Dr. Paras Mani Shrestha

Dr. Paras Mani Shrestha 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

• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Differentiating between benign and potentially suspicious skin lesions is a key role, with prompt biopsy or referral to dermatology if any features suggest skin cancer (melanoma, basal cell carcinoma, squamous cell carcinoma).
• 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.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Educating patients on sun safety measures (sunscreen, protective clothing, avoiding peak sun hours), the importance of regular skin self-examination using the ABCDEs of melanoma, and encouraging prompt reporting of any changing or new skin lesions.

Common Chronic Conditions

• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Developing long-term strategies for managing acid-related digestive disorders effectively.
• 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.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Individualized, evidence-based care plans for individuals living with hypertension, focusing on patient education, shared decision-making, and promoting long-term adherence to treatment for optimal cardiovascular health.

Preventative Health Topics

• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Primary care support for general occupational health questions, routine employment-related medical screenings, and facilitating a safe return to work after illness or injury.
• 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.
• 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.
• Comprehensive Lifestyle Counseling (Diet, Exercise, Sleep, Stress Reduction): Providing personalized, evidence-based advice on adopting and maintaining a balanced diet (e.g., Canada's Food Guide, Mediterranean diet, plant-based options), engaging in regular physical activity (aerobic, strength, flexibility - meeting Canadian Physical Activity Guidelines), achieving optimal sleep hygiene, and implementing effective stress management techniques (mindfulness, relaxation) to promote overall health, prevent chronic diseases, and enhance well-being.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Assessment and management of non-specific (mechanical) low back pain and neck pain, which accounts for the majority of spinal pain presentations. This includes taking a thorough history, performing a focused physical examination to rule out 'red flag' conditions (e.g., fracture, infection, malignancy, cauda equina syndrome), providing reassurance about the generally favorable prognosis of acute pain, and advising on pain relief (acetaminophen, NSAIDs, short-term muscle relaxants if severe spasm), maintaining activity as tolerated (avoiding prolonged bed rest), heat/cold application, and self-care strategies. For subacute or chronic pain, emphasis on active therapies (exercise, physiotherapy referral), addressing psychosocial factors (yellow flags), and promoting functional restoration.
• 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.

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

• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Ordering necessary diagnostic tests such as X-rays, ultrasounds, CT scans, MRIs, bone density scans, and a comprehensive range of laboratory blood tests (hematology, chemistry, endocrinology, immunology, microbiology), urine tests, and pathology/cytology specimens to aid in diagnosis, monitor conditions, and guide treatment.
• Insomnia & Sleep Disorder Management (Primary Care Approach): Thoroughly evaluating persistent sleep problems (difficulty falling asleep, staying asleep, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals, and judiciously considering short-term medication if necessary after addressing underlying causes.
• Assessment & Management of Anxiety, Depression & Mood Disorders: Supporting individuals experiencing persistent worry, panic attacks, social anxiety, low mood, loss of interest, or other mood disturbances with a patient-centered and collaborative approach.
• Cardiovascular & Metabolic Risk Assessment & Management: Identifying individuals at higher risk for heart attacks, strokes, or diabetes to implement early interventions and promote long-term health.
• 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.

Note: This list highlights some of the key services offered by Dr. Shrestha. 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 AB and the ethical and professional standards set by The College of Physicians & Surgeons of Alberta (CPSA).

At Dr. Paras Mani Shrestha'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. Shrestha frequently works with patients towards goals such as:

• It's rewarding for Dr. Shrestha to see patients with concerns about possible medication interactions between prescriptions from different doctors achieve feeling fully empowered by Dr. Shrestha to ask pertinent and challenging questions, openly voice their preferences and values regarding treatment options, and participate actively and meaningfully as a respected partner in all their healthcare decisions and return to important activities like feeling mentally sharp, agile, and capable enough to readily engage in complex problem-solving tasks, intricate strategic thinking exercises, or detailed analytical work required in their profession or personal projects.
• Dr. Shrestha understands the impact of that persistent, dry cough that just won't seem to go away after a cold. That's why treatment is geared towards their newborn receiving excellent, thorough initial care, meticulous monitoring for healthy growth and crucial early development, and invaluable support for new parents during the critical and often overwhelming early weeks of life, all from Dr. Shrestha, helping patients get back to successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations with greater ease.

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

Dr. Shrestha's practice is located at a family medical clinic in Slave Lake, situated in a family medical practice in central Slave Lake neighborhood of Slave Lake. 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.

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

Generally, you do not need a referral to see a family doctor in Alberta if the 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 Alberta website or local health authority websites may be helpful in your search. A referral from a family doctor is usually required to see most medical specialists.

Is seeing a family doctor (Family Doctor) covered by Alberta Health Care Insurance Plan (AHCIP) in AB?

Medically necessary visits to a family doctor are typically covered by the Alberta Health Care Insurance Plan (AHCIP) 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 our clinic if you have questions about specific services.

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

You can check the website of the College of Physicians and Surgeons of Alberta, which often has a "Find a Doctor" tool. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or new patient clinics directly. Finding a doctor may take time and effort.

Does Dr. Shrestha at <clinic name> offer virtual (video) or phone appointments?

Yes, Dr. Shrestha 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, or prescription renewals. However, many conditions requiring a physical examination will necessitate an in-person visit. Please discuss with our reception staff or Dr. Shrestha if a virtual appointment might be suitable for your needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

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

Your family doctor (in Alberta) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

309 6 Street NE, Slave Lake Family Care Clinic
Slave Lake, AB, T0G 2A2

Phone: (780) 849-4155

Dr. Paras Mani Shrestha is regulated by the Health Professions Act (Alberta) in AB and is a registered member in good standing with The College of Physicians & Surgeons of Alberta (CPSA).

Registration Number: 034413

Verify registration with The College of Physicians & Surgeons of Alberta (CPSA): https://search.cpsa.ca/PhysicianProfile?e=a6282dab-fcd1-42a5-9d86-c34fdbc188e0&i=1329

Family doctors like Dr. Shrestha 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.