As my eyes grew heavy and my head began to float, I rested my forehead against the table, gripping its legs for balance. Minutes later, I woke up on the floor with my sister hovering over me, splashing cold water on my face, fear etched into her expression. That moment marked the beginning of countless neurology appointments and my first experience navigating the U.S. healthcare system as a recent immigrant.
At sixteen, newly arrived in the United States while my parents remained abroad, I often longed for them during those visits. Instead, I found reassurance in my neurologist, Dr. Laura. Sensing my anxiety in the waiting room, she gently asked why I was there by myself and whether I had eaten that day. After listening carefully to my history, she explained that a prior concussion was causing episodes of syncope and migraines. We reviewed a treatment plan together, and she encouraged me to keep a symptom diary, research my condition, and return with questions. What stayed with me was not just her clinical expertise, but her recognition of me as a whole person, young, frightened, and navigating an unfamiliar system. Through trust and compassion, Dr. Laura empowered me to take ownership of my health, and in doing so, planted the first seed for my future in medicine.
Motivated by that experience, I began volunteering with my local fire department as a junior brigade member and later trained as an EMT. I wanted to understand what it meant to show up for people in moments of vulnerability. One EMS call remains vivid. We responded to an elderly man, Ian, whose cancer had relapsed after chemotherapy. He was curled on the couch in pain, refusing to move. As my team prepared the stretcher, I asked him about the television show playing, "NCIS", and watched his expression soften as he eagerly recounted the plot. While he talked, we gently transferred him, and during transport I monitored his vitals while the paramedic managed his pain. When we reached the emergency department and transferred his care, Ian smiled and told me “you better watch the show.”
Moments later, as physicians rushed behind the curtain to stabilize him, I stood outside feeling helpless. That feeling, wanting to do more, clarified my desire to become a physician who can accompany patients through their most uncertain moments.
In college, I majored in neuroscience to better understand the biological foundations of illness, while continuing to seek the human stories behind disease. Through the Engaged Humanities Initiative, I explored how culture, language, and storytelling shape health experiences, particularly for marginalized communities. Interviewing patients and physicians and studying social determinants of health helped me contextualize my own immigrant experience within broader systems of inequity. I led health literacy initiatives and community outreach programs aimed at reducing barriers to care.
After college, I extended this work by leading a stroke nonprofit organization, where I created a virtual community for stroke survivors and caregivers nationwide. Each week, I facilitate conversations with physicians, therapists, and community leaders about recovery, prevention, and emerging therapies. Watching survivors gain confidence to ask informed questions continually reminds me of Dr. Laura’s encouragement years ago, to be curious, engaged, and empowered in one’s own care.
My immigrant journey has taught me resilience, adaptability, and the importance of compassionate guidance within unfamiliar systems. These experiences have shaped my aspiration to become a physician who listens deeply, validates lived experiences, and integrates personalized care. Just as I was once supported during my most vulnerable moments, I hope to be a steady presence for patients navigating illness, uncertainty, and transition.
“What are some ideas you would recommend to increase patient satisfaction scores from Hospital A?” my healthcare administration graduate professor asked the class. Immediately, hands shot up. Many classmates offered textbook answers—reducing emergency room wait times or improving staff training—yet few had ever worked directly with patients. I remember thinking, How can someone improve patient outcomes without firsthand experience? That question stayed with me because I work on the front lines of healthcare, where true understanding is earned through direct patient contact.
I am a Mexican-born immigrant raised in California’s Central Valley, and I moved to Southern California to pursue a career in healthcare after being accepted to California State University, San Bernardino in 2022. Months earlier, I had already relocated to the Inland Empire and begun training as an Emergency Medical Technician. I was driven by a desire to serve diverse communities through culturally competent care, a concept I first encountered during my junior college years. Once I entered the field, I realized I had found my purpose.
Working 911 calls for multiple ambulance agencies in Riverside County placed me face-to-face with patients in crisis and taught me that effective care depends as much on communication and cultural understanding as on clinical skill. Cultural competence is not a box to check—it is the foundation of patient-centered care. My Spanish frequently became a life-saving tool when no one else on the scene could communicate with Spanish-speaking patients. Too often, I heard colleagues express frustration: “How can these people live in this country for years and still not speak English?” I believe that frustration is misplaced. Many of those same clinicians had served the community just as long without learning a single word of the languages spoken by their patients. Learning a community’s language builds trust, empathy, and dignity—especially in moments of fear and vulnerability.
Seeking to deepen my clinical skills, I transitioned from the ambulance to work as an Emergency Room Technician alongside nurses. Later, at UCI Health, Fountain Valley’s Emergency Department, I encountered a new patient population. While Spanish remained common, many patients primarily spoke Vietnamese. I took it upon myself to begin learning Vietnamese on the job. Within the year, I developed enough proficiency to ask medical questions and hold basic conversations. You can only imagine the faces on some people when they see a big Mexican guy such as myself speaking Vietnamese!
I was accepted this year to Yale University’s Graduate Entry Prespecialty in Nursing (GEPN) program, which is the ideal next step in my journey, allowing me to transition from Emergency Room Technician to Registered Nurse while advancing equitable, evidence-based care. I achieved possibly the hardest path an undocumented immigrant can take. From working in the swapmeets with my parents, to attending an Ivy League school. I promise to come back to my communities to help my people.
My goal is to remain rooted in emergency care as a nurse and future leader. Yale’s commitment to scholarship, clinical excellence, and service aligns with my belief that improving patient outcomes begins with understanding people in the context of their culture and community. At Yale, I will continue to grow into the kind of nurse who ensures every patient not only receives care but truly feels cared for.