About
As a skilled Internist / Geriatrician, Dr. Scott Michael Comeau offers expert diagnostic services and management for a wide range of adult health issues. Practicing in West Vancouver, BC, he serves the surrounding communities with a focus on providing comprehensive, patient-centered care. Dr. Comeau adheres to the highest standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC), ensuring quality and safety in all clinical interactions. His role emphasizes both acute and chronic disease management, especially within the domains of Internal Medicine and Geriatric Care.
Dr. Comeau graduated with a Doctor of Medicine (MD) degree from the University of British Columbia in 1995. He has completed extensive postgraduate training in internal medicine and geriatrics, including relevant certifications that bolster his expertise in managing complex adult and senior health conditions. His training emphasizes evidence-based practice and continuous professional development.
Guided by a clear and educational approach, Dr. Comeau is committed to serving the West Vancouver community. He speaks English fluently and values open communication, ensuring patients and their families understand their health conditions and treatment options. His clinical philosophy centers on holistic assessment, personalized care plans, and fostering collaborative relationships with patients and referring physicians.
Dr. Comeau provides expert care for adults with a wide range of medical conditions, including:
Select Infectious & Inflammatory Conditions
- Complex Infections Consultation: Providing diagnostic and management expertise for challenging infections, often in consultation with primary care.
- Evaluation of Inflammatory Markers: Investigating elevated inflammatory markers (like ESR or CRP) to identify potential underlying systemic conditions.
- Management of Select Rheumatologic Conditions: Care for common inflammatory conditions such as gout or polymyalgia rheumatica, or initial assessment for suspected autoimmune diseases.
Complex Diagnostic & Multi-System Issues
- Perioperative Medical Optimization: Pre-surgical assessment and management of medical conditions to minimize operative risks and ensure smoother recovery.
- Evaluation of Undifferentiated Symptoms: Investigating complex presentations like fatigue, weight loss, or pain without a clear diagnosis.
- Investigation of Anemia: Diagnosing the underlying cause of low red blood cell counts.
Endocrine & Metabolic Disorders
- Osteoporosis & Metabolic Bone Disease: Diagnosis, risk assessment, and treatment strategies for conditions affecting bone strength and metabolism.
- Adrenal Gland Disorders: Diagnosis and management of conditions affecting the adrenal glands, such as adrenal insufficiency.
- Calcium and Parathyroid Disorders: Evaluation and management of conditions related to abnormal calcium levels and parathyroid gland function.
Dr. Comeau manages a wide range of complex adult and geriatric health conditions. This list highlights common areas of focus. If your condition is not listed, please note that internal medicine specialists address diverse and often multi-systemic diseases. Consultation is typically initiated via referral from your primary care physician.
- Internal Medicine Consultation for Primary Care: Providing specialist opinion and management recommendations to family physicians for complex adult patient cases.
- Geriatric Psychiatry Liaison Support: Assessing and managing mood disorders (like depression, anxiety) and behavioral changes often associated with dementia or other conditions in older adults.
- Assessment of Functional Decline: Investigating and managing sudden or gradual changes in an older adult's ability to perform daily activities.
- Cognitive and Memory Assessment: Detailed evaluation for concerns about memory loss or changes in thinking; diagnosis and management of dementia and mild cognitive impairment.
- Management of Acute Medical Issues (Inpatient Focus): Diagnosis and treatment of serious acute illnesses requiring hospital admission (often a primary role in hospital settings).
Note: This list represents some of the key services offered by Dr. Comeau. As a specialist in Internal Medicine and Geriatric Care, he provides comprehensive diagnostic and management services. For specific inquiries about whether your condition falls within Dr. Comeau's scope of practice, please discuss with your referring physician or contact the clinic.
All medical services are provided in accordance with the standards of practice set by the College of Physicians and Surgeons of British Columbia (CPSBC).
Dr. Comeau's practice is located in the Caulfeild neighborhood of West Vancouver, within the Eagle Harbour area known for its scenic waterfront homes. The location offers convenient access for residents of West Vancouver and surrounding communities. Patients can reach the clinic via TransLink’s BlueBus service operated by West Vancouver, which provides reliable transit options. The facility is wheelchair accessible and designed to accommodate patients with mobility needs. Parking is available at the facility for those arriving by car, ensuring ease of access for all patients.
- How is payment handled for appointments with Dr. Comeau? Is it covered by Medical Services Plan (MSP)?
- In BC, medical consultations with specialists like Dr. Comeau are typically covered by your provincial health insurance (Medical Services Plan (MSP)) when you present a valid health card and have the required referral. You generally do not pay directly for the consultation service itself. Some specific procedures, forms, or administrative tasks might not be covered by Medical Services Plan (MSP) and may incur a separate fee according to provincial guidelines. Please inquire if you have questions about uninsured services.
- Can I book an appointment directly or do I absolutely need a referral?
- A referral from your family physician or another medical specialist is required to see Dr. Comeau. As experts in Internal Medicine and Geriatric Care, Internists and Geriatricians see patients based on specific medical questions posed by the referring doctor. This ensures continuity of care and that the consultation is appropriate for your needs. Please have your doctor forward the referral information.
- What is involved in a Comprehensive Geriatric Assessment (CGA)?
- A CGA is a detailed evaluation specifically designed for older adults. It goes beyond standard medical checks to assess multiple domains including: medical conditions, medication review (polypharmacy), functional status (ability to perform daily tasks), mobility and fall risk, cognitive health (memory and thinking), mood (screening for depression/anxiety), nutrition, and social support systems. Dr. Comeau uses this holistic approach to develop a personalized care plan. He considers each patient's unique needs to optimize health outcomes.
- Why is reviewing multiple medications (polypharmacy) important?
- As people age or develop multiple health conditions, they often take many medications. Polypharmacy increases the risk of side effects, drug interactions, falls, confusion, and non-adherence. A careful review helps ensure each medication is truly necessary, effective, and safe, potentially leading to deprescribing (stopping unnecessary drugs) and simplifying the regimen.
- Will Dr. Scott Michael Comeau replace my family doctor?
- No, Dr. Comeau acts as a specialist consultant. Your family doctor (or primary care provider) remains responsible for your routine healthcare, ongoing prescriptions (unless specified otherwise by the specialist), and coordinating your overall care. Dr. Comeau will communicate findings and recommendations back to your family doctor.
241-2121 Marine Dr, West Community Health Center
West Vancouver, BC V7V 4Y2
Phone: (604) 904-6200 | Fax: (604) 904-6172
The facility is wheelchair accessible.
Dr. Comeau is a licensed physician regulated by the College of Physicians and Surgeons of British Columbia (CPSBC) under the Health Professions Act in BC. Patients are typically seen by referral from their primary care physician.
Verify registration with the College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/312128/Comeau%2CScott