Internal medicine
house calls in Quito
For adults with several conditions at once, many medications, or symptoms that don't fit a single organ. The first visit lasts about an hour and ends with one plan.
Care is provided in Spanish only. This English page is so you can read how the service works; the visit itself is not in English.
We confirm the time based on the doctor's availability. If she has an opening the same day, it's booked.
Medical content reviewed by Dr. Jefferson Astudillo Peña, general physician (SENESCYT registration 1008-2023-2705888). Last reviewed: September 2026.
Internal medicine consultation
$60
At home, or in clinic if you ask. Doesn't include tests or treatments.
What internal medicine is
The adult specialty
It diagnoses and treats, without surgery, conditions of the internal organs and systems, especially when there are several at once.
When nothing fits a single organ
Or when the treatment for one condition clashes with the treatment for another.
One plan for everything
It checks whether your medications interfere with each other and whether you still need all of them.
Reviews everything you have
Tests, reports and previous prescriptions. Keep them at hand for the visit.
One-hour first visit
Approximately. There's time to review the whole picture, not just today's complaint.
At home, by appointment
Also in clinic if you ask. Same day if there's availability.
It doesn't replace the general practitioner. The GP is the first contact: assesses you, handles common problems and says when a deeper look is needed. Internal medicine comes in when the picture is already complex.
When it helps, and when it doesn't
It helps if…
- You have two or more chronic conditions, each being treated separately.
- You take several medications and it's unclear whether they interfere or whether you still need them all.
- You've had tiredness, fever, weight loss or abnormal lab results for weeks, with no clear cause.
- A general practitioner has already seen you and thinks your case needs a deeper look.
- You've just left the hospital and the plan at home needs to be put in order.
What this consultation doesn't do
- It's not for severe chest pain, sudden shortness of breath or a person who doesn't respond. That's an emergency: call 911.
- It doesn't replace a cardiologist, nephrologist or surgeon when the problem is already limited to one organ and needs that procedure.
How it works with general medicine
The general practitioner
- Handles today's complaint.
- Leaves the immediate plan.
- Spots whether the case ends there or needs internal medicine.
The Internal Medicine resident
- Reviews the whole picture: conditions, medications and tests.
- Takes the patient's real goal into account.
- Leaves one plan, not several separate prescriptions.
When not to wait for the appointment: call 911
- Severe chest pain
- Sudden shortness of breath
- A person who doesn't respond or is suddenly very confused
- Weakness or numbness on one side of the body, a drooping face or trouble speaking
- Vomiting blood, or black, coffee-like stools
- Fainting
The internal medicine consultation is by appointment and is not an emergency service. If you need a doctor sooner, CrabCare's general home medical visit is available 24 hours a day. That doesn't replace 911 in an emergency.
Who provides the care
Dr. Lizzeth del Cisne Quezada Costa, general physician (Universidad Nacional de Loja, SENESCYT registration 1008-2016-1746426). She is in the third year of the Internal Medicine residency at PUCE, in Quito.
She sees patients in Spanish only, by appointment, at home within CrabCare's coverage area in Quito and in clinic if you ask.
Frequently asked questions
How much is the internal medicine consultation?
$60. Doesn't include tests or treatments: you're told the price beforehand.
Is it at home or in clinic?
Mostly at home. If you prefer the clinic, tell us when you book.
Is the doctor an internist?
She is a general physician in the third year of the Internal Medicine residency at PUCE. That's why we present her as an Internal Medicine resident.
How long is the visit?
The first one, about an hour. The doctor reviews all the information and tests you have.
What should I have ready?
Any tests, reports and prescriptions you have, and a list of the medications you take with their doses.
Does it replace the general practitioner?
No. The GP handles today's complaint and spots whether the case needs internal medicine. Internal medicine comes in when the picture is already complex.
Can I book for today?
If the doctor has availability the same day, yes. Message us and we'll confirm.
Which areas of Quito does she cover for house calls?
The same area we cover in Quito. When you book, we confirm that the doctor can reach your area.
Is care available in English?
No. The consultation is in Spanish.
Book the internal medicine consultation
Tell us the patient's age, their conditions, the medications they take and what worries you. We'll confirm the doctor's availability. If you have questions, ask us with no obligation.