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Dr. Jerome Andrew Kessler, MD

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Specializes in: Internal Medicine (Adult Medicine), Family Medicine and Geriatrics (Elderly Care)

University of Minnesota Medical School (1980)

Professional interests include: hospital care, chronic illness, intestinal (bowel) problems, and more.

214 14th Avenue Sw
Sidney, MT 59270

(406) 488-2550

Dr. Jerome Andrew Kessler, MD is an internist in Sidney, MT specializing in internal medicine (adult medicine), family medicine and geriatrics (elderly care). He graduated from University of Minnesota Medical School in 1980 and has 45 years of experience. Dr. Jerome Andrew Kessler, MD is affiliated with Sidney Health Center and SIDNEY HEALTH CENTER.

Office Locations

Address:

214 14th Avenue Sw
Sidney, MT 59270

Some issues Dr. Jerome Andrew Kessler, MD can help you with:

Depression

Everyone knows what it feels like to get the blues once in a while. But depression is a serious illness that is more severe than a bad day and lasts much longer. Symptoms of depression stop a person from being able to function and enjoy daily activities for weeks or months at a time. It can happen to anyone, and it isn't something that people can control by force of will or "snap out of it."

Some common symptoms of depression include:

Feeling sad, guilty, empty or hopeless
Fatigue and a lack of energy and motivation
A loss of pleasure in activities that were previously enjoyed
Unusual sleep or eating habits
Mental fog -- trouble concentrating, remembering, or making decisions
Physical aches and pains
Suicidal thoughts or a preoccupation with death

We don't yet know what causes depression, but it's thought that it is a combination of genetic, biological, environmental, and social influences. Because of this, the most effective treatments for depression combine medication with psychotherapy. Therapy, especially cognitive-behavioral therapy, can be extremely helpful in resolving the negative thoughts and feelings that come with depression. It gives patients new tools that they can use themselves to cope when their depression is making them feel down.

Some of the common medications used to treat depression include antidepressants such as SSRI's (Prozac, Paxil, Zoloft) or atypical antidepressants (Cymbalta, Wellbutrin). It's important to remember that these medications have different effects on everybody, and no one medication works right for everyone. Patients may have to try a couple before finding the one that works just right for them. If the first medication they try doesn't work, they should talk to their doctor about trying something else. In extreme cases where medication is not enough, electro-convulsive therapy and hospitalization may be the answer to keeping a severely depressed person safe.

Depression is a difficult illness to deal with, but it is more common than believed and there are many people who can help. With the right treatment, individuals with depression can get back to fully enjoying life again.

Heart Problems

The heart is one of the most important organs in the body. This smooth muscle expands and contracts rhythmically an entire lifetime, pumping blood to the lungs and then to every other cell in the body. When heart problems occur, it becomes difficult for the body to get the nutrients and oxygen it needs via the blood. So while there are a variety of illnesses and disorders that affect the heart, most of them cause weakness, exhaustion and shortness of breath. The most common heart conditions include heart disease, angina, arrhythmia, and valve disorders.

Heart disease is the leading cause of death in the United States for both men and women. This includes coronary artery disease, heart attacks, congestive heart failure, and congenital heart disease. Some conditions, such as genetics, cannot be controlled. But there are many other things one can do to lower their risk for heart disease. Controlling high blood pressure and cholesterol levels, reducing or stopping smoking, exercising more and losing weight if needed, and eating a diet low in sodium can all protect the heart.

Angina is a squeezing type of chest pain that happens when the muscles around the heart don't get enough oxygen. It can be regular or infrequent. Usually, angina is caused by coronary heart disease. However, not all chest pain is angina. Chest pain can also be caused by a lung infection or panic attack, for example, so it is important to have any sudden pain checked.

Arrhythmia is the word for when the heart beats too fast, too slow, or irregularly with skipped beats. It can feel frightening, and depending on the type it can be dangerous, but in most cases arrhythmia is not serious and can be treated. It is very common, especially in older adults.

Heart valve problems can happen in any one of the the heart's four valves that keep blood flowing where it needs to go. Babies can be born with problems in their heart valves, or valves can be damaged by infections. The valves can stiffen and become less mobile, or they can stop closing properly and 'leak' when the heart beats. Valve problems can usually be repaired surgically.

Thyroid Problems

Thyroid problems are a group of conditions that alter hormone regulation and metabolism. The thyroid is a small, butterfly-shaped gland located in the lower neck, just below the Adam's apple (laryngeal prominence) and larynx (voice box). Despite its small size, the thyroid has an outsized effect on the body by regulating hormones that control metabolism. Metabolism is the body's process of converting consumed food into fuel to power the entire body. Heart rate, weight, cholesterol, body temperature, and even physical growth and development are all affected by the metabolism.

When the thyroid malfunctions, the body is unable to properly process and allocate energy. Thyroid problems, such as hyperthyroidism (overactive thyroid) and hypothyroidism (underactive thyroid), cause irregular metabolism. In some cases, the body produces antibodies that attack the thyroid cells for unknown reasons. The damaged thyroid responds by releasing either too little or too much T3 and T4 thyroid hormones. Thyroid malfunctions may also arise from genetic causes or iodine deficiency. Thyroid problems may include:

Hashimoto's thyroiditis, an autoimmune disease that causes hypothyroidism
Graves' disease, an autoimmune disease that causes hyperthyroidism
Goiter
Thyroid nodule
Thyroid cancer

Hashimoto's is the leading cause of hypothyroidism, which is when the thyroid does not produce enough hormones to stimulate adequate metabolism. The condition is diagnosed by blood tests that measure TSH (thyroid stimulating hormone) and detect Hashimoto's antibodies. Symptoms of hypothyroidism include sluggish metabolism, inflammation, fatigue, weight gain, brittle hair, dry skin, and sensitivity to cold. To supplement impaired thyroid function, patients with Hashimoto's are typically prescribed synthetic thyroid hormone pills. Such patients may need to consume synthetic thyroids for the rest of their lives. Other treatments may include dietary changes, such as the avoidance of certain foods and medication to reduce inflammation. Frequent blood tests can inform patients if their TSH levels are within a normal range.

Grave's disease is most frequently the cause of hyperthyroidism, which is when the thyroid produces too many hormones, overstimulating one's metabolism. The condition is also diagnosed by blood tests that measure TSH and detect Grave's antibodies. Elevated heart rate, high blood pressure, sweating, bulging eyes, and weight loss are common symptoms of hyperthyroidism. Treatments for hyperthyroidism include oral radioactive iodine, which slowly shrinks the thyroid, slowing the production of excess thyroid hormone. Other anti-thyroid medications such as methimazole (Tapazole) also reduce the production of thyroid hormones. Blood pressure medications known as beta blockers can ease the increased heart rate caused by hyperthyroidism. If treatments are unsuccessful, patients may be prescribed a thyroidectomy, or surgery to remove part or all of the thyroid. Some patients with hyperthyroidism may require ophthalmological (eye medicine) treatments such as eye drops, prednisone, and surgery to reduce eye swelling and bulging.

Untreated thyroid disorders frequently lead to goiters or thyroid nodules. A thyroid goiter is a large lump that can be felt near the base of the neck and is made of swollen thyroid tissue or nodules (excess cell growth). Nodules and goiters are diagnosed by CT scan or ultrasound. Obstructive goiters can cause pain, coughing, and abnormal breathing. The most common cause of goiters is hyperthyroidism (overactive thyroid). However, Hashimoto's is also known to cause goiters or nodules. Goiters develop from continued damage from antibodies to the thyroid over time. At times, a goiter can result from a cancerous thyroid tumor. Most goiters and nodules are themselves benign.

The exact causes of thyroid cancer are unknown. People who develop thyroid cancer may or may not have another thyroid problem such as Hashimoto's or Grave's disease. Symptoms of thyroid cancer include a nodule that can be felt on the neck, hoarseness, difficulty swallowing, swelling in the neck, and neck and throat pain. CT and MRI scans are used to diagnose thyroid cancer. There are four types of thyroid cancer which vary in intensity. Thyroidectomy (thyroid removal surgery) is usually prescribed to treat thyroid cancer.

Thyroid problems are often long-term conditions that require some form of treatment. With regular monitoring and medication, many people with thyroid problems are able to lead active and fulfilling lives.

hospital care	21
inpatient care	21

**Gender**
Male	13
Female	20

**Age**
From 65 to 74	0
From 75 to 84	11
85 and over	0
Less than 65	0

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	48
Depression	33
Chronic Kidney Disease	36
Asthma	0
Osteoperosis	0
Atrial Fibrilation	0
Heart Failure	61
Chronic Obstructive Pulmonary Disease	36
Diabetes	0
Dementia	0
Cancer	0

doctor visit	21
hospital care	256
inpatient care	256
nursing home care	28

**Gender**
Male	60
Female	96

**Age**
From 65 to 74	47
From 75 to 84	50
85 and over	42
Less than 65	17

Hypertension	75
High Cholesterol	58
Stroke	0
Ischemic Heart Disease	43
Depression	41
Chronic Kidney Disease	37
Asthma	16
Osteoperosis	21
Atrial Fibrilation	19
Heart Failure	55
Chronic Obstructive Pulmonary Disease	28
Diabetes	29
Dementia	26
Cancer	11

hospital care	333
inpatient care	333
nursing home care	111

**Gender**
Male	112
Female	184

**Age**
From 65 to 74	84
From 75 to 84	106
85 and over	80
Less than 65	26

Hypertension	74
High Cholesterol	61
Stroke	9
Ischemic Heart Disease	44
Depression	39
Chronic Kidney Disease	45
Asthma	29
Osteoperosis	18
Atrial Fibrilation	18
Heart Failure	64
Chronic Obstructive Pulmonary Disease	28
Diabetes	36
Dementia	29
Cancer	18

cardiac procedures	15
hospital care	410
inpatient care	410
nursing home care	187
ultrasound (sonogram)	15

**Gender**
Male	83
Female	97

**Ethnicity**
Non-Hispanic White	166
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	59
From 75 to 84	53
85 and over	53
Less than 65	15

Hypertension	75
High Cholesterol	54
Stroke	9
Ischemic Heart Disease	54
Depression	34
Chronic Kidney Disease	47
Asthma	32
Osteoperosis	16
Atrial Fibrilation	18
Heart Failure	67
Chronic Obstructive Pulmonary Disease	29
Diabetes	36
Dementia	38
Cancer	22

hospital care	437
inpatient care	437
nursing home care	192

**Gender**
Male	65
Female	96

**Ethnicity**
Non-Hispanic White	150
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	51
From 75 to 84	54
85 and over	43
Less than 65	13

Hypertension	74
High Cholesterol	48
Stroke	0
Ischemic Heart Disease	50
Depression	31
Chronic Kidney Disease	50
Asthma	14
Osteoperosis	14
Atrial Fibrilation	22
Heart Failure	75
Chronic Obstructive Pulmonary Disease	34
Diabetes	39
Dementia	32
Cancer	23

cardiac procedures	14
hospital care	433
inpatient care	433
nursing home care	205
ultrasound (sonogram)	14

**Gender**
Male	89
Female	118

**Ethnicity**
Non-Hispanic White	192
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	58
From 75 to 84	70
85 and over	57
Less than 65	22

Hypertension	75
High Cholesterol	61
Stroke	8
Ischemic Heart Disease	53
Depression	33
Chronic Kidney Disease	57
Asthma	12
Osteoperosis	20
Atrial Fibrilation	21
Heart Failure	62
Chronic Obstructive Pulmonary Disease	31
Diabetes	43
Dementia	31
Cancer	22

hospital care	394
inpatient care	394
nursing home care	172

**Gender**
Male	72
Female	110

**Age**
From 65 to 74	56
From 75 to 84	64
85 and over	50
Less than 65	12

Hypertension	75
High Cholesterol	56
Stroke	9
Ischemic Heart Disease	45
Depression	39
Chronic Kidney Disease	57
Asthma	13
Osteoperosis	24
Atrial Fibrilation	20
Heart Failure	68
Chronic Obstructive Pulmonary Disease	29
Diabetes	40
Dementia	32
Cancer	19

cardiac procedures	11
hospital care	632
inpatient care	632
nursing home care	233
ultrasound (sonogram)	11

**Gender**
Male	117
Female	159

**Ethnicity**
Non-Hispanic White	265
Black	0
Hispanic	0
Asian	0
Other	0
Native American	0

**Age**
From 65 to 74	88
From 75 to 84	107
85 and over	69
Less than 65	12

Hypertension	75
High Cholesterol	68
Stroke	8
Ischemic Heart Disease	45
Depression	35
Chronic Kidney Disease	50
Asthma	22
Osteoperosis	19
Atrial Fibrilation	15
Heart Failure	62
Chronic Obstructive Pulmonary Disease	29
Diabetes	37
Dementia	25
Cancer	17

hospital care	896
inpatient care	896
nursing home care	291

Average Medicare Procedure Volume From 2013 - 2021

Volume of procedures performed by Dr. Jerome Andrew Kessler, MD for Medicare patients.

The highest averages for the top procedures that Dr. Jerome Andrew Kessler, MD treated as an internist in Sidney, MT were hospital care, inpatient care, nursing home care and ultrasound (sonogram).

cardiac procedures	13
doctor visit	21
hospital care	423
inpatient care	423
nursing home care	177
ultrasound (sonogram)	13

Average Medicare Patient Data From 2013 - 2021

Information about Medicare patients treated by Dr. Jerome Andrew Kessler, MD.

**Gender**
Female	88
Male	61

**Ethnicity**
Black / African American	0
Asian / Pacific Islander	0
Non-Hispanic White	77
Native American / Alaskan Native	0
Hispanic	0
Other	0

**Age**
85 and over	39
75 to 84	51
Less than 65	11
65 to 74	44

Average of Total of Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD From 2013 - 2021

The highest averages of the most common conditions of Medicare patients that Dr. Jerome Andrew Kessler, MD treated were hypertension, heart failure, high cholesterol and chronic kidney disease.

Hypertension	59
High Cholesterol	46
Stroke	4
Ischemic Heart Disease	38
Depression	28
Chronic Kidney Disease	37
Asthma	13
Osteoporosis	13
Heart Failure	51
Chronic Obstructive Pulmonary Disease	24
Diabetes	26
Atrial Fibrillation	13
Dementia	21
Cancer	13

Education & Training

Dr. Jerome Andrew Kessler, MD graduated from University of Minnesota Medical School in 1980. He completed residency at Fargo, North Dakota. He is certified by the American Board of Internal Medicine American Board of Family Medicine Advanced Cardiac Life Support (ACLS) and has a state license in Montana.

Medical School: University of Minnesota Medical School (1980)

Residency: Fargo, North Dakota

Board Certification: American Board of Internal Medicine American Board of Family Medicine Advanced Cardiac Life Support (ACLS)

Licensed In: Montana

Affiliations & Hospitals

Dr. Jerome Andrew Kessler, MD is associated with these hospitals and organizations:

Sidney Health Center

SIDNEY HEALTH CENTER

Ratings & Reviews

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General Payments

These charts describe general payments received by Dr. Jerome Andrew Kessler, MD. Doctors may receive payments for a number of reasons, including meal compensation, travel compensation, and consulting.

**Payments by Company**
Lilly USA, LLC	$137 TRULICITY $92	JARDIANCE $20	GLYXAMBI $14	BASAGLAR $11
AstraZeneca Pharmaceuticals LP	$107 FARXIGA $54	BYDUREON PEN $30	SYMBICORT $13	CRESTOR $10
Novo Nordisk Inc	$105 Victoza $63	Tresiba $30	Ozempic $12
Pfizer Inc.	$77 ELIQUIS $77
Teva Pharmaceuticals USA, Inc.	$76 AJOVY $76
Other	$140 TOUJEO $46	OPDIVO $27	ORBACTIV $22	SYNJARDY $21	GLYXAMBI $14	Other $11

**Types of Payments**
Food and Beverage	$610
Education	$32

Biography

Dr. Jerome Kessler practices family medicine and geriatrics (elderly care) in Sidney, MT. He graduated from the University of Minnesota Medical School. He is affiliated with Sidney Health Center.

Select Year:

Dr. Jerome Andrew Kessler, MD

Office Locations

Some issues Dr. Jerome Andrew Kessler, MD can help you with:

Medicare Procedure and Patient Information

2013 Medicare Procedure Volume

2013 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2013

Medicare Procedure and Patient Information

2014 Medicare Procedure Volume

2014 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2014

Medicare Procedure and Patient Information

2015 Medicare Procedure Volume

2015 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2015

Medicare Procedure and Patient Information

2016 Medicare Procedure Volume

2016 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2016

Medicare Procedure and Patient Information

2017 Medicare Procedure Volume

2017 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2017

Medicare Procedure and Patient Information

2018 Medicare Procedure Volume

2018 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2018

Medicare Procedure and Patient Information

2019 Medicare Procedure Volume

2019 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2019

Medicare Procedure and Patient Information

2020 Medicare Procedure Volume

2020 Medicare Patient Data

Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD in 2020

Medicare Procedure and Patient Information

2021 Medicare Procedure Volume

Average Medicare Procedure Volume From 2013 - 2021

Average Medicare Patient Data From 2013 - 2021

Average of Total of Conditions of Medicare patients treated by Dr. Jerome Andrew Kessler, MD From 2013 - 2021

Education & Training

Affiliations & Hospitals

Ratings & Reviews

General Payments

Biography

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