Integrative Medical Rehab



Seasonal Medical Programs

Auto-immune and Rheumatoid conditions?
         Mold, yeast or tick-borne illness?
                    Tired, irritable, and upset digestive tract??? 

Sick of side-effects from meds.....or only feeling "a little better" with a cabinet full of supplements....and avoiding so many foods?!?   

Told you have "food allergies" or "genetic errors" that require life-long supplements?!?

We aim to get lasting results with chronic conditions!  Our approach stays diligent to modern Biomedical science, first detoxifying and unburdening the physiology to get you off the need for medicines . 

Then we employ classical Naturopathic therapeutics to re-establish proper functioning between organ systems so even the need for supplements recedes, and you get back to living well again!      


Seasonal Rehab Programs

Recovery after stroke, cardiac, or chronic illness event?
Parkinson's....coordination, weakness, or movement problems?
Injury, arthritis, or pain problems?
PIM&R's Seasonal Programs for Integrative Rehab are tailored to your specific needs and goals. 
Our aim is to get you back to a more productive and enjoyable daily life!
Most insurances, including Medicare & Medicaid, cover the basic rehab and medical visits of services below. Since we are are registered as both medical and acupuncture specialists, we can typically also provide acupuncture as covered services for Medicare patients.
***The Integrative Rehab Seasonal Programs are designed to bundle-in and make any non-covered charges more affordable.
***The Chronic Disease Clinic Seasonal Programs, listed at further below, do incur a cash charge that is not covered by any insurance.

Post-Stroke, Heart, or Respiratory Illness

Whether you are coming home from the hospital, or you've been bedbound at home, getting back to normal life can be tough. We're here to make that easier and much more successful.
For those without benefits for integrative services, or if you run out of traditional benefits and need to finish a seasonal program of care, we may arrange group treatment sessions at reduced rate for participants.
Schedule consult

Memory, Movement, and Parkinson's Programs

Whether you are concerned about recent or more long-term memory changes, we can help you get a handle on your neurocognitive health.
Movement issues can be debilitating. We have programs to work against decline and build the skills to keep moving through the day with a sense of dignity and control.
Using functional medicine, nutritional IVs, & microbiome repair work, we can make a difference in as little as one season.
Schedule consult

Women's Health -- MindBody & Hormonal Balance

Sometimes it's hard to tell what the problem. And sometimes they are truly wound together so intimately, a handful of supplements only gives slight improvements to the same pattern of discomfort, fragility, irritability, or even issues with infertility.
Our approach works on quelling the common sources of hormonal dysregulations while supporting hormonal flux naturally. An of course using traditional therapies to support healthy habits in daily life.
WIth hormone balancing we use conservative, short-term approach as we correct the underlying problems. We use pharmacy-produced, plant-based creams to get you relief and train your body to cycle smoothly again.
Schedule consult

Seasonal Programs for Chronic Disease

Our approach is different that most other "Integrative Medicine" and "Functional Medicine" practices.  We were not trained by supplement and lab companies.  We use classical understanding of how the body actually restores proper function, the physiology of healing.

Dr DV is one of the 1st, and very few, actually Board-Certified Integrative physicians.  Jamiel Hafiz is trained in Ayurvedic Medicine, classical Acupuncture, and modern Biomedicine.  The specialty they employ is microbiome repair and renewal to address chonic illness and reset the physiology.

Microbiome Repair and Renewal
Modern science is finally uncovering "microbiome signatures" associated with various diseases from throughout all specialties of Medicine. Generally posted as "novel findings" research, even long-COVID has now been linked with particular microbiome patterns.
We actually have more bacteria in our gut than we have cells in our entire body. The gut flora(collection of microbes) is its own ecosystem running through the middle of us: delivering nutrients and minerals, ushering away wastes, and sometimes causing irritation and inflammation.  We correct these disruptive patterns, that make it difficult for the body to self-correct.  This is also why people have usually at least 3-4 symptom groups in Chronic Disease states, they cannot self-correct between systems.
Of course our mental and emotional states also hold a central axis with "a well-running body". Doctors and physiologist know this as the gut-brain axis.  Our experience in classical medicine helps bring this important aspect in with your care.  We truly work with this as your social and mental ecology, and many are surprised to see how much this helps you improve faster....and better overall.
The reality is that it's far more the pre-and pro-biotics. There is a science and art to it, with multiple factors. We suceed with patients who have been to "holistic" and "integrative" providers who test the gut. It is a specialty, not a simple factor!
Our Entero-Immuno-Endocrinology Approach(EIE)
Ayurvedic medical science similarly asserts that root causes of disease are in the climate of gut and one's emotional attachments. For ordinary life that is the quality of our food and of our family/relational life.
Mind and body affect each other so intimately. And Ayurvedic natural therapies aim to help address both as they are amenable to improvement.
With Ayurvedic treatment previously, we relied on more strict dietary, fasting, and herbal programs. Dr DV's EIE programs carefully address microbiome repair, harnessing the speed and precision of lab technology to more quickly affect the rooting and branching of disease processes.
The EIE approach corrects the source of immune and hormonal dysregulations within the gut ecology. We then use Functional Medicine support to anchor the improvements through the season.
The mental-emotional, or "stress axis" usually responds well to acupuncture, counseling or coaching. We provide a foundation of this integrally, but like with the body, professional treatment goes a long way, a lot faster.
The mental-emotional, or "stress axis" usually responds well to acupuncture, counseling or coaching. We provide a foundation of this integrally, but like with the body, professional treatment goes a long way, a lot faster.

Seasonal Programs Overview:

Seasonal Program Timing
Month 1
We focus on organizing the treatment plan for your condition. After consult about your health issues/complications, there is a complete lab anaylsis that "grows out" the living layer in your GI tract. Other labs assess the impact on immune response, hormones, and organ systems.
Patients needing more immediate relief will being treatments and food planning during the 1st month.
Month 2
During this time, we put in place the disuade and remove medicine/supplement regimine to any pathologic foundation, resolve inflammation, support nutritional deficiencies, and support hormonal imbalances.
We now hone the nutritive and dietary plan that will allow your system to shift back to a proper, healthy human ecology. This is when people usually notice a number of improvements among their constellation of symptoms.
Month 3
A time we make adjustments to regimine and can also add acupuncture, reflex, and IV treatments to get orgams systems to being communicating and working strongly again. The month winds up with an assessment of progress and whether to pull back meds of engage another season of care.

More simple conditions are usually better after a season, and older conditions may take additional Seasonal programs. And when rebuilding from complex disorders, sometimes it is smarter to pause for a season, letting the body and mind get used to a different climate.


Program Costs:

Integrative EIE Medicine Consultation  $550 

$300 consult fee plus $250 Seasonal Program retainer to get labs ordered, plan in motion, and monthly IntegrativeEIE followups.

*Additionally EIE Seasonal Programs do require an Internal Medicine Initial and followup monthly visits with PIM&R.  Most insurances will cover these services as standard office visits, with conventional co-pay, co-insurance, and deductibles payable to PIM&R.

Those without insurance can get a combined Internal/Integrative consultation rate of $780

Note: PIM&R does not provide primary care service.  Patients are advised to maintain a primary care provider and review any proposed treatment or progrm with a trusted primary care provider.

Associated Costs:

Monthly medicines & supplements are typically $200-$400/month, coming down as improvements show up over the season.

Cost of specialty labs that we require will are in-network with BCBS and Medicare, usually resulting under $300-500 in patient amounts due.  Others cover at various levels and our specialty lab can help you inquire with your insurer.  Patient amounts due to the lab generally range from $125-$950.


Schedule consult

Below are some General Categories of Chronic Conditions

amenable to EIE Seasonal Programs

Rheumatoid & Psoriasis
Hashimoto's hypothyroidism
Scleroderma and Sarcoidosis
Coronary and Pulmonary conditions
Resistant Sinus & Skin conditions
Fibromyalgia, pain, insomnia, and fatigue
BPH, incontinence & erectile dysfunction

Many other persistent conditions as well.


Nature can work with great power to correct and heal.

Let's see what a season of focused care can do!