Dr. Zacchary Daniel Joseph Fredette – Family Doctor | Ottawa, ON

Dr. Zacchary Daniel Joseph Fredette is a Family Doctor. Practicing at Mt. Sinai Hospital in Ottawa, ON, he is dedicated to providing high-quality, comprehensive, and patient-centered family medical care. He is registered with The College of Physicians and Surgeons of Ontario (CPSO) and practices in accordance with the standards set by this regulatory body and the principles of modern family medicine. His focus is providing continuous and comprehensive primary medical care for individuals and families across all ages and stages of life. This includes preventative care, diagnosis and treatment of acute and chronic illnesses, and management of ongoing health needs, serving as the central point for patient care. He serves patients of all ages, from newborns and infants through to children, adolescents, adults, and seniors.

Dr. Zacchary Daniel Joseph Fredette completed his Medical Degree. He brings valuable clinical experience to the practice. He has developed skills or a strong interest in areas such as comprehensive primary care within family practice. He is also dedicated to ongoing professional development to stay current with the latest advancements in family medicine.

Key aspects of his practice philosophy include a commitment to evidence-based medicine, integrating the latest research with clinical expertise to provide the highest standard of care; empowering patients through clear communication, comprehensive health education, and fostering active participation in their own health decisions; a dedication to preventative medicine and health promotion, aiming to identify risks early and support patients in maintaining long-term wellness. He is fluent in English and also offers consultations in French.

Dr. Zacchary Daniel Joseph Fredette 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

• Asthma (All Ages) & Allergic Rhinitis: Comprehensive care for individuals with asthma and related allergies, focusing on patient empowerment, self-management skills, and emergency preparedness for asthma attacks.
• Dyslipidemia (High Cholesterol, High Triglycerides): Working collaboratively with you to achieve optimal cholesterol and triglyceride levels to significantly reduce your risk of atherosclerosis, heart attack, stroke, and pancreatitis.
• 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.
• Osteoarthritis & Other Chronic Musculoskeletal Pain (e.g., Chronic Back/Neck Pain, Fibromyalgia): Long-term support and care for managing the symptoms of degenerative joint disease and other chronic musculoskeletal pain, focusing on self-management and maintaining an active lifestyle.

Joint Muscle Pain

• Gout & Pseudogout (Crystal Arthropathies) - Acute Attack Management & Chronic Prevention Strategies: Providing long-term management strategies for chronic gout to prevent recurrent attacks and complications (e.g., tophi, chronic gouty arthropathy, kidney stones), including detailed lifestyle advice (dietary modifications - reducing purine-rich foods such as red meat/organ meats/shellfish, limiting alcohol especially beer and spirits, avoiding sugary drinks/high-fructose corn syrup; hydration; weight management if overweight/obese) and initiating/managing urate-lowering therapy (ULT) such as allopurinol or febuxostat to achieve and maintain target serum uric acid levels (typically <360 µmol/L or <300 µmol/L if tophi present). Monitoring for medication side effects, adherence, and regular serum uric acid levels.
• Fibromyalgia & Other Widespread Chronic Pain Syndromes - Primary Care Diagnosis & Multimodal Management: A supportive, holistic, and patient-centered primary care approach to helping individuals manage the complex and often debilitating symptoms of fibromyalgia (widespread pain, profound fatigue, sleep disturbance, cognitive dysfunction - 'fibro fog', mood disturbances), aiming to improve daily function, reduce pain interference, and enhance overall quality of life.
• Repetitive Strain Injuries (RSI), Tendinopathies & Work-Related Musculoskeletal Disorders (WRMSDs) - Initial Assessment & Conservative Management: Providing advice on activity modification (relative rest, avoiding aggravating activities), ergonomic adjustments (workstation setup, tool use), simple analgesia (NSAIDs - oral/topical, acetaminophen), ice/heat application, and appropriate referral to physiotherapy or occupational therapy for specific exercises (stretching, strengthening), manual therapy, splinting, and further rehabilitation or prevention strategies.
• Polymyalgia Rheumatica (PMR) - Diagnosis, Management & Monitoring (Often with Rheumatology Co-Management): Recognizing the characteristic clinical presentation of Polymyalgia Rheumatica (PMR) in older adults (typically age >50 years) – symmetrical morning stiffness and aching in the shoulders, neck, and pelvic girdle – often associated with significantly elevated inflammatory markers (ESR, CRP). Initiating treatment with low-dose corticosteroids (e.g., prednisone 12.5-25 mg daily) which usually results in a rapid and dramatic improvement in symptoms, thus supporting the diagnosis. Vigilantly screening for and differentiating from Giant Cell Arteritis (GCA/Temporal Arteritis), which can co-exist with PMR (or occur independently) and requires urgent higher-dose steroid therapy and specialist (rheumatology/ophthalmology) referral to prevent irreversible vision loss.

Preventative Health Topics

• Infectious Disease Prevention & Outbreak Management Support (Community Level): Educating patients and families on routine infection prevention and control measures (e.g., hand hygiene, cough etiquette, staying home when sick). Providing guidance during community outbreaks of infectious diseases (e.g., influenza, measles, pertussis, COVID-19), including advice on testing, isolation/quarantine, and public health recommendations.
• Occupational Health Screening & Advice (Basic Pre-placement, Return-to-Work): Performing basic pre-employment medicals or fitness-for-work assessments as required by some employers (typically non-WCB/WSIB related, fees may apply). Providing advice on general workplace health and safety, injury prevention, and initial assessment of health concerns potentially related to occupational exposures or ergonomics, with appropriate referrals if specialized occupational medicine input is needed.
• 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.

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

• Cancer Screening Coordination (Cervical, Breast, Colorectal, Prostate, Lung - as per guidelines): Proactive screening discussions and referrals for common cancers to ensure timely diagnosis and improve treatment outcomes.
• Eczema, Psoriasis (Mild) & Other Common Rashes: Helping patients control flare-ups of itchy, inflamed skin and maintain healthy skin barrier function.
• Osteoporosis Screening, Prevention & Management: Proactive care to maintain bone health, prevent fractures, and manage established osteoporosis.
• Immunizations & Vaccinations (Infant, Child, Adult, Travel): Providing comprehensive vaccination services according to provincial and national public health guidelines for all age groups.
• Chronic Kidney Disease (CKD) Management (Early to Moderate Stages): Working with patients to manage their kidney health through regular check-ups, proactive interventions, and education on preserving kidney function.

Note: This list highlights some of the key services offered by Dr. Fredette. 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 ON and the ethical and professional standards set by The College of Physicians and Surgeons of Ontario (CPSO).

At Mt. Sinai Hospital, 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. Fredette frequently works with patients towards goals such as:

• Many patients have successfully addressed a persistent itchy scalp or dandruff that's not improving with Dr. Fredette's support. This often leads to their teenager demonstrating a smoother and more confident transition into managing their own health responsibilities and navigating the adult healthcare system, thanks to ongoing guidance and mentorship from Dr. Fredette and the ability to fully participate in being able to comfortably stand for reasonably extended periods when necessary, for example, while cooking intricate meals, attending a standing-room-only event, actively participating in a workshop, or waiting patiently in unavoidable queues once more.
• Patients with experiencing symptoms of an overactive bladder that affect their daily routine can find relief and achieve their child successfully overcoming challenges like picky eating habits, minor feeding issues, or common toileting problems with practical, patient, and evidence-informed strategies suggested and supported by Dr. Fredette under Dr. Fredette's care, often allowing them to resume 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 without former limitations.
• If shortness of breath that comes on suddenly or is worse than their usual asthma/COPD is preventing you from simply and thankfully getting through each and every day without their physical or mental health being a primary, constant source of pervasive worry, nagging discomfort, significant functional limitation, or a barrier to their desired activities, Dr. Fredette can help. The aim is to achieve experiencing significantly improved physical function, greater ease of mobility, and markedly reduced daily pain as a result of managing complex musculoskeletal issues or sports injuries under Dr. Fredette's comprehensive guidance, treatment plan, and care coordination with allied health professionals through personalized family medicine care.
• Patients experiencing concerns about memory changes, increasing forgetfulness, or concentration difficulties in themself/themselves or an elderly relative often seek Dr. Fredette's help to improve their quality of life. A key goal is managing bothersome and often disruptive menopausal or perimenopausal symptoms (like hot flashes, sleep issues, or mood changes) effectively with Dr. Fredette's expert guidance and tailored treatment options, leading to improved well-being, better sleep, and a smoother, more comfortable life transition, supporting their return to activities like patiently, effectively, and enjoyably helping their school-aged children or young grandchildren with challenging homework assignments, creative school projects, or extracurricular learning activities that require sustained patience, focus, and clear communication.

Your personalized healthcare plan, developed in discussion with Dr. Fredette, 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. Fredette practices at Mt. Sinai Hospital, located in the Overbrook, Castle Heights, Vanier South neighborhood of Ottawa. The clinic is conveniently located near the Canadian War Museum and is accessible via OC Transpo (O-Train LRT, Bus). Free patient parking is often available on-site or on nearby streets.

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

Dr. Fredette 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. Fredette, 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. Fredette for complex or ongoing issues where that continuity is most crucial.

What does 'preventative care' involve with a family doctor like Dr. Fredette?

Preventative care provided by Dr. Fredette aims to stop health issues from occurring or to catch them at an early, more manageable stage. This includes regular physical exams, vaccinations, screenings for common conditions like certain cancers or heart disease risk factors (high blood pressure, high cholesterol), and personalized advice on maintaining a healthy lifestyle through diet, physical activity, and avoiding harmful habits like smoking. It’s about being proactive with your health rather than just treating problems as they arise, and Dr. Fredette can help guide you in these efforts.

Is seeing a family doctor (Family Doctor) covered by Ontario Health Insurance Plan (OHIP) in ON?

Medically necessary visits to a family doctor are typically covered by the Ontario Health Insurance Plan (OHIP) for eligible residents with a valid provincial health card. Some services, such as cosmetic procedures, most travel medicine consultations, sick notes for work/school, insurance forms, and driver's medicals, may not be covered and might have an associated fee. Please confirm with Mt. Sinai Hospital if you have questions about specific non-insured services or potential fees.

Do I need a referral to see a family doctor (Family Doctor) in ON?

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. Resources like Health Care Connect in Ontario may be helpful. A referral is usually required to see most medical specialists.

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

Your family doctor (in Ontario) is your primary healthcare provider, expertly trained to care for a wide spectrum of health issues, from newborns to seniors. They manage acute illnesses and injuries, oversee the care of long-term chronic diseases, provide routine health screenings and lifestyle counseling, administer vaccinations, and ensure you get access to specialized medical services through referrals when needed. The continuity of care they provide, understanding your health history and individual needs, is fundamental to effective family medicine.

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

Check the website of the College of Physicians and Surgeons of Ontario; they often have a 'Find a Doctor' tool or list. In Ontario, you can register with Health Care Connect. Ask friends, family, or colleagues for recommendations. Contact local community health centres or new patient clinics directly. Finding a family doctor may take time.

Mt. Sinai Hospital
713 Montreal Road, Department of Internal Medicine
Ottawa, ON, K1K 0T2

Phone: (613) 746-4621

Dr. Zacchary Daniel Joseph Fredette is regulated by the Regulated Health Professions Act, 1991 & Medicine Act, 1991 (Ontario) in ON and is a registered member in good standing with The College of Physicians and Surgeons of Ontario (CPSO).

Registration Number: 121458

Verify registration with The College of Physicians and Surgeons of Ontario (CPSO): https://doctors.cpso.on.ca/DoctorDetails/Fredette-Zacchary-Daniel-Joseph/0331656-121458

Family doctors like Dr. Fredette 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.