Last year in June, I discovered the Direct Primary Care (DPC) movement while attending the DPC online summit. I said to myself, “If I passed the USMLE boards and practiced medicine in the USA, I can succeed at private practice.” I grew up in Quito, Ecuador, where I witnessed my father caring for patients in his home office. I also followed him while he made rounds in the hospital. My dad has been my mentor since I was a child. I dreamed of having my own private office and working with him side by side. I am so excited to see this dream come true.

  I am opening Grateful MD DPC in Taylorsville, Utah, where I make my home. Even though the startup process feels overwhelming, I know that it will work out well. I chose this name because I always end my week reflecting about the gratitude I feel. I recognize that I am learning new things and making connections that I will need for my own private practice. When I first started medical school, I used to tell myself that every expert once started as a beginner. I remember the struggles, the early morning, the late nights, and the long hours just reminding myself that one day, I would be exactly where I wanted to be. I may not be 100% there, but I am proud to say that I am an excellent diagnostician doctor. 

Iisease. I made this recommendation because I was reminded by a friend—with chronic Lyme disease—about its affect on the central nervous system. As I considered my differential diagnosis, I felt inspired to send for the Lyme disease antibodies and to look for antigens. At least 3 antigens were present and also antibodies. I diagnosed her with chronic Lyme disease with neurological manifestations. She received treatment, and now her seizures are under control. The faith of this patient inspires me. When we first met, she said, “I have lost all my trust in physicians, but I am here to see you because I know that you can find the right diagnosis.” 

I felt so overwhelmed but also challenged to help Maria find the cause of her suffering. She placed her trust in me, and I can empathized with her. I felt the suffering that she and her family had been through for two years. Now, when I remember her story, I am grateful that I was her physician and helped her enjoy a better quality of life with her children.