Subject: Fall updates from The Biemer Clinic

Early Fall Updates

My Personal Journey and Yours

September 30, 2024

Dear patients and friends, 


I hope you're enjoying the early fall weather- I had a good dose dose of summer and am ready. I'm also celebrating completion of 18 months or treatment for my prostate cancer which is at the moment nowhere to be seen. Being an optimist I'm pushing hard to gain back the strength, muscle mass and endurance I lost during the treatments, and have started a likely 12-18 month push to arrive at my goals. Wanna join me? 


No matter your age, most of you can also improve your day to day function and energy, while reducing markers of inflammation and poor metabolic health. I've changed my office schedule to allow more morning workouts, dramatically reduced carbs and increased protein, and got baseline DEXA body composition studies and V02 max studies for before and after comparison. Many of YOU- whether extremely healthy and dedicated to prolonging health and lifespan, or dealing in the best possible way with a chronic illness, have been tremendous role models and inspirations to me. Thank you! 


At 65 you have me in "extra innings" already, though I told many of you my dad, who retired at 67 with prostate cancer and died recently at 91, regretted terribly his decision to give up being a pathologist, in a large hospital in Tampa. He loved pathology and felt he was making tremendous contributions still in his late 60's. Lesson learned! 


Fall Immunizations


Many of you are asking about my recommendations for shots this Fall. Fortunately at the moment the huge summer Covid surge seems to be waning, but likely Covid, RSV and Flu will be back in the coming months. 


RSV (a respiratory virus that can be severe)- single dose if over 75, or 60-74 with at higher risk due to lung disease, immune compromise. No annual booster. 


Flu shot- high dose if 65 or over, Quad shot if under 65 (we have flu shots in office). 


Covid - booster (MRNA or Novavax)- any time now but should be 3-4 months after last Covid shot or HAVING Covid. 






Please welcome Kristine! As you know Kazumi has moved permanently back to Nagano, Japan which is her home town. I'm thrilled to have Kristine back as she worked with us in the past, and has tremendous experience as an MA (medical assistant). She's fit right in and it's been a smooth transition. Welcome Home! 



Regarding Virtual Visits: 


We have had availability of "virtual" or telehealth visits for the past few years but haven't promoted them much. They save you travel time and are often perfectly fine unless physical exam is absolutely necessary. Medicare "Wellness exams" can also be done virtually, and in some of our patients with mobility issues may be extremely handy. We are installing a new telehealth product in the office that is embedded in our electronic record Athena, and should be easier for both you and us in the office to use. Consider it for your next "check in" visit.