Dr. Rex L Mahnensmith M.D., Preventative Medicine Specialist

Dr. Rex L Mahnensmith M.D.

Internist

(36)
28 Ashton Circle Simsbury CT, 06070
Rating

4/5

About

I am continuing to serve as a Practicing Internal Medicine Physician. The central focus of my care is the individual. I aim to listen, to understand, to sort out active concerns of each individual and to address each. I will actively address any expressed and discovered concern, and will make referrals as needed. My care aims to be proactive and preventative - to provide screening and advice and counsel regarding health maintenance and wellness achievement. My care also will address acute illnesses. And my care shall embrace and address complex and high risk burdens of illness as well. My calling as a primary care physician is to provide personalized care that carefully considers the individual's burden of illnesses, the acute health changes that she or he is experiencing, taking into consideration special concerns and fears and needs as they unfold. It is with humility that I serve in this chapter of my vocation -- truly taking time to listen, to hear, to respond, to show empathy, and to make deeply considered and personalized clinical decisions. I pledge to serve carefully and tenderly, expressing value, concerns, hopes, counsel and education to individuals as I deliver particulars of clinical care. I am blessed with good health myself. I have served for over 30 years as Teaching Physician in three University Medical Centers. My teaching harmonized well with my clinical service and patient care during these years. I served both in outpatient clinics and on hospital units, supervising students and residents in concert with direct care responsibilities. These years were fulfilling. I aimed to deliver best care to patients - and I aimed to model best care as well. I regularly talked to students and residents about the special "calling" of a physician - the privilege, the responsibilities, the duties, and the opportunities to make a difference to individuals and families. I received several teaching awards over these years, and these years were filled with gratification and positive relationships. I thoroughly enjoyed clinical teaching and I poured my heart and mind and soul into each moment. In 2014, I retired from University Professorship and transitioned to serving individuals and families in Skilled Nursing Facilities, providing Urgent Care, Rehab Care, and General Medical care of many persons with various chronic illnesses. In this context, I had the capacity to really take time with individuals --- to sit and listen, to hear and to understand their concerns, and to deliver personalized care like never before. In this, I realized my Deepest Calling as a Physician -- primary, holistic care of individuals in their own special contexts, delving deeply into their unique social contexts, knowing deeply their burdens of chronic illnesses, responding promptly to any acute health change that they were experiencing, and addressing their various problems and fears. In 2015, I transitioned to a Community Health Clinic setting, where I served as Primary Care Physician addressing multiple individuals' needs and concerns. It is with humility that I serve in this ongoing chapter of my "Vocation" -- truly taking time to listen, to hear, to speak, to show empathy, and to make deeply considered, and personalized clinical decisions - and aiming to catalyze positive change in each person's health and sense of well-being. Into future days and weeks and months and years, I aim to serve carefully and tenderly, expressing value, concerns, hopes, and direction to individuals as I engage in particulars of clinical care. Through all, I hope to be a light that shines, just enough to give warmth and illumination and be a kindling source for others' whose light is dimming or flickering. I hope to confer a true sense of genuine caring to each person that I serve - caring for the person but also caring about the person -- recognizing and serving within their specific social context. Serving in this way, serving carefully as a caring physician, is my Calling. I intend to serve thusly as long as God wills and by His Strength and Wisdom.Professional Honors and Recognition:

Apr 1972Phi Beta Kappa, Phi Society, Sigma Xi, and Omicron Delta Kappa, Denison University
1972-1973Teaching Fellow, Denison University
Jun 1976Lange Award: "Clinical Excellence". Yale School of MedicineMay 1977Alpha Omega Alpha, Yale School of Medicine
Jun 1977Berniker Award: "Most exemplary of the disciplines and Precepts ofThe Oath of Hippocrates and Maimonides Prayer" Yale School of Medicine
Jun 1979Kushlan Award: "For clinical excellence and contributing the most to patient care", Yale New Haven Hospital
1983 - 1984National Kidney Foundation, Research Fellowship Award, Yale University
Jun 1985Duke University School of Medicine, "Special Recognition for Teaching"
Jun 1988"Teacher of the Year", Miriam Hospital, Brown University School of Medicine
Jun 1988"Model Physician Award", Miriam Hospital, Brown University School of Medicine
Jun 1989"Senior Class Outstanding Teacher Award" Brown University Program in Medicine
Jun 1989"Teacher of the Year", Miriam Hospital, Brown University School of Medicine
Jun 1990"Model Physician Award", Miriam Hospital, Brown University School of Medicine)
Jun 1990"1990 Senior Citation: Outstanding Physician and Teacher", Brown University
Jun 1991"Senior Class Outstanding Teacher Award", Brown University Program in Medicine
Jun 1991"Model Physician Award", Miriam Hospital, Brown University School of Medicine
Jun 1992"Teacher of the Year", Miriam Hospital, Brown University School of Medicine
Jun 1993"Teacher of the Year", Yale Internal Medicine Residency Program
Jun 1993"Howard M. Spiro Teaching Award", Yale University Affiliated Hospitals
Sep 1997"Didactic Professor Award", Yale University Physician Associate Program
Sep 2009"Didactic Professor Award", Yale University Physician Associate Program
Jun 2011"Emergency Medicine Resident Appreciation Award", Yale Emergency Medicine
Oct 2012DaVita Shining Star Award for service excellence in their dialysis clinics
Sept 2013Branford-DaVita Service Appreciation Award - -

Education and Training

MD at Yale School of Medicine

Yale New Haven Hospital Internal Medicine Residency 1980

Yale University Fellowship Nephrology Metabolism 1984

Board Certification

American Board of Internal Medicine

Internal Medicine 1981. Nephrology 1988.

Internal MedicineAmerican Board of Internal MedicineABIM- Nephrology

Provider Details

Male English
Dr. Rex L Mahnensmith M.D.
Dr. Rex L Mahnensmith M.D.'s Expert Contributions
  • Why Delve Deeply into Our Daily Nutrition? Because we Become what we Eat!

    Our daily food and beverage intake may be a matter of deep thought and careful selection. Or, our daily food and beverage intake may be a matter simply of convenience, routine, habit, and taste. What has become clear from many years of impressive scientific research is that daily nutrient flows...

  • Leukemia or MS symptoms

    Good evening - I appreciate your concerns - you are enduring a lot of body changes and discomforts and abnormalities. What you describe centers on your gastrointestinal system -stomach upset, small bowel upset, large bowel upset, and abnormal stool character. You describe blood-tainted stool. You exhibit significant weight loss - MS does not center on the gastrointestinal system. And I am wondering why you mention leukemia. What are your blood count values and your blood chemistry results? Does your stool ever test positive for blood? Are you taking a blood thinner? Have you had an upper endoscopy and Upper GI series? Have you had a CT scan of the abdomen with oral contrast? These are important tests for you. READ MORE

  • Lump in cheekbone under eye

    Hi - thank you for your question. Dental X-ray is important to have done - The softer lump is likely a resolving bone infection - now a cyst - filled with fluid - and it likely will resolve slowly - Abscesses are common in dental bones - and if not drained by root canal or other method, then the abscess softens to a cyst. Antibiotics are important - and the duration matters - at least 14 days - sometimes 21 to 28 days is necessary. READ MORE

  • Is puking without any other health concern serious?

    Hello - Responding to your question and concern about repeated throw up - - A sudden onset of such a problem is unusual - you are right to wonder why -- And to have no other symptoms is also unusual as well - - So, possibilities include: 1. A partial obstruction in your upper GI tract - 1. Locations that are more common are: 1. Stomach - duodenum junction - - where strictures can occur without much pain 2. Esophageal - stomach junction - - where strictures can also occur without much pain 3. A "pouch" at the end of the esophagus, which is a wall-weakness - and food gets "stuck" - then upchucked - 4. Upper small bowel - from forming ulcer or from a growth - - 2. Then, we would worry about a change in your smooth muscle functions of the esophagus and/or stomach - - 1. Esophagus can become weak - and soft - and bloated - and dilated - and not propel food down - - 2. Stomach muscle can also become weak - and soft and bloated - called gastroparesis - - 3. The causes vary - - diabetes/hiatal hernia/chronic reflux of acid - - 4. And, rarely - some diseases do produce lining changes of the stomach - - and gastroparesis 3. Common causes with other symptoms include: 1. Acid reflux - heartburn - vomiting 2. Stomach gastritis from acid - vomiting 3. Duodenal ulcer from acid - vomiting 4. Gall stones and bile duct inflammation - vomiting 5. Pancreatitis - vomiting 6. These typically have other symptoms - - pain, discomfort, spasms - - 7. Irritable bowel syndrome - which features discomfort and rare vomiting - and irregular BM - 8. Inflammatory bowel syndrome - which only rarely features vomiting 4. Rare causes 1. Growths - benign tumors or malignant tumors 2. Intestinal blockage from adhesions - 3. Twisted intestine - volvulus 4. Constipation - lower down - - - stomach weakens - - 5. Central Nervous System changes - - inner ear changes - - vertigo - - postural vertigo - Hoping this helps - - Next steps are important - - either wait it out - - see if resolution happens - - or think these through - and have testing done to evaluate - - Dr. Rex M READ MORE

  • Can I take BP, cholesterol and uric acid tablets together?

    Good evening, These medicines that you mention will not clash and will not counter each other. Yes, you may take them all at the same time. My advice - Be sure to take each with fluid. It is best also to have a bit of food - just enough to ease your stomach - taking meds on a completely empty stomach can be a reason for a nausea response. So - about 4 oz with each pill - and some gentle food, like crackers, or pudding or yogurt. Best regards, Rex M READ MORE

  • When to go in?

    You need a professional clinical evaluation - this can be done via telephone, telemedicine, such as Call-a-Doc, or go into a walk in center - it seems that you are ailing and need help to get back into good health. READ MORE

  • When should I see a geriatrician?

    Thank you for asking this question. It is an important consideration. First, realize that Geriatricians are Internal Medicine Physicians who have additional and focused training and ongoing education in the care of persons over the age of 65 years old. A Geriatrician can discern and can assess the special needs of an older person - and manage them expertly. READ MORE

  • No peristalsis, floppy colon- what can help?

    Thank you for asking this question to me - - Floppy Colon is also called "Redundant Colon." The average colon is roughly 45 to 60 inches in length. A Floppy Colon or a Redundant Colon (same) refers to an abnormally long colon. When this condition exists, the extra length is usually in the final section of the colon - referred to as our descending colon. The descending colon is typically less than 24 inches in length, but it can develop additional loops and even twists.The descending colon is where stool is "stored" awaiting final evacuation. The descending colon is the section of our colon that is most prone to develop diverticulosis - which refers to small pouches in the wall of this part of the colon - and these small pouches can be a place where stool sits for a long time and hardens. The descending colon has the purpose and function to absorb water from our "stool" so that evacuation is a "formed" stool. Stool moves through the colon as a gravy form in the beginning of the colon and then water is absorbed out of the stool slowly as the stool moves along. The stool stays gravy form until it enters the descending colon - normally - and then firms as it passes through and enters the sigmoid, just prior to evacuation. Some persons never experience symptoms from a longer floppy descending colon - others do experience constipation, bloating, even crampy discomforts if the stool sits in this colon portion for too long - and then the stool becomes larger, bigger, longer, hard, and dry - and may not pass. Then the colon enlarges even further - and this is when diverticula form - as the colon squeezes to pass - the stool does not move much. Actual cause of this condition includes poor diet habits, inactivity, low fiber in one's diet, low liquid intake, and the social habit of "holding". READ MORE

  • Do blood pressure medications affect male fertility?

    Lisinopril does not adversely affect male fertility. Lisinopril does not adversely affect sperm motility. Lisinopril does not cause or promote sperm mutations. Lisinopril does not promote or cause any birth defects in males. Lisinopril is one BP med in a family called ACE inhibitors. For any male, there is no infertility risk nor birth defect risk associated with any ACE inhibitor. The lisinopril is not deposited in semen and does not enter the female at all, and the male is unaffected. And, no other BP medication has fertility compromise for the man. Additionally, there is no chance that Lisinopril would affect or compromise fetal development if the baby is conceived while the man is taking the medication - - only a small risk exists if the woman is actually taking the medication daily, and the medicine has sustained blood levels in her circulation. This is not relevant for the man - he delivers no risk to the woman or to any fetus, be assured. Rex Mahnensmith, MD READ MORE

Areas of expertise and specialization

Primary CareGeneral Internal MedicineKidney DiseasesHypertensionPreventative MedicineNutrition and WellnessElder Care and Rest Home CareDiabetes MellitusPre-Diabetic StateOverweight and ObesityMild and Moderate Asthma

Faculty Titles & Positions

  • Professor, Duke University, Brown University, Yale University -

Awards

  • Teacher of the Year.Brown Univ.1988, '89, '90, '91, '92
  • Outstanding Teacher. Yale Univ. 1993, '97, 2009, 2011
  • Model Physician. Miriam Hosp. 1988, '90, '91
  • Dialysis Medical Director Excellence. 2011, 2013
  • Outstanding Teacher. Duke U. 1985
  • Leading Physicians of the World2016International Association of Health Care Practitioners
  • Berniker Award - Most Exemplary of Prayer of Maimonides1977Yale U
  • Kushlan Award - Best Bedside Manner and Care1978Yale NH Hospital
  • Chief Resident1980Yale U Dept of Medicine
  • Who's Who Honorary2017Continental Who's Who

Professional Memberships

  • American Medical Association
  • American Telemedicine Association

Charities and Philanthropic Endeavors

  • Valley Community Baptist Church. Avon. CT
  • Compassion International Aid Society
  • Send International Missions
  • CRU Campus Missions
  • Ligonier Ministries

Treatments

  • Primary Care. Diabetes. Hypertension. Kidney Diseases. Lipid Disorders. Geriatric Care.

Fellowships

  • YaleNew Haven Hospital

Professional Society Memberships

  • American Medical Directors Association

Articles and Publications

    What do you attribute your success to?

    • Caring teachers. Positive Peers. The enduring love of my wife and family. A positive resilient outlook. Taking time and extra time with patients and families, and incorporating experiences and feedback into compassionate care. And most importantly, a heart that centers on God and His love and guidance.

    Areas of research

    • Nutritional Care of the Person with Chronic Kidney Disease

      Optimizing Diabetic Control

      Nutritional Care of Polycystic Kidney Condition.

      Pharmacologic Care of Polycystic Kidney Condition.

      Impact of Clinical Pathways on Promoting Quality Improvement in Clinic Settings

    Teaching and speaking

      • May 1992      Meet the Professor Seminars American College of Physicians Annual Meeting (National)   "Diabetic Nephropathy"  "Renal Artery Stenosis and Renovascular Hypertension"
      • Oct 1992       Society of Critical Care Medicine Annual Meeting (National)   "Problems in Acute Renal Failure"  "Acute Problems in Patients with Chronic Renal Failure""Electrolyte Emergencies in Critically Ill Patients"
      • May 1993       Meet the Professor Seminars  American College of Physicians Annual Meeting (National)  "Recognition and Management of Diabetic Nephropathy”  "Diagnosis and Management of Renovascular Hypertension"
      • Oct 1993     Society of Critical Care Medicine Annual Meeting (National)   "Disorders of Fluid and Electrolytes in Critically Ill Patients"“Acute Acid Base Disturbances”
      • May 1994       Meet the Professor Seminars  American College of Physicians Annual Meeting (National)  "Diagnosis and Management of Incipient Diabetic Nephropathy"  "Diagnosis and Management of Renovascular Hypertension" 
      • Oct 1995       University of Alabama Symposium Recent Advances in Internal Medicine  "Management of the Patient with Diabetic Nephropathy" "Diagnosis and Management of Renovascular Hypertension"  "Problems in the Patient with Autosomal Dominant Polycystic  Kidney Disease and their Management"
      • May 1995      Hemodialysis Vascular Access Symposium Society of Interventional Radiologists  "Clinical Evaluation of the Failing Dialysis Graft"  
      • Oct 1995        Rhode Island American Heart Association  Annual Hypertension and Heart Update  "Management of Hypertension in the Patient with Diabetes Mellitus    "Nephrotic Syndrome and Acute Renal Failure"
      • Nov 1996       Invited Lecture  Connecticut Society of Polycystic Kidney Disease  "The Central Role of Hypertension in the Patient with Polycystic Kidney Disease" 
      • Mar 1995       Invited Lecturer  Connecticut Pulmonary & Critical Care Semi-Annual Conference  “Employing CVVHDF in the ICU
      • Sep 1997-May 98     CME Course Director  “Advances in the management of patients with renal insufficiency”  Italian Nephrology Society  Sep 8-11, 1997  Mar 9-13, 1998  May 3-7, 1998  This entailed creation of lecture agenda, recruitment of lecturers, and several presentations by me
      • Mar 1998       Visiting Professor  Long Island Jewish Medical Center  Medical Grand Rounds Presentation  "Management of the patient with moderate renal insufficiency" Resident Report and Resident Rounds 
      • Nov 1998      Invited Lecture  Connecticut Society of Polycystic Kidney Disease "Clinical Problems that Occur in a Patient with Polycystic Kidney Disease"
      • Feb 1999       Invited Lecturer  New England Chapter of American Association of Nephrology Nurses  "Care of the Patient with Hypertension and CAD on Dialysis"
      • Mar 1999        Invited Lecturer  Connecticut Society of Nephrology Dietitians "Managing Hyperphosphatemia in the ESRD Pt" 
      • May 1999        Invited Lecturer  The New England Chapter of the American Nephrology Nurses Association“Managing Hypertension in the ESRD Patient” 
      • Oct 1999          Invited LecturerESRD Network of New England AnnualMeeting  "Intervening to Lower the Cardiovascular Risks in our ESRD Patients: A Call for Action" 
      • Nov 1999         Invited Lecturer  Rhode Island-Massachusetts Society of Endocrinology  "Newest Concepts in the Management of Diabetic Nephropathy" 
      • Nov 2000         Invited Lecturer Connecticut Society of Polycystic Kidney Disease  "The Clinical Concerns in Patients with the Polycystic Kidney Disease Condition" 
      • Nov 2002        Invited Lecturer  Connecticut Society of Polycystic Kidney Disease  "Maintaining Wellness When You Have Progressive Renal Insufficiency" 
      • May 2002        CME Course Leader & Speaker“Building Pathways to Excellence in Peritoneal Dialysis Care”
      • Jun 2002         CME Course Leader & Speaker  “Building Pathways to Excellence in Peritoneal Dialysis Care"
      • Feb 2003         CME Course Leader & Speaker  “Building Pathways to Excellence in Peritoneal Dialysis Care”
      • May 2004        CME Course Leader & Speaker Update in Home Dialysis Gambro Healthcare
      • Sep 2004        Speaker – Peritoneal Dialysis Academy – University of Alabama“Managing Anemia” “Managing Hyperparathyroidism” “The Evolution of PD as a Safe and Effective Dialysis Modality”
      • Jul 2005          Creating and Sustaining an Excellent Peritoneal Dialysis Program Gambro Healthcare
      • Jul 2005               Role of Dialysis Clinic Medical Director in Clinic Quality Improvement   Gambro Healthcare            
      • Sep 2005       Speaker – Peritoneal Dialysis Academy – University of Alabama  “Roles and Responsibilities of the Dialysis Medical Director”  “Managing Diabetes Mellitus in the ESRD Pt receiving PD”  “Managing Hyperlipidemia in the ESRD Pt receiving PD” 
      • 2003-2005          Creating and Sustaining an Excellent Peritoneal Dialysis Program   Across 30 State Eastern Division of Gambro - numerous cities and locations
      • 2007         Invited Lecture Yale Cancer Center  “Kidney Problems in Patients Surviving Cancer”
      • 2008         Invited Lecturer  NY City Society of Polycystic Kidney Disease  "Maintaining Wellness When You Have Progressive Renal Insufficiency"  “Nutritional Management of CKD” “Making Dialysis Modality Decisions in CKD
      • 2008        Invited Lecturer  Connecticut Society of Polycystic Kidney Disease"Maintaining Wellness When You Have Progressive Renal Insufficiency"  “Nutritional Management of CKD”
      • 2009        Invited Lecturer  Connecticut Society of Polycystic Kidney Disease  "Maintaining Wellness When You Have Progressive Renal Insufficiency" “Nutritional Management of CKD”
      • 2009        Invited Lecture Massachusetts Society of Polycystic Kidney Disease  "Optimizing Nutrition in Polycystic Kidney Disease"
      • 2010         Invited Lecturer  Connecticut Society of Polycystic Kidney Disease  "Maintaining Wellness When You Have Progressive Renal Insufficiency' “Nutritional Management of CKD”
      • 2011         Invited Lectures  Florida ESRD Network"Optimizing CKD Care” “Optimizing Vascular Access Care for Hemodialysis"
      • 2011         Invited Lecturer Connecticut Society of Polycystic Kidney Disease  "Maintaining Wellness When You Have Progressive Renal Insufficiency"   “Nutritional Management of CKD”


      • 2012        Invited Lecturer Connecticut Society of Polycystic Kidney Disease "Maintaining Wellness When You Have Progressive Renal Insufficiencya' “Nutritional Management of CKD”


      • 2013       Invited Lecturer  Connecticut Society of Polycystic Kidney Disease  "Maintaining Wellness When You Have Progressive Renal Insufficiency" and “Nutritional Management of CKD”

       

       

    Hobbies / Sports

    • Bible Studies, Gardening, Family Time With Wife, Grandchildren and Dogs

    Favorite professional publications

    • Annals of Internal Medicine: New England Journal of Medicine

    Hospital Affiliations

    • Yale-New Haven Hospital ( New Haven, CT ) 1992-2014
    • Waterbury Hospital Health Center ( Waterbury, CT ) 2015-2017
    • Saint Mary's Hospital ( Waterbury, CT ) 2015-2017

    Accepted Insurance

    + See all 1 Insurance

    Dr. Rex L Mahnensmith M.D.'s Practice location

    Telemedicine

    28 Ashton Circle -
    Simsbury, CT 06070
    Get Direction
    New patients: 860-937-7249

    80 PHOENIX AVE -
    WATERBURY, CT 06702
    Get Direction
    New patients: 203-756-8021
    Fax: 203-596-9038

    Rex Mahnensmith

    800 Howard Ave -
    New Haven, CT 06519
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    Dr. Rex L Mahnensmith M.D.'s reviews

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    Patient Experience with Dr. Mahnensmith


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    Based on 36 reviews

    Dr. Rex L Mahnensmith M.D. has a rating of 4 out of 5 stars based on the reviews from 36 patients. FindaTopDoc has aggregated the experiences from real patients to help give you more insights and information on how to choose the best Internist in your area. These reviews do not reflect a providers level of clinical care, but are a compilation of quality indicators such as bedside manner, wait time, staff friendliness, ease of appointment, and knowledge of conditions and treatments.

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    CONNECTICUT HOSPICE INC,THEl

    100 DOUBLE BEACH ROAD BRANFORD CT 6405

    Head northeast 64 ft
    Turn right onto Howard Avenue 371 ft
    Turn left onto Congress Avenue 1570 ft
    Go straight onto South Frontage Road 810 ft
    Go straight onto South Orange Street 1236 ft
    Turn left onto Union Avenue (US 1) 778 ft
    Keep right at the fork onto State Street North (US 1) 126 ft
    Keep right at the fork onto State Street North (US 1) 174 ft
    Turn right onto Water Street (US 1) 4177 ft
    Continue straight onto Forbes Avenue (US 1) 1.2 mi
    Make a slight right onto US 1 3.5 mi
    Turn right onto Short Beach Road (CT 142) 1.1 mi
    Turn left onto Double Beach Road 1087 ft
    Turn left onto Sunrise Cove Road 549 ft
    Turn right onto Sunrise Cove Road 496 ft
    You have arrived at your destination, on the right