Dr. Robert Joseph Horner

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

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Performing basic pre-employment medicals or fitness-for-work assessments as required by some employers (typically non-WCB/WSIB related, fees may apply). Providing advice on general workplace health and safety, injury prevention, and initial assessment of health concerns potentially related to occupational exposures or ergonomics, with appropriate referrals if specialized occupational medicine input is needed.
• Weight Management & Obesity Prevention/Treatment: Personalized advice and comprehensive care plans for healthy weight loss, prevention of unhealthy weight gain, or management of obesity and its related health conditions (e.g., type 2 diabetes, hypertension, dyslipidemia, sleep apnea, osteoarthritis, certain cancers).

Common Chronic Conditions

• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.
• 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.
• Irritable Bowel Syndrome (IBS) - Primary Care Management: A supportive approach to IBS, working with patients to identify triggers and develop effective coping mechanisms.

Dermatological Skin Conditions

• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Diagnosing and managing common viral skin infections. This includes common/plantar warts and molluscum contagiosum (observation, cryotherapy, topical agents like salicylic acid or cantharidin). For Herpes Simplex Virus (HSV - cold sores/fever blisters, genital herpes): antiviral therapy (acyclovir, valacyclovir, famciclovir) for acute outbreaks or suppressive therapy for frequent recurrences, plus counseling on transmission. For Herpes Zoster (Shingles): prompt antiviral therapy to reduce severity/duration and risk of post-herpetic neuralgia (PHN), along with pain management. Shingles vaccination advice for eligible adults.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Helping patients control flare-ups of itchy, red, inflamed, and dry skin, maintain healthy skin barrier function, and reduce the impact of these chronic conditions on daily life.
• 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.

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

• Well-Child Visits & Developmental Surveillance (Infancy to Adolescence): Expert medical care and guidance for your child at every stage of development, promoting optimal physical, cognitive, and emotional health.
• Routine Health Check-ups & Physicals for Adults: Providing regular comprehensive health assessments for adults of all ages to monitor overall health status, review lifestyle factors, update immunizations, and perform or coordinate age and gender-appropriate preventative screenings.
• Urgent Care for Non-Life-Threatening Conditions: Providing assessment and management for urgent medical issues that are not life-threatening but require prompt attention, such as minor allergic reactions, asthma flare-ups, or infections needing timely treatment.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.

Note: This list highlights some of the key services offered by Dr. Horner. 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 Dr. Robert Joseph Horner'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. Horner frequently works with patients towards goals such as:

• Overcoming or managing their partner or they snoring loudly and possibly having sleep apnea is a common patient journey at Dr. Horner's practice. The focus is on enabling their adolescent child receiving confidential, empathetic, respectful, and age-appropriate holistic care from Dr. Horner for sensitive health topics including sexual health, mental well-being, body image, or substance use concerns, so that engaging in simply and profoundly relaxing, completely unwinding, and thoroughly enjoying quiet, restorative moments of peace, mindfulness, and genuine contentment at home without being constantly plagued or interrupted by intrusive health worries, pain, or discomfort becomes a reality again.
• Many patients have successfully addressed questions or concerns about their child's growth, developmental milestones, or specific behaviors with Dr. Horner's support. This often leads to experiencing notably fewer sick days from work or school for themselves or their children, leading to improved productivity and less disruption to daily life, due to better prevention strategies and more effective management of common illnesses under Dr. Horner's care and the ability to fully participate in effortlessly keeping up actively and playfully with their energetic young children, adventurous grandchildren, or even active pets, without getting easily winded, overly sore, or needing to sit out frequently once more.
• Addressing a persistent feeling of bloating, abdominal discomfort, or noticeable changes in their bowel habits (constipation or diarrhea) with Dr. Horner often leads to 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. Horner, enabling patients to more freely engage in skillfully and creatively cooking a wide variety of nutritious, flavorful, and delicious meals from scratch for themselves, their partners, and their families on a regular basis, finding joy in the process.

Your personalized healthcare plan, developed in discussion with Dr. Horner, 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. Horner's practice is located at a well-regarded family medical practice in Victoria, in a convenient Victoria neighborhood. The clinic is conveniently located near Float Plane Terminals and is accessible via the Victoria Regional Transit System (BC Transit). Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What should I do if I have an urgent medical issue when the clinic is closed?

If you have a life-threatening medical emergency, please call 911 or go to the nearest hospital emergency department immediately. For urgent, non-life-threatening issues that cannot wait until our clinic reopens, you may consider visiting an urgent care centre or a walk-in clinic. Some family health teams or groups offer after-hours on-call services for their registered patients; please check with our clinic or Dr. Horner during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(250) 370-5525] may also provide instructions or resources for after-hours care.

How often should I see Dr. Horner for a check-up or physical exam?

The recommended frequency for check-ups or periodic health exams with Dr. Horner can vary based on your age, overall health, any existing medical conditions, and specific risk factors. Generally, healthy younger adults may need a full check-up less frequently (e.g., every 2-5 years if no concerns), while children, older adults (e.g., annually over 65), or individuals with chronic conditions may benefit from more frequent visits (e.g., annually or semi-annually). For specific screening tests like Pap smears or mammograms, there are established provincial guidelines based on age and gender which Dr. Horner follows. It's best to discuss your individual needs with Dr. Horner to determine an appropriate schedule for your preventative care. Even if you feel healthy, regular check-ins can be important for early detection and health maintenance.

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

Generally, you do not need a referral from another doctor to see a family doctor in BC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can sometimes be challenging. Provincial resources, such as the College of Physicians and Surgeons of BC website, may be helpful in your search. A referral is usually required from a family doctor to see most medical specialists.

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

Your family doctor (British Columbia) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. He manages acute illnesses and injuries, oversees the care of long-term chronic diseases, provides routine health screenings and lifestyle counseling, administers vaccinations, and ensures you get access to specialized medical services through referrals when needed. The continuity of care he provides, understanding your health history and individual needs, is fundamental to effective family medicine.

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

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. Contacting local community health centres or new patient clinics directly may also be helpful. Finding a family doctor who is accepting new patients can be challenging and may take time.

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 or travel medicine consultations, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific non-insured services or potential fees.

How do I get a prescription refilled by Dr. Horner?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Horner's office. Please allow at least 2-3 business days for these requests to be processed by Dr. Horner. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Horner, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

4396 West Saanich Rd, Beta Team Based Healthcare
Victoria, BC, V8Z 3E9

Phone: (250) 370-5525

Dr. Robert Joseph Horner 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: 63292

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/333763/Horner%2CRobert

Family doctors like Dr. Horner 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.