Dr. Mylène Therrien

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

Pediatric Common Issues

• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Comprehensive medical care for newborns immediately after birth and through the first year of life. Includes routine physical exams, growth monitoring, screening for jaundice and congenital conditions (e.g., hip dysplasia, heart murmurs), umbilical cord care, and vitamin K/eye prophylaxis discussions (hospital-based). Strong focus on infant feeding support, including guidance and troubleshooting for breastfeeding (latch, positioning, supply concerns, mastitis management) and appropriate formula feeding practices, ensuring adequate nutrition and hydration.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Providing initial guidance and evidence-based parenting strategies, and coordinating timely referrals to appropriate pediatric specialists (e.g., developmental pediatricians, child psychologists/psychiatrists, speech-language pathologists, occupational therapists, audiologists) if further evaluation, diagnosis, or specialized intervention is indicated.
• Childhood Immunization Schedule Management & Counseling: Administering the complete schedule of publicly funded childhood vaccines (e.g., DTaP-IPV-Hib, Pneumococcal conjugate and polysaccharide, MMR, Varicella, Meningococcal conjugate (Groups A,C,Y,W-135 and Group B), Hepatitis B, Rotavirus, Human Papillomavirus (HPV), Influenza) to protect against serious and preventable infectious diseases, according to current provincial and national (NACI) guidelines.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Regular monitoring of physical growth (height, weight, head circumference using growth charts), developmental milestones (gross motor, fine motor, language, social-emotional using tools like Rourke Baby Record or Greig Health Record), nutrition/feeding practices (breastfeeding, formula, introduction of solids, healthy eating for older children), and providing age-appropriate anticipatory guidance to parents/caregivers on safety (e.g., car seats, safe sleep, poison prevention, injury prevention), behavior, sleep, dental health, and fostering healthy habits from infancy through school age.

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• 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.

Common Chronic Conditions

• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Developing personalized strategies to reduce chronic joint and muscle pain, improve mobility and function, enhance coping mechanisms, and improve overall quality of life for those living with conditions like arthritis, persistent back pain or fibromyalgia.
• Type 2 Diabetes Mellitus & Prediabetes: Helping you live well with diabetes by providing ongoing education, support for self-management behaviors, access to diabetes education programs, and strategies to prevent or delay long-term complications, empowering you to take control of your health.
• 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: Working collaboratively with you (or your child) to achieve optimal asthma control, minimize symptoms (wheezing, coughing, shortness of breath), improve lung function, and reduce reliance on reliever medications.

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.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Diagnosing and managing common allergic reactions such as seasonal/perennial allergic rhinitis (hay fever), mild to moderate hives (urticaria), minor localized reactions to insect stings, and initial assessment of suspected mild food allergy symptoms. Does not include anaphylaxis management which is an emergency.
• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): First-line care for everyday musculoskeletal injuries, supporting recovery, reducing pain and inflammation, restoring function, and providing referrals for imaging or physiotherapy if conservative measures are insufficient or red flags are present.

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

• Smoking & Tobacco Cessation Programs & Support: Providing evidence-based resources, behavioral strategies, and relapse prevention planning to overcome nicotine addiction and achieve long-term cessation.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Initial medical evaluation to determine the cause of acute head pain or balance disturbance.
• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Proactive screening discussions and referrals for common cancers to ensure timely diagnosis and improve treatment outcomes.
• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Ensuring your child meets key developmental stages and receives all recommended preventative health screenings and immunizations from birth through their teen years.
• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.

Note: This list highlights some of the key services offered by Dr Therrien. 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 CISSS Gaspesie-les iles-de-la-Madeleine, GMF-U de Gaspé, 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 Therrien frequently works with patients towards goals such as:

• Patients often come to Dr Therrien regarding needing a referral for allergy testing due to ongoing symptoms. Working together, they aim for receiving compassionate, understanding, and effective support and strategies from Dr Therrien for managing a spectrum of mental health challenges including persistent anxiety, significant depression, debilitating grief, overwhelming life stress, or initial symptoms of more complex psychiatric conditions, making a return to efficiently managing and maintaining their home environment, including undertaking light repairs, seasonal maintenance, or significant organizational projects, with physical capability and sustained energy feasible.
• For patients where their infant having persistent diaper rash that isn't clearing up with over-the-counter creams is a concern, Dr Therrien focuses on plans that lead to having their children's physical growth parameters, crucial cognitive and language development, and social-emotional well-being consistently and meticulously monitored by Dr Therrien during regular well-child visits, with any emerging concerns or developmental deviations addressed promptly, appropriately, and effectively, supporting their ability to feeling well-prepared, physically able, and mentally positive for attending and fully participating in significant, once-in-a-lifetime family or social events like weddings, milestone anniversaries, international reunions, or major academic graduations.

Your personalized healthcare plan, developed in discussion with Dr Therrien, 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 Therrien practices at CISSS Gaspesie-les iles-de-la-Madeleine, GMF-U de Gaspé, situated in a family medical practice in the central Gaspé neighborhood of Gaspé. 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 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 helpful. Contacting local community health centres or clinics directly to inquire about their new patient policies is another option. Be aware that it may take time to find a suitable family doctor.

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 that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be difficult. Provincial resources like the GAMF or your local health authority website may assist you in finding a doctor. A referral from your family doctor is usually required to see specialists.

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

For every appointment with Dr Therrien, 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 Therrien 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.

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

Yes, as your family doctor, Dr Therrien plays a crucial role in mental healthcare. She is often the first point of contact for individuals experiencing mental health concerns such as anxiety, depression, stress-related issues, sleep problems, or concerns about substance use. Dr Therrien can provide an initial assessment, offer supportive counseling and lifestyle strategies, prescribe medication if appropriate and indicated, and make referrals to specialized mental health services such as psychiatrists, psychologists, or community mental health programs if more intensive or specialized care is needed. Dr Therrien can provide ongoing support and management for many common mental health conditions.

What is 'continuity of care' and why is it important with a family doctor like Dr Therrien?

Having continuity of care with Dr Therrien means that she is your consistent point of contact for your health needs over many years. This long-term relationship allows Dr Therrien to understand the nuances of your health, track changes over time, and provide care that is personalized and proactive. It improves communication, reduces duplication of tests, helps in managing chronic conditions more effectively, and fosters a stronger doctor-patient partnership, all leading to better overall health management.

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, travel medicine consultations, sick notes, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with CISSS Gaspesie-les iles-de-la-Madeleine, GMF-U de Gaspé if you have questions about specific services or potential fees.

CISSS Gaspesie-les iles-de-la-Madeleine, GMF-U de Gaspé
215 Boul de York O
Gaspé, QC, G4X 2W2

Phone: (418) 368-3301

Dr. Mylène Therrien 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: 12675

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=12675

Family doctors like Dr Therrien 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.