Dr. Nathalie Pilote

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

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.
• Psoriasis (Mild to Moderate Plaque Psoriasis - Initial Management): Initial diagnosis and management of mild to moderate plaque psoriasis, providing topical treatments (potent topical corticosteroids, vitamin D analogues like calcipotriol, combination products, coal tar preparations, emollients) and lifestyle advice (stress management, identifying triggers). Screening for psoriatic arthritis symptoms. Referral to dermatology for moderate to severe psoriasis (requiring phototherapy or systemic/biologic agents), psoriatic arthritis, or diagnostic uncertainty.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.
• Travel Medicine Advice & Routine/Travel Vaccinations: Providing pre-travel consultations for individuals travelling to common and some less common international destinations. This includes a detailed risk assessment based on itinerary (country, region, urban/rural, length of stay, type of travel); advice on food and water safety, insect bite prevention (e.g., for malaria, dengue, Zika, chikungunya), altitude sickness prevention, and management of common travel-related ailments (e.g., traveler's diarrhea). Also includes administration of necessary routine immunizations (MMR, Tdap, Polio, Flu) and specific travel vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if a designated center, Rabies pre-exposure, Japanese Encephalitis considerations). Malaria chemoprophylaxis prescription if indicated. Complex itineraries or immunocompromised travelers may require referral to a specialized travel clinic.
• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Performing comprehensive driver's medicals to ensure individuals meet the health standards necessary for safe vehicle operation, promoting road safety for all.

Pediatric Common Issues

• 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.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Providing confidential, respectful, and age-appropriate comprehensive primary care for teenagers (typically ages 12-18+). Addressing a wide range of issues including pubertal development, acne, body image concerns, sports injuries, mental health (screening for anxiety, depression, stress, eating disorders), sexual health education (contraception, STI prevention/screening, healthy relationships), substance use (screening, brief intervention, counseling), and promoting healthy lifestyle choices (nutrition, physical activity, sleep, responsible digital media use).
• 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.

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): A comprehensive and collaborative approach to ADHD care, addressing core symptoms and associated impairments across the lifespan, often involving a multidisciplinary team approach.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Ensuring individuals with complex or acute mental health needs are connected with the right resources and expertise for effective and safe management.

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

• Care for Minor Injuries & Acute Musculoskeletal Complaints: Providing first-line care for common minor injuries, including wound care advice, pain management strategies, and guidance on activity modification and rehabilitation.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• 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.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Interpreting test results in the context of your overall clinical picture, discussing their implications with you clearly, and arranging appropriate follow-up or further investigation.
• Diagnosis & Management of Common Acute Childhood Illnesses: Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, school-aged children, and teenagers, including appropriate antibiotic stewardship.

Note: This list highlights some of the key services offered by Dr Pilote. 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 Azur, 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 Pilote frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr Pilote about concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative is to achieve obtaining clear, concise, and actionable guidance from Dr Pilote on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization. This success paves the way for them to re-engage with confidently, independently, and effectively managing their diagnosed chronic health conditions (like diabetes, asthma, or hypertension) on a daily basis with minimal disruption to their desired lifestyle and activities, feeling in control.
• Many seek Dr Pilote's help for needing advice on managing their child's ADHD medication or school accommodations. The collaborative goal is feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr Pilote in a completely safe, confidential, and entirely supportive clinical environment, allowing a return to valued activities like 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.

Your personalized healthcare plan, developed in discussion with Dr Pilote, 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 Pilote practices at Clinique Azur, a family medical practice in the central Greenfield Park neighborhood of Greenfield Park. 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 happens if Dr Pilote determines I need to see a medical specialist?

As your family doctor, Dr Pilote acts as your primary care coordinator. If she believes your condition requires specialized assessment or treatment, she will explain why a specialist consultation is necessary and will arrange the referral. Dr Pilote will send your pertinent medical details to the specialist. The specialist's office will then typically contact you to book the appointment. It's important to keep Clinique Azur informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr Pilote can continue to coordinate your overall care effectively.

Does Dr Pilote at Clinique Azur offer virtual (video) or phone appointments?

Yes, Dr Pilote at Clinique Azur 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 Pilote if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Clinique Azur 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 (QC) 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.

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. You may find it helpful to check the website of the Collège des médecins du Québec or utilize provincial resources to find a physician accepting new patients. A referral is usually required from a family doctor to see most medical 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, which often has a "Find a Doctor" tool or list. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or clinics directly. Keep in mind that finding a family doctor can sometimes take time and effort.

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 travel medicine consultations, may not be covered and may have an associated fee. Please confirm with Clinique Azur if you have questions about specific services or potential fees.

Clinique Azur
100-2984 Boul Taschereau
Greenfield Park, QC, J4V 2G9

Phone: (450) 466-5000

Dr. Nathalie Pilote 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: 94130

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=94130

Family doctors like Dr Pilote 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.