Dr. Pamela Squire Bio
Dr. Pamela Squire, MD, Family Doctor, Vancouver has one seriously powerful variety of tools and experience. A physician since 1989, she has specialized in the treatment of musculoskeletal pain since 2008. Dissatisfied with standard training and education, Dr. Pamela Squire, MD, Family Doctor, Vancouver set out on a journey of discovery across North America, to learn and then combine techniques traditionally used separately by a variety of clinicians – including specialized forms of nervous system and fascial evaluation, and training in muscle and postural imbalance. Pain medicine as a specialty in Canada did not even have a standard training program until a national team of experts, including Dr. Squire, was mandated to create it by the Royal College of Physicians and Surgeons. She also co-authored the chapter on assessment of chronic pain in the world’s authoritative book on the subject, Bonica’s Management of Pain. As she says, “Medication is an important tool but there are many others. My ultrasound machine, for example is a very powerful tool many doctors don’t use, which allows me to find and treat problems that medications cannot. It’s like the old saying: ‘the more tools you have, the less everything looks like a nail.’” Dr. Squire is a Clinical Associate Professor with the UBC Department of Medicine, where she creates curriculum and teaches for undergraduate and postgraduate physicians. She is certified by the International Society of Addiction Medicine, holds Advanced Diplomat status with the American Academy of Pain Management, and has received several awards for her innovative work. She is especially fond of this quote attributed to Maya Angelou: “People will forget what you said, people will forget what you did, but people will never forget how you made them feel.”
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Janice, a 45-year-old advertising executive, developed the flu in December. She took 10 days off work because of fever, cough, sore throat, headaches, fatigue and muscle aches. A month later she continued to have muscle aches in her back, shoulders and hips and fatigue. She felt tired even when she had slept for 10 hours. She had experienced an occasional migraine before but was now getting a low grade headache 2-3 days a week. She had been to a walk-in clinic and the physician there had ordered some blood tests to make sure she wasn't anemic and to check her thyroid. The test results were normal.
Two months later she made an appointment to see her regular family physician, who did a complete examination but could not find anything wrong. He wondered if she had developed fibromyalgia after the flu and referred her to a rheumatologist. She was later informed that the specialist appointment wasn't for six months. She could benefit her condition by seeing her family doctor again and asking for a referral to a pain specialist. She might get a referral to a neurolgist or a psychiatrist. Lastly, either a chiropractor or a naturopath might help.