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Experience the Difference of Personalized Medicine

Welcome to
Larew Internal Medicine

Proactive, preventive care tailored to you
at Eastern Iowa’s first concierge medicine practice

My goal is to offer the best of modern medicine with a return to the old-fashioned virtues of a small private practice. Patients receive the highest quality, personalized care in a comfortable, welcoming environment where they are treated with the utmost respect and compassion. I believe this is the standard of care patients deserve.

At every visit, you will be seen by me, the doctor who knows you best. Visits are extended and unhurried. I take all the time needed to address patient concerns and questions. We go beyond treating illnesses with a highly individualized plan for prevention and overall wellness.

Should you need to be hospitalized, I am on staff at Mercy Hospital in Iowa City where I will personally admit and oversee your care.

I am dedicated to developing a strong, enduring relationship with each patient – a bond that has always been, and will always be, at the heart of the best medicine.

Larew Internal Medicine is currently the only practice of this kind in Eastern Iowa.

Please call my office line to learn more about my concierge medical practice (319) 338-1535

Meet Dr. Larew

Click To Receive Information

Patient / Office Line: (319) 338-1535

My Philosophy

My practice philosophy is to provide the best care to every single person who walks in the door and treat every patient with the utmost respect.

-Dr. Larew

What Is Concierge Medicine?

Concierge medicine, also known as membership medicine, is a relationship between a patient and a primary care physician in which the patient pays an annual fee or retainer. In exchange for the retainer, doctors provide enhanced care, including principally a commitment to limit the number of members in the practice to ensure adequate time and availability for each patient.

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Benefits of Concierge Medicine

The difference is evident from the moment you call our office.

24/7 direct communications
After hours, for urgent issues you can reach me by personal cell phone, email or text message.
Mercy Hospital Affiliation
If you require hospitalization at Mercy Hospital, I will serve as your attending physician.
Longer, unhurried appointments
Your Comprehensive Annual Health Assessment will be scheduled for 60 minutes and all other appointments for approximately 30 minutes. You will be seen as early as the same day, for acute visits.

Strong focus on preventive medicine and wellness
We conduct a thorough assessment of your health which serves as the basis of your personalized wellness plan.
Real people to take your calls
During office hours, calls are answered live, with no phone prompts or buttons to press.
Same-day appointments
You will be seen as early as the same day, for acute visits.

Learn more about the Benefits of Concierge Medicine

Insurance

For your convenience, Dr. Larew is an in-network provider with most major health insurance plans and Medicare.

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Telemedicine Now Available

I am pleased to offer my patients the easy to use telemedicine option called Doxy.me as a convenient alternative to in-office appointments for check-ins, prescription refills and other routine matters. Doxy.me is accessed through a simple link that I’ll send by text or email before our virtual visit. All you need is a smart phone or computer with a webcam. While we can handle many issues via telemedicine, please note that symptoms such as chest or abdominal pain may require a physical exam. Please call my office first so that we may determine if a virtual visit is the best option for you.

Latest Health News and Events

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Larew Internal Medicine

- Longer appointments with no wait.
- Calls answered live
- 24/7 access to your physician
- If you r

INFLUENZA An Update for My Patients 11.29.22 Dear Members, Friends and Family of Larew Internal Medicine:Influenza is here. It’s virulent, severe and can be life-threatening, as just experienced by a patient at Larew Internal Medicine, the first member to be diagnosed with influenza since the onset of COVID-19. I share his story below not to alarm you but to underscore just how serious influenza can be. Over the past 5 to 10 years there has been a diminished respect for the severity of this viral infection…we have forgotten that people can die from influenza. It’s urgent that you understand the impact of influenza on the lungs, and the increased stress that can place on the heart, kidney and other organs. My patient’s challenging bout with influenzaA 74 year-old man, fully vaccinated and triple boosted for COVID-19, and who recently received the Fluzone High Dose quadrivalent vaccine for influenza, developed an upper respiratory infection last Tuesday. He has a history of asthma, and frequent upper respiratory infections such as bronchitis and pneumonia. A brief chronology of his experience follows:An antibiotic and a cough suppressant were prescribed on Tuesday, but he did not improve much over the next several days.On Saturday I recommended that he go to the Emergency Room at Iowa City Mercy Hospital. He tested positive for influenza A and was admitted to the hospital because of worrisome low oxygen levels.We stopped the antibiotic, which is not helpful for a viral infection like influenza A, and immediately started him on Tamiflu. (Note: although Tamiflu is typically started no later than five days after the onset of symptoms, given the seriousness of his condition, we initiated it in hopes that he would see some benefit). He also received supplemental oxygen via nasal cannula and was given intravenous fluids to prevent dehydration.Between 24 and 48 hours later, he was doing better, but because he still needs the supplemental oxygen, has not yet been discharged from the hospital. I anticipate he will continue to recover, although more slowly than he would like. However, there is no question that his influenza was less severe because he had received the flu shot. We are all grateful for that. Why is influenza back after three years of extremely low cases worldwide? At this point it is not entirely clear. In the pre-pandemic summer of 2019, influenza cases were very low in the southern hemisphere, such as Cape Town, South Africa, which is notable because that is the height of flu season there. This is an important observation because the reduced incidence of influenza preceded the wearing of masks, indicating that some other factor was responsible for lower case numbers. In keeping with these national and worldwide statistics, since 2019 we have not made a single diagnosis of influenza at our office until the patient described above became ill. We have now started to check more aggressively for it as reports from around the U.S. indicate a possible resurgence of influenza this year. How to protect yourselfGoing forward I advise the following: 1. Get your seasonal influenza vaccine. We offer the Fluarix quadrivalent vaccine for our younger members, and the Fluzone High Dose quadrivalent vaccine for members who are either immunocompromised or over 65 years old. Both vaccines protect against four variants - two for influenza A and two for influenza B. Please come sooner rather than later to get your flu shot, as it can take up to two weeks after vaccination for them to be fully effective. And remember, you cannot get influenza from the vaccine. 2. Get tested for influenza promptly if you have upper respiratory symptoms that seem more severe than usual, or you’ve been exposed to influenza and are not feeling well. Even if you have mild symptoms, but are understandably concerned about possibly exposing family, friends or colleagues, please get tested for influenza sooner rather than later. Tamiflu can be very effective for people of all ages, but is best started as soon as possible. We don’t usually prescribe it after the fifth day of onset of symptoms but there are certainly valid reasons to start it later, as was done for the patient described above. As we’ve been doing throughout the pandemic, we may ask you to stay in your car and we will come out to you and swab for both COVID-19 and influenza. As we enter the holiday season, please think about gifting yourself with the annual seasonal influenza vaccine if you have not already done so, and encourage your friends and loved ones to do the same. There’s no more important gift. Just as we are publishing this update, a second and third member of Larew Internal Medicine have tested positive for Influenza A.Please stay safe and get your flu shot.Sincerely, Dr. Rick Larew ... See MoreSee Less

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Larew Internal Medicine

tel:+13193381535

- Longer appointments with no wait.
- Calls answered live
- 24/7 access to your physician
- If you require a hospital stay at Mercy, Dr. Larew will be your attending physician.
- Thoughtful medicine w...

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Turkey Leftover Recipes

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More Health News

Meet Dr. Larew

Experience the Difference of Personalized Medicine

Welcome to Larew Internal Medicine

My Philosophy

What Is Concierge Medicine?

Benefits of Concierge Medicine

24/7 direct communications

Mercy Hospital Affiliation

Longer, unhurried appointments

Strong focus on preventive medicine and wellness

Real people to take your calls

Same-day appointments

Insurance

Connect With Us Now

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Larew Internal Medicine

Welcome to
Larew Internal Medicine