Dr. Myriam Labossière

Dr. Myriam Labossière 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): Advice and supportive care for managing symptoms of viral or bacterial gastroenteritis ('stomach flu') or mild food poisoning, such as nausea, vomiting, diarrhea, and abdominal cramps, with a primary focus on preventing and managing dehydration, especially in vulnerable populations (children, elderly).
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Managing various acute dermatological conditions with appropriate topical or oral medications (antibiotics, antifungals, corticosteroids, antihistamines) to alleviate itching, redness, pain, swelling, and discomfort.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Providing advice on allergen avoidance, prescribing antihistamines, intranasal corticosteroids or other medications for symptom relief, and discussing options like allergy testing or specialist referrals if indicated for more severe or complex allergies.

Dermatological Skin Conditions

• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Primary care management of common, non-cancerous skin lesions, including reassurance and simple removal procedures where appropriate and within scope.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.

Pediatric Common Issues

• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Supporting new parents in caring for their infant, addressing common concerns (colic, reflux, sleep patterns), and promoting bonding and healthy attachment.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.
• 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.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• 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): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.

Common Chronic Conditions

• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Adjusting thyroid medication based on symptoms and regular blood tests (TSH, free T4, thyroid antibodies) to maintain optimal thyroid function and well-being.
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.
• 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).

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

• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Providing testing, education, treatment, and advice related to sexual health and the prevention and management of sexually transmitted and blood-borne infections.
• Routine Health Check-ups & Physicals for Adults: Providing regular comprehensive health assessments for adults of all ages to monitor overall health status, review lifestyle factors, update immunizations, and perform or coordinate age and gender-appropriate preventative screenings.
• 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.
• 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.
• Well-Child & Well-Adolescent Visits (Growth & Development): Age-appropriate developmental screenings, health supervision, and lifestyle counseling for children and teenagers, ensuring they meet key milestones.

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

• For patients where getting advice on how to manage shift work and its impact on their health is a concern, Dr Labossière focuses on plans that lead to noticeably reducing their reliance on, and need for, urgent care clinics or hospital emergency room visits for conditions that are now being effectively managed or prevented through proactive, continuous, and comprehensive primary care with Dr Labossière, supporting their ability to comfortably and easily using stairs at home, in their workplace, or in various public places as needed throughout the day, without experiencing significant breathlessness, joint pain, or instability.
• The focus for patients with their child showing signs of separation anxiety that's impacting school or daycare at Dr Labossière's practice is achieving feeling confident, secure, and proactive in their health because their preventative health screening needs (e.g., for cervical, breast, colorectal, prostate, and lung cancers, as well as screening for AAA, STBBIs, or domestic violence when appropriate) are being diligently and appropriately addressed according to current, evidence-based Canadian guidelines by Dr Labossière, facilitating a return to meaningful activities like effectively managing their personal or household finances, diligently paying bills on time, and competently handling other essential administrative or organizational tasks with sustained mental clarity and focus.

Your personalized healthcare plan, developed in discussion with Dr Labossière, 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 Labossière practices at Clinique médicale Saint-Pierre, a family medical practice in the central Saint-Constant neighborhood of Saint-Constant. 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.

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 challenging. Provincial resources, such as the website of the Collège des médecins du Québec, may offer assistance in finding a doctor. A referral from a family doctor is usually required to see specialists.

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

To find a family doctor in Quebec who is accepting new patients, you can check the website of the Collège des médecins du Québec (they often have a "Find a Doctor" tool or similar resource). You can also inquire with local community health centres or clinics directly. Asking friends, family, or colleagues for recommendations is also helpful. Keep in mind that finding a family doctor may take time and effort.

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.

Is seeing a family doctor (Médecin de famille) covered by Régie de l&#x27;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 or certain types of medical notes, may not be covered and may have an associated fee. Please confirm with Clinique médicale Saint-Pierre if you have questions about specific services or potential fees.

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

Preventative care with Dr Labossière involves proactive steps to maintain your health and prevent future illness. This includes scheduled immunizations, screenings for diseases you might be at risk for, discussions about lifestyle modifications to reduce risks, and regular health assessments to monitor your overall status. Dr Labossière works with you to create a personalized prevention plan.

Clinique médicale Saint-Pierre
85 rg Saint-Pierre
Saint-Constant, QC, J5A 1G8

Phone: (450) 845-4646

Dr. Myriam Labossière 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: 18155

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=18155

Family doctors like Dr Labossière 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.