's if you have questions about specific non-insured services or potential fees.

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

Preventative care with Dr Graziani focuses on keeping you healthy and identifying potential health problems before they become serious or cause symptoms. This involves a range of services tailored to your age, gender, and risk factors, such as routine check-ups (periodic health exams), age-appropriate cancer screenings (e.g., Pap tests, mammograms, colon cancer screening, PSA discussions), immunizations (flu shots, travel vaccines, routine boosters), blood pressure and cholesterol checks, screening for diabetes, counseling on healthy lifestyle choices (diet, exercise, smoking cessation, responsible alcohol use), and risk assessments for various conditions. The primary goal is to prevent illness, detect diseases early when they are most treatable, and promote your long-term health and well-being.

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

Seeing a medical specialist in Canada usually requires a referral from your family doctor, like Dr Graziani. After assessing your condition, if Dr Graziani believes specialist care is necessary for diagnosis or management, she will discuss this with you and make the appropriate referral. Our office will handle sending the required information to the specialist. You will then typically be contacted by the specialist's office to arrange your appointment. Remember that specialist wait times can sometimes be long, so Dr Graziani will continue to manage your care and provide support in the interim.

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.

What should I do if I have an urgent medical issue when Centre de médecine de Famille St. Mary's is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until Centre de médecine de Famille St. Mary's reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with Centre de médecine de Famille St. Mary's or Dr Graziani during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(514) 734-2677] may also provide instructions or resources for after-hours care.

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

The College of Physicians and Surgeons of QC often has a 'Find a Doctor' tool or list. In Quebec, you can use the Guichet d'accès à un médecin de famille (GAMF). You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor who is accepting new patients can be challenging and may take time.

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 if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging, and provincial resources may be helpful. A referral  is usually required from a family doctor to see most medical specialists.

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

Dr. Graziani practices as part of Centre de médecine de Famille St. Mary's, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr. Graziani, 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. The clinic will always strive to have you see Dr. Graziani for complex or ongoing issues where that continuity is most crucial.

Centre de médecine de Famille St. Mary's
3777 av Jean-Brillant
Montréal, QC, H3T 1M5

Phone: (514) 734-2677

Dr. My Lan Graziani 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: 18857

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=18857

Family doctors like Dr Graziani 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.