{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/8g8ff3nz48/manifest","type":"Manifest","label":{"en":["Dr. Tharani Ravi"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Description"]},"value":{"en":["\u003cp\u003eIn this oral history, Dr. Ravi, an associate professor and family medicine physician at Robert B. Green Family Health Center, reflects on caring for an underserved patient population during the COVID-19 pandemic. She describes adapting clinical services through telemedicine, dedicated newborn care, weekend vaccination clinics, and outreach efforts to maintain care for patients facing chronic health conditions, financial hardship, and other social barriers.\u003c/p\u003e\r\n\u003cp\u003eDr. Ravi discusses the isolation experienced by new mothers, the disproportionate impact of illness, death, and economic hardship on vulnerable communities, and the challenges of caring for patients during a rapidly changing public health crisis. She reflects on how the pandemic strengthened her commitment to addressing social determinants of health and highlights the teamwork, compassion, and dedication demonstrated by healthcare workers throughout the pandemic\u003c/p\u003e (summary)"]}},{"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":["2025-07-02 (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":["family medicine","San Antonio","Texas","Covid-19","pandemic","family physician"]}},{"label":{"en":["Subject"]},"value":{"en":["Tharani Ravi (personal name)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}}],"summary":{"en":["\u003cp\u003eIn this oral history, Dr. Ravi, an associate professor and family medicine physician at Robert B. Green Family Health Center, reflects on caring for an underserved patient population during the COVID-19 pandemic. She describes adapting clinical services through telemedicine, dedicated newborn care, weekend vaccination clinics, and outreach efforts to maintain care for patients facing chronic health conditions, financial hardship, and other social barriers.\u003c/p\u003e\r\n\u003cp\u003eDr. Ravi discusses the isolation experienced by new mothers, the disproportionate impact of illness, death, and economic hardship on vulnerable communities, and the challenges of caring for patients during a rapidly changing public health crisis. She reflects on how the pandemic strengthened her commitment to addressing social determinants of health and highlights the teamwork, compassion, and dedication demonstrated by healthcare workers throughout the pandemic\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/000/313/436/small/Ravi.mp4_1782849617.jpg?1782849625","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436","type":"Canvas","label":{"en":["Media File 1 of 1 - Ravi.mp4"]},"duration":1125.35757,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/313/436/small/Ravi.mp4_1782849617.jpg?1782849625","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/313/436/original/Ravi.mp4?1782849603","type":"Video","format":"video/mp4","duration":1125.35757,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050","type":"AnnotationPage","label":{"en":["Interview with Dr. Tharani Ravi [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Interviewee: Dr. Ravi\n\nInterview Date: 07/02/2025\n\nTranscribed using REV facilitated by Estrella Garza on 10/16/2025\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=0.0,3.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): My name is Alexis Ramos and today's date is July 2nd. We are at the Robert B. Green Family Health Clinic and I'm with Dr. Ravi. And then also, do you want to say your name as well?\n\nEstrella Garza (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=3.0,30.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Oh yes. My name is Estrella Garza and I'm an undergraduate student at UTSA.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=30.0,34.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Alright, so let's get started. So go ahead and describe your current title.\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=34.0,42.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): My current title is Associate Professor/Clinical.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=42.0,46.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. And in 2020, did you have the same title?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=46.0,52.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes, I did.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=52.0,52.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Can you describe a typical day in the clinic for you prior to 2020? What did that look like?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=52.0,60.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Prior to 2020, I mean, I would have nine to 10 patients in a half day of clinic and it'd be a mix of, sometimes it'll just be mainly adult patients. Sometimes I would oversee well child clinic where with the residents seeing the patients and it was me precepting them and going into the room to confirm the diagnoses and things like that. And also women's clinic, some half days. And then part of the time I would also teach residents and students. So that was my role. And a few times a year I would do the hospital work as well, a week at a time.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=60.0,93.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. Can you describe the population that you serve at the Robert B. Green?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=93.0,99.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I guess we see all age ranges because it's family medicine. The vast majority of the population, I would say 60, 70% is Hispanic, and a lot of them come from a low income neighborhood here. And yeah, it's Edgewood, ISD is mainly where the kids come from. So they're going through a lot of struggles in addition to multiple chronic conditions. They also have a lot of psychosocial stressors going on. So when we're caring for them, we have to take everything into account.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=99.0,130.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Exactly. Okay. And so what setting did you spend most of your time in during the pandemic, inpatient, outpatient, telemed?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=130.0,138.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So during the pandemic, okay, so that changed quite a bit. So for the first few months, our clinic tried to separate the physicians who would see babies, newborn babies with weakened. They don't have their good immune system yet, so they wanted to separate the physician seeing them from the physician seeing inpatient hospitalized patients so that there's no cross contamination of infection and things like that. And so for the first maybe four months, all I saw were newborn babies in the hospital. That's what I did. And then after that, they started putting me in different things. For example, certain clinics, like the Well child clinic didn't run normally, but we still wanted to make sure the kids were up to date on their vaccines. And so we try to brainstorm and come up with interesting solutions where we would have a Saturday clinic where we don't want the different populations mixing together with maybe kids having more infections, transmitting it to our older adults who might have diabetes and so many other chronic conditions. So instead of having a regular well-child clinic along with our continuity patients, we had the well-child patients come in during a weekend to just mainly get their vaccines and we would kind of observe the social distancing as much as possible and try to separate the rooms, cleaning the rooms between visits. So it was different.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=138.0,230.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): It sounds like it. Okay. And so what do you remember about those first few weeks in clinic?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=230.0,236.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I remember there was a lot of changes, a lot of confusion on what we could do, who to see, and we were kind of concerned about some patients who were really sick and do they need to come in or should they stay at home. We were transitioning a lot of visits to telemedicine visits, but some patients still had to be seen in person, so we had to accommodate them. So it was a lot of going back and forth and being flexible. And I know my schedule constantly changed and I just had to be okay with it. And I know when at some point, the pandemic really ramped up. We were called to do extra inpatient shifts and that was challenging, but I'm glad we got to do it. So it's just mainly, I feel like not just me, but a lot of everybody around me was very flexible, and that was good to see that people weren't complaining. They're like, okay, this is what needs to be done for our patients. And we sometimes could be televisits, sometimes maybe you have to go to the hospital and schedule's constantly changing. That's one common thing that I saw that everybody experienced.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=236.0,297.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. And, so what were you seeing or hearing from the patients themselves?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=297.0,303.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The patients, like I mentioned, I was doing the babies for a few months and for them what I heard that was a little different in the sense that they were feeling isolated. The new moms, especially if it was their first baby, normally they would have a big family around them. And here they were just by themselves. And then they had to have a schedule of visitors who could visit. I can't even remember how many, I mean, I don't know if just one person at a time, they had strict rules on visitation. And then also if the mom had COVID, either she had to wear a mask and barely anybody could even go into the room. So I just felt bad for the patient. They would kind of express their frustration that they felt isolated and they didn't have that support. So that's what I guess the mothers told me.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=303.0,352.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): For older patients, it was just really sad. A lot of their family members, they got COVID and died unexpectedly. So a lot of them were going through this whole population, they were just more susceptible to COVID it seemed like with chronic conditions, a lot of people in their family, even if they were okay, they were just going through dealing with the deaths, unexpected deaths of many family members. And that was really, really stressful. And then people not being able to go to their jobs. So it's not just sickness causing the issue, but also loss of job reduced pay for less hours. So financial stress as well. Yeah, of course.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=352.0,391.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And so did the patients in this area experience the pandemic differently than other areas?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=391.0,400.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I just felt like our population, there was just a disproportionate amount of deaths and job losses compared to others. I mean, I hear that some of my relatives who lived in Stone Oak, of course, everybody was affected, everybody was isolated. They couldn't hold little gatherings or whatever, the usual things. But our population, I feel like, really had to deal with a lot, people being in the hospital, you don't know who's getting sick. Next, somebody goes to somebody's funeral and then they get sick and just complete chaos there.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=400.0,433.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I agree. Okay. And you touched on it a little bit, but what health disparities, if any, did you witness being exacerbated by the pandemic?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=433.0,447.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think the fact that they had chronic diseases and the fact that they had the struggles with social terms of health to begin with. They already weren't financially free and they already had issues with transportation and all that. So too when get into clinic and now all of that got exacerbated because they couldn't take the public transportation normally, or a lot of their visits were changed to televisits. And a lot of 'em didn't know how to even do televisits, but they wanted that connection to the provider and they couldn't get it.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=447.0,482.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. And so what innovative strategies were employed to manage those limited resources and ensure continued patient care.\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=482.0,491.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And I think our clinic, even though our patients had challenges as far as transportation and everything, even if they couldn't do televisit, at least the phone call, patients appreciated that. That was the main thing. I feel like we just continued to go about our day. And then patients that had to come in, we still accommodated them. We try to take the precautions and the social distancing and everything, but still have them come in. And I feel like our clinic has a good team of people, the advanced primary care team that really done a good job reaching out to patients who were isolated, but our patients really suffered a lot by being isolated. But them reaching out, that helped. And then even allowing for phone visits, not just telemedicine visits, A lot of 'em didn't have video capabilities, so just simple phone was helpful. Getting their medications mailed to them. I think that kind of ramped up during that time as far as I could remember. And what else? And then continuing to try to give the children's immunizations on a day when the adults weren't there. And so just being available on a weekend to go do that, that was a good idea.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=491.0,565.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I agree. Okay. What changes from that period have stayed in place?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=565.0,572.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Let's see. I think televisits, I mean none of us knew what televisits were, and I feel like patients themselves were forced to educate themselves on how to use their phone, their video capability. And so now some patients, even though COVID is not in place, even if they're not sick, but if they have some other constraint rather than just avoiding healthcare in general, they'll still do televisits. And I feel like that stayed on. What else? And then also, besides patient care, just because we're a teaching facility, we hold a lot of didactics and things like that, there's options to make it virtual and everybody just became more comfortable with that. So that's that. And then I think just being appreciative of the people around us and really paying attention to social terms of health. I feel like we were doing that before, but I feel like after this, we were really seeing how much those social stressors can affect patients. I think we're more keen to address those issues.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=572.0,634.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. So can you describe a moment that felt especially overwhelming or powerful during that time?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=634.0,643.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So that has to be the death of a patient. It was really sad. So this gentleman he had, it was really, really powerful in the sense that his children, he was 75 or so, and his children, I think two of his children were really working to, so one of them was actually developing vaccines for COVID, and another one was actually in charge of distributing, I don't know exactly what their roles were, but his whole family seemed to be really involved in helping others in the pandemic and really working hard. But then his brother died of COVID and he went to the funeral and my patient got COVID. And so he was admitted to the hospital and he was fine. I mean, he had some mild medical problems, but he was, even though he was 75, he was fine. But rapidly within a week he just declined.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=643.0,696.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And all his family came over. And then finally he just said, the moment that really struck me was there was one time where he desaturated so much. And they said, okay, now he's just working hard to breathe day and night. And when I was going home, I was just feeling so bad. I was like, okay, here I am. I'm able to finish my shift and go home. But I was thinking about him, oh, he's still there. Trying to just breathe. And that really struck me as like, oh my gosh, I'm here eating my dinner and he's just trying to breathe. So that really, that struck me a lot. And then the next day it got so bad that he needed to be intubated, but finally they said, because of his underlying condition, they said, oh, maybe you should think twice about being intubated. What are the chances of you coming out of it and being extubated?\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=696.0,745.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): How would your life be that even a possibility of being extubated? And so he thought about it, and then finally he was, again, he couldn't breathe well. But then finally somebody had brought him a Chick-fil-A milkshake, and he just looked at that and said, oh, give me that shake. And then he started drinking it. I was like, okay, what is going on? He said, that's when he decided not to be intubated, and he just wanted to enjoy that shake for the last time. And then his condition just started going downhill and started doing comfort care. And then all his family came over, and even some of them couldn't come because they were doing the good work. And he said, don't come. I want those two kids that were several kids. And he said, don't have my kids come back here. It's okay. I can talk to them on the phone. The work they're doing is very important. So just even his deathbed, he was just kind of thinking about others, and it was just really cool seeing the piece that came over him. But of course, his family was devastated. And I basically was there in the room when he finally passed. So that really, even now, I still remember every single word that he said and what his family members said, and he was joking towards the end almost, you know?\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=745.0,817.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Did the pandemic affect you personally at all?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=817.0,821.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I haven't had any personal losses, but it did affect me in the sense that one of my close friends from when I was in medical school, her mom actually passed away. Both her mom and her brother were in the hospital pretty sick in the ICU. Her younger brother made it, but still with a lot of disabilities, even until now, he's not normal. And her mom passed away. So that was pretty impactful. And then just seeing a lot of patients in the hospital pass away or just drastically get sick. So that affected me. There was even one time where I got out of the room for somebody who was getting worse, and I just told them I was, oh, okay, we need to put her on, I dunno what I said, it was high flow or something. And they said, doctor, we don't have any more high flow.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=821.0,867.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I said, so what do we do? So they're just putting different non review of this, that multiple things and trying to hold off. And then finally the patient got intubated and went to the ICU. But so that was kind of scary just to know, okay, every single ward in the hospital was all these patients. And on top of all that, with all that, I had a couple of people who I knew, they're like, oh, they were questioning COVID. And I was like, okay, just come see the hospital, walk the wards and you'll see what's going on. These people, yes, I mean, some of them weren't sick before, weren't really having illnesses, but a lot of them did have some chronic illness, but they were fine. They were going about their day and COVID that brought them here. And you can see them just take a walk in the hospital and you'll see every single bed taken by that person.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=867.0,913.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. Okay. So what kept you going during that time?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=913.0,919.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think I really liked my clinic family, and I just feel like everybody just stepped up. There was not a single complaint with the constant schedule changes. And I think everybody knew, okay, this had to be done, and this is our chance to actually show, just practice what we came into medicine for, really just step up in a time of need. And we don't always get those opportunities throughout life. And you're always doing small things every day and just seeing patients every day, providing really good conscious care. But this one, something extra was asked, not always is it asked. Right. So it was great to just step up.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=919.0,958.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): You touched on it a little bit, but do you think this experience shape the way you practice medicine now?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=958.0,963.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes. Yes, it does. And I think just made me more compassionate and just mainly the social determinants. I know I've talked about it a lot, but I used to not think about it so much as to be like, okay, they're here for this and I know I can't control everything. They'll go home. But now I urge myself to, okay, it's okay. Even if it's going to take a few more minutes, let me, especially, our clinic has a lot of resources, so let me stop and reach out to the right resources to make sure they're able to take care of their whole health, not just their medicine for that day, but just if there's food insecurity or financial transportation, let me address the root of it, because I saw that when one crisis hits, it was hard. They couldn't make it because they're barely hanging on. And so we need to help them when we can.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=963.0,1010.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. Do you think the system is better prepared now to handle situation?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1010.0,1017.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think so. I mean, I did see a lot of the departments in our hospital working together and they all came together. Everybody was working hard to figure out how best to deal with this. The infectious disease team, just the hospital administration. I think everybody, the fact that they've done it once before, I think hopefully it seems like they are better prepared.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1017.0,1042.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And then if you could tell the public one thing about what it was like to work through the pandemic here, what would it be?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1042.0,1051.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Let's see. I would say it was, I mean, I did have a sense of gratitude, just for the professionals that I saw all around me that really didn't care for their schedules or spending time with their family when they saw the need, their true passion for medicine really came out. And I think that's very inspiring. When I think about that time, that's what strikes me the most. I know there's a lot of sad things, but a lot of people dying, people losing their jobs, family members. But this one thing I saw in almost everybody, I could see that even a lot of us get jaded in medicine as time progresses or there's more requirements placed on us. But during these times, I feel like your passion for it comes out. And I could see that in almost everybody around me.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1051.0,1105.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And then finally, this interview is being recorded to preserve and document provider's experiences during that unprecedented time. Anything else you want to add, share?\n\nRavi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1105.0,1115.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): No, I think that's good. I mean, one other thing was it's not just physicians, it's everybody. We had respiratory therapists, even our medical assistants here for the well child, they came out on Saturday. It's not just the physician. So it's like the whole healthcare team, they all came together and everybody was just working hard and giving it their all. So.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1115.0,1137.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436/transcript/95050/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Thank you so much for doing this, Dr. Ravi. Appreciate it.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174017/file/313436#t=1137.0,1125.35757"}]}]}]}