My Happy Doctor

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We talk about work-life balance like it’s a switch — on, off. There’s truth in that; I need small rituals to close work ...
08/27/2026

We talk about work-life balance like it’s a switch — on, off. There’s truth in that; I need small rituals to close work and open it back up again, amidst a day full of adventures.

Some emergencies I’d rather guide myself through than hand off to a covering doctor — not because it’s required of me, but because that continuity matters to me and to the people I care for. So I’m never fully “off.” And I’ve stopped seeing that as a problem to fix.

As long as I’m gaining strength from the work itself, and fulfilled by my surroundings without a 9-5 job holding me down — what could be better? That’s the real question I keep coming back to. Not “how do I switch off,” but “am I still gaining strength, or just quietly enduring?” Right now, on this trail, in this Shinrin Yoku moment — the answer is strength. 🌲

When I had 3,000 patients, a denial was one more fire I had no time to fight. I’d sign the appeal, hand it off, and hope...
08/26/2026

When I had 3,000 patients, a denial was one more fire I had no time to fight. I’d sign the appeal, hand it off, and hope. In Direct Primary Care with a small panel, I can actually sit down with someone and work the problem.

And it’s usually the same problem — an expensive medication. Not most patients, not most of the time. But when it happens, the paperwork isn’t an accident. Delay is the strategy. The longer they can stall, the more people give up.

So we route around it instead:

→ Ask what the cash price is. On generics it’s often less than your copay.

→ Pull up a discount card before you check out. Every time.

→ Call the independent pharmacy, not just the chain. They’ll tell you honestly what’s cheapest.

→ Search “[drug name] copay card.” Manufacturer programs are real.

→ And check the actual number before you assume it’s out of reach. I’ve watched $17,000 come down to $499.

Insurance is a payment system. It was never the same thing as healthcare. We have a long way to go on fixing what insurers get away with — until then, a denial letter is a detour, not a dead end.

Which of these have you tried? Tell me in the comments — and check the bio for how we do this Deepti Mundkur MD

08/20/2026

A private villa. 20 physicians. No templates. No formulas.🌴☺️🧘‍♀️

Just the space to design the practice only you can build.🪷🧚🏼

Think of it as a spa — but for the mind that has been racing 😵‍💫 🤯through your DPC practice.

😎☀️🌞Beautiful setting. Mesmerizing views. And a mindset reboot that actually changes how you practice.⛅️

We kept this application-based on purpose.
Because the room only works when everyone in it is looking for the same thing.

If that is you — the link is in the bio.
Come see what we are building. 🌿

dpcmindset.com

I play pickleball on weekday afternoons — and yes, the Dinking Queens have the medals to prove it. I build Lego sets lat...
08/19/2026

I play pickleball on weekday afternoons — and yes, the Dinking Queens have the medals to prove it. I build Lego sets late at night, the kind with tiny working lights. I journal with fountain pens I’ve actually taken the time to choose. I sketch when nothing else is asking for my attention. I read books that have nothing to do with medicine. I even sketched out a whole bookshop I dream about opening one day.

None of this is a break from being a doctor. It’s what makes me a better one. Singing, learning Italian one lesson at a time, sitting with a cup of tea and an unfinished watercolor — this is who I’ve always been. DPC didn’t create this person. It just finally gave her room to breathe.

If your job is asking you to shrink down to just one thing, I hope you find your way back to all the others too.

If you’re quietly wondering whether you should just go back to a job with a paycheck and a schedule someone else manages...
08/19/2026

If you’re quietly wondering whether you should just go back to a job with a paycheck and a schedule someone else manages — read this first.

You didn’t leave insurance-based medicine to end up here. You built a DPC practice from nothing. You have a waitlist. You did the hard part. And somehow you’re still working nights, still missing dinner, still wondering where the freedom went.

Here’s what we want you to sit with: walking away now wouldn’t be moving forward. It would be trading the one model built for autonomy for the exact structure you already know doesn’t give you your life back. The problem was never DPC. The problem is that no one ever taught us how to run it without recreating the job we left.

True patient care doesn’t come from being available every hour. It comes from having enough control over your own time that you can actually be present — for the patient in front of you, and for the family waiting at home. That’s the whole point of what you built. It’s still in there. It just needs a different operating system.

This is exactly why we built the DPC Mindset Immersive Retreat — for physicians who already have the practice and are still stuck in the logistics of making it actually work for their whole life, not just their patient panel.

If this is where you are, drop a 🙋‍♀️ below or tell us what’s been the hardest part to figure out — and check the link in our bio for details.

41.9% of physicians report burnout right now — not an outlier, the baseline. Composure was the first thing training taug...
08/16/2026

41.9% of physicians report burnout right now — not an outlier, the baseline. Composure was the first thing training taught us, so most of us just got good at looking fine in the room we were dying inside of.

But this was never about walking away from medicine. It’s about walking away from insurance-based medicine — the 15-minute visit, the prior auth, the third party standing between me and the person in front of me. Direct Primary Care isn’t an exit. It’s what happens when a physician decides to build the version of medicine she actually believed in.

Come build yours. Nov 15–17, Paradise Hills, San Diego. Drop a 🌿 if this is speaking to you, and check the bio for details.

“No gaps in your resume.” We heard it before residency even ended — and some of us are still obeying it, whether we’re t...
08/16/2026

“No gaps in your resume.” We heard it before residency even ended — and some of us are still obeying it, whether we’re ten years into practice or still afraid to start one.

A full CV. An emptying life. That’s the trade nobody names out loud — not to the physician grinding through someone else’s system, and not to the one who’s been circling DPC for years, waiting for permission that isn’t coming.

This retreat is that permission. Three days for physicians building the practice — or the life — that a suffocating culture never made room for.

Nov 15–17, Paradise Hills, San Diego. Drop a 🌿 if this is speaking to you, and check the bio for details.

08/13/2026

That gap — between the person who needs care and the physician trained to give it — isn’t a small crack. It’s a canyon. And most of us stopped believing it could be crossed.

Here’s what nobody tells you: it can.

Direct Primary Care means my patients have my number. Not a call center. Not a queue. Me. It means same-day visits at their kitchen table, not a waiting room. It means I know their dog’s name, their daughter’s wedding date, what they’re actually afraid of at 3am.

It means when they text, a doctor who knows them texts back.

That’s not a luxury. That’s what medicine was supposed to be before it got optimized into something unrecognizable.

The gap isn’t bridged by better software or bigger systems. It’s bridged by a doctor who has the time to stay.

What’s the longest you’ve waited? Tell me in the comments — I read every one. And if you’ve been wondering what care without the canyon feels like, everything’s in my bio. 🩺

That’s where people stopped walking. Direct primary care isn’t a discount — it’s a different structure. No insurance mid...
08/13/2026

That’s where people stopped walking. Direct primary care isn’t a discount — it’s a different structure. No insurance middleman, no hold music, no fifteen-minute slots. Just a doctor who has room for you because she isn’t carrying 2,000 patients.

If you’re a physician reading this — burnt out, counting patients per hour, wondering how much longer you can do it — this is the part I want you to hear. DPC isn’t a fringe experiment anymore. Six years in, I’m still here, still practicing the way I always wanted to.

Short interviews from the day are coming soon. If you’ve never heard of DPC either, ask me anything in the comments — the link in my bio has the rest.

SanDiegoDoctor

08/08/2026

“Have you ever seen a direct primary care practice at your health fair? Probably not — that’s kind of the point. Come find us at Mission Expo and see what healthcare looks like without the middleman. 💛”
Maryal Concepcion, MD Wand Health Inspire Neurology & Wellness

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San Diego, CA

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Monday 9am - 5pm
Tuesday 9am - 5pm
Wednesday 9am - 5pm
Thursday 9am - 5pm
Friday 9am - 5pm

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+16198004858

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