Letter from Dr. John Bruchalski

January 20, 2022

Dear Tepeyac OB/GYN Family:

As some of you already know, I have been on medical leave from Tepeyac OB/GYN since Thanksgiving. I wanted to write and give you an update on my situation.

In November I began to experience pain in my upper back and right arm that prevented me from operating at Fair Oaks Hospital and seeing patients in the Tepeyac OB/GYN office. The diagnosis was not easily forthcoming, but I now know that I have three issues: an auto-immune disease in a nerve bundle that impacts the integrity of my right arm; an entrapped nerve at my elbow; and lastly a narrowing of my spine in my neck. With medication and therapy, I am relatively comfortable and I am doing fine. For the short term, I am on disability. This means I can’t see patients or deliver babies or order prescriptions. For long term, it may mean my retirement from medicine.

Getting old only helps us get wise, and that happens by trusting the Father. I am so trying to let go and accept His perfect plan for my life.

In the meantime, Tepeyac OB/GYN continues to be an excellent medical practice with the best doctors and midwives, staff and patient family. Our providers — Dr. Fisk, Dr. Muldoon, Dr. Pereira, Dr. Cvetkovich and Kim Terhune — provide the very best in life-affirming care to every patient who comes through our doors. We are bringing a wonderful new midwife on board this month. We are grateful to have help at the hospital to fill my shoes while I am on leave.

I will continue to work to help Tepeyac OB/GYN shine as a model for medicine in the world that so often embraces darkness. I encourage you all to share Tepeyac OB/GYN with your friends and families and with any potential patients in search of the highest-quality care of body, mind and soul. All of us at Tepeyac OB/GYN thank you immensely for being with us through good times and bad and trusting us with your care and the care of your children.

Our Lady of Guadalupe said to Juanito almost 500 years ago, “Do not fear any illness, vexation, anxiety or pain. Am I not your mother, are you not in the crossing of my arms, did I not give birth to the fountain of Life? Is there anything else you need?” She continues to say to me and to you — trust in her Son and our Savior with our entire being and to follow Him wherever He leads because He knows BEST, “Do whatever He tells you.” John 2:5.

On behalf of Tepeyac OB/GYN I hope you know you are loved by us and beloved by Our Father. Know this in your bones — we are the family of God made for this time. Let’s keep praying for each other.

From under her mantle and His Mercy,

Dr. John

Hannah’s Hope



Fellowship, prayer, and support for women journeying through primary and secondary infertility.



Every second Monday of the month at 6 P.M. at the Tepeyac OB/GYN main waiting room. For more information and to RSVP contact Sandra at Hannahshope2021@gmail.com



Responding to the changing world around us, Tepeyac is now set up to do certain, non-OB virtual appointments, sometimes known as telehealth. Most insurance companies are now covering such appointments, though you should check with your insurance company if you are uncertain.

Examples of appointment types that are a good fit for virtual appointments are medication checks, infertility consults, test results, or seeking a second opinion. Please call the front desk to check if your non-OB need is eligible and/or schedule a telehealth call.

We are a pro-life obstetrics and gynecology medical practice, dedicated for 25 years to serving you and your individual needs.


Balance Billing Protection for Out-of-Network Services

Your Rights and Protections Against Surprise Medical Bills.

When you get emergency care or are treated by an out-of-network provider at an in-network facility, you are protected from surprise billing or balance billing.

Our Services

We offer comprehensive OB/GYN services from adolescent to menopausal health and everything in between, providing you with personalized treatment and respect in your care.

"My husband and I just had our second child with Tepeyac. We could not have asked for better care from all of the doctors and nurses there. Know that they have your best interests and those of your child at heart! If you want doctors who care and listen to you, this is the best ob-gyn practice."

Anna W.

"Tepeyac is such a special place! You feel a sense of peace, trust & safety the minute you walk in the door. To have Drs. that will pray with you during your appt! Blessed to experience this environment."

- Jennifer B.