Dr. Ting Ya Chang

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

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.
• Urinary Tract Infections (UTIs - Cystitis, Pyelonephritis - uncomplicated initial): Prompt diagnosis (e.g., urinalysis, urine culture if needed) and treatment for uncomplicated urinary tract infections such as cystitis (bladder infection) and initial assessment/management of suspected uncomplicated pyelonephritis (kidney infection) to alleviate discomfort (dysuria, frequency, urgency, flank pain) and prevent complications.
• Upper Respiratory Tract Infections (URTIs - Colds, Flu, Sinusitis, Pharyngitis): Diagnosis and management of common viral and bacterial infections affecting the nose, throat, sinuses, and larynx (e.g., common cold, influenza, acute sinusitis, strep throat, laryngitis), helping to relieve symptoms like cough, congestion, fever, and sore throat.

Dermatological Skin Conditions

• Acne Vulgaris (Mild to Moderate) & Rosacea Management: Diagnosis and management of common acne (comedonal, papulopustular) and rosacea (erythematotelangiectatic, papulopustular types) with topical treatments (e.g., benzoyl peroxide, retinoids, topical antibiotics, metronidazole, azelaic acid, ivermectin), oral antibiotics (e.g., tetracyclines for inflammatory acne/rosacea, if indicated), and comprehensive lifestyle/skincare advice (gentle cleansing, non-comedogenic products, sun protection for rosacea, trigger avoidance for rosacea). Referral to dermatology for severe, cystic, or treatment-resistant acne/rosacea.
• Viral Skin Infections (Common Warts, Molluscum Contagiosum, Herpes Simplex, Herpes Zoster/Shingles): Primary care management for common skin infections caused by viruses, including patient education on the nature of these infections and strategies for managing recurrences.
• Eczema (Atopic Dermatitis), Contact Dermatitis & Seborrheic Dermatitis: Comprehensive primary care for common inflammatory skin conditions, aiming to alleviate symptoms, prevent secondary infections, and improve patient comfort and overall skin health.
• Benign Skin Lesion Assessment & Management (Skin Tags, Seborrheic Keratoses, Cysts, Lipomas): Evaluating common benign (non-cancerous) skin growths like skin tags (acrochordons), seborrheic keratoses ('age spots'), cherry angiomas, dermatofibromas, epidermal cysts, and lipomas. Providing reassurance regarding their benign nature and offering in-office removal (e.g., cryotherapy, snip excision, curettage, simple excision for cysts/lipomas if trained/equipped) for cosmetic reasons, if causing irritation, or for diagnostic certainty if there's any ambiguity.

Preventative Health Topics

• Health Equity & Social Determinants of Health (SDOH) Discussion & Resource Navigation: A holistic approach to primary care that considers the broader social context of health and aims to reduce barriers to care and well-being by addressing SDOH.
• 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.
• Weight Management & Obesity Prevention/Treatment: Collaboratively discussing healthy weight goals based on BMI, waist circumference, body composition, and overall health status. Providing guidance on evidence-based strategies for weight management including balanced nutrition (calorie awareness, portion control, whole foods), mindful eating, regular physical activity, behavioral strategies (e.g., goal setting, self-monitoring, addressing emotional eating, sleep optimization), and addressing underlying factors contributing to weight issues. Medical options (pharmacotherapy like GLP-1 agonists, orlistat; bariatric surgery referral) may be discussed if appropriate based on guidelines and individual clinical assessment.
• Driver's Medical Examinations (Routine, Age-Related, Commercial): Conducting routine medical examinations as required by provincial transportation authorities for driver's license issuance or renewal, particularly for commercial drivers (truck, bus, taxi) or as mandated by age (e.g., for seniors at specific intervals). Assessing medical fitness to drive based on established national and provincial medical standards, including vision, hearing, cognitive function, cardiovascular health, neurological status, and medication review.

Pediatric Common Issues

• Adolescent Health Care & Counseling (Physical, Mental, Sexual Health, Lifestyle, Substance Use): Creating a safe, non-judgmental, and youth-friendly healthcare environment where teenagers feel comfortable discussing their health concerns openly, receive accurate information, build a trusting relationship with their doctor, and are empowered to take charge of their health.
• 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.
• Well-Baby & Well-Child Check-ups (Growth, Development, Nutrition, Safety): Ensuring your child meets key developmental stages according to age, receives all recommended preventative health screenings (e.g., vision, hearing, anemia, lead - as per guidelines), and appropriate immunizations in a timely manner.
• Developmental, Behavioral & Learning Concerns in Children (Screening, Initial Assessment, Guidance & Referral Coordination): A first point of contact and trusted resource for parents with concerns about a child's learning, behavior, social interaction, or overall development, offering support, resources, advocacy, and clear pathways to specialized care and school-based supports.

Mental Health Concerns

• 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.
• 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): Providing a safe and confidential first point of contact for individuals experiencing symptoms suggestive of other mental health conditions like Obsessive-Compulsive Disorder (OCD), Post-Traumatic Stress Disorder (PTSD), eating disorders, bipolar disorder, or early psychosis. Includes initial screening, supportive listening, crisis intervention if needed, risk assessment, and prompt, appropriate referral to specialized psychiatric, psychological, or emergency mental health services for accurate diagnosis and comprehensive treatment.
• Insomnia & Chronic Sleep Disturbances: Thoroughly evaluating persistent sleep problems (difficulty initiating or maintaining sleep, early morning awakening, non-restorative sleep), offering education on optimal sleep hygiene, principles of cognitive behavioral therapy for insomnia (CBT-I) or facilitating referrals for it, addressing underlying contributing factors (e.g., anxiety, pain, medications, restless legs syndrome), and judiciously considering short-term medication if necessary.

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

• Urgent Care for Non-Life-Threatening Conditions: Providing assessment and management for urgent medical issues that are not life-threatening but require prompt attention, such as minor allergic reactions, asthma flare-ups, or infections needing timely treatment.
• Diagnosis & Management of Common Acute Childhood Illnesses: Expert management of a wide spectrum of acute illnesses affecting infants, toddlers, school-aged children, and teenagers, including appropriate antibiotic stewardship.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Comprehensive primary care for chronic inflammatory and allergic skin conditions to alleviate symptoms and improve quality of life.
• Care for Minor Injuries & Acute Musculoskeletal Complaints: Assessing and treating minor injuries such as sprains, strains, simple fractures (initial assessment and referral for casting/splinting if needed), minor cuts/lacerations (suturing if appropriate), superficial burns, and acute episodes of back or neck pain.
• Sexually Transmitted & Blood-Borne Infection (STBBI) Screening, Counseling & Treatment: Offering routine and risk-based STBBI screening and harm reduction counseling in a supportive and non-judgmental environment.

Note: This list highlights some of the key services offered by Dr. Chang. 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. Ting Ya Chang'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. Chang frequently works with patients towards goals such as:

• Dr. Chang supports patients through preparing for international travel and needing advice on health precautions, necessary vaccinations, or malaria prevention, aiming for outcomes like feeling confident, secure, and proactive in their health because their preventative health screening needs (e.g., for cervical, breast, colorectal, prostate, and lung cancers, as well as screening for AAA, STBBIs, or domestic violence when appropriate) are being diligently and appropriately addressed according to current, evidence-based Canadian guidelines by Dr. Chang, so they can return to activities such as effectively and efficiently managing demanding professional work responsibilities, complex household tasks, and personal projects without undue physical fatigue, mental fog, or chronic pain limitations.
• With Dr. Chang's care, managing needing a referral to a physiotherapist, psychologist, or other allied health professional aims for seeing profoundly positive and lasting changes in their overall approach to health, preventative self-care, and health-seeking behaviors as a direct and inspiring result of Dr. Chang's ongoing education, consistent encouragement, and positive role modeling, empowering patients to get back to what they love, like proficiently and safely operating specialized tools, intricate machinery, or complex equipment required for their specific line of work, skilled trade, or demanding technical hobbies without risk of injury or error due to health limitations.
• Dr. Chang's care for questions or concerns about their child's growth, developmental milestones, or specific behaviors is designed to result in obtaining all necessary medical documentation, forms, and reports for work, school, travel, or insurance purposes efficiently, accurately, and without undue hassle through Dr. Chang's supportive office team, so patients can resume activities such as consistently sleeping soundly and deeply through the entire night on a regular basis and waking up feeling genuinely refreshed, fully restored, and ready to embrace the day ahead with clarity with confidence.

Your personalized healthcare plan, developed in discussion with Dr. Chang, will be thoughtfully designed to help you reach your specific functional, preventative, and wellness objectives. She believes in empowering patients with the knowledge and support needed to take an active role in their health journey.

Dr. Chang's practice is located at a family medical clinic in Richmond, situated in the Central Richmond (City Centre North) neighborhood. The clinic is conveniently located near Richmond City Hall and is accessible via TransLink (SkyTrain Canada Line, Bus). Free patient parking is often available on-site or on nearby streets.

What should I do if I have an urgent medical issue when the clinic 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 our clinic 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 our clinic or Dr. Chang during regular hours to see if such arrangements are in place for their practice. Our clinic voicemail [(778) 297-7992] may also provide instructions or resources for after-hours care.

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 in BC if the doctor is accepting new patients. However, finding a family doctor who is accepting new patients can sometimes be challenging. Provincial resources, such as the College of Physicians and Surgeons of BC website, may be helpful in your search. A referral is usually required from a family doctor to see most medical specialists.

How do I get a prescription refilled by Dr. Chang?

For most prescription refills, please contact your pharmacy first, at least 5-7 days before you run out of medication. Your pharmacy can often fax a refill request directly to Dr. Chang's office. Please allow at least 2-3 business days for these requests to be processed. For certain medications (e.g., narcotics, controlled substances, or medications requiring close monitoring), or if it has been a while since your last review with Dr. Chang, an appointment will be required to assess your condition and ensure the medication is still appropriate and at the correct dose. It is always best to request refills proactively.

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 our clinic if you have questions about specific services or potential fees.

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

You can check the website of the College of Physicians and Surgeons of BC; they often have 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 who is accepting new patients may take time and effort.

What should I expect during my first 'meet and greet' or new patient intake appointment with Dr. Chang?

An initial 'meet and greet' or new patient visit with Dr. Chang 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. Chang 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.

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

A family doctor (in 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.

2186-3779 Sexsmith Rd
Richmond, BC, V6X 3Z9

Phone: (778) 297-7992

Dr. Ting Ya Chang 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: 60822

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/341125/Chang%2CTing%20Ya

Family doctors like Dr. Chang 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.