Dr. Steven William Keeler

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

Common Chronic Conditions

• Gastroesophageal Reflux Disease (GERD) & Peptic Ulcer Disease (PUD) - Chronic Management: Ongoing management of chronic GERD (acid reflux) and PUD, including lifestyle modifications (diet, weight, smoking cessation), prescription of acid-suppressing medications (PPIs, H2 blockers), H. pylori testing and eradication, and monitoring for complications or need for endoscopy.
• Chronic Obstructive Pulmonary Disease (COPD - Emphysema, Chronic Bronchitis): Helping individuals with chronic bronchitis or emphysema manage their symptoms effectively, improve exercise tolerance, and maintain the best possible lung function through a multidisciplinary approach.
• 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).

Adult Common Health Issues

• 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).
• 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.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Referral to urology for severe symptoms, complications (e.g., acute urinary retention, recurrent UTIs, bladder stones, renal impairment due to obstruction), or if surgical intervention (e.g., TURP) is being considered.

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Personalized treatment plans for acne and rosacea based on severity, skin type, patient preference, and potential impact on self-esteem.
• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Playing a vital primary care role in the early detection of skin cancer, which significantly improves prognosis, and facilitating prompt access to specialist dermatological care when needed.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Diagnosing and managing various forms of eczema/dermatitis, including atopic dermatitis (the most common type, often starting in childhood), irritant/allergic contact dermatitis (identifying and avoiding triggers), and seborrheic dermatitis (affecting scalp, face, chest). Management focuses on skincare education (frequent emollients, gentle cleansers, lukewarm baths), trigger identification and avoidance, topical corticosteroids (appropriate potency for site and severity), topical calcineurin inhibitors (TCIs like tacrolimus, pimecrolimus), and antihistamines for itch relief. Referral for patch testing or to dermatology for severe or refractory cases.
• 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.

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

• Diagnosis & Management of Common Acute Infections (Respiratory, Urinary, Skin, GI): Assessing and treating acute conditions like common colds, influenza (flu), sore throats (including strep throat), ear infections (otitis media), sinus infections, bronchitis, uncomplicated pneumonia, urinary tract infections (UTIs), skin infections (e.g., cellulitis, impetigo), and gastroenteritis.
• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Helping children and their families manage long-term health conditions effectively, enabling active participation in school and play.
• Coordination with Allied Health Professionals & Community Health Services: Referring to and collaborating effectively with other healthcare providers integral to comprehensive care, such as physiotherapists, occupational therapists, dietitians, psychologists, social workers, speech-language pathologists, chiropractors, pharmacists, optometrists, audiologists, and various community support services (e.g., home care, mental health teams, diabetes education programs, addiction services, public health units).
• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Providing guidance on, ordering, and interpreting results for essential cancer screenings (e.g., Pap tests, HPV testing, mammograms, fecal immunochemical tests (FIT) for colon cancer, PSA discussions for prostate cancer, low-dose CT for lung cancer in high-risk individuals) based on current evidence-based guidelines.
• Management of Other Chronic Conditions (e.g., GERD, IBS, Anemia): Providing ongoing care and management for a variety of other long-term health issues such as chronic gastroesophageal reflux disease (GERD), irritable bowel syndrome (IBS), chronic anemia, and more, focusing on symptom control and quality of life.

Note: This list highlights some of the key services offered by Dr. Keeler. 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 Keeler Steven Dr, 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. Keeler frequently works with patients towards goals such as:

• Patients with their child having difficulty with toilet training or experiencing bedwetting beyond a certain age can find relief and achieve successfully and confidently navigating the often complex, fragmented, and sometimes overwhelming healthcare system with Dr. Keeler acting as their knowledgeable guide, steadfast advocate, and central, reliable coordinator of all their medical care under Dr. Keeler's care, often allowing them to resume 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 without former limitations.
• For patients where feeling generally 'unwell' or 'off' without a clear reason for a while is a concern, Dr. Keeler focuses on plans that lead to feeling a profound sense of relief and gratitude after finally discussing a 'embarrassing' or stigmatized health concern with Dr. Keeler in a completely safe, confidential, and entirely supportive clinical environment, supporting their ability to comfortably and easily using stairs at home, in their workplace, or in various public places as needed throughout the day, without experiencing significant breathlessness, joint pain, or instability.
• It's rewarding for Dr. Keeler to see patients with it being time for their regular comprehensive health check-up and physical exam achieve 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. Keeler and return to important activities like independently and efficiently performing all personal grooming and hygiene tasks (bathing, dressing, toileting) without any difficulty, assistance, or associated pain, maintaining their dignity.

Your personalized healthcare plan, developed in discussion with Dr. Keeler, 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. Keeler's practice at Keeler Steven Dr is situated in a well-regarded family medical practice in a Victoria neighborhood of Victoria. The clinic is conveniently located near Inner Harbour Causeway and is accessible via Victoria Regional Transit System (BC Transit). Free patient parking is often available on-site or on nearby streets.

What should I do if I have an urgent medical issue when Keeler Steven Dr 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 Keeler Steven Dr 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 Keeler Steven Dr or Dr. Keeler during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(250) 479-6962] may also provide instructions or resources for after-hours care.

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

Your family doctor (BC) 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.

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

To each appointment with Dr. Keeler at Keeler Steven Dr, please ensure you have your provincial health card. A current, detailed list of all your medications (name, dose, frequency) is very important. If you're coming about a specific issue and have related reports (like X-rays, specialist letters, or recent lab results), please bring those along. It's also a good idea to jot down any questions or symptoms you want to discuss with Dr. Keeler beforehand so you don't forget anything important 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 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 Keeler Steven Dr if you have questions about specific non-insured services or potential fees.

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

Absolutely. Dr. Keeler is well-equipped to address a wide range of mental health issues as part of comprehensive family practice. He can help diagnose conditions like anxiety or depression, provide counseling and support, manage psychotropic medications when appropriate, and coordinate care with mental health specialists if required. If you're struggling with your mental well-being, Dr. Keeler is a good person to start the conversation with and seek help from in a confidential and supportive environment.

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

What happens if Dr. Keeler determines I need to see a medical specialist?

If Dr. Keeler determines that your condition requires the expertise of a medical specialist (e.g., a cardiologist, dermatologist, surgeon, psychiatrist), he will discuss the reasons with you and initiate a referral. This usually involves Dr. Keeler sending a formal referral letter along with your relevant medical information to the specialist's office. Wait times for specialist appointments can vary significantly depending on the specialty and the urgency of your condition. The staff at Keeler Steven Dr will typically inform you once the referral has been sent, and in most cases, the specialist's office will contact you directly to schedule an appointment. Please follow up with Keeler Steven Dr if you haven't heard from the specialist's office within a reasonable timeframe, as advised by Dr. Keeler.

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 if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, like a local health authority website or the College of Physicians and Surgeons patient-doctor matching service (if available), may be helpful. A referral *is* usually required from a family doctor to see most medical specialists.

Keeler Steven Dr
109-284 Helmcken Rd
Victoria, BC, V9B 1T2

Phone: (250) 479-6962

Dr. Steven William Keeler 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: 24697

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/312624/Keeler%2CSteven

Family doctors like Dr. Keeler 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.