Dr. Nathalie Gauvin

Dr. Nathalie Gauvin 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

• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Long-term support and care for managing the symptoms of degenerative joint disease and other chronic musculoskeletal pain, focusing on self-management and maintaining an active lifestyle.
• Dyslipidemia (High Cholesterol, High Triglycerides): Personalized treatment plans for managing elevated lipid levels, incorporating regular monitoring, patient education, and strategies for long-term cardiovascular disease prevention.

Adult Common Health Issues

• 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.
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Educating patients and families on routine infection prevention and control measures (e.g., hand hygiene, cough etiquette, staying home when sick). Providing guidance during community outbreaks of infectious diseases (e.g., influenza, measles, pertussis, COVID-19), including advice on testing, isolation/quarantine, and public health recommendations.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.
• 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

• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): Performing routine developmental surveillance and targeted screening (e.g., using Ages & Stages Questionnaires - ASQ) when parents or educators raise concerns regarding potential developmental delays (in speech/language, gross/fine motor skills, cognitive abilities, social-emotional development). Offering initial assessment and guidance for common behavioral issues (e.g., significant tantrums, sleep problems, childhood anxiety, aggression), symptoms suggestive of ADHD, or learning difficulties.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• 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.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.

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.
• 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.
• 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.

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

• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Coordinating appropriate cancer screening tests tailored to your age, gender, family history, and individual risk factors, facilitating early detection.
• 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.
• Stress Management, Burnout & Adjustment Disorder Support: Supportive counseling and problem-solving for stress-related symptoms, promoting well-being and preventing escalation to more severe mental health conditions.
• Primary Care for Overuse & Repetitive Strain Injuries: Diagnosing and managing conditions resulting from repetitive stress or overuse, such as tendinopathies (e.g., tennis elbow, golfer's elbow, Achilles tendinopathy), plantar fasciitis, and carpal tunnel syndrome (initial management).
• Management of Common Adult Acute & Chronic Illnesses: Providing continuous medical care for adult health issues, from sudden illnesses to long-term conditions, ensuring appropriate treatment and follow-up.

Note: This list highlights some of the key services offered by Dr Gauvin. 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 CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile, 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 Gauvin frequently works with patients towards goals such as:

• Patients with wanting to establish care with a new family doctor after moving to the area can find relief and achieve having their children's physical growth parameters, crucial cognitive and language development, and social-emotional well-being consistently and meticulously monitored by Dr. Gauvin during regular well-child visits, with any emerging concerns or developmental deviations addressed promptly, appropriately, and effectively under Dr Gauvin's care, often allowing them to resume successfully maintaining their cherished personal independence in all complex daily routines, intricate personal care tasks, and instrumental activities of daily living, which is especially crucial for aging seniors or individuals managing disabilities without former limitations.
• The path to wellness when facing wanting to discuss fertility concerns or get initial advice before trying to conceive involves working towards successfully managing their multiple (often complex) medications with significantly fewer side effects, demonstrably better adherence to the prescribed regimen, and a much clearer understanding of each medication's specific purpose, benefits, and potential interactions, thanks to Dr. Gauvin's careful oversight. Dr Gauvin guides patients so they can again enjoy actively and responsibly participating in their own healthcare journey by consistently attending scheduled appointments with Dr. Gauvin, asking insightful questions, understanding their conditions, and diligently following mutually agreed-upon treatment plans.

Your personalized healthcare plan, developed in discussion with Dr Gauvin, 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 Gauvin practices at CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile, located in the Downtown Trois-Rivières neighborhood of Trois-Rivières. The clinic is conveniently located near UQTR Access and is accessible via Société de transport de Trois-Rivières (STTR). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What should I do if I have an urgent medical issue when CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile 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 CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile 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 CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile or Dr Gauvin during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(819) 379-5650] may also provide instructions or resources for after-hours care.

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 be helpful in finding a doctor. A referral from a family doctor is usually required to see specialists.

Does Dr Gauvin at CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile offer virtual (video) or phone appointments?

Yes, Dr Gauvin at CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr Gauvin if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile regarding any potential fees for uninsured virtual services.

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.

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

Continuity of care refers to the process where your family doctor, Dr Gauvin, sees you for your health needs on an ongoing basis, rather than seeing different doctors for different issues. This consistency is valuable because Dr Gauvin becomes familiar with your medical background, your lifestyle, and what's 'normal' for you. This knowledge aids in quicker diagnosis, more effective treatment plans, better chronic disease management, and ensures that your care is well-coordinated across the healthcare system. It's about having a trusted healthcare partner throughout your life.

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 or some travel medicine consultations, may not be covered and might have an associated fee. Please confirm with CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile if you have questions about specific services or potential fees.

How long do appointments with Dr Gauvin typically last?

Appointment times with Dr Gauvin vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr Gauvin will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile to ensure enough time is set aside with Dr Gauvin to address your concerns thoroughly.

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 take time. You can check the website of the Collège des médecins du Québec, which may have a "Find a Doctor" tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly.

CIUSSS MCQ Site Laviolette, Soins palliatifs à domicile
1274 rue Laviolette
Trois-Rivières, QC, G9A 1W4

Phone: (819) 379-5650

Dr. Nathalie Gauvin 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: 96094

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=96094

Family doctors like Dr Gauvin 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.