Come See Us at the Turlock Community Gardens

We are so excited to be a vendor at the upcoming Turlock Community Gardens Spring Gathering on March 9th, located at 4105 Crowell Rd in Turlock, CA. Please come out to support a great cause at this fun Community Day, an event where families are encouraged to come enjoy free activities like a Kids’ Business Market, Arts & Crafts stations, a plant trading table, and a community item swap in addition to vendors and informational booths for neighboring nonprofits, local businesses, and entrepreneurs (like us)! We can all use some warmth and sunshine after the weather we’ve been having.

We have some fun things planned. Come learn how coloring can help you to unwind after a stressful day or let your kiddos color while you discuss what a healthy BMI is with one of us doctors. We’ll have plenty of information and some cool stickers for you to have.

Learn all about the services we offer and why we think partnering with us directly makes the most sense for your health. We’ll even waive the sign up fee if you come out to our booth (that’s a $70 value!) Plus, while you’re at our booth, subscribe for email updates or follow our social media accounts for a raffle ticket to win a $100 gift certificate towards our services.

Please also consider bringing household items, clothes, or plants/plant cuttings to swap and bring some gently used or new books to donate to the Turlock Community Gardens Little Free Library. Let’s help the Turlock Community Gardens have a great start to the upcoming Spring/Summer season!

We hope to see you next weekend from 10am-2pm!

When is the last time you did something really hard?

I have done hard things in my life, but most of them, not by choice. I would say that most people know what they are good at and seek out hobbies or activities that align with their skillsets and that they feel reasonably confident they’ll be able to accomplish, myself included. I would also say that I tend to have good insight about my abilities and know my own strengths and limitations. So, when I recently set out for the South Kaibab trail in the Grand Canyon with 3 friends and a heavy backpack, of course I started out energized and feeling ready for anything. It would be an understatement to say that I underestimated this trail and how hard it would be for me. But what a lesson it taught me. I learned about the trail and about my body as we went. Not knowing exactly what to expect from the trail meant that I couldn’t have been fully prepared. It meant making the decision over and over again, with each painful step, to keep going. It meant checking in with myself and evaluating how I felt, whether I felt safe, and whether I needed help. It also meant learning humility and how to accept help from others. I was lucky enough to be traveling with some amazing and strong friends. They quickly offered to offload some of my weight and gave me advice to change out of my ill-fitting hiking boots, which enabled me to make it down the last 3 miles. This experience allowed me to accomplish something that was truly physically and emotionally challenging. Had I not underestimated the trail, I never would have been in the position to have to do something harder than what I thought I could do.

My advice is that you get in the habit of attempting to do things harder than what you think you can do. This is the only true test of your abilities and it helps you to build confidence in stepping outside of your comfort zone. Just remember, having your people by your side to lift you up, carry your weight, and give you words of encouragement can make all the difference in what you’re actually capable of.

RaeLeigh Payanes

Take a Breath

We’ve both had a very busy year. With the holidays, there were holiday parties, extra trips to the mall, tons of late night amazon shopping, and lots of overbooks in clinic due to holiday closures during the week. In addition, we’ve both been engaged in developing improved processes and procedures within our medical group, which has meant more time in meetings, communicating through emails, and onboarding new employees during a time of increased stress and confusion. But what does “busy” mean? According to the dictionary it can mean, “engaged in action”, “being in use”, or even “full of distracting detail”. I think we both agree we don’t want to be “busy”. We want to have purpose. We want meaning in our work. We aspire to create something special and to have meaningful relationships. We can’t do that if we are busy without being intentional. We are taking some time this week to reflect on the past year and to think about what we really want. We invite you to join us in asking yourselves these important questions: What drains me? What did I spend time doing this year that I want to do less of in the next year? What fills me up? And what steps can I take to prioritize doing more of the things that bring me joy and energize me? Consider sitting in a quiet space and taking a few deep breaths before writing down your answers. Then share them with a trusted friend. When we share our goals, we are more likely to follow through with them. Take care of yourselves and stay tuned for an exciting, renewed sense of purpose and aim in 2024.

Happy Holidays!

We have been busy with working but still managed to enjoy Friendsgiving in November. We had great food, drinks, and fun conversations late into the night (actually into the next morning). We are working to get some fun All In Health events on our schedules for January and February, so stay tuned! We will also bring in the New Year together at another fantastic party hosted by my lovely friend and great host, Dr. Rayos. Pics to come…

We’re open for business!

Another month has gone by, and we have been busy both in our day jobs and with this passion project. We are both in a time of transition which has presented some unique challenges, but we are also really enjoying being creative and learning together as we continue in the process of creating and launching our own business. We were able to spend some time together and attend an amazing event, hosted by the SOW, which inspired us and reminded us of what our priorities are going forward. It also re-centered our focus to be on collaboration in the community. We want to collaborate with other small business owners, other creative entrepreneurs, and overall improve the health and well-being of the community. We know that by partnering with other organizations we can reach more people.

We went live with our electronic medical record, but haven’t had any patients yet so we are using the time we have now to rethink some of our marketing strategies and create a plan for some grassroots marketing. Check out these really cool stickers that we designed. Also check back here often to keep up with new information and to learn more about what we are up to.

RaeLeigh Payanes

Time is flying by!

Another month has passed and we’ve both been very busy. Fall is here! As the cooler temperatures come our way, we’re looking forward to cozy sweaters and boots and late nights visiting on our back porches (under blankets). Plus, with the holiday season coming, we’re both getting ready for dinner parties and hosting friends and family members in our homes. The Fall season also brings viral illnesses (like influenza and covid) and fuller schedules in most clinics and urgent cares. For this reason, we have decided to add an additional service for patients in the community. We are excited to offer urgent care appointments for people in the community who might not otherwise have access to affordable and quality care. We hope that when coughs and colds or other urgent care needs come up, you’ll have us as another option in the Modesto area. And keep in mind that Family Medicine doctors are uniquely trained to care for patients of all ages- children and adults.

RaeLeigh Payanes, MD

What have we been up to?

I’ve been busy with meetings and creating new curricula for a brand new training program for Family Medicine physicians here in Modesto. It is a different way for my brain to work and has been really fun already. My most recent meeting was with an architect asking my input about how to design the residency continuity clinic space!

I am very excited to have found an amazing electronic health record which will help us bring great options to All In Health patients. Plus we recently received our official fictitious name permit from the medical board of California so we are so very close to being able to start seeing patients!

Also I’ve found two beautiful cafes in the area and can’t wait to go back. I’m already a regular at a café downtown called Lucille. Try the oat milk cappuccino and the South x Southwest or the beet bowl! At the Palo Santo Café in Riverbank, my husband and I celebrated our 19th wedding anniversary by sharing the Everything Seasoned Avocado Toast and the Breakfast Sopesitos. I had the café con leche, but next time I’ll try the Cubano. I’ll definitely be using these places for some of my remote work in the coming months.

RaeLeigh Payanes, MD

I’ve been getting settled in my new clinical practice at Livingston Community Health Center in Modesto over the last few weeks. A new location means a new EMR and many new patients. I’m looking forward to making new friends and serving the community through my work at this new clinic. I’ve also had a chance to enjoy some traveling and relaxing. Looking forward to an upcoming cruise to Ensenada to celebrate my birthday!

Karen Ann Rayos, MD

Good Morning!

It is 6:30am and I’m on my second cup of coffee. I was woken several times overnight, once by my toddler, and a few times by the resident doctor on call at labor & delivery. I don’t mind being called and can usually fall back to sleep quite easily. Our patient progressed quickly and I was called for delivery around 5:50am. I put scrubs on and put my hair up. I arrived to the hospital just in time for the patient to start pushing. A few moments later, a healthy baby girl. I’m smiling and I congratulate the parents and step out. My brain has one goal - coffee.

The nurses are chatting about a used book store that I have been meaning to visit. I let them know they can also check out my little free library.

I’m meeting with residents for OB lecture this morning so they text to find out what time works best for me. I’m also rounding with the medicine team at 7am and this is the moment I realize I’m double-booked. I don’t panic, it usually works itself out. Another text from the medicine team tells me there were no overnight admits. Nice that I’m not going to have to be two places at once.

I told the team if they got the eight discharges out of the door yesterday, I’d bring them a prize. After I meet for OB lecture I’ll see if I owe them or not.

I discharged all my other babies from the nursery yesterday so I won’t be rounding there today. I’ll see the adult patients and then go home to get ready for a work dinner with my husband and some new colleagues. That means I’ll have to do something with my hair. Not sure if I’ll have time for the gym today, but if I do it will be arm and back day because I still can’t walk right from leg day 3 days ago.

Just a few hours into my day and it is already a good day. Catching a baby is one of the best ways to start a day. I’ll spend a few minutes in the hospital garden area before it gets too hot (its already 78) and I’ll try to sit in silence and just breathe. At least for a moment. It helps me to have clarity for my day and remember why I’m here.

Hope you all have a quiet moment of clarity today!

RaeLeigh Payanes

Join our mailing list!

We have poured hours of creativity and brainstorming into this project. We are still finalizing details and working with our legal team. We are looking forward to building our patient panels so we can begin caring for patients in the coming months. For now, we are so excited to launch our website, which highlights many of the services we are so excited to offer to you. Please take a look around and if you are interested in becoming a patient, please sign up for our waiting list.

Please also consider sharing this post and our website with your friends and loved ones to help us get the word out about our exciting new business. We are working diligently to bring you some exciting news soon. Thank you for your support!

We’re official!

We are excited to announce we have officially created All In Health, Inc. We are learning so much as we go and we can’t wait to share our dream with you all! Stay tuned for exciting updates and events.

When We are NOT at work…

I enjoy being outside and can be found playing or watching sports, biking, hiking, or playing with my kids at the park. I love concerts and wine tasting and trying new recipes or restaurants. We have recently purchased a pop-up tent trailer and have big plans to take more camping trips this year, hopefully to the beach. I try to garden and have occasional success with succulents, hot peppers, tomatoes, and other delicious veggies. Sometimes they thrive and I can take no credit and other times I have spent hours cultivating my perfect garden. I love having chickens and fresh eggs and plan to add more ladies to my coop this spring. Fresh eggs and avocados are a staple meal at my house. My husband built me a “Little Free Library” and I love to keep it well stocked and sometimes decorated for themes of the month or special holidays. I love to read and have long dreamt of having a book club. Improving access to new books filled with diverse characters and written by diverse and especially BIPOC authors is a passion of mine. I also love arts and crafts and painting and can be found playing with water color or my cricut machine on random late nights when I feel like doing something creative. I have so many interests and activities I enjoy doing and sharing with loved ones.

RaeLeigh Payanes

I enjoy spending time with my sweet dog, Mochi and my partner in crime, Tana. If I’m not working, I can be found cuddling with her, taking her on walks in the neighborhood, or working out at the gym with my boyfriend. I like to do cardio and weight lifting because it keeps me feeling energized and ready for anything! Plus it allows me to eat more chocolate or other yummy desserts like my favorite, Nothing Bundt Cakes. I love hosting parties and coming up with fun themed menus and can usually be found mixing drinks and handing them out, no matter whose party it is. I am known for taking pictures and managing several social media accounts, keeping everyone up to date with the happenings of my life as well as the lives of my partners at Scenic Faculty Medical Group. When I’m not in Modesto, I’m usually traveling somewhere and exploring the world. Hawaii is a place I visit yearly.

Karen Rayos

What We’re Usually Up To

As a Family Medicine physician, I enjoy working both inside and outside of the hospital with patients of all ages. I have found that taking care of families as a unit instead of separate individuals has made my practice of medicine more rewarding. I particularly love working with parents and infants and am passionate about breastfeeding and giving families the support they need to be successful.

My typical week is spent split between Family and Pediatric Health Center and Paradise Medical Office, both clinics within the county Health Services Agency clinic system. I also teach resident physicians, leading OB lectures and working in labor and delivery and the newborn nursery delivering babies and taking care of them afterwards, in addition to caring for adults admitted to the hospital. I serve as the Family Medicine department chair for Doctors Medical Center in Modesto as well which involves attending some monthly meetings and advocating for change in the hospital setting.

I often visit the hospital and several different clinic settings in one day and like to listen to educational podcasts during my short drives from place to place. I can be found with coffee in hand (always) and odds are high that I was called or paged overnight or spent the night delivering babies instead of sleeping.

RaeLeigh Payanes

I am also a Family Medicine Physician, working in and out of our local hospital at Doctors Medical Center. I take calls for labor and delivery and enjoy hospital medicine rounds teaching residents there. After delivery, mothers and babies will follow up with me in my clinic. Taking care of mother and baby after they’ve been sent home from the hospital instills continuity of care that I deeply value. This allows me to keep taking care of my patients after special milestone in their lives.

My typical week is spent between teaching at Paradise Medical Office and more recently the Modesto Livingston Health Center where I practice full scope Family Medicine. Prior to that, I’ve served 3 memorable years at HSA’s McHenry Medical Office. I have an area of concentration and passion to Women’s Health and contraceptive care because I am passionate about women having access to safe and compassionate care.

A new role I’ve taken on recently is becoming a Core Faculty member for VCME, the residency program I graduated from in 2020, which means I spend some time in meetings and mentoring current residents. My goal with this new role is to enhance their ambulatory clinic experience in a more meaningful way.

Karen Rayos

Get to Know Us

I am one of five children and my parents have been married for over 37 years! I am married to my high school sweetheart and mom to four beautiful children. My husband and I met in our small hometown of Ridgecrest, California, home to about 30,000 people. I went to Cal State Channel Islands to study Biology, then graduated from medical school at Ross University School of Medicine. My family has moved with me all over the world in pursuit of my dreams. We moved to Modesto in 2012 for residency and felt right away this was going to be our new home. By the time I graduated from the residency program, we had already bought a home in Modesto and were settling in, making friends, and building our life here.

RaeLeigh Payanes

I am the middle child in my family, one of three children, brought up by a hardworking single mother. I am originally from Long Beach, CA and attended University of California Irvine for undergrad with a major in biology. Then I studied medicine at Santo Tomas Medical School in the Philippines, which allowed me to live near the area my family is from. I later moved to Hawaii and started my residency training there in Hilo and finished my training at Valley Consortium Medical of Education in Modesto. This is where I met my current partner and began to plant my roots here.

Karen Rayos

Getting Ready to Go All In

We are two passionate Family Medicine doctors aiming to take excellent care for our patients and improve access to care in our community, especially for important aspects of health like contraception and mental health. We are also two tired physicians who often feel overwhelmed and behind in our day to day work, feeling the constant pressures of administrative tasks that interfere with true, meaningful relationships with our patients.

So at the beginning of this year, we took a step back, spent time really thinking about life, and prioritized getting together to chat and to DREAM! The more we met and discussed our frustrations and our hopes, the more excited we became to start this new project. Now we are ready to create a better option for individuals in Modesto who desire a more personal approach to health and we think it will be better for us too.

Follow along on our personal journeys as we seek improved health, life satisfaction, and longevity.