Dr. Nicolas Sylvestre

Dr. Nicolas Sylvestre 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

• 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: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• 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.

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.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Supporting individuals experiencing persistent worry, panic attacks, social phobia, or generalized anxiety with a patient-centered and collaborative approach to care, focusing on symptom reduction and functional improvement.
• 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.

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.
• Childhood Immunization Schedule Management & Counseling: Providing timely and safe immunizations, addressing parental questions or concerns about vaccines with evidence-based information and empathy, managing catch-up schedules if needed, and documenting all immunizations accurately.
• 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

• 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.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Effective antimicrobial therapy for common bacterial skin infections to resolve infection, prevent spread, and alleviate associated symptoms.
• 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.

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

• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Primary care strategies to protect kidney health, including blood pressure control, glycemic control in diabetics, dietary advice (e.g., protein, sodium, potassium considerations), and timely referrals to nephrology.
• Routine Health Check-ups & Physicals for Adults: Scheduled visits for adults designed to proactively manage health risks, detect potential problems early, and offer personalized guidance on maintaining optimal health and well-being.
• Fungal, Viral & Bacterial Skin Infections: Effective remedies for bothersome infections of the skin, hair, and nails.
• Eating Disorder Screening & Referral Coordination: Screening for signs and symptoms of eating disorders (e.g., anorexia nervosa, bulimia nervosa, binge eating disorder) during routine visits or when concerns arise. Providing initial support and psychoeducation, and facilitating timely referrals to specialized eating disorder programs, dietitians, and mental health professionals.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Specialized primary care for childhood chronic diseases to ensure optimal health, growth, and development with coordination with pediatric specialists when necessary.

Note: This list highlights some of the key services offered by Dr. Sylvestre. 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 ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Dr. Nicolas Sylvestre'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. Sylvestre frequently works with patients towards goals such as:

• Dr. Sylvestre's care for a nagging low backache that's making it hard to sit, stand, or even sleep comfortably is designed to result in successfully achieving their specific, meaningful, and personal health goals, whether it's achieving sustainable and healthy weight management, successfully quitting smoking or vaping after multiple attempts, consistently maintaining improved physical fitness levels, or achieving significantly better daily pain control and function, so patients can resume activities such as joyfully and responsibly taking care of beloved family pets, which includes activities like daily walking, regular feeding, grooming, active playtime, and providing necessary veterinary care with confidence.
• Struggling with a persistent metallic taste in their mouth or other unusual sensory changes? Dr. Sylvestre helps patients target receiving compassionate, understanding, and effective support and strategies from Dr. Sylvestre 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 activities such as thoughtfully and proactively planning for their long-term future, including considerations for retirement, potential changes in living arrangements, or other significant life transitions, with a strong sense of health security and financial preparedness more achievable.
• A frequent goal for patients seeing Dr. Sylvestre about managing ongoing pain from an old sports injury or a chronic condition like arthritis that limits their activities is to achieve obtaining clear, concise, and actionable guidance from Dr. Sylvestre 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 enjoying daily life with consistent, vibrant energy, genuine vitality, and a deeply positive outlook on most days.

Your personalized healthcare plan, developed in discussion with Dr. Sylvestre, 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. Sylvestre's practice is located at a family medical clinic in Kapuskasing, situated in a family medical practice in central Kapuskasing neighborhood of Kapuskasing. 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 (Family Doctor) and what is their role?

Your family doctor (Ontario) 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.

What should I bring with me to my appointment with Dr. Sylvestre?

For every appointment with Dr. Sylvestre, please bring your valid provincial health card (e.g., Ontario Health Insurance Plan (OHIP) 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. Sylvestre 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.

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

Generally, you do not need a referral to see a family doctor in Ontario if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Resources like Health Care Connect in Ontario, your local health unit's website, or the College of Physicians and Surgeons of Ontario may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

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

As your family doctor, Dr. Sylvestre 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. Sylvestre 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. Sylvestre can continue to coordinate your overall care effectively.

What if Dr. Sylvestre works in a Family Health Team or group practice? Will I always see Dr. Sylvestre?

Dr. Sylvestre practices as part of a team-based practice, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr. Sylvestre, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. The clinic will always strive to have you see Dr. Sylvestre for complex or ongoing issues where that continuity is most crucial.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid health card. However, some services, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and 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 or potential fees.

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

The College of Physicians and Surgeons of Ontario often has a 'Find a Doctor' tool or list. In Ontario, you can register with Health Care Connect. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a family doctor may take time.

How often should I see Dr. Sylvestre for a check-up or physical exam?

The recommended frequency for check-ups varies based on your age, overall health, medical conditions, and risk factors. Generally, healthy younger adults may need less frequent check-ups, while children, older adults (e.g., annually over 65), or those with chronic conditions may benefit from more frequent visits. Dr. Sylvestre follows established provincial guidelines for specific screening tests. Discuss your individual needs with Dr. Sylvestre to determine an appropriate schedule.

142 Progress Cres
Kapuskasing, ON, P5N 3H7

Phone: (705) 371-2220

Dr. Nicolas Sylvestre is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 105883

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Sylvestre-Nicolas/0302732-105883

Family doctors like Dr. Sylvestre 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.