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Family Health Care, Oncology, Orthopedics, OB Health Services: Caribou, ME


Since the development of the Siruno Stroke Prevention Program in Memory of the late Dr. Cesar Siruno we have been building a very comprehensive set of activities designed to reduce the risk of stroke These activities include:  Community Blood Pressure Screening, Type 2 Diabetes Prevention Program, Basic and Plant Based Cooking Programs, Fitness challenges, and soon we will offer a Smoking Cessation Program – ‘Freedom From Smoking’.  Each of these areas represent health issues that impact cardio-vascular disease and stroke.  In fact, many health care professionals consider stroke a ‘Brain Attack’ because the causes of stroke are closely linked to the same factors that cause heart attacks.

If you or someone you know could benefit from any of the programs outlined in the Siruno Stroke Prevention Program please contact the office of Community Relations and Development at Cary Medical Center at 207-498-1112 or email  We are eternally grateful to the Siruno family for honoring Dr. Siruno in this unique way by creating an endowment to fund the Siruno Stroke Prevention Program.


The Siruno Stroke Prevention Program offers classes for individuals who have been determined to be at risk for Type 2 Diabetes often called Pre-Diabetes.  Classes help participants work towards losing 7% of body weight as well as helping to motivate individuals to do aerobic exercise most days of the week building up to 150 minutes per week.  There are 16 weekly classes (4 months) with 8 monthly follow up sessions.  Cost per class is $5.00 for each participant to help defray costs for the instructor, called a ‘life-coach’ and materials.  Classes follow the National Diabetes Prevention Program’s evidence-based curriculum.  Type 2 Diabetes can shorten your life span and lead to heart disease, stroke, vision loss and other health complications.  The average annual cost for the treatment of Type 2 Diabetes including prescription drugs, doctor’s visits, and lab work can be as much as $15,000.  Type 2 diabetes can be prevented through lifestyle modification.  Your insurance company may pay for the cost of classes. Registration Form


The Siruno Stroke Prevention Program works with a variety of health and nutrition programs including the University of Maine Cooperative Extension Service and the Maine SNAP-ED Program.  Programs are scheduled on a routine basis, please call Cary Community Relations 207-498-1112 for more information. Participants will work with a nutrition educator/chef to prepare meals that are healthy, tasty and low in cost.  Some of the highlights may include

  • Hands-on learning and group discussion
  • Tasty food samples prepared by chef and participants
  • Receive a free recipe book and reusable grocery bag at the end of the program
  • Receive a bag of groceries to prepare one recipe each week at home.
    Registration Form


The Siruno Stroke Prevention Program offers free blood pressure screenings to businesses and the general public.  Screenings are conducted according to Maine Public Health best practice methods.  Individuals with high readings will be rechecked in at least 2 weeks for a comparison reading.  Consecutive high readings will generate a referral to the participant’s Primary Care provider for follow-up.  Blood pressure education packets will be distributed to all participants.  All information collected will be confidential.   De-identified data may be collected for statistical analysis to support future health promotion activity. Registration Form


The Siruno Stroke Prevention Program encourages participants to increase physical activity to 150 minutes per week as recommended by the American Heart Association.  Walking is known to reduce the risk of heart disease and stroke.  You can become a member of the Healthy You Walking Club and receive updates on physical activity programs, a free wristband and weekly physical activity tips for good health.  Walking is truly miracle medicine and can reduce blood pressure, help manage weight, reduce the risk for chronic disease including Alzheimer’s disease. Cary Medical Center routinely sponsors special walking challenges such as 100 miles in 100 days and 200 miles in 200 days.  By registering for our physical activity program you will stay up to date on all our activities. Registration Form