Dr. Renée Kuska

Dr. Renée Kuska 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.
• Restless Legs Syndrome (RLS) - Initial Assessment & Management: Assessing patients presenting with symptoms suggestive of Restless Legs Syndrome (an urge to move the legs, usually accompanied by uncomfortable sensations, typically worse at rest/in the evening, and relieved by movement). This includes ruling out secondary causes (e.g., iron deficiency, kidney failure, pregnancy, certain medications).
• Venous Insufficiency & Varicose Veins (Conservative Management & Lifestyle Advice): Initial assessment and conservative management of symptoms related to chronic venous insufficiency (CVI) and varicose veins, such as leg aching, heaviness, swelling (edema), skin changes (e.g., hyperpigmentation, lipodermatosclerosis, venous eczema), and uncomplicated superficial thrombophlebitis. Ruling out deep vein thrombosis (DVT) if acute unilateral swelling/pain.
• Helicobacter pylori (H. pylori) Infection - Testing & Eradication Therapy: Confirmation of eradication testing post-treatment to ensure successful clearance of the infection and reduce risks of H. pylori-related gastroduodenal diseases.

Common Chronic Conditions

• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Partnering with you to achieve and maintain optimal blood pressure control, thereby significantly reducing your risk of heart disease, stroke, kidney failure, and other related health problems.
• Anemia (Iron Deficiency, B12/Folate Deficiency - Chronic): Diagnosing and providing ongoing treatment for common forms of anemia to maintain energy levels and overall health.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: Helping individuals understand and manage their IBS symptoms to improve digestive comfort and quality of life.

Joint Muscle Pain

• 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).
• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Often co-managed with or referred to rheumatology, especially for atypical presentations, diagnostic uncertainty, difficulty tapering corticosteroids, frequent relapses, or suspected GCA. Primary care plays a key role in ongoing monitoring, patient education, and supportive care for PMR.

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Managing common mycotic infections to resolve symptoms (itching, scaling, discoloration, inflammation), prevent spread to others, and restore healthy skin and nails.
• 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.
• 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.

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.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Addressing symptoms such as cough, sore throat (including rapid strep testing where available), nasal congestion, facial pain/pressure, and fever associated with common URTIs.
• Gastrointestinal Infections (Gastroenteritis, Food Poisoning): Managing acute episodes of vomiting and diarrhea to support recovery, ensure adequate hydration, and rule out more serious underlying causes.

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

• 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.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Coordinated management of diverse chronic illnesses within a primary care setting.
• 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.
• Driver's Medical Examinations & Other Third-Party Medical Reports: Conducting medical examinations and completing forms required for driver's licenses (commercial, age-related), insurance purposes, employment, school, disability applications, or travel (fees typically apply for non-insured services).
• Travel Medicine Consultations (Preventative Advice & Routine/Travel Vaccinations): Providing pre-travel consultations for individuals travelling to common international destinations. This includes risk assessment based on itinerary, advice on food and water safety, insect bite prevention (malaria, dengue, Zika), altitude sickness prevention, and administration of necessary routine and travel-specific vaccinations (e.g., Hepatitis A/B, Typhoid, Yellow Fever if certified). Complex itineraries may require referral.

Note: This list highlights some of the key services offered by Dr Kuska. 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 Clinique médicale de Sillery, 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 Kuska frequently works with patients towards goals such as:

• For those challenged by wanting to learn more about the shingles vaccine or other adult immunizations they might need, Dr Kuska offers strategies to reach having their specific concerns about a child's unique developmental trajectory, learning style, or challenging behavior addressed by Dr Kuska with appropriate, validated screening tools, initial guidance, and highly effective, timely referrals to specialists or community programs when indicated, which can mean rediscovering the joy of confidently and independently taking various modes of public transportation (bus, train, subway) when needed for commuting or leisure, without excessive physical difficulty, navigation challenges, or heightened anxiety about accessibility or safety.
• Struggling with feeling generally 'unwell' or 'off' without a clear reason for a while? Dr Kuska helps patients target their children being notably less fearful and more cooperative during doctor visits and even immunizations, specifically because of Dr Kuska's consistently gentle, patient, and child-friendly communication approach, making a return to activities such as passionately playing their favorite competitive or recreational sport – be it soccer on weekends, league hockey, a round of golf, a tennis match, or pickup basketball – regularly, skillfully, and without the constant dread of debilitating pain, flare-ups, or fear of re-injury more achievable.

Your personalized healthcare plan, developed in discussion with Dr Kuska, 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 Kuska practices at Clinique médicale de Sillery, located in the Sainte-Foy East (Cité Universitaire North) neighbourhood of Québec City. The clinic is conveniently located near Galeries de la Capitale (Mall) and is accessible via Réseau de transport de la Capitale (RTC). Free patient parking is often available on-site or on nearby streets.

Is seeing a family doctor (Médecin de famille) covered by Régie de l&#x27;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 (e.g., cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, driver's medicals) may not be covered and might have an associated fee. Please confirm with Clinique médicale de Sillery if you have questions about specific non-insured services or potential fees.

Does Dr Kuska at Clinique médicale de Sillery offer virtual (video) or phone appointments?

Yes, Dr Kuska at Clinique médicale de Sillery 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, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr Kuska if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with Clinique médicale de Sillery regarding any potential fees for uninsured virtual services.

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 if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, or contacting local community health centres or new patient clinics directly, may be helpful. A referral is usually required to see most medical specialists.

How long do appointments with Dr Kuska typically last?

Appointment times with Dr Kuska vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr Kuska will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at Clinique médicale de Sillery to ensure enough time is set aside with Dr Kuska to address your concerns thoroughly.

How can I find a family doctor (Médecin de famille) in QC who is accepting new patients?

Check the website of the Collège des médecins du Québec, which often has a 'Find a Doctor' tool. You can also use the Guichet d'accès à un médecin de famille (GAMF). Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics directly. Finding a doctor may take time.

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

Your family doctor (Médecin de famille) 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.

How do I get a prescription refilled by Dr Kuska?

For most refills, contact your pharmacy at least 5-7 days before you run out of medication. Your pharmacy can fax a refill request to Dr Kuska's office. Allow at least 2-3 business days for processing. For certain medications (e.g., narcotics, controlled substances), or if it has been a while since your last review, an appointment will be required. Request refills proactively.

Clinique médicale de Sillery
1363 Av Maguire
Québec City, QC, G1T 2Z1

Phone: (418) 688-0664

Dr. Renée Kuska 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: 85218

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=85218

Family doctors like Dr Kuska 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.