{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/183416w09x/manifest","type":"Manifest","label":{"en":["Dr. Chidinma Aniemeke"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Description"]},"value":{"en":["\u003cp\u003eThis oral history interview with Dr. Chidinma Aniemeke, conducted June 4, 2025, documents her experiences as a family medicine and geriatrics physician providing care to older adult populations during the COVID-19 pandemic. Dr. Aniemeke describes her clinical responsibilities in outpatient, nursing home, and hospital settings, and explains how care delivery shifted to include telemedicine and expanded home visit services. She discusses the unique medical and social needs of geriatric patients, including chronic illness, dementia, and the effects of isolation, as well as the exacerbation of health disparities during the pandemic. The interview also recounts her personal experience contracting COVID-19, the emotional and clinical challenges of treating high-risk patients, and the impact of increased mortality in hospital and long-term care settings. Dr. Aniemeke reflects on goals-of-care discussions, palliative care decision-making, and changes in medical practice resulting from the pandemic, including a greater emphasis on advance care planning and adaptable care models\u003c/p\u003e"]}},{"label":{"en":["Rights Statement"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine.  Disclaimer:  The views presented in this broadcast are the speaker’s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice. \u003c/p\u003e"]}},{"label":{"en":["Date"]},"value":{"en":["2025-06-04 (created)"]}},{"label":{"en":["Type"]},"value":{"en":["interview"]}},{"label":{"en":["Agent"]},"value":{"en":["Dr. Alexis Ramos (Interviewer)"]}},{"label":{"en":["Format"]},"value":{"en":["video"]}},{"label":{"en":["Keyword"]},"value":{"en":["Covid-19 pandemic","family physician","family medicine","geriatrics","nursing homes","telemedicine","health disparities","dementia care"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}}],"summary":{"en":["\u003cp\u003eThis oral history interview with Dr. Chidinma Aniemeke, conducted June 4, 2025, documents her experiences as a family medicine and geriatrics physician providing care to older adult populations during the COVID-19 pandemic. Dr. Aniemeke describes her clinical responsibilities in outpatient, nursing home, and hospital settings, and explains how care delivery shifted to include telemedicine and expanded home visit services. She discusses the unique medical and social needs of geriatric patients, including chronic illness, dementia, and the effects of isolation, as well as the exacerbation of health disparities during the pandemic. The interview also recounts her personal experience contracting COVID-19, the emotional and clinical challenges of treating high-risk patients, and the impact of increased mortality in hospital and long-term care settings. Dr. Aniemeke reflects on goals-of-care discussions, palliative care decision-making, and changes in medical practice resulting from the pandemic, including a greater emphasis on advance care planning and adaptable care models\u003c/p\u003e"]},"requiredStatement":{"label":{"en":["Attribution"]},"value":{"en":["\u003cp\u003eThis item is protected by U.S. copyright and related rights. It is being made available by the Center for the History of Family Medicine as its rights-holder for noncommercial use, including sharing and adapting the work. No permission is required for noncommercial use so long as attribution is provided. All other uses require permission from the Center for the History of Family Medicine. \u0026nbsp;Disclaimer: \u0026nbsp;The views presented in this broadcast are the speaker\u0026rsquo;s own and do not represent those of CHFM or the AAFP Foundation. The information presented is for general, educational, or entertainment purposes and should not be considered legal, health, financial, or other advice.\u0026nbsp;\u003c/p\u003e"]}},"provider":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/aboutus","type":"Agent","label":{"en":["Center for the History of Family Medicine"]},"homepage":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/","type":"Text","label":{"en":["Center for the History of Family Medicine"]},"format":"text/html"}],"logo":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","type":"Image"}]}],"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/312/710/small/Aniemeke.mp4_1782149784.jpg?1782149791","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710","type":"Canvas","label":{"en":["Media File 1 of 1 - Aniemeke.mp4"]},"duration":1126.77565,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/312/710/small/Aniemeke.mp4_1782149784.jpg?1782149791","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/312/710/original/Aniemeke.mp4?1782149779","type":"Video","format":"video/mp4","duration":1126.77565,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603","type":"AnnotationPage","label":{"en":["Dr. Chidinma Aniemeke [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Interviewee: Dr. Aniemeke\n\nInterview Date: 06/04/2025\n\nTranscribed using REV facilitated by Estrella Garza on 10/16/2025\n\nAAFP CHFM\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=0.0,0.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I'm Dr. Ramos, Alexis Ramos, and today's date is June 4th, 2025. We're located at the ALTC campus at UT Long School of Medicine. And where are you located?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=0.0,22.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I'm located at Christus Santa Rosa Tower two outpatient building, and it's the geriatrics, the Supportive Care Clinic.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=22.0,31.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. Okay. And you want to go ahead and say your full name?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=31.0,37.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, so my name is Chidinma Aniemeke.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=37.0,42.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Perfect. Okay, great. So just get rid of this. We can go ahead and get started. So go ahead and describe your current title.\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=42.0,56.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay, so I’m a family medicine and geriatrics physician.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=56.0,61.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. Okay. And then before 2020, can you go ahead and describe to us a typical day in your clinic?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=61.0,72.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay, so before 2020, so clinic would be: patients come in and I see them in clinic and address their issues, chronic issues, acute issues, and they go back home. So that was clinic.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=72.0,90.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. Okay. And then can you kind of describe the population that you serve?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=90.0,95.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, so I see older adults, so 60, 65 and over. So those are the population that I serve.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=95.0,106.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. And any unique needs that your population has?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=106.0,112.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So unique needs would include patients that have dementia, older adults that have multiple chronic medical conditions, maybe some socioeconomic issues as well. So those are the issues that they have.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=112.0,129.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And in 2020, your title and role was the same or different?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=129.0,136.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So yes, in 2020, my title was still the same. I was still family medicine, geriatrics physician, so it was still the same.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=136.0,148.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. And what setting did you spend most of your time in during the pandemic, inpatient, outpatient, or virtual telemed?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=148.0,158.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So during the pandemic, this is now in 2020, right?\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=158.0,162.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes.\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=162.0,163.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah. So 2020 I did clinic. A lot of the visits now were virtual. I also did nursing home, which I did pre COVID and during COVID and after, so during COVID, a lot of the visits also became virtual. And I also did hospital consults, so geriatrics and palliative care consult at Christus Santa Rosa Hospital.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=163.0,195.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Gotcha. Okay, excellent. And so what do you remember about those first few weeks in clinic, right when the pandemic hit?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=195.0,204.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah. So interestingly, my story is that it is my own personal story. I traveled, so right before COVID kind of exploded in March, I traveled to Israel.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=204.0,221.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I traveled to Israel, and that's when we were hearing the stories of, there's a COVID person in San Antonio, I think at the mall, North Star Mall. So we're hearing the stories. So I think maybe a day before our trip ended was when they shut down one of the tourist sites in Israel that there was COVID exposure. So we had to cut our trip short, and they put us in a hotel and the hotel was empty. Most people had now started to evacuate the tourist sites. So we had to get on a plane. Our plane was diverted to a different place. So we got on a plane and we were headed back to San Antonio. Of course, we landed in New Jersey first and then came back to San Antonio. So when I came back, I had to now go through a screening through the school because I had traveled outside the country.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=221.0,279.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So initially I was told that I would take two weeks off just because I was out of the country. I was supposed to have gone through Germany, but I didn't. But then when I went through the screening, I was told that I was cleared to go back to work. So I went back to work and saw some patients at the nursing home. Then the day before, so two weeks before, two weeks, almost two weeks after I started back work, I started having fevers. And I called my work. It was a Sunday, I called my work and said, I'm having a fever, I can't come in. They told me to go check for COVID. So I went back to the clinic for UT and I checked and it was positive.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=279.0,329.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Wow.\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=329.0,331.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I tested positive for COVID, and now they had to now trace back to all the patients I saw.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=331.0,338.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Oh my goodness.\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=338.0,339.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And some of them were in the nursing home.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=339.0,343.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So, fortunately none of the patients were positive for COVID, which was good. I'm very thankful for that. So then I had to quarantine for two weeks before I could come back again. So that was the beginning for me of the whole COVID experience.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=343.0,366.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): No, that must–\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=366.0,368.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I left before COVID started. When I came back, that's when COVID hit, and I had tested positive and had to quarantine.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=368.0,375.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Oh my goodness, that must have been very scary, early on getting COVID.\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=375.0,379.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): It was very scary because everything on TV was like people were passing away, people were dying. And I had to quarantine from my own family, from my kids. So I stayed in the room for two weeks and I didn't come out well, I only come out with the heavy mask. But yeah, it was scary. But fortunately I just had low grade fevers, back pain. That was it.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=379.0,407.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I see. Okay. And you mentioned patients kind of talking about it. What were you seeing and hearing from your patients and your coworkers during that time?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=407.0,418.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So a lot of patients, of course, were scared. So COVID was almost like a death sentence. Of course. We knew that if you got COVID, people were afraid that they were going to pass away, especially for older adults in the nursing home. So initially when I came back, we reverted to telemedicine. So the patient got sick. I mean, we had to do a regular visits and also acute. When the patient got sick, we couldn't really go into the nursing home and you had to rely on a nurse to do physical exams for you, which was not ideal. So there was a lot of fear and anxiety during that time, being able to provide proper care for patients at the nursing home and also for our nursing home population. A lot of them were isolated, so the family couldn't come in and see them. They did visits where the family was outside the window and talked to the patient. So there was a lot of fear, lots of uneasiness during that time.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=418.0,484.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Mhmm okay. And so you mentioned your population is older. Do you think that your patients experienced the pandemic differently than other patients would?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=484.0,497.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think so. I think so. Again, because of people that are high risk, so you have comorbid conditions, or if you were older then if you have COVID, you're a little more at high risk for, or your increased risk for mortality from COVID. So a lot of the time we had goals of care discussions that say, what do you want to do because of this? So, yes.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=497.0,528.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes, that makes sense. And then what health disparities, if any, did you witness being exacerbated by the pandemic?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=528.0,541.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The health disparities that were exacerbated? Again, like I said, there's more isolation for patients that were in facilities, nursing, home assisted living, depression, lots of depression, worsening cognition for patients that were isolated. Even patients that were clinic patients, a lot of them were stuck in the home. They couldn't really go anywhere. But I saw a lot of worsening of cognition. A lot of people were even of physical conditioning in general because these older patients didn't really go out. They were now most of the time in their home.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=541.0,581.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I see. And you mentioned novel strategies that you use to kind of overcome this, telemedicine, things like that. Any other ways that your clinic handled the health disparities that were exacerbated that you can think of?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=581.0,596.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So besides telemedicine being a–I think telemedicine opened up a way for us to see patients. So could be video visit or telephone visit. But one thing that came out of COVID for my clinic was home visits. So we started going into the homes to see patients instead of them having to come to us. And it became such a big thing that after COVID, it now became a way for people that couldn't come to the clinic because of physical disability, just not being able to come to the clinic. We now went there to their homes to see them. So the clinic now, it's almost like 50/50. 50 patients that come to clinic and 50 that are seen at home. So opened up this whole home visit program for the geriatrics.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=596.0,646.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Nice. Okay. And so if you're open to it, can you describe a moment that felt especially overwhelming or powerful during that time? It could be personal, it could be a patient story.\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=646.0,662.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah. Again, my own experience was one that…it was scary for me and I also had, when you're a doctor, you become the doctor for the community. So for me, in my social community, I'm also a pastor too. So in my church, a lot of people had COVID either from, I mean of course they stay home, but it kind of came to a place we were helping to coordinate care for them. So I don't know if you guys remember the whole infusions that people were getting for COVID. So kind of helping to coordinate that for a lot of my church members and sending them to the ER when I felt like, no, you are very sick. So that was one thing. And then another one was doing palliative care consults in the hospital. I think that was overwhelming because there was a large volume of consult, especially the ICU. So it was almost to the point where if you got intubated, there was very little chance that the person was going to recover. So having to talk to families and explain to them this is what's going on, what do you want to do? And seeing patients pass away. So it was almost like a daily thing in the hospital. ICU people were just passing. So you see someone, you talk to them one day, they get intubated, then a couple of days later, a week later they pass away. So that was a lot at that time.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=662.0,767.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes. Yeah, it really was. And so during that trying time, what kept you going?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=767.0,780.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think just telling myself, just keep providing the care as much as you can, as best as you can. Being able to provide comfort for family members who their loved ones have COVID, trying to be a positive, a ray of hope for them versus I'm here to deliver this bad news. So that was it for me. And trying to be there for your patients and help you them navigate what was going on.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=780.0,818.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Nice. Okay. And so did this experience shape the way you practice medicine now?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=818.0,828.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think it does. I think it does. I think one thing is definitely when I see patients focusing, be mindful to address goals of care for my patients. So when you see them in clinic and things are stable, I know making sure that you know what their care preferences are, making sure they have advanced directives in place and they have an mPOA. Because a lot of times in the hospitals it was an emergency discussions when the patient was already sick and we're trying to figure this out. But having those conversations when things are stable versus when people are now sick and families trying to figure out what would my loved one want versus the patient themselves letting you know and family know this is what I work for myself. I think that was one thing that I learned during that time. Having goals of care, discussions with my patients way ahead of time when things are good and when things are stable.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=828.0,893.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. Okay. Do you think that the system as a whole is better prepared now for a pandemic? Why or why not?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=893.0,907.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I mean, I hope we are prepared. We've gone through this pandemic now. I think the health system, I think we manage pretty, I think we manage it well. Again, being able to transition people from in-person visits, telemedicine, and then transition back from that to in-person again, being able to screen people to see if they had any symptoms and make sure that those individuals are not seen in person. I think as a healthcare, we're better able to handle the pandemic. And also, of course, getting the vaccine available as soon as possibly, because I think that was one major factor that really helped because we were seeing that the people that survived COVID were people that were vaccinated versus people that were not vaccinated were the ones that were not continuing to pass away from COVID. So I think we are better as a healthcare in general to handle the pandemic.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=907.0,974.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Got it. Okay. And so if you could tell the public one thing about what it was like to work through the pandemic here, what would you say?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=974.0,987.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): What was it like? I mean, I think it challenged you. It challenged you to be creative in how you provide care. So being able to see someone in person versus not being able to care for them virtually was a challenge. Being able to be compassionate when providing care, when family members are distraught over the death of a loved one or distraught over the sickness of a loved one or being able to provide that level of empathetic support for them. So I think it challenged me, but again, it was very scary being able to work through that to provide care.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=987.0,1049.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And finally, this interview is being recorded to preserve and document providers' experiences during this unprecedented time. Anything else that you would like to share or clarify?\n\nDr. Aniemeke (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=1049.0,1065.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Lemme see. No, I think that's pretty much it, but I think it is interesting how we moved…just five years ago that we had a pandemic to where we are now. I think we've really gone a long way. And it is interesting how being able to learn how to do a Zoom visit was a big thing back then, how could I do it? But now it's become such like, it's so easy to do now. So I think the innovative ways of caring for patients that have come out of COVID, I think that's a big thing. Like I said, our home visit program for our clinic came out and was born out of COVID. Being able to go to the patient versus having them come to you, they were good and there were some bads, but I think we learned a lot from it.\n\nDr. Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=1065.0,1128.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710/transcript/94603/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Awesome. Thank you so much, Dr. Aniemeke. I think that was beautiful.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173596/file/312710#t=1128.0,1126.77565"}]}]}]}