Dr. Neil Michael Heard – Family Doctor | Duncan, BC

Dr. Neil Michael Heard is a Family Doctor. Practicing at a family doctor practice in Duncan, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. He focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Neil Michael Heard completed his MB ChB (University of Zimbabwe, 1981). He brings valuable clinical experience to the practice. He holds Certification in the College of Family Physicians of Canada (CCFP). He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include advocating for patients' needs within the healthcare system and coordinating care effectively with specialists and community services; a holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being. He provides consultations in English.

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

Joint Muscle Pain

• 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.
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.

Adult Common Health Issues

• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Primary care support for managing discomfort and preventing complications associated with venous disease. Referral to vascular specialists or phlebologists for more advanced treatments (e.g., sclerotherapy, endovenous ablation, surgery) if symptoms are severe, progressive, or complicated by ulceration or recurrent phlebitis.
• 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).
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Testing for Helicobacter pylori infection in appropriate clinical contexts (e.g., patients with peptic ulcer disease, certain types of gastritis, dyspepsia in high-prevalence areas, or family history of gastric cancer) using non-invasive methods like urea breath test, stool antigen test, or serology (less reliable for active infection).

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• 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.
• Stress-Related Conditions, Burnout & Adjustment Disorders: Providing support, psychoeducation, and coping strategies for managing the physical and emotional impacts of acute or chronic life stressors, workplace burnout, or difficulties adjusting to significant life changes (e.g., bereavement, job loss, relationship changes, illness).
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.

Preventative Health Topics

• 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.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• Travel Medicine Advice & Routine/Travel Vaccinations: Offering essential travel health services and tailored advice to protect your health while abroad, based on current international health regulations, CDC/WHO recommendations, and your specific travel plans.

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

• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.
• Childhood & Adolescent Immunization Administration & Counseling: Administering the complete schedule of publicly funded childhood and adolescent vaccines to protect against serious infectious diseases. Includes catch-up schedules and addressing parental concerns with evidence-based information.
• Evaluation of Acute Headaches & Dizziness / Vertigo: Providing care for acute episodes of headache or dizziness/vertigo, offering relief strategies and guidance.
• Diagnosis & Management of Common Acute Childhood Illnesses: Diagnosing and treating frequent acute illnesses in children and adolescents, such as ear infections (otitis media), streptococcal pharyngitis (strep throat), common colds, influenza, croup, bronchiolitis, roseola, hand-foot-mouth disease, gastroenteritis, and uncomplicated urinary tract infections.
• Osteoporosis Screening, Prevention & Management: Helping patients reduce their risk of fragility fractures through comprehensive bone health management.

Note: This list highlights some of the key services offered by Dr. Heard. 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 Family Doctors in BC and the ethical and professional standards set by The College of Physicians and Surgeons of British Columbia (CPSBC).

At Dr. Neil Michael Heard's practice, 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. Heard frequently works with patients towards goals such as:

• A frequent goal for patients seeing Dr. Heard about a persistent itchy scalp or dandruff that's not improving is to achieve having their diverse family structure, unique cultural needs, and individual communication preferences consistently understood, acknowledged, and respectfully incorporated into all aspects of their care by Dr. Heard and the entire clinic team. This success paves the way for them to re-engage with successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations.
• If dealing with chronic constipation despite trying home remedies is a barrier, Dr. Heard develops strategies aimed at feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr. Heard in a completely safe, confidential, and entirely supportive clinical environment, facilitating the ability to enjoy effectively and independently managing their personal budget, complex financial responsibilities, investment decisions, or household bill payments with sustained mental acuity and organizational skill.
• For patients where difficulty concentrating at work or school that's new for them is a concern, Dr. Heard focuses on plans that lead to learning to expertly self-manage key aspects of their chronic condition much more effectively (e.g., adjusting insulin based on readings, using an asthma action plan correctly, recognizing early warning signs of a COPD exacerbation), significantly increasing their sense of personal independence, confidence, and empowerment over their health, supporting their ability to meticulously planning, eagerly anticipating, and thoroughly enjoying well-deserved, adventurous, or relaxing vacations and novel travel experiences, both near and far, without the constant nagging worry about potential health flare-ups, unexpected medical needs, or physical limitations.

Your personalized healthcare plan, developed in discussion with Dr. Heard, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. He believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Heard's practice is located at a family medical clinic in Duncan, situated in a family medical practice in the central Duncan neighborhood of Duncan. 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.

What exactly is a family doctor (Family Doctor) and what is their role?

Your family doctor (BC) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

Do I need a referral to see a family doctor (Family Doctor) in BC?

Generally, you don't need a referral to see a family doctor in BC if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like the College of Physicians and Surgeons of BC website may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

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

Preventative care provided by Dr. Heard aims to stop health issues from occurring or to catch them at an early, more manageable stage. This includes regular physical exams, vaccinations, screenings for common conditions like certain cancers or heart disease risk factors (high blood pressure, high cholesterol), and personalized advice on maintaining a healthy lifestyle through diet, physical activity, and avoiding harmful habits like smoking. It’s about being proactive with your health rather than just treating problems as they arise, and Dr. Heard can help guide you in these efforts.

Is seeing a family doctor (Family Doctor) covered by Medical Services Plan (MSP) of BC in BC?

Medically necessary visits to a family doctor are typically covered by the Medical Services Plan (MSP) of BC for eligible residents with a valid BC health card. However, some services, such as cosmetic procedures or driver's medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services.

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

As your family doctor, Dr. Heard acts as your primary care coordinator. If he believes your condition requires specialized assessment or treatment, he will explain why a specialist consultation is necessary and will arrange the referral. Dr. Heard 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 our clinic informed of any specialist appointments you attend and any new diagnoses or treatments recommended by the specialist so Dr. Heard can continue to coordinate your overall care effectively.

How can I find a family doctor (Family Doctor) in BC who is accepting new patients?

Finding a family doctor in BC who is accepting new patients can take time and effort. You can check the College of Physicians and Surgeons of BC website for a "Find a Doctor" tool or list. Contacting local community health centres or new patient clinics directly may also be helpful. Asking friends, family, or colleagues for recommendations is another good strategy.

Duncan, P.O.Box 67
Duncan, BC, V9L 3X1

Phone: (780) 977-0778

Dr. Neil Michael Heard is regulated by the Health Professions Act (British Columbia) in BC and is a registered member in good standing with The College of Physicians and Surgeons of British Columbia (CPSBC).

Registration Number: 28916

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/329833/Heard%2CNeil

Family doctors like Dr. Heard 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.