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WOMEN IN
                                                                                           MEDICINE






        school. We both moved away to the East Coast to pursue our stud-  are issues with privacy, cyber attacks, security, maintenance, etc.
        ies. It was quite an adventure and in the process I had my first  So it is another expense to keep up with. Our practice does have
        child. I had to take a year off but it was OK. I was not your tra-  a website and has a patient portal. We also have a presence on
        ditional medical student by any means. I was very proud to walk  Facebook and get patient feedback in different ways. Then came
        the graduating stage with my 6-month-old daughter over 27 years  the world of ‘meaningful use’ and I jumped at the opportunity to
        ago. Knowing residency would be challenging, we moved back to  participate. And so we did. Then it ended and now we are in the
        Texas to be closer to our families and to our culture.  world of CCM, ACO’s and MACRA, etc… so I also got involved
          During my daughter’s pregnancy I was told that I had gestational  and created programs and workflows to participate.
        diabetes. I was in shock. What?? I’ve always been called “Skinny  In the meantime, my husband was getting worried that I was
        Ana” since I was, and still am, a “stick.” I always watched my fam-  spending too much time with work and not enough with my social
        ily struggle with obesity and the problems that stemmed from it  life, so he made it his job to avoid that. Our circle of friends grew
        like diabetes, hypertension, strokes and heart attacks. So, my sisters  and I started going out to more medical conferences and meetings.
        and I refused to gain any weight and tried not to do too much of  With time, I met Dr. Vizcarra and then her friends became my
        the Puerto Rican or Mexican ‘diet.’ As I got older and busier, bal-  friends and I met other female physicians at other events. At their
        ancing career and family, I found it hard to exercise so I had to  insistence, I decided to participate in the half marathon for Rock
        watch what I ate.                                      n’ Roll in San Antonio. Boy, was that an experience!
          With time, my dad had a severe stroke from his diabetes/hyper-  I started training and refused to stay behind. I had to work
        tension at age 51, my mother developed diabetes and grandma had  much harder and, being older than all of them and no quitter, up
        a heart bypass. I kept telling myself “I need to exercise. I need to  that steep hill I went. Six years later, I am running at a slower
        exercise. I don’t want to be like my dad with insulin, diabetes,  pace than before due to lack of time but getting ready to do an-
        stroke and neuropathy.”                                other “racation.”
          I realized I spend so much time at work and caring for my family  One of my close friends and I travel the U.S. at least once per
        that I had not much time for anything else. We were all too busy  year and make a “girls” weekend to run and spend time catching
        multi-tasking and at the end of the day there was hardly any time  up. Some of us go as cheerleaders and others as participants, but
        left. As I and my kids were getting older and I was getting ready  the goal is the same: Participate, enjoy each other and be grateful
        to have more ‘me’ time, life suddenly changed. In a span of three  we can.
        years, I lost my younger sister to cancer, my father to another  So now I look back in time and give thanks that despite all the
        stroke, my brother-in-law to violence and my grandma to “old  hardships and personal “losses” I have remained a compassionate
        age” at 95. It was too much for my mother and she died three  physician dedicated to provide the best care possible to my pa-
        years later of depression and dementia at 71. So, I did the only  tients despite all the time constraints and “red tape” we find from
        thing I knew. I got busier at work and at home. Unfortunately, that  insurers on a daily basis. As one of my patients told me this past
        led me to become more isolated from the few friends I had.   week; “Doctora, how do you manage to smile after such a long
          When EMR’s (electronic medical records) came about I became  day?” I looked back at her and told her “Why not? After all, we
        involved in learning how to use it. It kept me from focusing on  are still here and I am able to provide the assistance and care you
        the pain of my lost family. So I became the “superuser.” I created  need. We have known each other for a while and this is what I
        templates, learned shortcuts and climbed that steep learning curve.  wanted to be doing when I chose medicine as a career.” She
        I became more efficient and documented better. I learned how to  hugged me and gave me a kiss. I then put on my running shoes
        use a hybrid of dragon, templates and free-style documentation.  and headed out to enjoy the outdoors.
        The medical practice got electronic interfaces with several major
        labs, hospitals and radiology companies. So information was read-  Dr. Ana I. Rodriguez works at MacGregor Medical Center.
        ily available. I loved it. I did not have to go to medical records to
        look for labs anymore. But with every technological advance there



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