Dr. Terence Rae Fellows

Dr. Terence Rae Fellows 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

• Anxiety Disorders (Generalized Anxiety, Panic Disorder, Social Anxiety - Management): Providing comprehensive assessment, psychoeducation, supportive counseling, lifestyle advice (exercise, mindfulness, sleep hygiene), evidence-based medication management (e.g., SSRIs, SNRIs, buspirone), and facilitating timely referrals for psychotherapy (CBT, DBT, etc.) or psychiatric consultation for common anxiety disorders.
• 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.
• 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.

Pediatric Common Issues

• Common Childhood Infections (Viral & Bacterial - Ear, Throat, Chest, Skin, GI): Diagnosing and treating frequent acute illnesses in children, such as otitis media (ear infections), streptococcal pharyngitis (strep throat - with rapid testing if available), common colds and influenza, croup, bronchiolitis, roseola, hand-foot-and-mouth disease, viral and bacterial gastroenteritis (vomiting and diarrhea), uncomplicated urinary tract infections, and common skin infections (impetigo, cellulitis - mild).
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Comprehensive preventative care designed to support the healthy physical, cognitive, and emotional development of children from birth, building a strong foundation for lifelong health.
• 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.
• Pediatric Asthma, Eczema & Allergy Management (Primary Care): Primary care coordination for childhood asthma, eczema, and allergies, ensuring optimal health, growth, and development, with close collaboration with pediatric specialists when necessary for severe or complex cases.

Common Chronic Conditions

• Irritable Bowel Syndrome (IBS) - Primary Care Management: A supportive approach to IBS, working with patients to identify triggers and develop effective coping mechanisms.
• Chronic Kidney Disease (CKD) - Early to Moderate Stages: Early detection, monitoring of kidney function (e.g., eGFR, urine ACR), management of risk factors that can worsen CKD (especially diabetes and hypertension), medication review to avoid nephrotoxic drugs, lifestyle counseling (dietary advice on protein, sodium, potassium), and timely referrals to nephrology for patients with early to moderate stage chronic kidney disease to slow progression and prevent complications.
• 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.
• 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.

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

• Management of Common Chronic Pediatric Conditions (e.g., Asthma, Eczema, Allergies): Specialized primary care for childhood chronic diseases to ensure optimal health, growth, and development with coordination with pediatric specialists when necessary.
• Smoking & Tobacco Cessation Programs & Support: Offering comprehensive counseling, motivational interviewing, setting quit dates, developing personalized quit plans, and providing ongoing support, including prescription of medical aids (nicotine replacement therapy, varenicline, bupropion) to help individuals quit smoking and all forms of tobacco use.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Providing testing, education, treatment, and advice related to sexual health and the prevention and management of sexually transmitted and blood-borne infections.
• 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.
• Referrals to Medical Specialists, Subspecialists & Specialized Programs: Ensuring seamless access to specialized medical care through efficient and well-documented referrals, acting as your central coordinator and advocate within the healthcare system.

Note: This list highlights some of the key services offered by Dr. Fellows. 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 Dr. Terence Rae Fellows's practice, 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. Fellows frequently works with patients towards goals such as:

• Dr. Fellows understands the impact of their elderly parent needing a review of their multiple medications to check for interactions and ensure they're all still necessary. That's why treatment is geared towards successfully and confidently navigating the often complex, fragmented, and sometimes overwhelming healthcare system with Dr. Fellows acting as their knowledgeable guide, steadfast advocate, and central, reliable coordinator of all their medical care, helping patients get back to patiently and effectively teaching their children or grandchildren important life skills, sharing enjoyable intergenerational activities, or simply offering wise guidance and loving support as they grow with greater ease.
• Dr. Fellows supports patients through ongoing digestive issues like persistent heartburn after meals, uncomfortable bloating, or frequent stomach upset, aiming for outcomes like developing a deeply trusted, respectful, and enduring long-term therapeutic relationship with their dedicated and accessible primary care physician, Dr. Fellows, built on open communication and mutual respect, so they can return to activities such as successfully pursuing further formal education, challenging vocational training programs, or self-directed learning initiatives to achieve important personal growth objectives or significant professional aspirations.
• A key objective when treating a persistent feeling of bloating, abdominal discomfort, or noticeable changes in their bowel habits (constipation or diarrhea) at Dr. Fellows's clinic is their elderly parents or relatives receiving thoughtful, patient, dignified, and age-appropriate comprehensive care from Dr. Fellows that demonstrably enhances their functional abilities, safety, and overall quality of life in their later years, supporting a comfortable return to faithfully taking their cherished dog (or other pets) for long, brisk, enjoyable walks in the neighborhood park, through local trails, or along the beach every single day, regardless of the prevailing weather conditions, for mutual benefit.

Your personalized healthcare plan, developed in discussion with Dr. Fellows, 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. Fellows practices at a family medical clinic in West Vancouver, situated in the British Properties, Sentinel Hill neighborhood of West Vancouver. The clinic is conveniently located near Horseshoe Bay Ferry Terminal and is accessible via TransLink (BlueBus - operated by West Vancouver). Free patient parking is often available on-site or on nearby streets.

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

Finding a family doctor in BC who is accepting new patients can be challenging. The College of Physicians and Surgeons of BC often has a ‘Find a Doctor’ tool or list on their website. You can also ask friends, family, or colleagues for recommendations. Contacting local community health centres or new patient clinics directly may also be helpful. It may take time to find a suitable doctor.

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, such as cosmetic procedures, most travel medicine consultations, sick notes, insurance forms, and driver’s medicals, may not be covered and might have an associated fee. Please confirm with our clinic if you have questions about specific services or potential fees.

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

A family doctor (British Columbia) 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 (Family Doctor) in BC?

Generally, you do not need a referral to see a family doctor in BC if they are accepting new patients. However, finding a family doctor who is accepting new patients can be challenging. Provincial resources, such as a local health authority website or the College of Physicians and Surgeons of BC patient-doctor matching service (if available), might be helpful. A referral from a family doctor is usually required to see most medical specialists.

890 Younette Dr
West Vancouver, BC, V7T 1S9

Phone: (604) 500-6452

Dr. Terence Rae Fellows 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: 8573

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/353474/Fellows%2CTerence

Family doctors like Dr. Fellows 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.