Internal Medicine: Help for Complex Medical Conditions
You’ve got a great relationship with your Family Medicine provider—but lately, you’re juggling a cardiologist, a nephrologist, maybe a urologist, and a growing list of prescriptions. Sound familiar? At Alomere Health, that’s exactly the kind of situation where an Internal Medicine (IM) provider can step in—not to replace your care team, but to help pull it all together.
What Makes Internal Medicine Unique?
Dr. Skyler Dahlseng has praciced internal medicine at Alomere since 2024. He says the biggest distinction between IM and Family Medicine (FM) comes down to who they treat and how they train. “Our training is specifically for adult patients,” Dr. Dahlseng said. “We don’t see individuals under the age of 18, and we don’t manage pregnancies.”
That focused training means IM residencies spend heavy time in critical care, pulmonary care, and cardiology rotations—often the same launching pad providers use before specializing further into fields like cardiology or nephrology.
Maxwell Berscheit, NP
Andrea Boe, MD
Jessica Butanis, DO
Skyler Dahlseng, DO
Leslie Kirscht, PA-C
Betsy Moga, RN, CNP
For patients managing conditions like type 2 diabetes, high blood pressure, coronary disease, or chronic kidney disease—often alongside multiple specialists—Dr. Dahlseng describes the IM team’s role simply: I want to be kind of like your general contractor for building a house,” he said. “I try to keep that bird’s-eye view so that any recommendation you’re getting from a specialist, we’re asking, does this make sense in the context of your overall health care, too?”
That coordination extends beyond the physical—Dr. Dahlseng notes that mental and cognitive health, especially in aging patients, are a major part of the IM team’s daily work as well.
A Team Effort
Because FM and IM providers at Alomere work side by side, Dr. Dahlseng says his FM peers know when it’s appropriate to collaborate with the IM team: “Maybe this patient has gotten to a point in their disease progression—why don’t we have you go over and see Internal Medicine?”
Meet the Team
Alomere’s Internal Medicine group includes physicians Dr. Andrea Boe, Dr. Jessica Butanis, Dr. Skyler Dahlseng, with nurse practitioners Maxwell Berscheit, Betsy Moga, and physician assistant Leslie Kirscht—six 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.
