Health Education

Below are websites that contain useful health-related information. These sites are maintained and reviewed by medical experts. You can “surf” them, confident that the information is accurate and up to date.

For General Health Information

Medline Plus    Maintained by the National Institute for Health, providing excellent information on a vast number of topics, written in a way that our patients will find easy to understand and useful. This tends to be more disease based; a good place to look if you want to learn more about a particular disease, treatment or medication.

Mayo Clinic    Maintained by the Mayo Clinic, another great resource for reviewed information. This tends to present more information about ways to stay healthy, such as tips for exercise, recipes, and safety.

Family Doctor    Site maintained by the American Academy of Family Physicians, with very good general information in addition to many videos about health conditions (look to the far, upper right corner of the opening page).

Cochrane Review    Provides more technical information regarding evidenced-based treatments for diseases. A good place to look if you are a bit of computer savvy and have a medical decision to make.

For Information about more specific topics:

Lyme Disease Information    Visit this link to the New Hampshire Department of Health and Human Services site for the latest information about Lyme disease and other tick-borne illnesses.

H1N1 Information from State of NH    Up to date influenza information from the State of New Hampshire Department of Health and Human Services.

CDC Travel    If you are heading out, particularly overseas, visit this site for up to date travel information.

Pediatric Vaccine Safety    The Children’s Hospital of Philadelphia presents information on childhood vaccines, with a series of videos we encourage all parents of young children to review.

Prostate Cancer Screening    A brief review from the NIH regarding the pros and the cons of screening for prostate cancer, particularly with reference to the PSA (Prostate Specific Antigen) blood test.  We encourage all men over the age of 40 to review this topic.

Low Glycemic Index Diet    Low glycemic index foods may be helpful for those with elevated blood sugars and those struggling to lose weight.  In fact, we all can likely benefit from following this concept!     This is an excellent resource for ‘all things mental health’, add free and maintained by Harvard Medical School. Whether it is depression, anxiety, substance abuse or day to day stress, this site offers a great deal of information regarding causes, symptoms and common sense strategies to start feeling better such as relaxation techniques.

Smoking Cessation Resources:

Many resources are locally available to assist those working toward a tobacco-free future.  Check out these resources and come see us for help!

Quitworks-NH    Provides a mechanism for providers to connect their patients to the state of NH tobacco treatment services.  We can download referral forms and send to the NH Try-To-Stop Tobacco Resource Center, which will enroll you in telephone counseling services.  Please let us know if you are interested in this service.

The NH Tobacco Help Line    1-800-QUIT NOW (1-800-784-8669) is the quitline for New Hampshire residents and is part of the National Network of Tobacco Cessation Quit Lines. The interactive website provides links to multiple resources for NH residents.

Nicotine Anonymous    This is a free, non-profit support group that offers a 12-step program to help its participants quit smoking.  The website provides connections to online meetings, a list of telephone meetings and links to local group meetings, including one in Dover, New Hampshire.

Freedom from Smoking Online    This is the American Lung Association’s free online smoking cessation program.

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Your Medical Home

21 Hampton Road, Building 2, Suite 201 Exeter, NH. 03833

Phone: 603.418.6310
Fax: 603.418.6311

Office Hours
Monday - Friday, 8:30am - 5:00pm

Jim, born and raised on Cape Cod, attended the University of Massachusetts School of Medicine after graduating Phi Beta Kappa from the University of Vermont.  He completed his Family Practice Residency in Baltimore, Maryland in 1990, serving as Chief Resident during his third year.  After enjoying private practice for 5 years, he was one of the first Physicians to form CORE Health Services, a large, multispecialty group, serving on their Board of Directors.   After 10 years as an employed Physician, he established YourMedicalHome as an independent, Primary Care Practice, with a vision of the Patient Centered Model of Care.  He maintains privileges at Exeter Hospital, and has served on Medical Staff Leadership of that institution.

Various experiences, including involvement with the Institute for Healthcare Improvement, the Ideal Medical Practices Collaborative, the Dartmouth Cooperative Research Network as well as practicing in a number of different Primary Care Models has provided Jim with a unique perspective into what works, and what does not work, in the Primary Care Setting.  He has found the smaller practice model to be an ideal way to bring innovation in care delivery quickly to where it matters most, the patient.  This can be as simple as a phone system that allows all (including Physicians) to answer the phone, to patient direct online scheduling, to the encouragement of email communication, or to something as ‘old fashioned’ as regularly performing house calls.

Jim believes that excellent and timely communication, easy access and continuity of care are absolutely critical to the care we provide, and believes that all we do should augment these goals.  He enjoys speaking about any issue involving the practice of medicine and greatly enjoys the long term relationships with the patients of the practice, realizing that these insights can be very important in the provision of the care they need, and want.

You may see him jogging, biking or rowing around the Seacoast.  He is married to Casey (see below) and lives in Exeter with Casey and their four children, two girls followed by two boys.

Kareen is an Osteopathic Physician. Growing up in a family of ten children in suburban Boston, she knew that she wanted to be a “Family Doc” since the age of eight. Her background training includes an undergraduate degree in Biology from Saint Michael’s College in Vermont, and a Doctor of Osteopathic Medicine from the University of New England in Maine.  For over 20 years, she has been committed to helping patients achieve better health. Kareen believes that being healthy is a partnership between the patient and the physician, and is committed to helping guide her patients to a healthier life.  Kareen is passionately interested in preventative care, fitness, exercise and other lifestyle choices the patient can make to deal with stresses that contribute to so many illnesses.  She is quick to prescribe lifestyle changes and exercise, and is slower to suggest “fix-it pharmaceuticals” which often only treat symptoms, not their underlying causes.  She has been involved with the developing science of Resiliency Training through the University of Pennsylvania, helping teach these techniques to those in the military.

Kareen lives on the Seacoast of New Hampshire with her husband of over twenty years, Peter.  They are avid cruising sailors, and have cruised from Newfoundland and Labrador, through the coast of Maine, the Caribbean, in Ireland and England, and the South Pacific.  Kareen is committed to physical fitness, particularly enjoys being with her large extended family, reading, photography, travel, amateur woodworking and loves old quilts. Kareen sees patients in the office a couple of days per week, and makes house calls when necessary.  When not in the office, you’ll often find her somewhere on the water!

Casey, a Pediatric Nurse Practitioner, was born and raised near Washington DC.  She received her Bachelors of Science in Nursing from Fitchburg State College, graduating Magna Cum Laude.  She earned her Masters in Nursing from the University of Maryland while working at Children's Hospital National Medical Center in Washington, DC. Casey has more than 20 years of experience caring for children in the outpatient setting.  This experience, coupled with raising four children of her own, gives Casey ample perspective and empathy, with regards to the unique needs of our pediatric patients and their families.

Casey is married to the ‘other’ Bloomer in the practice and enjoys her large extended family, being the 9th of 10 children.  You might also see her running around town, literally. She values spending ample time with all families to address whatever issues might arise.

Susan, a Family Nurse Practitioner, graduated with a Bachelor of Science in Nursing from UMASS, Lowell in 1979. She enjoyed working in a variety of settings including the Greater Lawrence VNA, and during the early 1980s was thrilled to be involved in the planning and development of the hospice program for that organization. While working and raising her children, Sue went back to UMASS to obtain her Masters Degree in Nursing. She has had the pleasure of working for 16 years in Family Practice with Michael Lannon, MD, until his retirement in August 2010 at which time she joined YourMedicalHome. She has learned so much over the past 30 years of nursing practice, both from her coworkers and particularly from her patients. Sue believes that listening is crucial to helping people and looks forward to meeting with patients and their families, listening to their concerns and working with them to develop a plan of care to optimize their health. Sue lives on the Seacoast with Tom, her husband. They have three grown children and an overgrown Westie. She enjoys being outdoors, walking, hiking, XC-skiing and spending time with her family.

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