Dr. Patricia Ann Howitt – Family Doctor | Vancouver, BC

Dr. Patricia Ann Howitt is a Family Doctor. Practicing at St. Paul's Hospital in Vancouver, BC, 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 British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. She 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. Dr. Howitt serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Patricia Ann Howitt completed her MD (McMaster University, 1988). 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 holistic approach to health, considering the physical, mental, emotional, and social factors that influence a patient's well-being; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care. She provides consultations in English.

Dr. Patricia Ann Howitt 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

• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Primary care approach to identifying and managing deficiencies or chronic conditions that lead to persistent anemia.
• Thyroid Disorders (Hypothyroidism, Hyperthyroidism, Hashimoto's, Nodules): Diagnosis, treatment (e.g., levothyroxine 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 screen for complications like thyroid nodules or goiter. Includes initial investigation of thyroid abnormalities (e.g., ultrasound for nodules) and coordination with endocrinology for complex cases.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Managing chronic pain and stiffness associated with osteoarthritis in various joints (knees, hips, hands, spine), persistent mechanical low back or neck pain, and conditions like fibromyalgia. This involves a multimodal approach including education, exercise recommendations (strength, flexibility, low-impact aerobics), weight management, pain relief medications (topical, oral NSAIDs, acetaminophen, judicious use of other analgesics like gabapentinoids or TCAs for neuropathic/fibromyalgia components), joint injection considerations, and referrals to physiotherapy, rheumatology or pain clinics if needed.

Joint Muscle Pain

• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• 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.
• 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.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: A first point of contact for work-related or activity-induced repetitive strain injuries, guiding effective conservative management, facilitating return to function, and providing documentation for workplace accommodations if necessary. Referral to specialists (e.g., sports medicine, orthopedics, physiatry) if symptoms are persistent, severe, or require further investigation/intervention.

Mental Health Concerns

• 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.
• 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).
• 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.

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

• Patient Education on Specific Health Conditions & Self-Management: Providing clear, understandable information about diagnosed health conditions, including causes, symptoms, treatment options, prognosis, and empowering patients with knowledge and skills for effective self-management (e.g., how to use an inhaler, monitor blood sugar, manage an action plan).
• 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.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Evaluating common benign skin growths (skin tags, seborrheic keratoses, cherry angiomas, dermatofibromas). Performing skin biopsies (punch, shave, excisional) of suspicious lesions to rule out skin cancer, or offering in-office removal of benign lesions for cosmetic reasons or if causing irritation.
• Management of Acute Dermatological Conditions (Rashes, Hives, Shingles): Assessment and management of sudden onset skin rashes and other common skin ailments to relieve symptoms and promote healing.
• 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. Howitt. 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 St. Paul's Hospital, 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. Howitt frequently works with patients towards goals such as:

• Dr. Howitt supports patients through trouble with seasonal allergies that over-the-counter medications aren't adequately helping with, aiming for outcomes like receiving appropriate, tailored, and thorough care and advice for travel health from Dr. Howitt, including all necessary vaccinations and preventative measures, ensuring safer, healthier, and more enjoyable international trips for leisure or work, 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.
• Dr. Howitt often sees patients whose experiencing unexplained bruising more easily than before limits their enjoyment of feeling consistently rested, fully alert, and cognitively sharp enough to drive safely and defensively for both short daily commutes and much longer, more demanding road trips or family vacations. The goal of care is to achieve feeling genuinely and consistently supported by Dr. Howitt during emotionally difficult health transitions, when facing a serious or life-altering new diagnosis, or when undertaking the demanding role of caring for an ill or aging family member and restore their active lifestyle.
• Dr. Howitt assists individuals in navigating a suspicious mole or skin lesion that has changed in size, shape, or color, or started to itch or bleed. A successful outcome, like experiencing fewer and less severe complications from a chronic underlying illness (like heart failure or chronic kidney disease) due to Dr. Howitt's diligent, guideline-based monitoring and timely therapeutic adjustments, means they can get back to consistently maintaining a regular, enjoyable, and suitably challenging active lifestyle through various forms of exercise, preferred team or individual sports, invigorating outdoor adventures, or mindful movement practices like yoga or tai chi.

Your personalized healthcare plan, developed in discussion with Dr. Howitt, 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. Howitt practices at St. Paul's Hospital, located in the Fairview neighborhood of Vancouver. The clinic is conveniently located near Rogers Arena and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Street parking and nearby public or paid lots typically offer convenient options for visitors.

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 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 St. Paul's Hospital 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 (BC) is a physician who has completed post-graduate training in family medicine. She is 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.

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 be challenging. The College of Physicians and Surgeons of BC often has a 'Find a Doctor' tool or list on its website. 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 suitable doctor.

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

Generally, you do not need a referral to see a family doctor in BC if the doctor is accepting new patients. However, finding a doctor accepting new patients can be difficult, and resources like the College of Physicians and Surgeons of BC website may be helpful. A referral from your family doctor is usually required to see medical specialists.

St. Paul's Hospital
899 12TH Ave W, Hospitalist office 2nd floor
Vancouver, BC, V5Z 1M9

Phone: (604) 822-7121

Dr. Patricia Ann Howitt 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: 7850

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/305644/Howitt%2CPatricia

Family doctors like Dr. Howitt 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.