Internal Medicine: Help for Complex Medical Conditions

If you’re managing more than one chronic condition (such as diabetes, high blood pressure, and heart disease, all at once, maybe alongside a cardiologist and a nephrologist), keeping it all straight can feel like a full-time job. That’s exactly the kind of complexity Alomere Health’s Internal Medicine (IM) team is built to handle.
Trained for adult, complex care
Internal medicine providers care exclusively for adults, and their training reflects it. “Our training is specifically for adult patients,” Dr. Skyler Dahlseng said, “We don’t see individuals under the age of 18, and we don’t manage pregnancies.” That focus means IM residencies spend significant time in critical care, pulmonary care, and cardiology rotations—building a deep foundation in managing conditions that often overlap and interact with one another.
“As internists, part of our training is focused on care of complex patients,” Dahlseng said. “When you have a lot of complicated conditions and perhaps see a few different specialists in a few different locations, that’s where I think our group shines.”
A general contractor for your health
For patients managing multiple chronic conditions across multiple specialists, Dahlseng says his role is to keep the big picture in view.
That coordination goes beyond the physical. Dahlseng notes that mental and cognitive health—especially in aging patients—are just as much a part of the internal medicine team’s daily work as managing blood pressure or blood sugar.

Andrea Boe, MD

Jessica Butanis, DO

Skyler Dahlseng, DO
Leslie Kirscht, PA-C
Betsy Moga, RN, CNP
Meet the Team
Alomere’s Internal Medicine group includes physicians Dr. Andrea Boe, Dr. Jessica Butanis, Dr. Skyler Dahlseng, with nurse practitioner Betsy Moga, and physician assistant Leslie Kirscht—five providers working together to serve adults across Alexandria and the surrounding lakes area.
Click to learn more about Alomere’s Internal Medicine team and all of Alomere’s primary care services.
