Elaine L. Fleming, MD

My goal is to relieve patients' spine-related pain and disability with the least invasive solution. Active patient participation is a key part of the process. Together, we create a treatment plan that custom fits the patient both medically and personally. The least invasive procedure is often non-surgical. When surgery is necessary, however, my advanced neurosurgery and orthopaedic training in spine allow me to offer the full breadth of surgical techniques. This helps ensure my patients receive the best care possible.

Dr. Marc Gautier is a distinguished hematologist and oncologist affiliated with Dartmouth Health, where he serves as the Associate Director of Regional Affairs at the Dartmouth Cancer Center and holds an assistant professor position at the Geisel School of Medicine. His areas of focus include geriatric oncology and multiple myeloma, showcasing his expertise in treating complex hematological conditions. Dr. Gautier has been recognized as a Top Doctor by Castle Connolly multiple times, reflecting his commitment to high-quality patient care. He completed his medical education at Dartmouth Medical School and furthered his training through residency and fellowship programs at prestigious institutions, including Columbia Presbyterian Medical Center and Duke University Medical Center. Generated from the website

After working in intensive care, my nursing career led me to care for patients in the catheterization and electrophysiology labs. As I decided to become a nurse practitioner, it was a natural course to follow, given my experience. Working with patients with electrical heart rhythm disturbances, I found myself wanting to learn more. I have found an infinite and vast specialty area that is extremely interesting to me. When I meet with patients, I try to explain things in a meaningful way - as something they could relate to in everyday life. I'm down-to-earth and approachable. I enjoy working with people. I want to work with my patients to seek out answers for them. If I can help improve a patient's quality of life by making them feel better, I feel successful.