Dr. Paul Stanley Piechota

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

Common Acute Conditions

• Acute Musculoskeletal Injuries (Sprains, Strains, Minor Back/Neck Pain): Initial assessment, diagnosis, and management of common minor acute injuries like ankle sprains, muscle strains (e.g., hamstring, calf), ligament tears (low grade), and acute episodes of uncomplicated low back or neck pain.
• Allergic Reactions (Mild to Moderate - e.g., Hay Fever, Hives, Minor Food Allergy Symptoms): Helping patients manage their allergy symptoms effectively to improve daily comfort and quality of life.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Management of bladder and kidney infections with appropriate antibiotics based on likely pathogens and local resistance patterns, along with advice on prevention strategies for recurrent UTIs and symptom relief.
• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Assessment of acute headaches to differentiate types (e.g., tension headache, migraine, cervicogenic), provide initial pain relief strategies (analgesics, NSAIDs, triptans for migraine), identify potential triggers, and rule out serious underlying causes requiring urgent investigation.

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• 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).

Adult Common Health Issues

• Allergic Conjunctivitis & Dry Eye Syndrome - Primary Care Management: Primary care approach to common, non-sight-threatening eye discomforts.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.
• 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.

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

• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Grief, Loss & Bereavement Counseling (Initial Supportive Care): Providing a safe and understanding space to navigate the complex emotional, cognitive, and physical reactions to loss, and connecting with specialized bereavement services or support groups if needed.
• 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.
• Assessment of Acute Abdominal Pain, Nausea, Vomiting & Diarrhea: First-line medical assessment for sudden gastrointestinal issues to guide treatment and rule out emergent conditions.
• Routine Health Check-ups & Physicals for Adults: Comprehensive care focused on health promotion and disease prevention throughout adulthood.

Note: This list highlights some of the key services offered by Dr Piechota. 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 Médecin de familles in QC and the ethical and professional standards set by The Collège des médecins du Québec (CMQ).

At Clin AccessMed, 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 Piechota frequently works with patients towards goals such as:

• If that persistent, dry cough that just won't seem to go away after a cold is a barrier, Dr Piechota develops strategies aimed at their elderly parents or relatives receiving thoughtful, patient, dignified, and age-appropriate comprehensive care from Dr Piechota that demonstrably enhances their functional abilities, safety, and overall quality of life in their later years, facilitating the ability to enjoy regularly going for long, challenging, and invigorating hikes in scenic natural environments, cycling picturesque country routes for hours, or swimming multiple laps at the local community pool for both physical fitness and mental relaxation.
• Dr Piechota frequently helps patients who are dealing with a painful, red eye that might be conjunctivitis (pink eye) or something else. The primary aim is achieving having their complex chronic condition, such as advanced type 2 diabetes, congestive heart failure, difficult-to-control asthma, or multi-joint osteoarthritis, effectively managed and well-stabilized through a collaborative, evidence-based plan developed with Dr Piechota, which often allows them to confidently resume still feeling reasonably energetic and mentally alert after a full and demanding day's work, enabling them to engage in enjoyable evening activities, family time, or personal hobbies rather than collapsing from exhaustion.

Your personalized healthcare plan, developed in discussion with Dr Piechota, 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 Piechota practices at Clin AccessMed, a family medical practice in the central Kirkland neighborhood of Kirkland. 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 (Médecin de famille) in QC?

Generally, you do not need a referral to see a family doctor in Quebec if that doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as the website of the Collège des médecins du Québec, may be helpful in finding a doctor. A referral from a family doctor is usually required to see most medical specialists.

What exactly is a family doctor (Médecin de famille) and what is their role?

A family doctor (Quebec) is a physician who has completed post-graduate training in family medicine. They are 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 (Médecin de famille) in QC who is accepting new patients?

Finding a family doctor in Quebec who is accepting new patients may take time and effort. You can check the website of the Collège des médecins du Québec, which often has a "Find a Doctor" tool or similar resource. You can also ask friends, family, or colleagues for recommendations, or contact local community health centres or clinics directly that may have lists of doctors accepting new patients. Be aware that it can be a challenging process.

I have multiple health problems. How does Dr Piechota handle complex care?

As a family doctor, Dr Piechota is specifically trained to manage patients with multiple health problems (multimorbidity) and complex care needs. He will take a holistic approach, considering how your various conditions interact and how treatments for one might affect another. Dr Piechota will help prioritize your health concerns, coordinate care with any specialists involved, manage your medications to avoid harmful interactions (polypharmacy review), and develop a comprehensive care plan that aligns with your overall health goals and quality of life. Open communication about all your conditions and concerns is key.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'assurance maladie du Québec (RAMQ) in QC?

Medically necessary visits to a family doctor are typically covered by the Régie de l'assurance maladie du Québec (RAMQ) for eligible residents with a valid provincial 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 Clin AccessMed if you have questions about specific services or potential fees.

Clin AccessMed
200-17001 rte Transcanadienne
Kirkland, QC, H9H 0A7

Phone: (514) 694-4644

Dr. Paul Stanley Piechota is regulated by the Code des professions & Loi médicale (Québec) in QC and is a registered member in good standing with The Collège des médecins du Québec (CMQ).

Registration Number: 90173

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=90173

Family doctors like Dr Piechota 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.