Using Your Self-Test: COVID-19 From the CDC

Book Review of “When Breath Becomes Air”

By Rajam Ramamurthy, MD

Randomly browsing through the shelves, it could have been at the airport, I picked up the book titled, “When Breath Becomes Air” by Paul Kalanithi, MD. Recently my eyes seem to focus on topics that deal with ‘end of life,’ like a magnet wand that snaps onto metal objects on the beach as the metal detector scans the sand. We do choose our reading very often to feed our intimate thoughts; thoughts I could not or would not share as I stood at my husband’s bedside day after day that fateful month of April in 2016. “Breath Becomes Air,” a New York Times Best Seller, was written by Dr. Paul Kalanithi, a surgeon in his final year of training in neurosurgery when he was diagnosed with lung cancer. Paul’s richness of language surprised me, for we in medicine generally chuckle when we speak of notes surgeons write. The depth of his thoughts reflects his vast reading of serious writings. There is almost a cadence to his style like this one I quote; “I lay there in the dirt, awash in sunlight and memory, feeling the shrinking size of this town of fifteen thousand, six hundred miles from my new college dormitory at Stanford and all its promise.” I almost felt ashamed and kept apologizing to Paul for deriving this vicarious pleasure of reading his beautiful writing when he was laying his life open as the ravaging lung cancer was greedily robbing him of life and all that could have been.

The book throbs in your hands as though Paul has infused his life into its pages. Paul goes to visit a close friend in New York City, but Lucy refuses to go. She has to sort out many things about how their relationship is moving; Paul not sharing with her his concerns about the diagnosis of what is happening, with his health being one of them. Tears welled up in my eyes as I read the part where Paul was going to talk to his wife Lucy about the x-ray report. “Lucy picked me up from the airport, but I waited until we were home to tell her. We sat on the couch and when I told her, she knew. She leaned her head on my shoulder and the distance between us vanished.”

The book is the third in a row of books that I read that brings to our conscience the topic of death that we physicians avoid. What makes life meaningful enough to go on living? It is a question each one of us gracefully donning our senior citizen cloak have to give some serious thought to. There is one prognosis in life that is so easy to pronounce, yet we never do, and most of us in the medical profession don’t. That is the eventuality of death. Everyone dies; the physician’s knowledge and experience should place them in the best possible position to guide each patient through their illness and recovery or sometimes through illness and death, with as much compassion and guidance. As per Paul, “when there is no place for the scalpel, words are the surgeon’s only tool.”

Oh! There is so much more that Paul expounds that I read and reread. This passage about God really answered some questions that arise and nag my scientific thinking. “Science may provide the most useful way to organize empirical, reproducible data, but its power to do so is predicated on its inability to grasp the most central aspect of human life: hope, fear, hate, beauty, envy, honor, weakness, striving, suffering, virtue.” His writing touches upon so many aspects of humanity as though he, in his death, has comforted many.

There are aspects of Paul’s story that I do not comprehend, I never have; it has always troubled me when terminally ill patients begot children. Who am I to judge a soul standing at the edge of life? I so want to move away from such thoughts and leave those of you daring enough to pick up and read a book such as this to awaken your feelings in so many spheres of life.

Rajam Ramamurthy, MD is Professor Emeritus of Pediatrics and Neonatology at UT Health San Antonio. Dr. Ramamurthy is an active member of the BCMS Publications Committee.

Artistic Expression in Medicine

By Averi White, MD

Mi Corazón, Oil Pastel

By Averi White, MD At the beginning of quarantine, I began exploring with oil pastels. “Mi Corazón” is a tribute to my boyfriend, who was born in Medellín, Colombia and is now in cardiology fellowship. I completed this painting for him during our 63 days apart in quarantine.

Averi White, MD is a PGY-2 resident in Internal Medicine at UT Health San Antonio.

Emily Sherry is a fourth-year medical student at the UT Health Long School of Medicine.

The Experience of Diagnosis

By Emily Sherry

First, it’s me asking, “When did this begin?” Very quickly I responded, “I’m glad you came in.” After his history, vitals and physical, I summarize back his story, Let him know we’re talking with radiology and the laboratory. He shakes and he worries, “Will I need surgery?” I can’t definitively answer that yet, without diagnostic perjury. It’s too late in the day for our usual consults, Tomorrow we’ll have more scans and results. The scans come back, there’s definitely a mass; Blocking the pancreatic head, it’s not something that will pass. I break the news—there’s a tumor. The pain that comes and grows— Unfortunately, it’s not acute, or constipation, or stones. He asks, “What say you? How’s the biopsy?” I’m confused and alone, I haven’t a proxy. We walk with you sir and we’ll do what you prefer, To support you in waters that are unknown and a blur. For now, he’s got warm tea and a blanket, a book and a rosary, And in a little while we’ll know just how much to hurry. I’ll keep coming by, I’ll listen to his abdomen, lungs and heart; I’ll care for the person of the present, who can’t be found in a chart.

At right: Dr. Guerra inspecting a child with burns. Dong Ba Thin, Vietman 10th AVN, Dispensary, February 22, 1966. Above: Dr. Guerra with his wife, Beverly Purcell-Guerra in Ecuador. Photo by Roberto (Bear) Guerra

IN MEMORIAM Fernando Guerra, MD, MPH

Fernando Guerra, MD, MPH was a pediatrician and public health and general preventive medicine physician. He passed away on Friday, January 21, 2022 at the age of 82. He served as Metro Health Director from 1987 to 2010. Dr. Guerra was in public health for over 40 years, retiring from Metro Health in 2010. According to Metro Health, he was involved in the response to the HIV epidemic, Hurricane Katrina, H1N1 and extreme weather events. He was also nationally recognized for his expertise in public health. The Bexar County Medical Society extends sympathy to the family and friends of Dr. Guerra.

IN MEMORIAM Beverly Henwood, MD

Beverly Henwood, MD passed away on Saturday, January 15, 2022 at the age of 73. She was born in Winnipeg, Manitoba, Canada on April 20, 1948 and attended medical school at Ottawa University. Dr. Henwood completed her residency in family practice at the Civic Hospital in Ottawa and later worked at the Cancer Clinic in Ottawa, Ontario. Dr. Henwood and her husband Robbie have operated Henwood Family Medicine and Dentistry for the past 35 years. She was a member of the Bexar County Medical Society since 1981 and served as the President of the San Antonio Chapter of the Texas Academy of Family Practice. The Bexar County Medical Society extends sympathy to the family and friends of Dr. Henwood.

If there is a physician you know who has passed away, please email us at editor@ bcms.org, and provide us more information about them and their passing.

IN MEMORIAM So Long Dear Friend and Colleague...You Will Be Missed

By Mary E. Nava, MBA, Chief Government Affairs Officer

On Thursday, Jan. 22, 2022, the BCMS family lost our longest serving employee, Mr. Ismael “Smiley” Flores, who had been with BCMS for over 30 years. Smiley, as he was known to all who knew him, was a friendly individual, who enjoyed helping others. His role as coordinator of many of the organization’s internal projects and day-to-day activities was appreciated by all the staff. From Print Job Coordinator to Event and Meeting Setup Assistant to Mail Courier, Smiley was an active and respected member of the team, who always stood ready to help. For us, his colleagues, Smiley was like a dad to some of us, a grandpa to others and a friend to all.

Born on January 20, 1937 in Floresville, Smiley eventually moved to San Antonio. A 1954 graduate of Sidney Lanier High School, Smiley went on to become a successful Printer with the Muller Printing Company, where he remained until his retirement in 1989. After just one year of retirement from Muller Printing Company, Smiley decided to return to work and joined BCMS in 1990, where he remained until his death.

Most recently, Smiley was honored for his 30+ years of service during the company Christmas luncheon. Soon after his passing, the BCMS staff gathered to remember Smiley and share fond memories of special times past and recognized how much Smiley will be missed by everyone.

The Flores family stated that Smiley enjoyed working and took great pride in all he did. Smiley often spoke of the great friends he had at BCMS and how much he enjoyed going to work each day.

Smiley was preceded in death by his wife of 56 years, Martha Flores, and a son, Victor Flores. He leaves behind 5 children, 14 grandchildren, 34 great-grandchildren and 11 great-great grandchildren.

Mary E. Nava, MBA is the Chief Government Affairs Officer at the Bexar County Medical Society.

Please ask your practice manager to use the Physicians Purchasing Directory as a reference when services or products are needed.

ACCOUNTING FIRMS

Sol Schwartz & Associates P.C. (HHH Gold Sponsor) Sol Schwartz & Associates is the premier accounting firm for San Antonio-area medical practices and specializes in helping physicians and their management teams maximize their financial effectiveness. Jim Rice, CPA 210-384-8000, ext. 112 jprice@ssacpa.com www.ssacpa.com “Dedicated to working with physicians and physician groups.”

ACCOUNTING SOFTWARE

Express Information Systems (HHH Gold Sponsor) With over 29 years’ experience, we understand that real-time visibility into your financial data is critical. Our browser-based healthcare accounting solutions provide accurate, multi-dimensional reporting that helps you accommodate further growth and drive your practice forward. Rana Camargo Senior Account Manager 210-771-7903 ranac@expressinfo.com www.expressinfo.com “Leaders in Healthcare Software & Consulting”

ATTORNEYS

Kreager Mitchell (HHH Gold Sponsor) At Kreager Mitchell, our healthcare practice works with physicians to offer the best representation possible in providing industry specific solutions. From business transactions to physician contracts, our team can help you in making the right decision for your practice. Michael L. Kreager 210-283-6227 mkreager@kreagermitchell.com Bruce M. Mitchell 210-283-6228 bmitchell@kreagermitchell.com www.kreagermitchell.com “Client-centered legal counsel with integrity and inspired solutions” ASSETT WEALTH MANAGEMENT

Bertuzzi-Torres Wealth Management Group (HHH Gold Sponsor) We specialize in simplifying your personal and professional life. We are dedicated wealth managers who offer diverse financial solutions for discerning healthcare professionals, including asset protection, lending and estate planning. Mike Bertuzzi First Vice President Senior Financial Advisor 210-278-3828 Michael_bertuzzi@ml.com Ruth Torres Financial Advisor 210-278-3828 Ruth.torres@ml.com http://fa.ml.com/bertuzzi-torres

BANKING

BankMD (HHH Gold Sponsor) Our Mission is your Success. We are the ONLY Physician-Focused Bank in the Country Moses Luevano, President 512-547-6065 mdl@bankmd.com Chris McCorkle Director of Healthcare Banking 210-253-0550 cm@bankmd.com www.BankMD.com “Specialized, Simple, Reliable”

Broadway Bank (HHH Gold Sponsor) Healthcare banking experts with a private banking team committed to supporting the medical community. Shawn P. Hughes, JD Senior Vice President, Private Banking 210-283-5759 shughes@broadway.bank www.broadwaybank.com “We’re here for good.”

The Bank of San Antonio (HHH Gold Sponsor) We specialize in insurance and banking products for physician groups and individual physicians. Our local insurance professionals are some of the few agents in the state who specialize in medical malpractice and all lines of insurance for the medical community. Brandi Vitier, 210-807-5581 brandi.vitier@thebankofsa.com www.thebankofsa.com

Synergy Federal Credit Union (HH Silver Sponsor) Looking for low loan rates for mortgages and vehicles? We've got them for you. We provide a full suite of digital and traditional financial products, designed to help Physicians get the banking services they need. Synergy FCU Member Services 210-750-8333 info@synergyfcu.org www.synergyfcu.org “Once a member, always a member. Join today!”

BUSINESS CONSULTING

Medical Financial Group (★★★ Gold Sponsor) Healthcare & Financial Professionals providing core solutions to Physicians from one proven source. CEO is Jesse Gonzales, CPA, MBA Controller & past CFO of (2) Fortune 500 companies, Past Board President of Communicare Health Systems. Jesse Gonzales, CEO CPA, MBA 210-846-9415 information@medicalfgtx.com Linda Noltemeier-Jones Director of Operations 210-557-9044 lindanj@medicalfgtx.com www.medicalfgtx.com “Let’s start with Free Evaluation and Consultation from our Team of Professionals”

CREDENTIALS VERIFICATION ORGANIZATION

Bexar Credentials Verification, Inc. (HHHH 10K Platinum Sponsor) Bexar Credentials Verification Inc. provides primary source verification of credentials data that meets The Joint Commission (TJC) and the National Committee for Quality Assurance (NCQA) standards for health care entities. Betty Fernandez Director of Operations 210-582-6355 Betty.Fernandez@bexarcv.com www.BexarCV.com “Proudly serving the medical community since 1998”

FINANCIAL ADVISORS

Oakwell Private Wealth Management (HHH Gold Sponsor) Oakwell Private Wealth Management is an independent financial advisory firm with a proven track record of providing tailored financial planning and wealth management services to those within the medical community. Brian T. Boswell, CFP®, QKA Senior Private Wealth Advisor 512-649-8113 SERVICE@OAKWELLPWM.COM www.oakwellpwm.com “More Than Just Your Advisor, We're Your Wealth Management Partner”

Elizabeth Olney with Edward Jones (HH Silver Sponsor) We learn your individual needs so we can develop a strategy to help you achieve your financial goals. Join the nearly 7 million investors who know. Contact me to develop an investment strategy that makes sense for you. Elizabeth Olney, Financial Advisor 210-858-5880 Elizabeth.olney@edwardjones.com www.edwardjones.com/elizabeth-olney "Making Sense of Investing"

FINANCIAL SERVICES

Bertuzzi-Torres Wealth Management Group ( Gold Sponsor) We specialize in simplifying your personal and professional life. We are dedicated wealth managers who offer diverse financial solutions for discerning healthcare professionals, including asset protection, lending & estate planning. Mike Bertuzzi First Vice President Senior Financial Advisor 210-278-3828 Michael_bertuzzi@ml.com Ruth Torres Financial Advisor 210-278-3828 Ruth.torres@ml.com http://fa.ml.com/bertuzzi-torres

Aspect Wealth Management (HHH Gold Sponsor) We believe wealth is more than money, which is why we improve and simplify the lives of our clients, granting them greater satisfaction, confidence and freedom to achieve more in life. Jeffrey Allison 210-268-1530 jallison@aspectwealth.com www.aspectwealth.com “Get what you deserve … maximize your Social Security benefit!”

SWBC (HHH Gold Sponsor) SWBC for Personal and Practice: Physician programs for wealth management and homebuying. For You Practice: HR administration, payroll, employee benefits, insurance, and exit strategies. SWBC’s services supporting Physicians and the Medical Society. Michael Leos Community Relations Manager Cell: 201-279-2442 Office: 210-376-3318 mleos@swbc.com swbc.com

HEALTHCARE BANKING

BankMD (HHH Gold Sponsor) Our Mission is your Success. We are the ONLY Physician-Focused Bank in the Country Moses Luevano, President 512-547-6065 mdl@bankmd.com Chris McCorkle Director of Healthcare Banking 210-253-0550 cm@bankmd.com www.BankMD.com “Specialized, Simple, Reliable”

First Citizens Bank (HHH Gold Sponsor) We’re a family bank — led for three generations by the same family-but first and foremost a relationship bank. We get to know you. We want to understand you and help you with your banking. Stephanie Dick Commercial Banker 210-744-4396 stephanie.dick@firstcitizens.com https://commercial.firstcitizens.co m/tx/austin/stephanie-dick Amegy Bank of Texas (HH Silver Sponsor) We believe that any great relationship starts with five core values: Attention, Accountability, Appreciation, Adaptability and Attainability. We work hard and together with our clients to accomplish great things. Jeanne Bennett EVP | Private Banking Manager 210-343-4556 Jeanne.bennett@amegybank.com Karen Leckie Senior Vice President | Private Banking 210-343-4558 karen.leckie@amegybank.com Robert Lindley Senior Vice President | Private Banking 210-343-4526 robert.lindley@amegybank.com Denise C. Smith Vice President | Private Banking 210-343-4502 Denise.C.Smith@amegybank.com www.amegybank.com “Community banking partnership”

HEALTHCARE TECHNOLOGY SOLUTIONS SUPPLIER

Nitric Oxide innovations LLC, (★★★ Gold Sponsor) (NOi) develops nitric oxide-based therapeutics that prevent and treat human disease. Our patented nitric oxide delivery platform includes drug therapies for COVID 19, heart disease, Pulmonary hypertension and topical wound care. info@NitricOxideInnovations.com 512-773-9097 www.NitricOxideInnovations.com

HOSPITALS/ HEALTHCARE FACILITIES

UT Health San Antonio MD Anderson Cancer Center, (HHH Gold Sponsor) UT Health San Antonio MD Anderson Cancer Center, is the only NCI-designated Cancer Center in South Texas. Our physicians and scientists are dedicated to finding better ways to prevent, diagnose and treat cancer through lifechanging discoveries that lead to more treatment options. Laura Kouba Manager, Physician Relations 210-265-7662 NorrisKouba@uthscsa.edu Lauren Smith, Manager, Marketing & Communications 210-450-0026 SmithL9@uthscsa.edu Cancer.uthscsa.edu Appointments: 210-450-1000 UT Health San Antonio MD Anderson Cancer Center 7979 Wurzbach Road San Antonio, TX 78229

INFORMATION AND TECHNOLOGIES

Express Information Systems (HHH Gold Sponsor) With over 29 years’ experience, we understand that real-time visibility into your financial data is critical. Our browser-based healthcare accounting solutions provide accurate, multi-dimensional reporting that helps you accommodate further growth and drive your practice forward. Rana Camargo Senior Account Manager 210-771-7903 ranac@expressinfo.com www.expressinfo.com “Leaders in Healthcare Software & Consulting”

INSURANCE

TMA Insurance Trust (HHHH 10K Platinum Sponsor) TMA Insurance Trust is a full-service insurance agency offering a full line of products – some with exclusive member discounts and staffed by professional advisors with years of experience. Call today for a complimentary insurance review. It will be our privilege to serve you. Wendell England Director of Member Benefits 512-370-1776 wendell.england@tmait.org 800-880-8181 www.tmait.org “We offer BCMS members a free insurance portfolio review.”

Guardian (★★★ Gold Sponsor) Live Confidently. Every financial dream deserves a well-crafted plan. Ned Hodge 210-332-3757 ned@nedhodge.com www.nedhodge.com | www.Opesone.com “Take care of today then plan for tomorrow” Humana (HHH Gold Sponsor) Humana is a leading health and well-being company focused on making it easy for people to achieve their best health with clinical excellence through coordinated care. Jon Buss: 512-338-6167 Jbuss1@humana.com Shamayne Kotfas: 512-338-6103 skotfas@humana.com www.humana.com

INSURANCE/MEDICAL MALPRACTICE

Texas Medical Liability Trust (HHHH 10K Platinum Sponsor) With more than 20,000 health care professionals in its care, Texas Medical Liability Trust (TMLT) provides malpractice insurance and related products to physicians. Our purpose is to make a positive impact on the quality of health care for patients by educating, protecting, and defending physicians. Patty Spann 512-425-5932 patty-spann@tmlt.org www.tmlt.org Recommended partner of the Bexar County Medical Society

The Bank of San Antonio Insurance Group, Inc. (HHH Gold Sponsor) We specialize in insurance and banking products for physician groups and individual physicians. Our local insurance professionals are some of the few agents in the state who specialize in medical malpractice and all lines of insurance for the medical community. Katy Brooks, CIC 210-807-5593 katy.brooks@bosainsurance.com www.thebankofsa.com “Serving the medical community.”

MedPro Group (HH Silver Sponsor) Rated A++ by A.M. Best, MedPro Group has been offering customized insurance, claims and risk solutions to the healthcare community since 1899. Visit MedPro to learn more. Kirsten Baze 512-658-0262 Kirsten.Baze@medpro.com www.medpro.com

ProAssurance (HH Silver Sponsor) ProAssurance professional liability insurance defends healthcare providers facing malpractice claims and provides fair treatment for our insureds. ProAssurance Group’s rating is AM Best A (Excellent). Mike Rosenthal Senior Vice President, Business Development 800-282-6242 MikeRosenthal@ProAssurance.com www.ProAssurance.com

INTERNET TELECOMMUNICATIONS

Unite Private Networks (HHH Gold Sponsor) Unite Private Networks (UPN) has offered fiber optic networks since 1998. Lit services or dark fiber –our expertise allows us to deliver customized solutions and a rewarding customer experience. Clayton Brown - Regional Vice President of Sales –San Antonio 210-693-8025 clayton.brown@upnfiber.com Aron Sweet – Account Director 210-788-9515 aron.sweet@upnfiber.com Jim Dorman – Account Director 210-428-1206 jim.dorman@upnfiber.com Tammy Carosello – Account Director 210-868-0420 tammy.carosello@upnfiber.com www.uniteprivatenetworks.com “UPN is very proud of our 98% customer retention rate”

INVESTMENT ADVISORY REAL ESTATE

Alamo Capital Advisors LLC (★★★★ 10K Platinum Sponsor) Focused on sourcing, capitalizing, and executing investment and development opportunities for our investment partners and providing thoughtful solutions to our advisory clients. Current projects include new developments, acquisitions & sales, lease representation and financial restructuring (equity, debt, and partnership updates). Jon Wiegand Principal 210-241-2036 jw@alamocapitaladvisors.com www.alamocapitaladvisors.com MEDICAL BILLING AND COLLECTIONS SERVICES

Medical Financial Group (★★★ Gold Sponsor) Healthcare and Financial Professionals providing core solutions to Physicians from one proven source. CEO is Jesse Gonzales, CPA, MBA Controller and past CFO of (2) Fortune 500 companies, Past Board President of Communicare Health Systems. Jesse Gonzales, CEO CPA, MBA 210-846-9415 information@medicalfgtx.com Linda Noltemeier-Jones Director of Operations 210-557-9044 lindanj@medicalfgtx.com www.medicalfgtx.com “Let’s start with Free Evaluation and Consultation from our Team of Professionals”

PCS Revenue Cycle Management (HHH Gold Sponsor) We are a HIPAA compliant fullservice medical billing company specializing in medical billing, credentialing, and consulting to physicians and mid-level providers in private practice. Deion Whorton Sr. CEO/Founder 210-937-4089 inquiries@pcsrcm.com www.pcsrcm.com “We help physician streamline and maximize their reimbursement by 30%.”

Commercial & Medical Credit Services (HH Silver Sponsor) A bonded and fully insured San Antonio-based collection agency. Henry Miranda 210-340-9515 hcmiranda@sbcglobal.net www.cmcs-sa.com “Make us the solution for your account receivables.”

MEDICAL PAYMENT SYSTEMS/CARD PROCESSING

First Citizens Bank (★★★ Gold Sponsor) We’re a family bank — led for three generations by the same family-but first and foremost a relationship bank. We get to know you. We want to understand you and help you with your banking. Stephanie Dick Commercial Banker 210-744-4396 stephanie.dick@firstcitizens.com https://commercial.firstcitizens.co m/tx/austin/stephanie-dick “People Bank with People” “Your Practice, Our Promise”

MEDICAL SUPPLIES AND EQUIPMENT

Henry Schein Medical (HH Silver Sponsor) From alcohol pads and bandages to EKGs and ultrasounds, we are the largest worldwide distributor of medical supplies, equipment, vaccines and pharmaceuticals serving office-based practitioners in 20 countries. Recognized as one of the world’s most ethical companies by Ethisphere. Tom Rosol 210-413-8079 tom.rosol@henryschein.com www.henryschein.com “BCMS members receive GPO discounts of 15 to 50 percent.”

MOLECULAR DIAGNOSTICS LABORATORY

iGenomeDx ( Gold Sponsor) Most trusted molecular testing laboratory in San Antonio providing FAST, ACCURATE and COMPREHENSIVE precision diagnostics for Genetics and Infectious Diseases. Dr. Niti Vanee Co-founder & CEO 210-257-6973 nvanee@iGenomeDx.com Dr. Pramod Mishra Co-founder, COO & CSO 210-381-3829 pmishra@iGenomeDx.com www.iGenomeDx.com “My DNA My Medicine, Pharmacogenomics”

MORTGAGES

SWBC MORTGAGE - THE TOBER TEAM (HHH Gold Sponsor) SWBC for Personal and Practice: Physician programs for wealth management and homebuying. For You Practice: HR administration, payroll, employee benefits, insurance, and exit strategies. SWBC’s services supporting Physicians and the Medical Society. Jon Tober Sr. Loan Officer Office: 210-317-7431 NMLS# 212945 Jon.tober@swbc.com https://www.swbcmortgage.com /jon-tober

PROFESSIONAL ORGANIZATIONS

The Health Cell (HH Silver Sponsor) “Our Focus is People” Our mission is to support the people who propel the healthcare and bioscience industry in San Antonio. Industry, academia, military, nonprofit, R&D, healthcare delivery, professional services and more! President, Kevin Barber 210-308-7907 (Direct) kbarber@bdo.com Valerie Rogler, Program Coordinator 210-904-5404 Valerie@thehealthcell.org www.thehealthcell.org “Where San Antonio’s Healthcare Leaders Meet”

San Antonio Medical Group Management Association (SAMGMA) (HH Silver Sponsor) SAMGMA is a professional nonprofit association with a mission to provide educational programs and networking opportunities to medical practice managers and support charitable fundraising. Alan Winkler, President info4@samgma.org www.samgma.org

REAL ESTATE SERVICES COMMERCIAL

Alamo Capital Advisors LLC (★★★★ 10K Platinum Sponsor) Focused on sourcing, capitalizing, and executing investment and development opportunities for our investment partners and providing thoughtful solutions to our advisory clients. Current projects include new developments, acquisitions & sales, lease representation and financial restructuring (equity, debt, and partnership updates). Jon Wiegand Principal 210-241-2036 jw@alamocapitaladvisors.com www.alamocapitaladvisors.com

CARR Realty (HH Silver Sponsor) CARR is a leading provider of commercial real estate for tenants and buyers. Our team of healthcare real estate experts assist with start-ups, renewals, , relocations, additional offices, purchases and practice transitions. Brad Wilson, Agent 210-573-6146 Brad.Wilson@carr.us www.carr.us

“Maximize Your Profitability Through Real Estate”

Foresite Real Estate, Inc. (HH Silver Sponsor) Foresite is a full-service commercial real estate firm that assists with site selection, acquisitions, lease negotiations, landlord representation, and property management. Bill Coats 210-816-2734 bcoats@foresitecre.com https://foresitecre.com “Contact us today for a free evaluation of your current lease”

RETIREMENT PLANNING

Oakwell Private Wealth Management (HHH Gold Sponsor) Oakwell Private Wealth Management is an independent financial advisory firm with a proven track record of providing tailored financial planning and wealth management services to those within the medical community. Brian T. Boswell, CFP®, QKA Senior Private Wealth Advisor 512-649-8113 SERVICE@OAKWELLPWM.COM www.oakwellpwm.com “More Than Just Your Advisor, We're Your Wealth Management Partner”

STAFFING SERVICES

Favorite Healthcare Staffing (HHHH 10K Platinum Sponsor) Serving the Texas healthcare community since 1981, Favorite Healthcare Staffing is proud to be the exclusive provider of staffing services for the BCMS. In addition to traditional staffing solutions, Favorite offers a comprehensive range of staffing services to help members improve cost control, increase efficiency and protect their revenue cycle. Cindy M. Vidrine Director of Operations- Texas 210-918-8737 cvidrine@favoritestaffing.com “Favorite Healthcare Staffing offers preferred pricing for BCMS members.”

2022 Mercedes GLA35 AMG

By Stephen Schutz, MD

Since the introduction of the original Ford Explorer over 30 years ago, American families have been increasingly relying on SUVs for transportation. Not surprisingly, automotive manufacturers from everywhere have rushed to create SUVs to satisfy the seemingly unquenchable thirst for these types of vehicles. And it’s not stopping. Ten years ago, it would have been hard to imagine an Aston Martin or Lamborghini SUV, and now we have those in addition to a Ferrari SUV expected soon.

While the success of the Explorer and other SUVs followed by the proliferation of many other SUV models was completely predictable, a related trend, the “SUV-ization” of cars was less easy to foresee.

It all started with the first Subaru Outback, introduced in 1995. Based on the Legacy Wagon, the Outback combined tough guy styling elements—a roof rack, lots of lower body cladding, etc.—and a slightly higher ride height to create a vehicle that looked like it could do most of what an SUV could off-road. Thanks to that and ubiquitous TV commercials featuring the lovable pitchman Paul Hogan (aka Crocodile Dundee), the Outback became a hit.

Not long afterwards, other manufacturers launched similar cars— the Subaru Crosstrek, Audi Allroad and Volvo Cross Country are just three examples—and now there are many to choose from.

Enter the Mercedes GLA, now in its second generation. The current GLA, based on the A-class car, looks quite SUV-ish, unlike the last one, which looked like some kind of large insect. The GLA’s styling isn’t as boxy as the (mechanically-related) GLB, but the GLA is certainly trying hard to look like its big brothers the GLC and GLE.

Helping the cause are black plastic accents around the entire lower part of the body as well as aluminum roof rails, to which, presumably, active young professionals will attach ski and bike racks.

The inside of the GLA is standard Mercedes fare, albeit without the grandeur of the venerable S-class sedan. The prominent round air vents that I (and others) admire are there, as is a big rectangular screen that houses all of the gauges as well as many other functions. Mercedes is doing away with the two-screen way of doing things, and I applaud them for it.

The GLA comes in three flavors, the standard GLA250, the sportier GLA35 AMG, and loud-and-fast GLA45 AMG. Most customers will choose the first option, and I expect the last one to be very niche given its high price point and very extroverted personality, but the GLA35 AMG that I tested may end up being surprisingly popular.

In fact, I’d call that version the Goldilocks GLA. Happy to be better looking, quicker and more fun than the base model, but also less boisterous and in your face than the GLA45 AMG, the GLA35 AMG is a nice “tweener.”

No GLA is a sports car, though. My test vehicle was zippy and nimble around town, capable on B-roads and good on the highway. But at no time did it exhibit BMW M-car-like handling or Lexus highway manners. I’d say the GLA35 AMG’s sweet spot is day-to-day driving: trips to work, HEB and your son’s baseball practice.

Of course, the GLA’s diminutive size will limit who and what you carry. It seats five, but only four will fit comfortably, and the two people who sit in the back seat shouldn’t be too tall due to headroom limitations. In addition, there’s not much cargo space behind the rear seats.

All GLAs are powered by 2.0 liter turbocharged four-cylinder engines. The GLA250’s produces 221HP, the GLA35 AMG’s makes 302HP and the big daddy GLA45 AMG puts out a prodigious 382HP (an astounding number for a four-cylinder engine).

Fuel economy is 25MPG city/34MPG highway for the GLA250, 23/29 for the GLA35 AMG and 20/27 for the GLA45 AMG.

The GLA250 comes well-equipped as standard—this is a Mercedes, after all—but AWD and numerous other doodads can be added as options. All GLA AMGs have standard AWD, by the way.

Pricing starts at $37,450 for the GLA250, $48,600 for the GLA35 AMG and $56,000 for the GLA45 AMG. Options add to those numbers (considerably if you’re not careful), and in our microchip-constrained world, discounts are hard to come by. As always, calling Phil Hornbeak and buying or leasing through the BCMS will get you the best deal possible.

The Mercedes GLA is a prime example of an “SUV-ized” car that combines a car-like driving experience with extra utility and capability. It’s small, fuel efficient and comes with all the advantages that Mercedes ownership provides: luxurious interiors, well-engineered powertrains and suspensions, and superior dealers.

As always, call Phil Hornbeak, the Auto Program Manager at BCMS (210-301-4367), for your best deal on any new car or truck brand. Phil can also connect you to preferred financing and lease rates.

Stephen Schutz, MD, is a board-certified gastroenterologist who lived in San Antonio in the 1990s when he was stationed here in the US Air Force. He has been writing auto reviews for San Antonio Medicine since 1995.

11911 IH 10 West San Antonio, TX 78230 Coby Allen 210-696-2232

Kahlig Auto Group

Bluebonnet Chrysler Dodge Ram 547 S. Seguin Ave. New Braunfels, TX 78130 Matthew C. Fraser 830-606-3463

Land Rover San Antonio 13660 IH 10 West San Antonio, TX Cameron Tang 210-561-4900

Kahlig Auto Group

North Park Mazda 9333 San Pedro San Antonio, TX 78216 John Kahlig 210-253-3300

Kahlig Auto Group

North Park Subaru 9807 San Pedro San Antonio, TX 78216 Raymond Rangel 210-308-0200

Audi Dominion 21105 West IH 10 San Antonio, TX 78257 Rick Cavender 210-681-3399

Northside Ford 12300 San Pedro San Antonio, TX Marty Martinez 210-477-3472

Kahlig Auto Group

North Park Lexus 611 Lockhill Selma San Antonio, TX Tripp Bridges 210-308-8900

Mercedes Benz of Boerne 31445 IH 10 West Boerne, TX James Godkin 830-981-6000

Kahlig Auto Group

North Park Subaru at Dominion 21415 IH 10 West San Antonio, TX 78257 Phil Larson 877-356-0476

Northside Chevrolet 9400 San Pedro Ave. San Antonio, TX 78216 Charles Williams 210-912-5087 Chuck Nash Chevrolet Buick GMC 3209 North Interstate 35 San Marcos, TX William Boyd 210-859-2719

Northside Honda 9100 San Pedro Ave. San Antonio, TX 78216 Paul Hopkins 210-988-9644

Kahlig Auto Group

North Park Lexus at Dominion 25131 IH 10 W Dominion San Antonio, TX James Cole 210-816-6000

14610 IH 10 West San Marcos, TX 78249 Mark Hennigan 832-428-9507

Kahlig Auto Group

North Park Lincoln 9207 San Pedro San Antonio, TX Sandy Small 210-341-8841

Mercedes Benz of San Antonio 9600 San Pedro San Antonio, TX Al Cavazos Jr. 210-366-9600

Cavender Toyota 5730 NW Loop 410 San Antonio, TX Gary Holdgraf 210-862-9769

9455 IH 10 West San Antonio, TX 78230 Douglas Cox 210-764-6945

Kahlig Auto Group

North Park Toyota 10703 Southwest Loop 410 San Antonio, TX 78211 Justin Boone 210-635-5000