Dr. Nicole Jacqueline Zavagnin – Family Doctor | Thunder Bay, ON

Dr. Nicole Jacqueline Zavagnin is a Family Doctor. Practicing at Royal Victoria in Thunder Bay, ON, she is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. She is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. Her focus is 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. She serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Nicole Jacqueline Zavagnin completed her Medical Degree. She brings valuable clinical experience to the practice. She has developed skills or a strong interest in areas such as comprehensive primary care within family practice. She is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of her practice philosophy include a strong belief in patient-centered care, ensuring that treatment plans are tailored to individual needs, values, and circumstances; 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. She provides consultations in English.

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

Adult Common Health Issues

• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Management includes lifestyle advice (fluid management, avoiding bladder irritants), behavioral therapies (timed voiding), and prescription of medications such as alpha-blockers (e.g., tamsulosin, alfuzosin) to relax prostate/bladder neck muscles, or 5-alpha-reductase inhibitors (e.g., finasteride, dutasteride) to shrink prostate volume. Monitoring for symptom improvement and medication side effects.
• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Diagnosing and managing common eye conditions like allergic conjunctivitis (itchy, red, watery eyes often seasonal or related to specific allergens) with advice on allergen avoidance, cool compresses, artificial tears, and topical/oral antihistamines or mast cell stabilizers. Assessing and providing initial management for dry eye syndrome (keratoconjunctivitis sicca - gritty, burning, foreign body sensation, intermittent blurry vision) with education on environmental modifications, regular use of artificial tears/lubricating ointments, and advice on blinking exercises/lid hygiene. Referral to ophthalmology if symptoms are severe, persistent, vision is affected, or diagnosis is uncertain.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Helping patients manage the uncomfortable sensations and sleep disruption associated with RLS.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Prescribing evidence-based eradication therapy regimens (typically involving a combination of antibiotics and a proton pump inhibitor - PPI) for confirmed H. pylori infection, according to local guidelines and resistance patterns. Providing patient education on medication adherence and potential side effects.

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.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.
• Newborn Care & Infant Feeding Support (Breastfeeding, Formula): Ensuring a healthy start for newborns with regular check-ups, timely interventions if issues arise, and resources for parental education and support.
• 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.

Common Chronic Conditions

• Irritable Bowel Syndrome (IBS) - Primary Care Management: Diagnosing IBS based on symptom criteria after ruling out other conditions, and providing primary care management strategies including dietary advice (e.g., low FODMAP diet introduction, fiber management), lifestyle modifications, stress reduction techniques, and symptomatic treatment for abdominal pain, bloating, diarrhea, and/or constipation.
• 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: 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. Zavagnin. If your specific health concern isn't listed, please contact the clinic to discuss your needs.

• Assessment & Management of Anxiety, Depression & Mood Disorders: Providing comprehensive assessment, empathetic counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common mental health conditions.
• Thyroid Disorder Management (Hypo/Hyperthyroidism, Nodules, Hashimoto's): Diagnosis, treatment (e.g., thyroid hormone replacement for hypothyroidism, antithyroid drugs or referral for hyperthyroidism), and long-term monitoring of common thyroid conditions including Hashimoto's thyroiditis, to ensure hormonal balance, manage symptoms effectively, and monitor for complications like thyroid nodules or goiter.
• Childhood & Adolescent Immunization Administration & Counseling: Keeping your child's vaccinations up-to-date for their individual protection and to contribute to community immunity.
• Cardiovascular & Metabolic Risk Assessment & Management: Evaluating risk factors for heart disease, stroke, and type 2 diabetes, including blood pressure measurement, cholesterol (lipid panel) screening, blood glucose testing, and assessing lifestyle factors (diet, exercise, smoking, family history). Includes initiation of preventative medications if indicated.
• 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.

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

• Dr. Zavagnin supports patients through their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary, aiming for outcomes like experiencing significantly improved physical function, greater ease of mobility, and markedly reduced daily pain as a result of managing complex musculoskeletal issues or sports injuries under Dr. Zavagnin's comprehensive guidance, treatment plan, and care coordination with allied health professionals, so they can return to activities such as making consistently informed, conscious, and positive decisions about their daily diet, overall nutrition, optimal hydration, and mindful eating habits for sustained energy and peak physical health.
• A key objective when treating their infant having persistent diaper rash that isn't clearing up with over-the-counter creams at Dr. Zavagnin's clinic is their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, Dr. Zavagnin, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, supporting a comfortable return to proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations.
• A frequent goal for patients seeing Dr. Zavagnin about needing support, resources, and a concrete plan to help them quit smoking for good this time is to achieve benefiting from Dr. Zavagnin's proactive and systematic approach to mental health screening and discussion during routine visits, leading to earlier identification and support for emerging psychological distress. This success paves the way for them to re-engage with confidently and effectively advocating for their own complex health needs, specific treatment preferences, and the essential healthcare requirements of their family members when interacting within the broader, sometimes impersonal, healthcare system.
• For patients where a minor injury like a sprained ankle from a misstep playing sports, or a small cut from cooking that might need stitches is a concern, Dr. Zavagnin focuses on plans that lead to having all their health concerns, no matter how seemingly small or 'embarrassing' they felt, listened to attentively, validated with respect, and addressed thoroughly and with genuine empathy, dignity, and professionalism by Dr. Zavagnin, supporting their ability to participating fully, actively, and joyfully in all extended family activities, special gatherings, milestone celebrations, and holiday traditions.

Your personalized healthcare plan, developed in discussion with Dr. Zavagnin, 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. Zavagnin practices at Royal Victoria, located in the Port Arthur Central (Downtown North Core, Waterfront area) neighborhood of Thunder Bay. The clinic is conveniently located near Downtown Port Arthur (North Core) and is accessible via Thunder Bay Transit. Free patient parking is often available on-site or on nearby streets.

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

Finding a family doctor in Ontario who is accepting new patients can be challenging. The College of Physicians and Surgeons of Ontario often has a "Find a Doctor" tool or list on their website. 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. It may take time to find a doctor.

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 they are accepting new patients. However, finding a doctor accepting new patients can be difficult. Resources like Health Care Connect in Ontario, your local health authority website, or the provincial College of Physicians and Surgeons patient-doctor matching service (if available) may be helpful. A referral from a family doctor is usually required to see specialists.

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

Dr. Zavagnin practices as part of a team-based practice, which 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. Zavagnin, 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. Zavagnin 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 provincial 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 Royal Victoria if you have questions about specific non-insured services or potential fees.

What exactly is a family doctor (Family Doctor) 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 does 'preventative care' involve with a family doctor like Dr. Zavagnin?

Preventative care with Dr. Zavagnin focuses on keeping you healthy and identifying potential health problems before they become serious or cause symptoms. This involves a range of services tailored to your age, gender, and risk factors, such as routine check-ups (periodic health exams), age-appropriate cancer screenings (e.g., Pap tests, mammograms, colon cancer screening, PSA discussions), immunizations (flu shots, travel vaccines, routine boosters), blood pressure and cholesterol checks, screening for diabetes, counseling on healthy lifestyle choices (diet, exercise, smoking cessation, responsible alcohol use), and risk assessments for various conditions. The primary goal is to prevent illness, detect diseases early when they are most treatable, and promote your long-term health and well-being.

Can Dr. Zavagnin help with mental health concerns like anxiety or depression?

Family doctors like Dr. Zavagnin are integral to supporting patients' mental health. She can assess symptoms of common mental health conditions (e.g., anxiety, depression, ADHD - initial screen), offer initial treatment options including counseling and medication if suitable, and connect you with more specialized mental health professionals or resources within the community if your needs are more complex. Your overall well-being, both physical and mental, is important to Dr. Zavagnin.

Royal Victoria
301-1040 Oliver Rd, Regional Health Centre Department of Anesthesia
Thunder Bay, ON, P7B 7A5

Phone: (807) 346-1240

Dr. Nicole Jacqueline Zavagnin 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: 91246

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Zavagnin-Nicole-Jacqueline/0257593-91246

Family doctors like Dr. Zavagnin 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.