{"@context":"http://iiif.io/api/presentation/3/context.json","id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/iiif/wp9t14x193/manifest","type":"Manifest","label":{"en":["Promotores- Community Health Workers"]},"logo":"https://d9jk7wjtjpu5g.cloudfront.net/organizations/logo_images/000/000/246/original/CenterForHistoryFamilyMedicine_2c_RGB.png?1773344256","metadata":[{"label":{"en":["Description"]},"value":{"en":["\u003cp\u003eThis oral history documents the experiences of community health workers (Promotores) at the Robert B. Green clinic in San Antonio, Texas, during the COVID-19 pandemic. Participants describe their work supporting underserved patients facing health, economic, and social challenges, including food insecurity, transportation barriers, language differences, and limited access to technology. The interview explores how the Promotores adapted from in-person outreach to remote services, provided health education and resource referrals, and helped patients navigate rapidly changing public health guidance. The narrators reflect on the impact of the pandemic on their community, the challenges of frontline healthcare work, and the persistent health disparities revealed and intensified by COVID-19.\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":["2025-06-25 (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","hispanic","Latino"]}},{"label":{"en":["Subject"]},"value":{"en":["Promotores (topical term)"]}},{"label":{"en":["Language"]},"value":{"en":["English (primary)","Spanish (secondary)"]}}],"summary":{"en":["\u003cp\u003eThis oral history documents the experiences of community health workers (Promotores) at the Robert B. Green clinic in San Antonio, Texas, during the COVID-19 pandemic. Participants describe their work supporting underserved patients facing health, economic, and social challenges, including food insecurity, transportation barriers, language differences, and limited access to technology. The interview explores how the Promotores adapted from in-person outreach to remote services, provided health education and resource referrals, and helped patients navigate rapidly changing public health guidance. The narrators reflect on the impact of the pandemic on their community, the challenges of frontline healthcare work, and the persistent health disparities revealed and intensified by COVID-19.\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/000/313/453/small/Promotores.mp4_1782854798.jpg?1782854806","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453","type":"Canvas","label":{"en":["Media File 1 of 1 - Promotores.mp4"]},"duration":3287.26732,"width":640,"height":360,"thumbnail":[{"id":"https://d9jk7wjtjpu5g.cloudfront.net/collection_resource_files/thumbnails/000/313/453/small/Promotores.mp4_1782854798.jpg?1782854806","type":"Image","format":"image/jpeg"}],"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/content/1","type":"AnnotationPage","items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/content/1/annotation/1","type":"Annotation","motivation":"painting","body":{"id":"https://aviary-p-centerforthehistoryoffamilymedicine.s3.wasabisys.com/collection_resource_files/resource_files/000/313/453/original/Promotores.mp4?1782854706","type":"Video","format":"video/mp4","duration":3287.26732,"width":640,"height":360},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453","metadata":[]}]}],"annotations":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023","type":"AnnotationPage","label":{"en":["Interview with Promotores (Community Health Workers) at the Robert B. Green clinic in San Antonio, Texas [Transcript]"]},"items":[{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/1","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"Ramos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=0.0,0.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/2","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Everyone can just go around, say their name. I'm going to start. I'm Dr. Alexis Ramos. We are at the Robert B. Green at 903 West Martin. Today's date is the 25th of June, and we're going to be talking about the COVID Pandemic. Do you want to introduce yourself?\n\nEstrella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=0.0,16.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/3","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yes. My name is Estrella Garza. I am currently an undergraduate student at the University of Texas at San Antonio, and I'm aiding Dr. Ramos with this project.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=16.0,26.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/4","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I dunno if you want to start maybe left to right, introducing yourself.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=26.0,29.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/5","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I'm Zulma Tovar, Community Health Worker.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=29.0,34.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/6","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I am Ricardo Madrid. I'm also a community health worker.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=34.0,38.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/7","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Maricella Lopez, and I'm a community health worker.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=38.0,41.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/8","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I'm Rita Pendergast. I'm a community health worker- Promotora.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=41.0,48.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/9","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Raul Trevino, I'm a community health worker.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=48.0,51.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/10","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I'm Jacqueline Casas, community health worker- Promotora.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=51.0,56.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/11","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Estola Santos, Community health worker- Promotora here at Robert B Green.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=56.0,60.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/12","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Perfect. Excellent. You don't have to talk to the camera, you can just talk like we're having a conversation. I do appreciate the...okay, so we all went around described our current title, and so if one or many of you want to discuss what a typical day in the clinic was like for you, pre COVID 2020, what would that entail?\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=60.0,86.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/13","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, pre COVID, a typical day really wasn't in the clinic. It was more out in the field visiting patients in their homes. So we really weren't too much in the clinic. We were more in their homes visiting the patients at their homes.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=86.0,106.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/14","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay, thank you. It was calling... finding resources for them, and it was, back then it was very easy. It was like you would make a phone call and then you would just grab from your hands and it was that.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=106.0,121.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/15","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): We mainly work from home. In the beginning it was home. We couldn't go out. And so that's what we were mainly doing, working at work, I mean at home, I'm sorry. And calling the patients just to check in on them and to see how they were doing. But\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=121.0,137.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/16","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That was during COVID? Yes, prior. Just prior.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=137.0,141.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/17","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Oh, prior, I'm sorry. So prior to COVID it was making home visits and calling the patients also and coming to their appointments with them, helping 'em with resources. That's what we were doing.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=141.0,158.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/18","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Communication was more open. There was no limitations. You were able to go ahead to go to one place to another without really too much difficulty. Transportation was available, phone contacts were available and resources were available.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=158.0,179.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/19","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. And can you describe the population that you serve at the Robert B. Green?\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=179.0,185.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/20","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The majority of them are low income because we are in a zip code that has individuals that are in the poverty sense of the elements as to where they need assistance. The majority of the time they have very limited resources. Things that are simple to other people, like for example, education, communication, understanding of medications, even getting the information from the doctors, that's difficult for them sometimes.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=185.0,222.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/21","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And our patients are very complex. So what might be simple like Raul was saying to other patients can be difficult to our patients. As again, going back to being able to get transportation. What could be simple for someone is very difficult for our patients to get....understanding their medications because they might not have finished school or their literacy is very low and that might be difficult for them to understand or to even understand what it was that the doctor had told them during their appointment. So our patients are very complex when we work with them.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=222.0,267.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/22","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Although the majority of the patients do come from this area, 7 8 2 0 7, there are others that come from all different parts of San Antonio. So it is much more difficult. Many times for those patients to come to the clinic, they have to take two, three buses. Many of our patients have two or three jobs. So for them to come to the clinic to their appointments is very difficult to miss a day at work. It can be a life or death situation or \"do I pay for the rent or go to the appointment for a whole day and risk the chance of being fired?\". So there are a lot of things that go on in the lives of our patients that many people are not aware of or don't encounter.\n\n(","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=267.0,329.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/23","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. I agree.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=329.0,330.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/24","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And also most of our patients are CareLink, so the resources for them are less. So we have to look for more.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=330.0,340.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/25","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): For those that aren't familiar. What is CareLink?\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=340.0,342.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/26","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): CareLink is- how do you call that? The payment plan. So it's not an insurance, but it's better than nothing. Yeah.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=342.0,354.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/27","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Okay. And we kind of alluded to it, but what setting did you spend most of your time in during the pandemic?\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=354.0,363.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/28","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): At home\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=363.0,364.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/29","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Home, in the beginning it was at home or in lines to get food for the patients in lines at the food banks or at the Colliseum getting in line for three...seven hours in line to be able to get food for them.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=364.0,379.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/30","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): To be able to deliver it to their home. Because the PCPs here in the clinic at the Robert B. Green found out that a lot of our patients were not able to receive food during the pandemic for the lack of transportation because they were not able to get into the lines. They didn't have a vehicle to get into the lines. And that's the reason why we would stand in the lines for them. And again, we were waiting hours and hours in those lines to help maybe one or two patients and then try to get into another line the next day somewhere else for some other patients.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=379.0,424.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/31","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Also, I'm sorry. If we needed to provide education or send a message from the doctors, not to the patients, we would go, but we wouldn't enter necessarily into the home. We would keep a distance, all the precautions. So at one point I had a patient was at her window and I was even showing her how to do certain things that she needed to do, including wearing gloves, how to remove the gloves after and wearing the mask properly because they didn't know how to do it. So even simple things, now became complicated.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=424.0,471.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/32","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): But it was, I'm sorry, it was harder because our patients used to give us a hug or the hand....shake hands, so they wanted to do that and we are like, oh, I'm sorry, but we can't do that. And they feel bad because they think that we don't want to give a hug to them. But it was like that.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=471.0,494.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/33","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): We had to educate our patients and telling them that we had to stay what, six feet apart, sometimes calling them as we're arriving and telling them we're leaving the food at the door, don't open the door until we're back into our vehicle just so they can be safe because of their conditions that they have. And we have to go back to our family and keeping our family safe. So just those type of educations that we were teaching them and what we knew also from what we were understanding from the clinic and our work of how to keep safe for ourselves also, that we would pass along also to educate 'em,\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=494.0,540.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/34","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): We had to develop a new sense of communication with them. And there was a little barrier that we had because we have built a trust with them very formally. And what I mean, it's hand to hand. Sometimes they greeted you with hugs or they greeted you with a big smile and stuff. And sometimes it's hard to see that from a distance and you lose a little bit of confidence and that deteriorates a little bit from the trust that you have with them. And you had to kind of rebuilt it and it was not really starting over, but it was a little harder to do.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=540.0,582.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/35","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And it was challenging because for us, some of us have families at home, so we were like our little family together. You had someone you can rely talk to, lean on, and some of our patients have no one. And so that was very difficult. And it's like Mari[cella] mentioned, we would do a call. I remember calling and telling them I'm coming and I'm going to knock, and I would step away by the hallway and then they would come and peek and they were like, can you come closer? And we had to follow protocol for safety, for their safety and for our safety and our families. But it was very challenging and the isolation that our patients went through because that...it was heartbreaking.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=582.0,630.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/36","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And I don't know if our patients have a phone. We don't have a way to communicate with them. So it was harder even for us too.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=630.0,640.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/37","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And you throw in the fear factor- Fear factor, and that messes everything up. Nobody knows. Everybody's learning about it. Nobody really knew. This is the first time we encountered this. So on both sides, we were all kind of just learning and not really knowing how this is going to work. And there was a lot of fear of course. So that was a factor.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=640.0,664.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/38","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Some of our patients even got COVID and they made it even more difficult providing them the resources and the help they needed because not only could they go out, it was even harder for anybody to go in to help them. So the barrier got very strong with COVID.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=664.0,684.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/39","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The fear factor was a lot at the time of COVID, my daughter had given birth to my twin grandsons at that time. So if I had gone and dropped something off to a patient and then later found out that they contracted COVID, I had newborn twins living in my house and I would get scared, like, \"can I pass it? Could I have gotten it?\" And it was the waiting game that I hated on it because all of us really, because we never knew if one of our patients would've contracted and we went and dropped something off even though we followed those protocols because COVID was so new and we didn't know how you can get it, even if you got the shots, even though we masked and we used gloves and we took off our clothes and washed them and did everything that we were said, but people were still getting COVID and we were scared of the same thing. It is like what we're saying, it was a fear factor even on us, not just on our patients, but on us too. And we were scared to even do our job sometimes because we weren't sure if we were bringing it home and into our house.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=684.0,763.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/40","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Of course. I think, yeah, that time was very uncertain for everybody involved. So I think y'all did a great job of describing those first few weeks and what you were, but is there anything that you were seeing or hearing from your patients or your coworkers during that time?\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=763.0,782.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/41","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, some of the patients, they don't want to take have the shot. They don't want get it. So they don't believe in that. And they were scared because people saying different things so they don't get it. And even it is harder for us because we have to go to see them or they have to come to the clinic and we cannot force them to get it. The shot.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=782.0,805.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/42","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Many of the patients, and not only the patients, many other people were thinking that it was a conspiracy of the government that they want to get rid of certain amount of people in the United States or in the world. So it was a lot of fear. Many would think that it was, \"you just want me to get it because they want to get rid of me and you're on their side\". And it was very hard to convince the patients that it wasn't that, but it was, no, if I die, it's because you came to my house if you want to kill me. So we went through a lot.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=805.0,840.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/43","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): They were conflicted a lot because they didn't know which way to go. They didn't know if they should trust us in what we were saying or blame us or trust their family members because they didn't get the shot. And \"look, I'm feeling okay\". But then their friends who did get the shot, look at the way they look, and then there were some who did get the shot and were feeling good. And so they were so conflicted because everybody was feeling so different with and without the shot. And so our patients were always conflicted because they didn't know how they were going to feel after the shot, after the shot or without the shot. They just didn't know. As a promtore or somebody who works in the clinic, how can I definitely say that? Yes, get the shot and you're going to be okay. When we ourselves didn't even know. And we ourselves were scared because we were mandated to get it ourselves, and we were scared ourselves to get it too.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=840.0,910.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/44","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And another comment is that I have patients that have children- school-age children, and they used to work outside, so they had to stay home. They look after the kids. At first it was very chaotic and for many, many months, no, maybe until the COVID pandemic was relatively over, no, they may have felt a little bit more comfortable in dealing with the kids at the same time, not trying to teach them, staying home without the income that they received. So it was very, very stressful even to communicate with the physicians or to talk to us whenever we would call. No, their attention was not on our conversation, on the message we were giving. It was something was happening in the background. Also a lot of chaos, confusion. So that was another situation. And one more before I let Ric[ardo] go, is that also on the phone, big problem. I speak Spanish and English, but I have patients that spoke other language, like a lady from Iraq. And she and I, we communicated well face to face. I mean we would do signs. She would show me what she's trying to tell me, but over the phone she had not so much with me, I think she was used to me, but with other doctors and just connecting with the clinic, I help[ed] her with telemedicine three times it fell through. She missed those appointments. She tried to do it. So lots of...she went to the bathroom when the phone rang, when she came back, she was trying to find who called me, who called me. And I am trying to find who called her. And then by then the communication was lost and a precious appointment was lost. So we had to start all over again. So that's another problem.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=910.0,1047.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/45","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I was just going to say that I know they saw this locally, and I know this is national and globally, it's that, well, first of all, nobody knew what was going on and it exposed all the cracks in the system really. I mean things, obviously, the people that are low income get short end of the stick, but in this case, it exposed that even more. It exposed all the cracks in the system and we're able to see it. Even to this day, a lot of the things have changed since then, but some of the regulations and policies they put in place are still with us, even though that was five years ago. So it exposed all the cracks and then that wasn't enough. We had a lot of disinformation, not misinformation, but both, but especially disinformation from the presidential regime that we had. The guy that was in charge, he was putting in a lot of false information on purpose. They inject bleach like, yeah, right, we're going to inject bleach. If that's going to cure it, that's only going to make things worse, obviously. So it was that part. So taking all the cracks in the system with all this disinformation, this is just chaos. It was just chaos.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1047.0,1128.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/46","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. I agree. Okay. And so you kind of alluded to it, but do you think that patients in this area experience the pandemic differently than other areas?\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1128.0,1141.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/47","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely. You can see that. You can see that all nationally. There was people how when they rolled out the COVID vaccine at the beginning, they were supposed to give it to the elderly, and there was people that were well to-do dressing up as old ladies, dressing up as old ladies, people. So obviously there was a lot of confusion, a lot of chaos. And the way it was rolled out, how we experienced it in poor neighborhoods, versus, rich neighborhoods, it was very different. Obviously the poor neighborhoods got short end of the stick again. You were able to see that quite easily, not just here, but nationally and internationally.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1141.0,1183.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/48","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I think that the Metro Health did a great job, I think and UT Health, trying to help out, bring vaccinations to people. I know that it was not easy getting appointments and everything, but actually one of our coworkers was very helpful in getting some of my patients to get an appointment in the parking lot of, I think it was the, Alamo Dome, so they did, but at the beginning, very chaotic. And he's right among, people know that are in the poor areas, they have harder time trying to make that happen.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1183.0,1235.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/49","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): They didn't roll it out as smoothly as it should have been.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1235.0,1239.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/50","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That's fair to say. And so we talked about some health disparities in the area, food insecurity, transportation issues. Did you witness those being exacerbated by the pandemic?\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1239.0,1253.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/51","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Absolutely, yes. Absolutely. That was one of our roles was roles was delivering food to patients. And of course we had to, the way we did it, of course they mentioned we would leave it in the front door and then call the patient that's in your front door and pick it up. We wouldn't have any contact at all. And we did a lot of that. We did a lot of that more than normal because people are in lockdown and you're already having a hard time getting food as it is. And then with the lockdown, while it just exacerbated everything, just made everything worse.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1253.0,1285.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/52","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I mean, we did find some programs and I think what the food bank was one of 'em that would deliver to the elderly and people who didn't have cars, boxes of food. So if we would find those, we would let them know which one of our patients that didn't have vehicles and they would go and deliver to them. But then after a while, and as the pandemic kept going, say, well, they would start saying it's, we can only do so many, or we only do it on this day or whatever now. But yeah, after a while the resources started dwindling down.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1285.0,1332.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/53","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And we would also deliver toiletries. They were running out. They were running out of toiletries. And as you well know, going to HEB, you would have a certain amount per family, and the lines were long, all the things we were facing.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1332.0,1346.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/54","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And even for us as promotora, it was harder.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1346.0,1350.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/55","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, we were making sure our patients were getting, and then by the time we would go, it was like, wait a minute, wait, we need stuff too. So yeah, I mean it wasn't just hard on them. It was hard on us too. But we always made sure that our patients would get first before we even remembered.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1350.0,1369.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/56","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Communication with social services. And let's say even Medicare, Medicaid, social security was horrendous. I spent with one, there were a lot of errors going on, and I'll give just quick example. A patient broke his femur right before COVID. I was able to visit him. I thought I was going to visit him at the rehab center where he had been transferred and then they locked the doors. I mean, they told me no more. You cannot go in. No. So then when he finally got home, one of the nurse practitioner, my son was trying to help him out with his incontinence supplies. It took us five months to get the incontinence supplies because in the system, in the computer, it seemed he was still in the rehab center and he was already home. So in order to do that, we spent at least a month, once a week we would call wife and I in a three-way call. So we learn a lot of tricks, but for four hours, five hours on the phone. And then at the time that they would answer, they would say either they will hang up and I'm talking about the offices or we were calling the wrong office and we had to be transferred. And it was a never ending situation. So that happened many, many times. I know that it's always very bureaucratic, but it was four times worse. And so there was a lot of desperation for patients trying to find whatever they need. And it was very sad what they had to do. Sometimes people were creative, but sometimes it was very unsafe. This particular gentleman, the wife was using the catheter, catheter cleaning it up, reusing it, reusing it, and reusing it. I knew that the risk of infection was going higher and higher, and it did happen also. But so as I said, creativity could be-.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1369.0,1514.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/57","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Just to touch on that, the communication was horrendous because the people are going on lockdown. Everybody was going on lockdown, and since they were going lockdown, some people were getting laid off, some people were injured going to leave. So the normal processes that you might call somebody, well, they have less people there or there weren't people at all there.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1514.0,1534.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/58","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): We couldn't walk in like what we were used to doing.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1534.0,1537.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/59","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Right, just the communication in general was just horrendous. It was just terrible. The whole thing was kind of chaotic to be honest with you.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1537.0,1543.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/60","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And we didn't know what to do.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1543.0,1544.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/61","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And then of course, like I said, and then the words, the advice we were getting from the top was even worse. So it was a lot of disinformation, misinformation, X information,\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1544.0,1553.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/62","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Listening to the stressors because their families were losing their jobs. And so just with that, knowing that you have no money, how are you going to survive? You have to pay rent. And we would hear those stories and that was difficult for me. And like you mentioned about guilt, you feel guilt because you're like, gosh, I have a job. I'm getting a salary. I'm able to work from home. But when just listening to them that they didn't have an income, that is very difficult.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1553.0,1588.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/63","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And also a lot of clinics take advantage of that, what's going on? Because they've been charged more money for the shot that happened to me. I have insurance, so I take my son to see if he can have the shot. I show the insurance card and they said, oh no, you still have to pay 250. And I'm like, why? And she goes, because that's what it cost, the shot. And I'm like, are you sure? I was worried about my son. So I said, well, okay, go ahead and do it. And then I called my insurance and they say, oh no, they don't supposed to show you. So I passed to the lady and they were talking and I'm like, but why they do that? So there's a lot of people that pay a lot for the shots.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1588.0,1636.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/64","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And at that time they weren't supposed to. They were all free.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1636.0,1641.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/65","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, they do it because they want money. Just greedy.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1641.0,1643.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/66","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): With the insurance. They didn't charge the insurance. They charged the insurance. And then us.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1643.0,1653.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/67","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Eviction too. Eviction was supposedly not allowed. It was not legal. It did happen to one of my patients and she was very scared. I told her, it's not legal, you can stay where you are. I even spoke with the new land owner and she was so scared. \"I don't want problems with the law. No, I'm going to leave. I'm going to leave\". Luckily, her daughter could take her in, but many others didn't. And so a lot of things like that.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1653.0,1688.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/68","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And so you mentioned some innovative strategies that you use to kind of overcome all of these barriers, like the food delivery system. Any other innovative strategies that y'all had to implement during the pandemic?\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1688.0,1704.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/69","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): One of them things that some of the families get introduced was a change of, so to speak, of a diet. The foods that they usually ate at home were they're no longer. So instead of having, for example, a good hardy meal, you would turn into a vegetarian meal because those are some of the things that you were able to get at the time that beforehand you couldn't. Of course, the majority of time you couldn't go to the grocery stores to get what you wanted, so you had to reduce to what was given to you or what was available at the time. And like I said, the resources were very extreme. Without the funding that you usually get through work you weren't able to do. So that became an issue that was hard. So they changed the diet and not to say some of those changing, the diets didn't get healthy because they were missing certain things that they needed to take with their medications and so forth and so forth. So that was one of the things that would start. And of course, having deliveries helped a bit, but it still became a burden.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1704.0,1779.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/70","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): What changes from that period have stayed in place?\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1779.0,1785.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/71","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): More grocery stores were being opened. You were able, some of the resources came back. They weren't as fluent as they were before, but some did arise. And one of the things that human beings do, sometimes they help each other. There was a lot of donations that were being done that weren't offered before. High agencies, high departments, banks, services. Those came to be you were able to visit or come to see the clinic again, and that helped a lot of individuals that were sick. Sad to say we lost a couple of them through the pandemic, but it didn't come to a hundred percent, in which case it still isn't. But it was better than the lower percentage who we had. So a lot of things opened up.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1785.0,1838.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/72","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): But the telemedicine stayed because the patients are still able to do telemedicine and then the delivery services from the stores have stayed. Even the pharmacy deliveries have stayed from some pharmacies. So those still have stayed in place and our patients still use them every now and then. So that's helped a lot, especially with the patients who don't have transportation. That's helped. And then of course our undocumented, what's going on with immigration that of course that helps for them of being afraid of coming in right now, of everything that's going on.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1838.0,1880.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/73","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The downfall that I see, that's really nice that you can still have your groceries delivered to your home, your medications, but now there's a charge. Before there was no charge and now there's a charge.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1880.0,1896.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/74","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Yeah, that's the downfall.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1896.0,1898.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/75","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That I see.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1898.0,1906.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/76","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Personally, you all were going along with the pandemic as well. Did COVID affect you or your family? If you're comfortable sharing?\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1906.0,1918.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/77","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Everybody in my family, they got COVID everybody. But I think that one that feels more sicker, it was me, myself, I feel bad.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1918.0,1931.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/78","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I remember since we continued to work with patients and visit them outside, but we were always afraid to catch COVID. I know one time I was blamed at home. I'm married and have my grandkids and my adult children living at home, but they blamed me for bringing COVID to them because of my patients, because I didn't want to stop working with my patients. And even though I would explain to them, look, this is the reason why, because they're lonely. They're this and that. There was no word that I can give to my family that would make it feel easier or that they're not going to get COVID or die from COVID. So it felt like I was guilty of my family getting COVID. I did feel like that at that time, but it wasn't because of me.\n\nRita (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1931.0,1985.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/79","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): In my family, I was very thankful. Now that to me it was a time of closeness of being together. I know that not every family felt that way, that there was much more tension than among us. Of course, we were worried and we were going through things that everybody else was, but it was a time that we bonded more and spent more time together. So I was grateful for that. I was grateful whenever I went to the store, how organized the HEB was, even though we had to wait in line to get in, but they only let us at the beginning group by group. So I did things in the area, I was the official shopper. Knowing my family, I was Speedy Gonzales and I would go in and out. I was grateful to those people that were in the fields. Every night we would be thanking God and all the people that were working, the doctors, the nurses, everybody, those people in the supermarket. So I felt any person that help us, no getting the Amelia getting appointments, no, including my family in the Alamo and everybody know that was there risking their self a little bit more than we were. I was very appreciative of that. So it was leery when we would go for walks in the neighborhood and we would try to stay there. Okay, somebody's coming. We better go in a different direction, but we exercised more. On one hand, we were taking good care of ourself as much as possible, but on the other hand, the mental anxiety and the distress of going to work, not knowing if we were bringing disease to the family. So all that, and my husband only one day could stay home. He went every single day and he was not one of those most needed. Yes, but he thought he was, no. So actually he did come down with COVID, but the rest of us didn't. So we were thankful for that.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=1985.0,2147.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/80","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And we ran out of mask, so we can look for them anywhere. But then later we have really pretty ones with designs and all that, but it was scared because we cannot find any anywhere.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2147.0,2168.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/81","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): That was one of the fear factors in our home. One of our, my family members got real sick, and then you were questioning which shot was better than the Pfizer or the other one, and you didn't know which one to get. Ours were mixed. We got this, and they got that is either one that got sick and wasn't too sure. But one thing it divided in our home was the spiritual factor. You of course felt it. If it's your time, you got to go. But it brought some unity, but in conjunction with fear, because after even you got the shot, okay, then next thing you know, they would announce, oh, by the way, now you need the next shot and then the following, and then, well, I got this one, but this one's not available, so you had to take this one. If you mix 'em, is this going to work or not? So there was a lot of questions wondering to find out. So the fear was still there at the home, even though you were your family members and stuff. Like Zulma said, you a carrier, are you not? You don't know. So even though right now they're still giving the shots, so it is still in the air and once in a while they don't advertise as much, but people are still getting COVID.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2168.0,2245.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/82","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And also having a reaction to the vaccine. It was scary for many, many people.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2245.0,2251.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/83","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): The other thing I wanted to say was that I think, of course for me, but I could see it in other people, it's the fear, the chaos, all that caused a lot of stress. All that caused the mental health... negative mental health went up internationally. Internationally, not just here. So that stayed with us. And because we weren't getting really accurate information, sometimes it would just cause more stress. So that was big. Stress. I think that stayed with a lot people and had a lot of negative impacts on people's mental health.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2251.0,2295.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/84","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): In my home, which I was grateful for, was we didn't get COVID. At least I didn't get COVID, thank God. And my kids I don't think got COVID. I don't think so. I don't remember. But I think, no, I would've remembered. But none of us got COVID. But I think a lot of that had to do with, because my twin grandsons were born around that time, they're COVID babies, and that helped us all to make sure that we would come in, we wouldn't grab 'em, we made sure we stayed away from people and wash our hands. We would take a shower, wash our clothes repeatedly, all of that. Before we would grab the babies, we'd always make sure that we would do what we needed to do before we walked into that house because we had newborns in there and we didn't want them to get affected. And that's why I said, thank God that they were born when they were born, because I don't think we would've tooken care of ourselves better if it weren't for them. I mean, now they're four. I mean, my goodness, they give you a run for their money now. But at that time, I mean, God put 'em there for a reason at that time, and it saved us then. And now it's like, ugh. But yeah, there was a reason for it.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2295.0,2389.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/85","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): For us. I felt like we were healthier then because we were very cautious on everything was cooked at home and it was like, you can't make two eggs for you and two eggs...because at that time it was just me and my husband, and so it was like one egg and one egg to make everything last. And we would serve ourselves in smaller plate and very limited. It was scary. Going to the grocery stores and seeing the racks without any food and even going for a walk, we would wear a mask just like Rita mentioned. We'd go to the river walk and we would see a couple, we're like, okay, move this way. They would do the same thing. It's that fear, that uncertainty. And so that was nice. But that part, the walking, we would walk more and that felt good. I remember one time I told my husband, let's drive by downtown, because downtown there's always people on Friday nights, people go out and driving through there was scary. You get this feeling because it felt like a ghost town. Nothing was there. I mean, you wouldn't hear EMS, you wouldn't hear the SAPD. It was just silence. So different experience, different feelings. And then later on, just coming creative with doing things. Me and my husband, we would put music outside and put a candle and dance because we couldn't go out any longer, things like that. But I felt like it brought us closer.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2389.0,2490.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/86","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): It made you want to, we would sit in the living room and watch movies, do your little own theater things or whatever, because you couldn't go to the movies no more. We couldn't do a lot of stuff that we would usually do, couldn't go out to the restaurants no more. So we would make our own restaurant things, just trying to, we were trying to not kill ourselves during that time, especially when you live in a big house and stuff. Yeah.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2490.0,2526.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/87","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And I think that kind of goes into my next question very nicely. With all the stress and the chaos, what kept you going during that time?\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2526.0,2535.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/88","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): We needed a job.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2535.0,2538.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/89","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Heart to want to help people, even though we knew that we were risking our lives, and it was the heart of helping.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2538.0,2546.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/90","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): It was being able to go into my room by myself and separating from my family and telling them, leave me alone. I love you, but leave me alone for a little bit because I'm going to kill you all and let me go do my work. And exactly what she said, because now I need to go help somebody who really needs, because I know what we have. And it's like how Jackie said, we have a job and I'm grateful for it because we have money coming in to where I can buy the toilet paper that is priceless right now, and I can put meat in my freezer because I know we need the meat and we need this and that, but right now my patients aren't able to do that, so let me go help them and then I'll come out and we'll do what we're going to do.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2546.0,2594.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/91","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I remember at that time that at that particular time, we were, especially in our group, we were all grateful. We were all grateful. We had jobs, a lot of people didn't have jobs, and we got to stay at home and we got to somehow do our job a little bit and help people at the same time. So that was pretty satisfying. But I remember very well that we talked a lot about gratitude. We talked a lot about gratitude. We were lucky. We got lucky. We had our jobs, a lot of people didn't and we had a roof over our heads. We had food to eat and things like that. So it's gratitude.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2594.0,2631.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/92","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Not very many people could say they had a job, do their job from home and work throughout the pandemic. And being essential worker without being out there like the PCPs here, like the people working at Walmart, HEB or any grocery stores without risking their lives every day.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2631.0,2652.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/93","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): You had a lot of faith in itself where you had to go ahead and take over the fear factor. As it was mentioned, we work from the heart and there's a lot of people that didn't have the opportunity to have something they never had before, and a lot of families lost loved ones. So we had to also develop an encouragement of letting 'em know that it's not just only your health that we're here, but your wellbeing. You can go ahead and continue and move on, have some type of courage and some type of goal, some type of insight for you. And we also, how can I say? We helped them of course with the resources, but there was a humane thing that we needed to do. We have the motivation from our hearts, from our will, but we needed to give them will as well. It was a difficult road and it still is, but at least the stairs are shorter.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2652.0,2713.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/94","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): And listening to our patients that they were grateful just by us making that call or that they knew that they could call us and we'd just be there as a listening ear and as they're venting about what they're going through. So that's one thing that I'm grateful for. And I know they were grateful too because they would express their feelings towards me. And I'm pretty sure towards my coworkers as well.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2713.0,2741.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/95","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): There was a lot of pain. And there is trying to get over something like COVID isn't like getting over a cold, it's going to linger and the question's always going to come up. Why? Why my family? Or why did my spouse get it? Or what did my kid do to get all this? So there was a lot of healing that needed to be done and trying to inspire and encourage them to say, Hey, you know what? We're here for you to take the next step. Made it easier for them to understand that COVID is just something that happens, but it doesn't mean it's going to continue to exist. And if you let it bother you, then of course it's going to be more like a thorn. But if you have, as promotores, somebody to encourage you, COVID is just a word and you can make it disappear and replace it with something more positive.\n\nMaricella (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2741.0,2800.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/96","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I have a patient that I got assigned during COVID for food insecurity. She was one of the ones that I had put on a list because she had no transportation to this day, I still have her as the patient from COVID, but she's in my community. And her husband died from COVID as we were coming out of COVID. And I couldn't get her back into the clinic until this year, five years after COVID, because she was so depressed from her husband passing from COVID. And I remember her telling me the story of how her husband died and how both of them had gotten COVID. And she told him to go to the emergency room first and he said, no, you go because somebody needs to stay with the grandkids. They took care of their great grandkids. So she went and then they sent her back home and he went after her. And she told me, all I remember was sitting at the dinner table and waving from him from there as the ambulance helped him up and walked him to the ambulance. And all he did was wave. That was the last time she saw him alive. The next time she heard him was when she was saying goodbye to him on the phone as he was dying and she couldn't be there to hold his hand or nothing. And he was dying over the phone. And she had me in tears of the way she was saying it and stuff. And now I can finally get her into the PCP now to start seeing a doctor because that's how long she's been in depression after her husband died from COVID. And the whole time that I've been trying to get her in, all I've been doing was just listening to her of how it's affected her life and how she's trying to raise these great grandkids by herself without her husband, because this is what COVID left for her...like Raul was saying, the pain.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2800.0,2939.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/97","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Just one more thing on that. And back to the gratefulness. I remember, that's why I remember this because of the gratefulness. Because like I said, we were at home and we were able to still get a paycheck. And at the same time that was happening, we had the lieutenant governor saying, well, essential workers need to go out. What's more important? He would say that there's nothing more important than, how did he say it? That you had to go to work because there was nothing more important than actually going to work. That life wasn't that important. So it was like a really, I don't know, twisted message that we were getting from our detective governor that saying that there was nothing. Yeah, the economy was more important than your life. That's basically what he was saying. So we were getting all these mixed messages and we were seeing people dying. We were seeing people, people that we knew and we were fortunate. So that's why I just remember that the gratitude of how lucky the position we were in.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=2939.0,3008.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/98","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): This is the last question. This interview is being recorded to preserve and document providers experiences during the unprecedented time that we went through. Anything else you would like to share or people to know about working through the pandemic?\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3008.0,3024.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/99","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): I don't know if we learned anything. Well, we did, but I don't know if anything, some of the things that we learned are not in place anymore or things have changed. I don't know how it would fare again if we had to go through this again. Some of the stuff that nationally have been dismantled, even today, we got the CDC dismantled. The FDA is dismantled. If we went into something like that in situations like that today, we'd be worse off. Did we learn anything? I don't know.\n\nEstola (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3024.0,3061.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/100","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, we learned. I learned how to go in Zoom for the meetings. So I mean, that's a good thing too. And also with my family, since that, we start talking about FaceTime because we have more time to talk with my family because my family is not in town. So we have more time to talk to them. And it was good for us, and we feel more, more close.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3061.0,3092.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/101","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): But what I meant is, as a society, do we learn anything as a society together? Individually, we learn stuff, of course. But as a society, I don't know if we're better off now. We may not be. Especially right now, since we don't have CDC, we don't have FDA. We don't have the Centers for Disease Control. We have a bunch of the stuff that we need to respond to a pandemic. I think we're worse off now.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3092.0,3119.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/102","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): One of the things that you did learn, or at least acceptable is how precious life this. You don't know when one of your loved ones next to you is not going to be there anymore. And that brings the unity in you. The wanting to spend more time with your family, your friends, or things you never used to do before that you never thought that would make sense, but make more sense to appreciate life in general, like waking up, listening to the birds and looking around driving, seeing things you never thought you'd see before, that you didn't take full consideration about, but they're existing now. One thing that I never knew I used to do a long time ago, but I'm doing it now, is my alarm clock. You keep seeing it. You see that time passing by and I'm going, well, it's four o'clock. What's five? What did I do? And things you never thought about. Oh, I went and I grabbed a glass of water, or I fed my cat. But it's a time thing. I'm more time conscious now, because before you never really paid attention to just coming in doing this very similar things or you're stomach reminding you about, it's time to eat or something. But that I think made me appreciate life more. I think it's a gift to live. And if you use that gift to help others, it's a beautiful thing.\n\nJaqueline (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3119.0,3213.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/103","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Grateful for life. Being grateful for life and not taking for granted the small things that we used to. You see life totally different. You're like, wow. So that's one thing that I can share.\n\nZulma (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3213.0,3225.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/104","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): COVID brought uncertainty, fear, loneliness, depression, and many other things. But I think we showed as human beings that we can...we were able to overcome any of us and we can be stronger and be better if we unite together.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3225.0,3244.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/105","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): One thing also that's good about the team that we have beforehand, we used to give hugs. Now we give stronger hugs amongst each other. I think it's a good family group that we have here, and we appreciate, I think us a little bit more, or at least it takes longer. Instead of one second. Maybe it takes two, three. It helped us a lot. It makes you feel better too.\n\nRamos (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3244.0,3277.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/106","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Well, thank you guys so much. I do appreciated all the work that you did during that time and then now still the work that you're doing.\n\nRicardo (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3277.0,3285.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/107","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Thank you.\n\nRaul (","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3285.0,3285.0"},{"id":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453/transcript/95023/annotation/108","type":"Annotation","motivation":"transcribing","body":{"type":"TextualBody","value":"): Thank you, Dr.","format":"text/plain"},"target":"https://centerforthehistoryoffamilymedicine.aviaryplatform.com/collections/3695/collection_resources/174025/file/313453#t=3285.0,3287.26732"}]}]}]}