Inspire and Motivate

One of our passions is to help all reach their full potential.  We coach, cajole, recommend, prod and encourage.  We also rejoice when our patients do well.  We find good reading can provide that “ah ha” moment or information that just clicks for a certain patient or issue.  We are constantly on the hunt for excellent resources to pass on to all.  If you have come across a resource you have found particularly helpful, don’t be selfish!  Please let us know so we can pass it on to others who may be facing similar issues.  Below are just a few we have found to be very well written and worth a trip to the bookstore.  We have copies of them all in our office if you’d like to take a look.

Do You Believe in Magic, by Paul Offit, MD?  Vitamins, Supplements, and all Things Natural; A Look Behind the Curtain. I an age of readily available information, sorting out truth from fiction and good science from snake oil can be challenging. Dr. Offit offers a very straightforward assessment of some commonly used supplements and the case for (and against) them.

The Power of Habit, by Charles Duhigg. Why we do what we do in Life and Business.  This is a great read, tackling the ‘holy grail’ of behavior change; dissolving that old habit while generating a new one. Charles provides practical, and very useful insight into how we are wired, and how we can rewire.

Anxious Kids, Anxious Parents, by Reid Wilson and Lynn Lyons. 7 Ways to stop the Worry Cycle and Raise Courageous and Independent Children.  The incidence of anxiety among young people is rising. This is a must read for anyone dealing with anxiety, whether you have an anxious child or not.

Quiet, by Susan Cain. The Power of Introverts in a World That Can’t Stop Talking.  Staying true to your temperament is on the message of this book, filled with inspiration for the third of us who are introverts…it is OK.

Younger Next Year, by Chris Crowley and Henry Lodge, MD.  One book for men, and another for a woman, these books present a framework for rethinking the way we look at exercise, nutrition, and socialization as we approach 50.  “We do have to age, we don’t have to rot”, is the message, with inspirational banter from Chris, backed up by Henry with the science.  We have had many patients report an “ah ha” moment after reading these books and generally have a stack of them on our shelf.

Aging Well, by George E. Vaillant, MD.  A well-written guide to findings from the “Landmark Harvard Study of Adult Development”, this book presents the findings and insights from the three longest prospective studies of physical and mental health in the world.

SPARK, The Revolutionary New Science of Exercise and the Brain, by John J. Ratey MD.  A great book, packed with stories and easy to understand science, linking exercise with a better outcome for all things ‘brain’, from test scores and memory to anxiety and depression, to ADD and Alzheimers. If you ever wondered why you need to exercise, here is some more ammunition!

OVERDIAGNOSED, Making People Sick in the Pursuit of Health, by H. Gilber Welch, MD.  An easy to understand, well laid out discussion of the other side of the testing ‘coin’ regarding screening tests, and possible harm from looking for diseases that are not yet evident. One of the most interesting books I have read on the subject. If you have not heard about this phenomenon recently, you most certainly will over the next few years.

Last Rites , by Stephen P. Kiernan.  Subtitled “Rescuing the end of life from the medical system” this excellent read is a must for anyone who has a loved one approaching the end of life, providing food for thought regarding how patients and their families can “regain control of the dying process”.

The Blue Zones, by Dan Buettner.  Subtitled “Lessons for living longer from the people who’ve lived the longest”, the author reports on 4 places where people appear to live extraordinarily long, and well.  He offers recommendations on how we might incorporate lessons from these cultures into our everyday lives.

How Doctors Think, by Jerome Groopman, MD. Well titled and a question many patients might have!  This is a must-read for anyone who must interact with the HealthCare System on a regular basis, providing insights into how medical decisions are made and insights as to how you might determine whether you are being heard and that your caregivers are really listening.

Learned Optimism, How to Change Your Mind and Your Life, by Martin E.P. Seligman, Ph.D.  Written by one of the foremost researchers of Positive Psychology, this book discusses that we can actually evaluate whether we are an optimist or a pessimist by nature, and more importantly, that we can change the lens through which we see the world.

The Seven Habits of Highly Effective People, by Stephen Covey.  This is the first in a classic series of books which review 7 habits that can serve as a framework for personal growth, be it physical, emotional, intellectual or spiritual.  This book does not present “gimmicks” or “quick fixes”, but general truths which we frequently overlook in our efforts to improve.

The Glycemic Load Diet, by Rob Thompson, MD.  This is geared mainly toward those with mildly elevated blood sugar but is applicable to anyone trying to lose weight.  His easy to understand concepts help bring home the ‘why’, which is critical to any behavior modification effort.  We have had a number of patients have great success utilizing this concept.  Thanks to Tom for a great book recommendation!

For the Love of Food, the diet that works, by Eileen Behan, RD.  This is one of nine books written by our local expert nutritionist.  “Imagine a diet that is effective, but not restrictive”, is how the book opens.  A great read, with advice and recipes from someone with over 20 years of experience.  Let us know if you’d like to see her for a consult!

My Mother, Your Mother, By Dennis McCullough, MD. This book embraces the concept of “slow medicine”, a critical concept in implementing a compassionate approach to the care of aging loved ones.  Dr. McCullough is an exceptionally well trained, and experienced family physician and geriatrician who passes on invaluable thought-provoking and practical advice as our loved ones turn those “final few pages” of life.

YOUR MEDICAL MIND, How to Decide What is Right for You, by Jerome Groopman MD and Pamela Hartzband, MD.  A timely discussion about how to think about health recommendations from Physicians, the Media, or your Aunt Sally. This thoughtful (and helpful) book would help everyone make choices that serve you (the patient) best.

BORN TO RUN, by Christopher McDougall. A well written, inspirational story of a nonrunner who became one (the author) and a hidden tribe in Mexico of ultra-long-distance runners. A fascinating look into what humans are born to do.

SHORTCUTS TO INNER PEACE, by Ashley Davis Bush, LCSW.  An interesting tour of what stress is and how it affects each of us, followed by 2 to 4-page vignettes describing triggers we all feel in our day to day lives, and tools to help reshape the way we both perceive and react to these triggers.

THE ANATOMY OF HOPE, How People Prevail in the Face of Illness, by Jerome Groopman, MD.  Another one by Dr. Groopman. A must read for any patient or family faced with a challenging or serious illness.

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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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