The RVAM Concierge Program provides enhanced medical services and high quality care not otherwise covered by health insurance. In addition to an in-depth understanding of your specific needs, an essential part of the concierge program is your ability to reach Larry Palmiter, Nurse Practitioner, directly to discuss your healthcare needs on the fly. Concierge Program Members will receive a separate members-only number and a personal email address for 24/7 access. However, in order to provide such unencumbered time, service, and attention to each patient, the Concierge Program has a limited number of patients.
We're committed to understanding the individual care requirements of each and every patient, proactively guiding them through choosing an optimal long-term care solution. Give us a call at 804.412.8384 to discuss your needs and find out if RVAM's concierge medicine services are right for you.
RVAM Concierge Medicine is right for you if you:
PRIMARY CARE SERVICES
High Blood Pressure
Urinary Tract Infections
Upper Respiratory Tract Infections
RVAM is your trusted source for exceptional, comprehensive medical care. Larry Palmiter, FNP-C does not believe that "one size fits all" in medicine. Treatments are planned based on the unique needs of our patients.
In addition to traditional primary care, RVAM can perform highly specialized tests that are not routinely performed during conventional well visit exams. These specialized labs will provide you with a higher level of understanding of how your body is functioning at the cellular level.
Mictronutrient testing looks at nutrients retained within white blood cell. Most conventional labs test for blood levels of vitamins which may or may not be absorbed by your cells, leading to continued symptoms of vitamin deficiencies although your lab tests may show adequate blood levels. Analyzing the white blood cells gives us the most accurate analysis of a body's deficiencies.
Comprehensive Hormone and Thyroid
Testing Like nutrients, hormones influence all aspects of health and disease. An imbalance of one hormone can initiate a cascade of events resulting in a myriad of health problems such as: Fatigue, Insomnia, Weight Gain/Inability to Lose Weight, Diminished Skin and/or Hair Health, Elevated Cholesterol/Lipids, High Blood Pressure, Depression, Anxiety/Irritability, Focus/Memory, etc.
The incidence of food sensitivities has increased dramatically over the years. It is estimated that up to 20% of the population have adverse reactions to foods, NSAID enteropathy, and post-infectious Irritable Bowel Syndrome (IBS). Classic skin testing for allergies such as skin-scratch testing only measures IgE-mediated reactions rather than low-grade sensitivities which have been associated with recurrent asthma flares, arthritis, migraines, infections, rashes, constipation/diarrhea, etc.
We offer non-invasive evaluation of gastrointestinal function to analyze digestion, absorption, bacterial balance, and yeast growth. This test is recommended for patients with diffuse and non-specific GI-related symptoms such as IBS, indigestion, dysbiosis, constipation, and diarrhea.
Genomic testing covers a variety of conditions including hereditary cancer, cardiac health risks, DNA carrier screening, diet and weight loss, as well as drug response for specific medications including those used in pain management and mental health.