Dr. Sandrine Filion

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

Mental Health Concerns

• Stress-Related Conditions, Burnout & Adjustment Disorders: Supportive counseling and practical guidance for stress-related symptoms and adjustment disorders, promoting well-being and preventing escalation to more severe mental health conditions.
• Insomnia & Chronic Sleep Disturbances: Comprehensive primary care management of common sleep disorders to restore healthy sleep patterns and improve overall health and well-being.
• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Providing compassionate, evidence-informed primary care and management strategies for those affected by depression and other common mood disorders, with a focus on recovery and long-term stability.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Providing primary care support for individuals and families navigating the challenges of ADHD, helping to optimize focus, reduce impulsivity/hyperactivity, improve executive functioning, and enhance overall quality of life and academic/occupational success.

Dermatological Skin Conditions

• 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.
• 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.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Providing effective treatment for various viral skin conditions to alleviate symptoms, shorten duration of outbreaks, prevent complications (like PHN or secondary bacterial infection), and reduce transmission where applicable.

Joint Muscle Pain

• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Helping patients understand the nature of their mechanical spinal pain, empowering them with self-management techniques, and discouraging reliance on passive treatments or unnecessary imaging for uncomplicated cases, in line with clinical practice guidelines.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Initial assessment and diagnosis of fibromyalgia or other widespread chronic pain syndromes based on established clinical criteria (e.g., ACR criteria for fibromyalgia), after appropriate investigation to rule out other underlying systemic inflammatory or medical conditions. Developing a comprehensive, multimodal management plan focusing on patient education about the condition (central sensitization, pain neurophysiology), promoting self-management, graded exercise therapy (low-impact aerobic, strength, flexibility, aquatic therapy), optimizing sleep hygiene, stress management techniques (mindfulness, relaxation, CBT principles), pain coping strategies, and judicious use of medications targeting central sensitization and associated symptoms (e.g., tricyclic antidepressants like amitriptyline, SNRIs like duloxetine/venlafaxine, gabapentinoids like gabapentin/pregabalin). Avoidance of long-term opioid therapy is generally emphasized.
• 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.

Common Chronic Conditions

• Dyslipidemia (High Cholesterol, High Triglycerides): Screening, diagnosis, and management of abnormal lipid profiles (high LDL cholesterol, low HDL cholesterol, high triglycerides) through lifestyle modifications (heart-healthy diet, physical activity, weight management) and, when indicated, prescription of lipid-lowering medications (e.g., statins, ezetimibe, fibrates, PCSK9 inhibitors) based on cardiovascular risk assessment.
• Hypertension (High Blood Pressure) & Associated Cardiovascular Risk Factors: Comprehensive, ongoing management of high blood pressure through regular monitoring (in-clinic and home BP), medication initiation and titration according to guidelines, extensive lifestyle counseling (DASH diet, low sodium, exercise, weight management, stress reduction), and screening/management of associated risk factors (e.g., dyslipidemia, diabetes) to prevent long-term cardiovascular complications.
• Asthma (All Ages) & Allergic Rhinitis: Developing and regularly reviewing personalized asthma action plans, educating on proper inhaler technique (metered-dose inhalers, dry powder inhalers, nebulizers), trigger identification and avoidance (allergens, irritants), medication management (relievers, controllers like inhaled corticosteroids, LABAs, LTRAs), and managing asthma exacerbations to improve breathing, prevent flare-ups, and maintain an active lifestyle. Also includes management of associated allergic rhinitis (hay fever).

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

• Occupational Health Aspects & Work-Related Health Concerns (Initial Assessment): Offering primary care support for work-related health issues, with referrals to occupational medicine specialists if needed.
• 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).
• Urgent Care for Non-Life-Threatening Conditions: Accessible care for urgent health needs that can be managed outside of an emergency department.
• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Managing chronic respiratory conditions like asthma and Chronic Obstructive Pulmonary Disease (COPD), including accurate diagnosis, creating/updating personalized action plans, optimizing inhaler technique, smoking cessation support, and managing exacerbations to improve lung function and daily living.
• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Providing timely medical care for a wide range of infections, including diagnosis, appropriate treatment (e.g., antibiotics when indicated by bacterial infection), and advice for symptom relief and recovery.

Note: This list highlights some of the key services offered by Dr Filion. 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 Hôpital de Val D'or, Hospitalisation et soins à domicile, 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 Filion frequently works with patients towards goals such as:

• The focus for patients with experiencing frequent or severe headaches or migraines that are disrupting their work and family life at Dr Filion's practice is achieving having their pain, whether acute from a recent injury or chronic from a long-standing condition, acknowledged without dismissal, assessed comprehensively using a biopsychosocial lens, and managed more effectively with a personalized, multimodal plan from Dr Filion, facilitating a return to meaningful activities like regularly and enthusiastically participating in various group fitness classes such as engaging yoga sessions, lively Zumba workouts, intense spin classes, or calming Pilates routines, all at their own pace, comfort level, and for their specific health benefits.
• Dr Filion understands the impact of a persistent sore or ulcer in their mouth that isn't healing. That's why treatment is geared towards markedly avoiding unnecessary, costly, or potentially risky specialist visits, diagnostic tests, or hospitalizations due to the proactive, thorough, and guideline-concordant primary care provided by Dr Filion, helping patients get back to 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 with greater ease.

Your personalized healthcare plan, developed in discussion with Dr Filion, 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 Filion's practice at Hôpital de Val D'or, Hospitalisation et soins à domicile, is situated in a family medical practice in the central Val-d'Or neighborhood of Val-d'Or. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Free patient parking is often available on-site or on nearby streets.

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

The recommended frequency for check-ups or periodic health exams with Dr Filion 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 Filion follows. It's best to discuss your individual needs with Dr Filion 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.

What is 'continuity of care' and why is it important with a family doctor like Dr Filion?

Continuity of care means having an ongoing relationship with your family doctor, Dr Filion, and her team over time. It's important because it allows Dr Filion to get to know you, your health history, your values, and your family context comprehensively. This deep understanding helps Dr Filion make more informed diagnoses, tailor treatments to your specific needs, coordinate your care more effectively with specialists, and build a trusting therapeutic relationship. Studies show that good continuity of care with a family doctor is linked to better health outcomes, higher patient satisfaction, and more appropriate use of healthcare resources.

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

The Collège des médecins du Québec (CMQ) website often has a "Find a Doctor" tool or list. 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.

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

A family doctor (Médecin de famille) 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.

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 QC if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources may be helpful. A referral is usually required from a family doctor to see most medical specialists.

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. Some services, such as cosmetic procedures or travel medicine consultations, may not be covered and might have an associated fee. Confirm with Hôpital de Val D'or, Hospitalisation et soins à domicile if you have questions about specific non-insured services or potential fees.

Hôpital de Val D'or, Hospitalisation et soins à domicile
725 6E Rue
Val-d'Or, QC, J9P 3Y1

Phone: (819) 825-5858

Dr. Sandrine Filion 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: 19444

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=19444

Family doctors like Dr Filion 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.