{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/9z9086591s/manifest","type":"Manifest","label":{"en":["Dr. Marissa Emadi"]},"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. Marissa Emadi reflects on her experiences as a first-year family medicine resident at Robert B. Green Family Health Center during the COVID-19 pandemic. She discusses caring for a predominantly Spanish-speaking, low-income patient population and describes how the pandemic exacerbated existing barriers to care, including limited access to resources, delayed medical treatment, and worsening health conditions. \u003c/p\u003e\r\n\u003cp\u003eDr. Emadi recalls the uncertainty and isolation of residency training during the early months of the pandemic, when residents limited contact with others and adapted to rapidly changing clinical protocols. She reflects on the emotional impact of caring for patients during the crisis, including witnessing the death of a patient with COVID-19, and discusses how telehealth emerged as an important tool for maintaining access to care. The interview highlights the challenges, resilience, and teamwork that characterized healthcare delivery during an unprecedented public health emergency.\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":["2025-08-18 (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 physician","Covid-19","pandemic","Texas","family medicine"]}},{"label":{"en":["Subject"]},"value":{"en":["Marissa Emadi (personal name)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}}],"summary":{"en":["\u003cp\u003eIn this oral history, Dr. Marissa Emadi reflects on her experiences as a first-year family medicine resident at Robert B. Green Family Health Center during the COVID-19 pandemic. She discusses caring for a predominantly Spanish-speaking, low-income patient population and describes how the pandemic exacerbated existing barriers to care, including limited access to resources, delayed medical treatment, and worsening health conditions.\u0026nbsp;\u003c/p\u003e\r\n\u003cp\u003eDr. Emadi recalls the uncertainty and isolation of residency training during the early months of the pandemic, when residents limited contact with others and adapted to rapidly changing clinical protocols. She reflects on the emotional impact of caring for patients during the crisis, including witnessing the death of a patient with COVID-19, and discusses how telehealth emerged as an important tool for maintaining access to care. The interview highlights the challenges, resilience, and teamwork that characterized healthcare delivery during an unprecedented public health emergency.\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/000/313/260/small/Emadi.mp4_1782761754.jpg?1782761762","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260","type":"Canvas","label":{"en":["Media File 1 of 1 - Emadi.mp4"]},"duration":676.676,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/313/260/small/Emadi.mp4_1782761754.jpg?1782761762","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/313/260/original/Emadi.mp4?1782761745","type":"Video","format":"video/mp4","duration":676.676,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047","type":"AnnotationPage","label":{"en":["Interview with Dr. Marissa Emadi [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Transcribed by Soto\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=0.0,0.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay, so I'm going to do a little bit of a lead in. I'm Alexis Ramos, you're Marissa Emadi. Today's date is 8/18/2025. We're at the Robert B. Green Family Health Center, and we're gonna interview you and ask some questions. Is that okay?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=0.0,13.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=13.0,14.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So go ahead and describe your current title.\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=14.0,17.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So right now I'm an Associate Clinic Director at the Family Health Center at Robert B. Green. I'm a faculty member.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=17.0,25.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Great. Describe a typical clinic day prior to 2020 before COVID.\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=25.0,36.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, I had just started residency, so it was a blur. I was just trying to understand what I was doing in clinic, but I worked in clinic, inpatient, had my rotations monthly. Clinic was about four patients and a half day, always coming into clinic, rarely having televisits.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=36.0,56.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Got you. And can you describe the population you serve at the Robert B. Green?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=56.0,61.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): One of the or the lowest socioeconomic status group in San Antonio. Predominantly Spanish speaking and ages from newborn to geriatric.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=61.0,74.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And you kind of touched on this, but what was your title or role in primary care during 2020? A resident?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=74.0,81.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes, I was a PGY-1.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=81.0,84.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): What setting inpatient, outpatient, or telemed did you spend most of your time during the pandemic?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=84.0,90.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Intern year is supposed to be more heavily inpatient, but when I think back on it, it felt more outpatient.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=90.0,98.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. And what do you remember about those first few weeks in clinic when the COVID pandemic was announced?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=98.0,107.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, [when] it was actually announced, I think it had full blown hit San Antonio when I was on inpatient service. And so the hospital actually got quiet. So we had, like, three, four patients on our service because nobody was coming in. So that was my bubble. I was in a little bubble for at least that month when it was happening.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=107.0,128.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Got you. And what were you seeing or hearing from patients or your coworkers?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=128.0,136.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I wasn't seeing anybody because I was in a bubble, because inpatient, we were told as residents to not see each other and not hang out and try to, what was it called? Isolate or quarantine, kind of basically what we were doing. And so it was just me and my two other co-residents and then our upper levels, and we actually spent time at work together. And then after work together, we were already exposed to each other. And then I didn't really see anybody else. We didn't even go to, I don't remember going to clinic.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=136.0,171.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Do you think patients in this area experienced the pandemic differently than other areas?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=171.0,180.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Other areas outside of?\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=180.0,183.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The 78207 zip code.\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=183.0,184.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Oh, okay. Likely. I feel like our patient population didn't understand as much, or I mean, nobody really understood. And then I feel like our patients were at a disadvantage because of their education status and because of the resources they had and then because they were isolating, likely lived without all the resources that they end up getting from our facilities, including food resources, housing resources, and whatnot.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=184.0,216.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And you also kind of touched on this, but what health disparities, if any, did you witness being exacerbated by the pandemic?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=216.0,223.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah. I don't know if I firsthand saw it. I know what really affected patients was the aftermath of it, but running out of food, being fearful of coming into clinic, all of their health problems becoming more exacerbated because they weren't coming into clinic for fear. I think everything at the height of it was quiet, and that's what I remember. It was just like, oh, we're just rolling. Everything's happening. It's a little slower. And then as patients started coming back then it was sicker patients.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=223.0,260.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Gotcha. And how did your clinic handle health disparities exacerbated by the pandemic? Any unique innovations that we implemented?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=260.0,273.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I thought about this before and when I saw the question, but I don't remember. As a resident, I feel like I was just trying to keep my head above water, and I even think about residents now, knowing the resources is kind of next level, but I know we started, this isn't the same, but I know we started doing more televisits to be able to provide care to our patients. Outside of that, I don't remember.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=273.0,299.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That's okay. Any changes from that period that you think have stayed in place?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=299.0,306.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): We do more televisits. I think that was a positive from it. We learned to do them and then wanting to continue them as long as Medicaid and Medicare will pay for it.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=306.0,319.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Can you describe a moment that felt especially overwhelming or powerful that you remember during that time?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=319.0,340.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I mean, I know that really the only death that I've had to pronounce was a COVID-- a patient who died from COVID. I didn't even know the patient, but I was told that she was likely going to pass. And so it was me and I was a second year at that point with an intern, and we were told that she was likely going to pass and we had to go to bedside, and it was a bit eerie. It was in the middle of the night. The nurse had actually called time of death 30 minutes before we arrived, and so we went to a room to a patient who was alone, no family at bedside. So it was just very eerie and not the norm.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=340.0,381.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. Did the pandemic affect you personally at all?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=381.0,389.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I mean, yeah, we all are gonna look back and think of when we tell our kids and our residents, like, yeah, I was at the height of COVID in the hospital learning to be a resident, and it was a time where everybody was trying to figure out what to do, how to act. As a resident, we were trying to be more, like, our class was very social. We wanted to be together. We wanted to see each other, but then we couldn't see each other. And so it was trying to understand those limitations, but then also making sure to keep everyone safe. We had family who were sick and fearful of that. Even though I was a medical professional, I didn't know the outcomes of it, and so it was very scary. And then, yeah.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=389.0,436.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So I wonder, do you think because of your, you talk about isolation and not being able to go out with your classes much, do you think that affected your training at all?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=436.0,452.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think my class was unique and we were very social, so we ended up getting past it. And like I said, the three that we were together, we still hung out because we were together. So we did that, but affecting my training, yeah, I mean, there was, like I said, that inpatient month, I didn't have patients. There was, I think several days I just didn't go into work. We only had three, four patients when our census is typically in the twenties, so I didn't learn as much. And then the months following, it was very different. Then we did have a higher number of COVID patients, so we learned from them and the respiratory distress that they would experience and learning more about BIPAP, CPAP, and that. So it became more respiratory heavy, but more protocol heavy. It wasn't necessarily learning different respiratory conditions and how to manage. It was COVID and the protocols that were associated with it. It was a learning experience in that too, because then it was developing protocols, learning to evolve. Everything was changing month to month at the height of it. And then also while I was deescalating and removing those protocols and understanding what was the next step. So it definitely affected me. I hope I'm still a good physician. I think so. I think we still learned what we needed to.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=452.0,531.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That's funny. Okay, so you kind of touched on this in the last sentence, but did this experience kind of shape the way you practice medicine now?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=531.0,545.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I can't imagine that it doesn't affect me. When I sit down, I don't know if there's pinpoint moments of how I practice that were changed by it. But I had to have, I would imagine.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=545.0,564.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Do you think that the system is better prepared now? Why not?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=564.0,570.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): You would hope so, but I think every situation is so different. I think we learned to act fast or that we can act fast, that we can develop protocols that we need to work as a team. I think it proved that our program was so strong, and I'm sure as a resident, I only saw a quarter of it now being faculty, knowing all of the inner workings that go into making a residency clinic work, and then to care for those patients. I'm sure the faculty that were here, probably that were during that time have more to say of knowing how to act in the future if something were to happen. But as a resident, like I said, I was just keeping my head above water.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=570.0,616.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Very fair. Okay. If you could tell the public one thing about what it was like to work through the pandemic here, what would it be?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=616.0,626.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): It was just taking [it] day by day, really listening to the news, listening to our supervisors, understanding what was going on that day, how we could best serve our patients, where we were needed, where I wasn't needed, how I could protect myself, protect family, protect patients. Every day was a discussion. I remember the morning reports of Dr. Palacios saying how many patients in San Antonio were affected watching the numbers and just staying up to date.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=626.0,660.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Perfect. And finally, this interview is being recorded to preserve and document providers experiences during this unprecedented time. Anything else you want to share?\n\nEmadi (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=660.0,670.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I don't think so.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=670.0,672.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260/transcript/95047/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Awesome. Thank you for doing it.\n\nEmadi felt isolated during inpatient pandemic service.\n\nEmadi recalls being on inpatient service when the pandemic was announced and the hospital became quiet, creating a bubble where she primarily interacted with her co-residents and upper levels, isolating from others and not attending clinic. She remembers being told to isolate and quarantine with her co-residents.\n\nPandemic residency: Health disparities, training disruption, and emotional impact.\n\nEmadi discussed the health disparities exacerbated by the pandemic, the impact on her residency training, including a lack of patients and a focus on COVID-19 protocols, and the emotional toll of witnessing death and isolation, while also acknowledging the positive adoption of televisits.\n\nEmadi reflects on pandemic resilience, teamwork, and safety.\n\nEmadi reflected on the experience of working through the pandemic, emphasizing the importance of acting fast, developing protocols, and working as a team, while also highlighting the need to take each day as it comes, stay informed, and prioritize the safety of oneself, family, and patients. She acknowledged the challenges of being a resident during that time and the value of the program's strength.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173917/file/313260#t=672.0,676.676"}]}]}]}