Tools

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What Vaccines Do I Need?    This website from the CDC (Centers for Disease Control) has a nice tool allowing adults and adolescents to see if immunizations are up to the most current recommendations.

How do I use an epi-pen?    Many patients have epi-pens but have never needed to use them. Be sure to review this site, just in case.

Disease Risk Calculator    A tool to calculate your future risk of many diseases, including cancers and heart disease.

New Hampshire Health Costs     The cost for medical services varies widely around the state.  This is an excellent tool allowing you to input your insurance information and produce estimates for your (and your insurance plans) cost for various tests and procedures at different institutions.  We encourage all patients to consider the cost of procedures along with convenience and quality.  We are glad to help you in this regard.  This tool can help and is particularly important if you have a high deductible health plan. One patients experience as reported to the Exeter News Letter

Symptom Checker    Maintained by the Mayo Clinic, this site allows you to plug in symptoms to create a list of possible diagnoses.

Problem Solving Tool    This is a tool developed through HowsYourHealth.org, taking you through steps to success with behavioral changes, such as dealing with stress, weight loss or chronic pain.  This has been shown to be clinically effective, helping patients get from where they are, to where they want to be.

Risk Score for Cardiovascular Disease     Calculate your risk for developing a cardiac disease in the next five years.

RealAge.com    This is a fun, online tool to help you get a sense of your biological age, versus your chronological age. See if you can lower your age as the years pass!

Screening for Depression    If you feel you may be suffering from depression, please complete this brief online questionnaire.  This is a screening test only and is not meant to confirm a diagnosis.  If you have any concerns, just call us.

Screening for Anxiety    If you feel you may be suffering from anxiety, please print and complete the form.  Call us or schedule a visit if you have any concerns, and feel free to bring your results with you.

Food for Thought Before you see a Specialist     This handout reviews things to consider when seeking specialty care and treatment.  Feel free to print this out, make notes or bring along with you.

Decisions in the Grey    Making medical decisions can be confusing, based on personal desires and wishes.  This tool from HowsYourHealth.org can be a helpful resource working through this decision making process, when the choices are usually ‘grey’, rather than crystal clear.  This is particularly helpful for our older patients.

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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 this 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 eh 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 that patient 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 the past 16 years in Family Practice with Michael Lannon, MD, until his retirement in August 2010. 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. Sue is very excited to have the opportunity to begin a new chapter here with Jim and his staff – 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 of 28 years. 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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