Dr. Stephen Craig Peach – Family Doctor | Vancouver, BC

Dr. Stephen Craig Peach is a Family Doctor. Practicing at Stephen Peach Clinic Surrey in Vancouver, BC, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of British Columbia (CPSBC) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. He focuses on providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Stephen Craig Peach completed his MD (Dalhousie University, 1995). He brings valuable clinical experience to the practice. He holds Certification in the College of Family Physicians of Canada (CCFP). He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness; a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions. He provides consultations in English.

Dr. Stephen Craig Peach 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

• 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.
• 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).
• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Investigating causes of anemia (e.g., symptoms like fatigue, pallor, dyspnea on exertion, dizziness, palpitations, restless legs) through thorough history (diet, medications, menstrual history, GI symptoms), physical examination, and targeted blood tests (Complete Blood Count - CBC with differential and red cell indices, iron studies including ferritin, serum vitamin B12, serum folate, reticulocyte count, LDH, bilirubin if hemolysis suspected).

Mental Health Concerns

• Depression & Other Mood Disorders (e.g., Dysthymia, Seasonal Affective Disorder - Management): Helping individuals navigate feelings of sadness, hopelessness, and other depressive symptoms, aiming to restore emotional well-being, daily functioning, and prevent relapse.
• Initial Assessment & Referral for Other Mental Health Concerns (e.g., OCD, PTSD, Eating Disorders, Bipolar Disorder, Psychosis): Recognizing signs and symptoms of various serious mental health issues and facilitating timely access to the appropriate level of specialist care and support.
• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Supporting individuals experiencing persistent worry, panic attacks, social phobia, or generalized anxiety with a patient-centered and collaborative approach to care, focusing on symptom reduction and functional improvement.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing effective treatment for acutely painful crystal-induced arthritis, focusing on rapid symptom relief during flares, and implementing robust long-term preventative measures for chronic gout to improve joint health and overall well-being.
• 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.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Long-term management of PMR involves a very slow and gradual tapering of corticosteroids over 1-2 years (or longer), carefully monitoring for clinical relapse (recurrence of symptoms) and adjusting steroid dose accordingly. Also includes monitoring for and managing potential corticosteroid side effects (e.g., osteoporosis - bone protection with calcium/vitamin D, bisphosphonates if needed; hyperglycemia; hypertension; weight gain; mood changes; skin fragility).

Common Acute Conditions

• Headaches (Tension-type, Migraine - Acute Symptomatic Relief): Management of acute migraine episodes or severe tension headaches, including advice on abortive medications, lifestyle adjustments during an attack, and strategies for future prevention.
• 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.
• Common Acute Skin Conditions (Rashes, Infections, Bites, Minor Burns): Diagnosis and treatment for a wide range of common acute skin issues including cellulitis (mild, uncomplicated), fungal infections (e.g., athlete's foot, ringworm, candidiasis), allergic rashes (e.g., hives, contact dermatitis), impetigo, shingles (herpes zoster), insect bites/stings with significant local reactions, and minor superficial burns.

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

• Cardiovascular Disease Management (Stable CAD, Heart Failure, Atrial Fibrillation): Ongoing management of stable cardiovascular conditions like coronary artery disease (CAD), congestive heart failure (CHF), and atrial fibrillation (AFib), often in collaboration with cardiologists, focusing on medication optimization (e.g., anticoagulants for AFib), risk factor reduction, symptom monitoring, and patient education.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Diagnosing and managing various forms of eczema/dermatitis (atopic, contact, seborrheic), mild plaque psoriasis, and other common rashes, focusing on trigger identification, skincare recommendations (emollients, gentle cleansers), topical corticosteroids, calcineurin inhibitors, and antihistamines for itch relief.
• Fungal, Viral & Bacterial Skin Infections: Managing common cutaneous infections to resolve symptoms and prevent spread or recurrence.
• Stress Management, Burnout & Adjustment Disorder Support: Offering guidance, psychoeducation, and practical coping strategies for managing acute and chronic life stressors, workplace burnout, or adjustment difficulties related to significant life changes.
• Ordering & Interpretation of Diagnostic Imaging & Laboratory Testing: Utilizing appropriate diagnostic investigations judiciously to ensure accurate medical assessment, informed decision-making, and efficient use of healthcare resources.

Note: This list highlights some of the key services offered by Dr. Peach. 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 Stephen Peach Clinic Surrey, 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. Peach frequently works with patients towards goals such as:

• Overcoming or managing wanting to understand if their family history of cancer means they need earlier or different screening tests is a common patient journey at Dr. Peach's practice. The focus is on enabling having their unique cultural background, personal values, spiritual beliefs, and communication preferences consistently respected and thoughtfully incorporated into their personalized healthcare plan by an attentive and culturally sensitive {preferred_name}, so that engaging in 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 becomes a reality again.
• If needing support, resources, and a concrete plan to help them quit smoking for good this time is a barrier, Dr. Peach develops strategies aimed at their entire family unit benefiting immensely from consistent, holistic, person-centered, and comprehensive care from a family doctor, {preferred_name}, who truly knows their interconnected health histories, family dynamics, social context, and individual preferences, facilitating the ability to enjoy spontaneously making and eagerly keeping enjoyable plans with a wide circle of friends for various social outings such as dinners out, casual coffee chats, shared recreational activities, or weekend excursions.
• For patients where needing support to cope with a new diagnosis of a chronic illness for themself/themselves or a family member is a concern, Dr. Peach focuses on plans that lead to experiencing a marked and sustained improvement in their overall sense of well-being, daily energy levels, vitality, and a noticeable, positive enhancement in their day-to-day quality of life and functional capacity, supporting their ability to consistently maintaining a regular, enjoyable, and suitably challenging active lifestyle through various forms of exercise, preferred team or individual sports, invigorating outdoor adventures, or mindful movement practices like yoga or tai chi.

Your personalized healthcare plan, developed in discussion with Dr. Peach, 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. Peach practices at Stephen Peach Clinic Surrey, located in the Downtown Vancouver (West End South) neighborhood of Vancouver. The clinic is conveniently located near PNE (East Hastings) and is accessible via TransLink (SkyTrain Expo/Millennium/Canada Lines, Bus, SeaBus, West Coast Express - Waterfront). Street parking and nearby public or paid lots typically offer convenient options for visitors.

What should I bring with me to my appointment with Dr. Peach?

For every appointment with Dr. Peach, please bring your valid provincial health card (e.g., Medical Services Plan (MSP) of BC card). It is also very helpful to bring an up-to-date list of all your current medications, including prescriptions, over-the-counter drugs, vitamins, and herbal supplements, along with their dosages. If you have them, any relevant medical records, recent test results (blood work, imaging reports), or letters from other doctors can be useful, especially if you are seeing Dr. Peach for the first time or for a specific complex problem. Having a written list of your questions or concerns can also help ensure you cover everything you need to during your visit.

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 health card. However, some services (e.g., cosmetic procedures, travel medicine consultations, sick notes, insurance forms, driver's medicals) may not be covered and may have an associated fee. Please confirm with Stephen Peach Clinic Surrey if you have questions about specific services or potential fees.

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

Generally, you don't need a referral to see a family doctor if they are accepting new patients. However, finding a family doctor accepting new patients can be challenging. Provincial resources or your local health authority may be helpful. A referral is usually required to see specialists.

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

A family doctor, or general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families of all ages. They serve as your first point of contact for most health concerns, offering preventative care, diagnosing and treating illnesses, managing chronic conditions, providing mental health support, and coordinating care with specialists. Building long-term relationships with patients is a key aspect of their role.

Can Dr. Peach help with mental health concerns like anxiety or depression?

Absolutely. Dr. Peach is well-equipped to address a wide range of mental health issues. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage medications when appropriate, and coordinate care with mental health specialists if required. He offers a confidential and supportive environment.

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

Check the College of Physicians and Surgeons of BC website for a 'Find a Doctor' tool. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics. It can be challenging and may take time.

Stephen Peach Clinic Surrey
622 Bute St, Coal Harbor Medical Clinic
Vancouver, BC, V6E 3M1

Phone: (604) 558-3313

Dr. Stephen Craig Peach 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: 26958

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/326155/Peach%2CStephen

Family doctors like Dr. Peach 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.