Dr. Sylvain St-Onge

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

Dermatological Skin Conditions

• Fungal Skin, Nail & Hair Infections (Tinea species, Candidiasis, Onychomycosis): Providing effective remedies for bothersome and often contagious fungal infections of the skin, hair shafts, and nails, along with advice on hygiene and prevention of recurrence.
• Bacterial Skin Infections (Impetigo, Folliculitis, Cellulitis - uncomplicated): Prompt primary care for bacterial skin infections to ensure appropriate treatment and avoid potential complications. Severe or rapidly progressing cellulitis may require hospital admission for IV antibiotics.
• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Helping adolescents and adults manage these common and often distressing inflammatory skin conditions effectively to improve skin appearance, reduce symptoms (redness, papules, pustules, flushing), prevent scarring (acne), and enhance quality of life.
• 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.

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Administering vaccinations to prevent communicable diseases and playing a role in community-level surveillance and reporting as required by public health authorities.
• Travel Medicine Advice & Routine/Travel Vaccinations: Helping you prepare for safe and healthy international travel with essential medical guidance, ensuring you are up-to-date on immunizations and equipped with preventative strategies and medications for common and serious travel-related illnesses.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Guidance on maintaining health in the context of specific work environments and job demands, and initial evaluation for common work-related health issues.
• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: Advocating for patients facing health inequities and working to connect them with resources that can improve their overall health outcomes and reduce disparities.

Mental Health Concerns

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Ongoing management and support for anxiety disorders, helping patients develop coping strategies, achieve symptom remission or reduction, and improve overall well-being.
• Attention-Deficit/Hyperactivity Disorder (ADHD) - Assessment & Management (All Ages): Conducting initial assessments and ongoing management for ADHD symptoms in children, adolescents, and adults, using validated screening tools and collateral information (from parents, teachers). Providing psychoeducation, behavioral strategies, lifestyle coaching, academic/workplace accommodation discussions, evidence-based medication management (stimulants, non-stimulants), and referral to specialists (pediatricians, psychiatrists) for complex cases, diagnostic confirmation, or co-occurring conditions.
• 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.

Adult Common Health Issues

• Anemia (Iron Deficiency, Vitamin B12/Folate Deficiency - Diagnosis & Management): Primary care approach to accurately diagnosing and effectively treating common forms of anemia to improve energy levels, cognitive function, exercise tolerance, and overall health. Referral to hematology for complex or unexplained anemia.
• 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.
• Benign Prostatic Hyperplasia (BPH) - Symptom Management & Monitoring: Assessing and managing lower urinary tract symptoms (LUTS) in aging men commonly due to benign prostatic hyperplasia (BPH). Symptoms include urinary frequency, urgency, nocturia (waking at night to urinate), weak or intermittent stream, hesitancy, straining, and incomplete bladder emptying. Assessment involves history, International Prostate Symptom Score (IPSS) questionnaire, digital rectal exam (DRE) to assess prostate size/consistency, urinalysis to rule out UTI, and serum PSA discussion (for prostate cancer screening context).

Pediatric Common Issues

• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Helping children and their families manage long-term health conditions effectively, enabling active participation in all aspects of childhood including school, sports, and play, while minimizing symptoms and exacerbations.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Regular monitoring of physical growth (height, weight, head circumference using growth charts), developmental milestones (gross motor, fine motor, language, social-emotional using tools like Rourke Baby Record or Greig Health Record), nutrition/feeding practices (breastfeeding, formula, introduction of solids, healthy eating for older children), and providing age-appropriate anticipatory guidance to parents/caregivers on safety (e.g., car seats, safe sleep, poison prevention, injury prevention), behavior, sleep, dental health, and fostering healthy habits from infancy through school age.
• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Supporting the unique physical, emotional, and social health needs of adolescents during this critical period of rapid development, fostering autonomy, responsible decision-making, and a positive transition to adulthood.
• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Providing prompt, effective, and child-friendly medical care for common infections and acute conditions to ensure quick recovery, appropriate antibiotic stewardship (avoiding unnecessary antibiotics for viral illnesses), and prevent complications.

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

• Smoking & Tobacco Cessation Programs & Support: Dedicated, non-judgmental support for your journey to become smoke-free, improving your immediate and long-term health significantly.
• 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.
• 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).
• Routine Health Check-ups & Physicals for Adults: Scheduled visits for adults designed to proactively manage health risks, detect potential problems early, and offer personalized guidance on maintaining optimal health and well-being.
• Cardiovascular & Metabolic Risk Assessment & Management: Comprehensive screening for cardiovascular and metabolic risks with personalized advice on prevention and management strategies to mitigate these risks.

Note: This list highlights some of the key services offered by Dr St-Onge. 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 Clinique médicale Chapleau, 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 St-Onge frequently works with patients towards goals such as:

• If their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary is a barrier, Dr St-Onge develops strategies aimed at receiving a timely diagnosis of a previously unrecognized condition like obstructive sleep apnea, celiac disease, or hypothyroidism through Dr St-Onge's astute clinical screening and appropriate referral for confirmatory testing, leading to effective treatment and significantly improved quality of life, facilitating the ability to enjoy being physically and emotionally able to consistently attend and meaningfully participate in important community gatherings, significant religious or spiritual services, and culturally relevant events that foster a sense of belonging and connection.
• Struggling with wanting to create a healthier home environment for their family's well-being? Dr St-Onge helps patients target 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 St-Onge, making a return to activities such as fully and enthusiastically engaging in a wide range of desired social activities, valued community events, and spending quality, meaningful time with close friends and loved ones without being frequently limited or sidelined by bothersome or unpredictable health concerns more achievable.

Your personalized healthcare plan, developed in discussion with Dr St-Onge, 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 St-Onge practices at Clinique médicale Chapleau, a family medical practice in the central Bois-des-Filion neighborhood of Bois-des-Filion. The clinic is conveniently located near local community centers, schools, and shopping areas and is accessible via major local public transit routes. Ample parking is generally accessible close to the clinic entrance; please observe local signage.

What if Dr St-Onge works in a Family Health Team or group practice? Will I always see Dr St-Onge?

Dr St-Onge practices as part of Clinique médicale Chapleau, which often means you have access to a range of healthcare professionals like nurses, nurse practitioners, dietitians, social workers, or pharmacists working together. While the goal is always to promote continuity with your primary family doctor, Dr St-Onge, for some urgent issues, routine follow-ups, or specific services, you might be seen by another trusted member of the team. This collaborative approach can enhance access to care and provide comprehensive support. Clinique médicale Chapleau will always strive to have you see Dr St-Onge for complex or ongoing issues where that continuity is most crucial.

Is seeing a family doctor (Médecin de famille) covered by Régie de l'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 (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. Confirm with Clinique médicale Chapleau if you have questions about specific non-insured services or potential fees.

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

The College of Physicians and Surgeons of QC often has a 'Find a Doctor' tool or list. 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 accepting new patients can be challenging and may take time.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr St-Onge?

An initial 'meet and greet' or new patient visit with Dr St-Onge usually involves a thorough discussion about your health. Be prepared to talk about your personal and family medical history, current medications and dosages, any ongoing health issues, and your overall lifestyle. Dr St-Onge will want to understand your health needs and what you expect from your family doctor. Some doctors may perform a physical exam during this first visit, or it might be scheduled for a subsequent appointment. This initial consultation is key to building a therapeutic patient-doctor relationship.

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 if they are accepting new patients. However, finding a doctor 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.

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.

Clinique médicale Chapleau
87 Montée Gagnon
Bois-des-Filion, QC, J6Z 4C4

Phone: (450) 621-7420

Dr. Sylvain St-Onge 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: 99163

Verify registration with The Collège des médecins du Québec (CMQ): https://www.cmq.org/en/directory/physicians?number=99163

Family doctors like Dr St-Onge 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.