{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/td9n29rg54/manifest","type":"Manifest","label":{"en":["Dr. Christine Camacho"]},"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. Christine Camacho reflects on her experiences as a family medicine resident serving a predominantly Hispanic and underserved patient population in San Antonio during the COVID-19 pandemic. She discusses the rapid transition from outpatient care to inpatient COVID-19 treatment, the uncertainty and challenges faced by healthcare workers and patients, and the impact of health disparities on access to care. Dr. Camacho also describes the adoption of telehealth, the use of promotores for community outreach, and how the pandemic shaped her approach to medicine, empathy, and patient care.\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","family physician","Covid-19","pandemic"]}},{"label":{"en":["Subject"]},"value":{"en":["Christine Camacho (personal name)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)"]}}],"summary":{"en":["\u003cp\u003eIn this oral history, Dr. Christine Camacho reflects on her experiences as a family medicine resident serving a predominantly Hispanic and underserved patient population in San Antonio during the COVID-19 pandemic. She discusses the rapid transition from outpatient care to inpatient COVID-19 treatment, the uncertainty and challenges faced by healthcare workers and patients, and the impact of health disparities on access to care. Dr. Camacho also describes the adoption of telehealth, the use of promotores for community outreach, and how the pandemic shaped her approach to medicine, empathy, and patient care.\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/000/313/328/small/Camacho.mp4_1782765770.jpg?1782765779","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328","type":"Canvas","label":{"en":["Media File 1 of 1 - Camacho.mp4"]},"duration":1285.3841,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/313/328/small/Camacho.mp4_1782765770.jpg?1782765779","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/313/328/original/Camacho.mp4?1782765752","type":"Video","format":"video/mp4","duration":1285.3841,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046","type":"AnnotationPage","label":{"en":["Interview with Dr. Christine Camacho [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Transcribed by Sarah Sarabia \n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=0.0,0.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): My name's Alexis Ramos. Today's date is July 2nd. We are at the Robert B. Green 9 0 3 West Martin, and today I am with Dr. Camacho and we are going to talk about COVID. Is it okay if we continue?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=0.0,16.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes. Awesome.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=16.0,17.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. So go ahead and describe your current title.\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=17.0,21.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): My current title is assistant professor and core faculty with the University of Texas San Antonio, department of Family and Community Medicine Residency Program. And so I've been faculty for almost four years. Amazing. Yes.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=21.0,39.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And so go ahead and describe just a typical day in clinic for you. Prior to 2020, actually describe what your title or role was in primary care in 2020.\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=39.0,54.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So my role in 2020 was essentially the same role that I'm in right now, which is still actually in 2020. No, you're absolutely wrong. 2020. I was at the end of my residency. I was in the last year of residency as a PGY-3 in the cusp of the COVID-19 pandemic. So yeah. Yes. Feels like yesterday, but,\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=54.0,84.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. So go ahead and describe a typical day in the clinic for you prior to 2020.\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=84.0,90.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, so my typical day was essentially every typical day as a third year resident. I would come in at about 8:00 AM see patients, about nine patients per half day in the clinic conducting either well-child visits or primary care visits. I would precept to my attending and then about 4:30 -5:00 I would go home. And that was essentially the bulk of my day at the time.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=90.0,120.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Excellent. And can you describe the population that you serve at the Robert B. Green?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=120.0,125.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes. So we essentially serve a predominantly Hispanic population, although who is also underserved. Our population ranges from essentially all ages, but those that have underutilized and lack of resources. And so we definitely serve a population who is in need of a multitude of health resources and economic resources as well.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=125.0,156.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. And then during the 2020 COVID pandemic, what setting did you spend most of your time in; that would inpatient, outpatient, or tele-health?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=156.0,168.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): During the COVID Pandemic? So at the time, because the culture actually, not the culture, but the environment of the clinic completely changed right? So before the pandemic, I was seeing face-to-face patients from eight to five, but then it quickly turned into a lot of home tele-visits and also tele-visits within clinic. And because there were no patients being encouraged to come to clinic because of the social distancing at the time, there now was a transition and a shift from residents needing to serve in the hospital versus the clinic. And so my role as a resident quickly turned into an inpatient role because University [Hospital] at the time was essentially getting transformed into a COVID-19 hospital where initially when COVID-19 first started, it quickly occupied our ICU floors, which were the fifth and sixth floor, but then quickly turned it into being essentially all the inpatient floors needing COVID-19 or needing space for COVID-19 hospitalizations. So because of that, we were needed there. We ended up having a Team B team, which is essentially our COVID-19 secondary team, in which we learned altogether how to do all the isolation precautions to do all the PPE dressings. And our role as residents quickly turned into a mainly or predominantly inpatient role taking care of COVID-19 patients.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=168.0,282.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And so what do you remember about those first few weeks, either in clinic or in the hospital?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=282.0,288.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, those first few weeks, there was, it was, it transformed very quickly, but it turned into a week of a lot of uncertainty and a lot of fear right? And not only just the future of what was going on, but also your own, you know, thinking about your role as a clinician and taking care of those patients, but then also in hopes that you don't bring that home to because of your close proximity of patient care with COVID-19 hospitalized patients. So the initial, I would say the initial response, in the beginning was that of uncertainty and fear; and fear of the unknown. What's going to happen? Are we going to be needing masks and PPE and being away from people for so long and we would see social media and a lot of the media outlets addressing so many deaths right? And then also whenever we took care of those hospitalized patients, that also brought a lot of things closer to home, especially whenever we started hearing about our colleagues and that of their family members unfortunately passing away from COVID.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=288.0,367.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): So it was a lot that happened at a very short period of time. And because of that, it was a lot of mixed emotions. And I think because of that fear and uncertainty in the other side of things came a lot of comradery amongst our colleagues and our co-residents and really highlighting the importance of teamwork, especially in environment where we are the providers taking care of the patients who really need us most. So I think that's also another aspect that came down along, you know, in the future, but I think it was an important aspect as well, is seeing the brighter side in that as well.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=367.0,411.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. Okay. Anything that you were seeing or hearing from patients?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=411.0,419.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Anything? Like what do you mean? What in terms of?\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=419.0,423.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Like were they asking you questions about COVID or were some of the perceptions from the patients early on?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=423.0,433.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): A lot of it was also uncertainty and fear and really looking to us to provide reassurance. I think it was especially hard for those who were hospitalized because in those cases, naturally if you have a patient who's hospitalized or yourself right, you want your family member to be there with you. But now we would hospitalize patients and they would essentially be the only ones in the room. And so without any of their support system, like their family member next to them. And so in terms of that, they really depended on us as physicians to provide them with all the answers to communicate what's going on with their family members because they were not able to speak with their masks on because of the oxygen that they needed. And so a lot of it was fear and uncertainty, very similar to what we were feeling, but in the context of patients. But I think that it was also important for us to provide that reassurance even if we were feeling it, unfortunately because the patients needed us the most in that very sensitive period of time.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=433.0,509.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Great. Okay. Do you think that patients in this area experienced the pandemic differently than other areas?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=509.0,518.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, that's a good question. I do think in some ways, yes. And the reason why is because of the financial instability of the patient population that we serve. And so I think from an aspect, if you look at Bexar County in general, the west side and the downtown part of town that we serve lacks a lot of economic resources and needs that. And so already on a day-to-day basis, we see patients who need help with putting food on their table with getting access to their CPAP machine or their hearing aid and something that may be a patient in another part of town or a more resourced rich town would not have that issue. And so if we already have patients who are having trouble with little things like that, in instances where a patient is now needing oxygen support or an inhaler if they have asthma or more inhalers or even not wanting to go to a clinic to get testing because they would get charged. And so I think that because of those obstacles provided a lot of barriers to getting optimal healthcare in this part of town with our patient population.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=518.0,606.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Got you. Yeah. And so how did the clinic or the hospital handle some of those health disparities that were exacerbated by the pandemic? You mentioned opening up Team B. Any other unique things that we did during that time?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=606.0,624.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah. Like us as a department or this health system in general?\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=624.0,629.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Us as a department.\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=629.0,630.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Us as a department, that's a good question. Let me see. I'm trying to think. So we did transform, like I mentioned, a lot of our appointments into tele-health appointments. So I think in that case we really tried to transition and adjust right for, and I think it was very easy for patients who were not able to pay for their bus or even to have the ability to go to a bus to get to the clinic. And so we transformed a lot of our visits to telehealth visits. And then also we really utilized our 'promotores' to outreach those patients as well, even though there was some, you know, concern about the social distancing, but we really utilized them as well. And I think those are probably the biggest things. I will say though, that in terms of the institution, we did put out more free COVID testing sites as well, and then of course later down the line, more vaccines once we were out of the hill. But I think the transforming to Team B was probably one of the most significant thing in that case.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=630.0,712.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Any changes from that time that have stayed in place?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=712.0,720.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, good question. So going back, I think in looking, I was looking at it from a patient aspect before, but we really transformed a lot of our meetings in general to Zoom. Everything was in Zoom, right? Every single human encounter was in Zoom. And so I think that is one thing that still we kept is a lot of the meetings before that we were having where very much in person, we meet at a certain place, and I really was not astute to zoom at all. We did Skype and Skype was maybe a thing, but now Zoom is very much a part of our normal culture. And I definitely think that that was one of the biggest things that we still retain to this day, is the ability to hold meetings and other different gatherings in a virtual realm that we previously were not using.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=720.0,780.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. Okay. Can you describe a moment that felt especially overwhelming or powerful during that time?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=780.0,789.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah. The thing that I felt was most overwhelming was whenever I transitioned in my role as just a regular PGY-3 resident to one that needed to put PPE in every single patient encounter. And I very distinctly remember in the beginning when we were watching the CDC news, we were watching all these things come into place and now really getting trained to how to properly put the PPE. And I very, very distinctly remember my first COVID hospitalized patient encounter where I had to put the PPE in a very organized and structured pattern way. And that there was also a way to get in and get out, and if I didn't do it in the way that maybe there would be some contamination. And it was a very overwhelming, but also very scary and interesting process. And I still remember that to this day and even have pictures to show it.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=789.0,853.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): But, you know, I would say that well was probably, and the thing is, is that not only had to do it once, but we had to do it again and again and again. And that sort of culture in terms of seeing COVID hospitalized patients happen throughout the course of months. And so I do think that it also came not only with some uncertainty and a lot of that going on, but a lot of exhaustion later down the line because not only with ourselves, but with our colleagues working in an impatient environment and a lot of patients who are passing away left and right, getting admitted to the ICU, it became not only physically challenging and exhausting, but mentally as well. But those are a lot of things that I still remember to this day and that I'm glad that are past us. But it definitely ingrained in me a lot of those memories.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=853.0,913.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Did the pandemic affect you personally at all at home?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=913.0,920.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I want to say that, yes, but in a positive way. And so in a positive way in which I'm very thankful that we are not in that situation anymore. But it also made me appreciate the value of life because seeing patients who essentially came in from the hospital were admitted and passed away within two to three days for something that was very new to us and none of us saw coming, made me realize, and not only in University Hospital, but in palliative care, the value of life in general about support and about just really valuing the blessings that life has for you because, you know, you never know what can happen and just maybe valuing life, but then also valuing what I do as a physician too. And that I remember in a lot of very sensitive and special interactions with my patients to where I remember one patient was in the hospital, and we have those windows where it has the door in the window where they can communicate and\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=920.0,995.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): we can see, I had a patient paper actually draw a little drawing and it said, \"Dr. Camacho,\" and it had; he drew these little boxing gloves that says, \"I'm going to fight this.\" And I still remember this to this day, and that every time I would see him, he would bring these little fists and say, I'm going to fight it. And it really made me truly appreciate my role as a physician and that, you know, we are humans, but we also have a lot of significance in the care that we give to our patients too. And they see us as a light, and it really makes me appreciate what I do as a physician every day, and now I don't take that for granted one bit. Yes.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=995.0,1041.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That's beautiful. Okay. And so the next question is, did this experience shape the way you practice medicine now? You kind of touched on it a little bit. Anything else you want to mention about that?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1041.0,1053.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, I think it makes me, I'm very much more cognizant about wearing masks and about being very cautious when it comes to not only a patient coming in and having symptoms, I immediately just think about putting on a mask, which I did not before at all. And then also making me a little bit more cognizant and aware of if I have symptoms, I should be protecting myself with others. And maybe I should have been doing that before, but I'm very much more vigilant about that now so. So yeah, that probably is one other thing.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1053.0,1091.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Do you think that the system is better prepared now to handle an event like this?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1091.0,1096.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I definitely think so. I think that university hospital and our department went above and beyond in a very sensitive and critical time to adjust as best as I can. And it still amazes me to this day to think that University Hospital was once, you know, just every single floor, a COVID-19 hospital, and every single room had PPE and login system and everything right. And it really, I think, prepared not only our hospital, but just essentially the nation in a lot of ways on how to tackle potentially another pandemic which involved respiratory illnesses. And I think, hopefully it never happens again, but if it does happen again, I think we would be more mentally prepared and resourcefully prepared for an instance like that.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1096.0,1152.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): 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\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1152.0,1162.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I would like to tell the public that we were going through the situation just as newly as everyone else, especially in an age like me, where I did not go through another world pandemic maybe as other physicians did decades ago. But I will say that we were just as nervous and scared as everyone else, but within the same token, we tried our best to also give our best to patients who were scared and that we learned so much as physicians. Not only how to communicate in various ways, aside from just personally, but also emotionally, and also just essentially being more empathetic. Not that we didn't before, but going through a pandemic like this really made us more empathetic, grateful for how we've been able to get through this, and really how to better take care of our patients and outreach them in ways that maybe we didn't learn before the pandemic. So I really do think that has strengthened our skills as physicians.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1162.0,1242.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And finally, this interview is being recorded to preserve and document provider's experiences during that unprecedented time. Anything else you'd like to share?\n\nCamacho (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1242.0,1252.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): No, I mean, thank you so much for doing this and, you know, for being advocates for family physicians and our experiences and during the pandemic, I think it was a very uncertain and scary time, but it's great to see that now that we're on the other side of things, reflect back and see how we've grown 'cause I really do think we've grown in a lot of ways as physicians and so, yeah. Thank you.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1252.0,1282.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328/transcript/95046/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Of course. Thank you for helping out.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/173628/file/313328#t=1282.0,1285.3841"}]}]}]}