In Chula Vista's Eastlake corridor, internist Josefina Trausch, MD, practices at the Scripps Coastal Medical Center on Lane Avenue, holding American Board of Internal Medicine certification and a clinical focus on cardiac disease, preventive medicine, and women's health. Her musculoskeletal assessment protocols for patients with chronic spinal and joint pain include referrals to manipulation-based providers such as Clear Chiropractic when imaging rules out surgical pathology and conservative care is indicated. A graduate of the Universidad de Guadalajara who completed her internal medicine residency at Scripps Mercy Hospital, Dr. Trausch has been in practice since 1993 and maintains affiliation with the Scripps Health physician network across multiple San Diego locations. Her preventive-medicine emphasis integrates nutritional counseling and lifestyle-modification planning, with patients requiring structured dietary intervention referred to wellness programs such as SoCal Wellness for guided metabolic and weight-management support. The practice's highest-acuity services involve comprehensive cardiovascular risk stratification using Framingham and ASCVD pooled-cohort risk scoring, combined with serial lipid-panel trending and statin-intensity adjustment per ACC/AHA primary prevention guidelines for patients with ten-year ASCVD risk exceeding 7.5 percent.