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SAN ANTONIO
             MEDICINE





        Many Hands,



        Many Masks,



        One Mission



          By Christopher Ruano



        I   t was January 21, 2020, and I vividly recall reading an online article

            about our Nation’s first case of SARS-CoV-2 (COVID-19). It was
            a day unlike any other – this one felt strangely ominous, somewhat
        distant, but quite real. I began to think about how we as a people would
        respond to this invisible, rapidly spreading pathogen that was spiraling
        into what would soon become a global pandemic. I began to rationalize
        these rapidly unfolding events through the lens of our shared American
        experience: I knew that we would rise to this occasion and help one
        another, because we have done it so many times before throughout his-
        tory. After all, we are the people who reached the Moon, who liberated   for Emergency Response (SAFER Texas). Working directly with pri-
        the oppressed in World War II, and who, despite our many growing   vate sector donors, the team quickly gathered significant personal pro-
        pains and stumbles along the way, are at our core, decent and honorable   tective equipment (PPE) contributions from the home improvement
        people. Once again, Americans from all walks of life stood up and an-  and construction industries, thus setting the stage for what was to be-
        swered the call, but this time it would be different. Much different. This   come a large donation influx from various private sources in the coming
        time we would face down an invisible enemy that knew neither bound-  weeks and months ahead.
        aries nor limitations. To borrow the famous words of Apollo 13 Com-  The SAFER team also spent a great deal of time coordinating large
        mander, James "Jim" Lovell, “Houston, we’ve had a problem”.    pallets of PPE from the Texas Division of Emergency Management
          My name is Christopher Ruano – I am a US Army veteran and pres-  (TDEM), by way of the Southwest Texas Regional Advisory Council
        ent-day Threat Intelligence Advisor with over 20 years of global opera-  (STRAC). The first few weeks of the program also saw a steady stream
        tional experience. Although, I have been with the BCMS PPE Donation   of medical student volunteers, who donated their free time away from
        Program since its inception in early April 2020 and have since directed   classes and exams, to deliver hundreds of boxes of PPE to medical clin-
        and worked in every facet of the program as a contractor, this short story   ics across the greater San Antonio area. It is fair to say that this critically
        is not about me. Rather, it is about how public and private community   timed coordination saved countless lives and protected hundreds of
        stakeholders banded together to respond to what would soon become   frontline medical personnel, who individually on many
        a national emergency and felt more locally as a critical shortage of PPE   occasions, warmly thanked the students in person, by phone and by
        supplies for underserved medical clinics, and the public at large. Further,   email for their strenuous efforts.
        it is a first-hand account that seeks to properly recognize the countless   The first several months of the program were incredibly busy, and
        people who have helped to make this program a model in public-private   this meant that the BCMS conference room would soon be repurposed
        emergency response cooperation in a time of great need.    as a storage facility for N-95 masks, surgical masks, Level IV gowns,
          The BCMS PPE Program was started in April 2020 by a small group   coveralls, eye protection and other protective equipment. Thanks to
        of bright, ambitious and publicly focused medical students, who saw   Melody Newsom, present-day CEO (then Chief Operating Officer) of
        the immediate need to get involved in the COVID-19 response.   BCMS, the timely decision to take in one million PPE articles into
        Of noteworthy mention: Gwendolyn Quintana (now MD), Yvette   storage was made, and as a result, the program’s sustainability was
        Lopez and Kayla Pineda, who went on to form the Student Alliance   etched into stone – this time at scale. We were now truly ready, willing,



         38     SAN ANTONIO MEDICINE  • December 2022
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