Dr. Tomas Vally

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

Joint Muscle Pain

• 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).
• Mechanical Low Back & Neck Pain (Acute, Subacute, Chronic - Uncomplicated): Primary care coordination for back and neck pain, including referral to physiotherapy, chiropractic, massage therapy, or specialist pain services when appropriate for persistent or disabling symptoms.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: Working collaboratively with individuals experiencing chronic widespread pain to develop personalized self-management strategies, set realistic functional goals, and coordinate care effectively with other healthcare providers such as physiotherapists, occupational therapists, psychologists, and rheumatologists (for diagnostic confirmation or complex cases).
• 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.

Preventative Health Topics

• Driver's Medical Examinations (Routine, Age-Related, Commercial): Objective medical assessments for driving privileges, completed accurately according to regulatory requirements (fees typically apply as this is often an uninsured service). This may involve coordination with specialists if complex medical conditions impact driving ability.
• 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.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Primary care support for general occupational health questions, routine employment-related medical screenings, and facilitating a safe return to work after illness or injury.

Dermatological Skin Conditions

• Primary Care Skin Cancer Screening & Early Detection (Suspicious Mole/Lesion Assessment): Performing opportunistic or targeted skin examinations, especially for patients with risk factors (e.g., history of sun exposure, family history of skin cancer, multiple moles, fair skin), to screen for suspicious moles or lesions that could indicate skin cancer (basal cell carcinoma - BCC, squamous cell carcinoma - SCC, melanoma). Utilizing dermoscopy if trained to improve diagnostic accuracy. Performing skin biopsies (punch, shave, excisional) of concerning lesions or providing timely referrals to dermatology for further evaluation, biopsy, and management if skin cancer is suspected.
• 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.
• 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.
• 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.

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

• Chronic Respiratory Disease Care (Asthma, COPD, Chronic Bronchitis): Support and treatment for chronic lung diseases, including referrals for pulmonary rehabilitation and specialist care when indicated.
• Skin Lesion Assessment, Biopsy & Minor Excisions (Benign Lesions): Evaluating common benign skin growths (skin tags, seborrheic keratoses, cherry angiomas, dermatofibromas). Performing skin biopsies (punch, shave, excisional) of suspicious lesions to rule out skin cancer, or offering in-office removal of benign lesions for cosmetic reasons or if causing irritation.
• Attention-Deficit/Hyperactivity Disorder (ADHD) Care (All Ages - Initial & Ongoing): A comprehensive approach to ADHD care, addressing challenges in attention, hyperactivity, and impulsivity across the lifespan.
• Developmental, Behavioral & Learning Concerns in Children (Initial Assessment, Guidance & Referral): Performing initial screening and assessment for parental or school concerns regarding developmental delays (speech, motor, cognitive), behavioral issues (e.g., tantrums, sleep problems, anxiety), ADHD symptoms, or learning difficulties. Includes providing initial guidance and coordinating timely referrals to pediatric specialists if further evaluation or intervention is needed.
• Cardiovascular & Metabolic Risk Assessment & Management: Evaluating risk factors for heart disease, stroke, and type 2 diabetes, including blood pressure measurement, cholesterol (lipid panel) screening, blood glucose testing, and assessing lifestyle factors (diet, exercise, smoking, family history). Includes initiation of preventative medications if indicated.

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

• Overcoming or managing needing help to manage side effects from a new medication prescribed by a specialist is a common patient journey at Dr. Vally's practice. The focus is on enabling managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Vally's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, so that engaging in participating fully, actively, and joyfully in all extended family activities, special gatherings, milestone celebrations, and holiday traditions becomes a reality again.
• When ongoing digestive issues like persistent heartburn after meals, uncomfortable bloating, or frequent stomach upset affects a patient's ability to graciously hosting enjoyable social gatherings, dinner parties, or casual get-togethers for friends, colleagues, and family members in their home, feeling comfortable, energetic, and capable as a host, Dr. Vally works with them to develop a plan. Success means reaching their elderly family member maintaining their cherished independence and dignity for a longer period due to Dr. Vally's comprehensive focus on geriatric syndromes, functional assessment, fall prevention, and medication safety and getting back to their valued pursuits.
• A frequent goal for patients seeing Dr. Vally about trouble with seasonal allergies that over-the-counter medications aren't adequately helping with is to achieve obtaining clear, concise, and actionable guidance from Dr. Vally on when it's appropriate to seek urgent versus routine medical attention for various common symptoms, promoting appropriate health service utilization. This success paves the way for them to re-engage with 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. Vally, 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. Vally's practice is located at a family medical clinic in Sooke, situated in a family medical practice in the central Sooke neighborhood of Sooke. 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.

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 non-insured services or potential fees.

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 their 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 accepting new patients can be challenging and may take time.

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

A family doctor, often called a general practitioner (GP), is a medical doctor specializing in comprehensive primary healthcare for individuals and families across all ages and life stages. They serve as your first point of contact for most health concerns, offering preventative care (like check-ups, immunizations, and health screenings), diagnosing and treating acute illnesses (such as infections or minor injuries), managing chronic conditions (like diabetes, hypertension, or asthma), providing mental health support, and coordinating your care by referring you to specialists when necessary. A key aspect of their role is building long-term relationships with patients to promote overall health and well-being.

Does Dr. Vally at his clinic offer virtual (video) or phone appointments?

Yes, Dr. Vally offers virtual (video) and/or phone appointments for certain types of consultations when clinically appropriate. These can be convenient for discussing some test results, managing stable chronic conditions, prescription renewals for ongoing medications (not controlled substances), or for certain mental health follow-ups. However, many conditions, new problems, or situations requiring a physical examination will still necessitate an in-person visit for accurate assessment and diagnosis. Please discuss with our reception staff or Dr. Vally if a virtual appointment might be suitable for your specific needs. Provincial health plan coverage for virtual visits may vary; please check with our clinic regarding any potential fees for uninsured virtual services.

How long do appointments with Dr. Vally typically last?

Appointment times with Dr. Vally vary based on the reason for the visit. For a quick follow-up or a straightforward issue, 10-15 minutes is common. For annual physicals, initial consultations, or if you have several health concerns to discuss, Dr. Vally will usually book a longer slot, like 30 minutes or sometimes more. Always try to be specific about your needs when booking your appointment at the clinic to ensure enough time is set aside with Dr. Vally to address your concerns thoroughly.

I have multiple health problems. How does Dr. Vally handle complex care?

Managing multiple health conditions is a core part of what Dr. Vally does. He will work with you to understand the full picture of your health, help manage various chronic diseases simultaneously, ensure your medications are optimized, and coordinate with different specialists to ensure your care is not fragmented. The goal is to provide integrated and patient-centered care that addresses all your needs effectively.

What if Dr. Vally works in a Family Health Team or group practice? Will I always see Dr. Vally?

Dr. Vally practices as part of a team-based practice, 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. Vally, 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. The clinic will always strive to have you see Dr. Vally for complex or ongoing issues where that continuity is most crucial.

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 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.

1300-6660 Sooke Rd, West Coast Family Medical Clinic
Sooke, BC, V9Z 0A5

Phone: (250) 642-4233

Dr. Tomas Vally 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: 23014

Verify registration with The College of Physicians and Surgeons of British Columbia (CPSBC): https://www.cpsbc.ca/public/registrant-directory/search-result/308186/Vally%2CTomas

Family doctors like Dr. Vally 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.