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Cars fly down the
freeway just 10 miles east of Houston, going to and from the
metropolis. This stretch of freeway is elevated, casting a long
shadow on the nondescript, flat, industrial landscape on either
side. This land bears the mark of oil and chemicals, trade and
hard work.
On the north side
of the freeway stands a series of single story red brick
buildings, each like the next, and each divided into office
suites. The buildings share a sprawling parking lot with a small
hospital, Triumph Hospital East Houston. A billboard announcing
some of the office occupants stands in the corner of the lot,
reaching almost as high as the freeway. At the top of the list is
Donald R. Niño, M.D. He practices medicine in suite A-10.
Like the
community he serves, it would be easy to pass over Niño without
noticing him. His manner is quiet, reserved. He is soft spoken and
slight of build. His wife of 21 years, Martha Espinosa, says he
jumps out of bed each morning happy to go to work. She manages the
business side of the clinic, allowing Niño to focus on healing
and caring for his patients.
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Together, they
have built and nurtured their practice in Channelview for the past
15 years. According to Espinosa, 15,000 patients come to the
clinic, a number equaling roughly half of Channelview’s
population. They come from all walks of life — retirees and
newborns, Medicare recipients and teen-agers, young families and
children. They come from the refineries, the factories and the
pipe yards. He treats the schoolteachers and the administrators,
the plant workers and the plant owners.
“It’s just
like a slice of America, all types, all ages,” Niño says.
That’s what he
likes about family practice. “You get to know the family and the
dynamics, the grandmothers and aunts and uncles. It seems like you
even become part of the family.” He says his patients sometimes
seat him at the family table at weddings. And when his patients
die, he attends their funerals. “We still pay respects as part
of the family,” he says.
As busy as the
clinic is, Niño’s service to the community extends far beyond
the walls of the red brick buildings. He and his wife are
stewards of their community; a place few are concerned with and
most would just pass by like a thousand other exits on the
freeway.
Last year, TAFP
added an award to Niño’s long list of credits and accolades.
The academy named him as its Physician of the Year.
Niño and
Espinosa met while attending Rice University. She was pursuing
an engineering degree and he was studying biomedical
engineering. He remembers their first meeting during orientation
week at a Mexican-American student club meeting. He says it was
her smile that he noticed.
The next
semester they had a class together. He sat beside her and walked
her to and from the class. They were married while Niño
attended medical school at the University of Texas Medical
School in his hometown of Houston, and after his graduation,
they moved to Corpus Christi where he completed his residency at
Memorial Medical Center.
When they
returned to Houston to open a practice, Espinosa says Niño
looked for a place where he would be comfortable. “His family
is blue collar, my family is blue collar … and when he looked
at this area, it seemed like the people were people he could
identify with, …” she says. “I was fine with it until I
saw it.” Channelview was not the village she had envisioned,
with all of its refineries and poverty. “But,” she says,
“it’s been the best place.”
Since opening
shop in 1986, Niño has been very active at the hospital a few
miles west of his clinic, East Houston Regional Medical Center.
He has served on the hospital’s Credentials Committee, and the
Pharmacy and Therapeutics Committee. In 1995, he chaired the
hospital’s Family Practice Committee and he chaired the
hospital Board of Trustees from 1996-97. The board created an
award in his honor, the Donald R. Niño, M.D., Community Service
Award, and made him the first recipient.
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For the last 10
years, he has taught medical students through his position as
assistant clinical professor in the Department of Family
Practice and Community Medicine at the University of Texas
Medical School in Houston. After two students who had completed
rotations in his clinic nominated him, the university gave Niño
the Distinguished Alumni award in 1999. In 2000, Niño began
bringing even more medical students into his clinic by
participating in the Texas Statewide Preceptorship Program.
As he has
done in his community, Niño has served the academy well and will likely do so
for many years to come. He sits on the academy board of directors,
representing the Harris County Chapter of TAFP, where he served as president
in 1996. In 2000, he was named the Harris County Chapter Physician of the
Year. He has chaired the TAFP Minority Health Affairs Committee and now he
heads the Section on Special Constituencies. He is also a delegate to the
Texas Medical Association and a diplomat to the American Board of Family
Practice.
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According to Espinosa, his
patients love him. “It’s hard to go grocery shopping with him because
people see him all the time,” she says. “They want to stop him and say,
‘It’s Dr. Niño! It’s Dr. Niño!’ It’s like he’s a celebrity or
something.”
State Representative Fred
Bosse has been Niño’s patient for many years, and he applauds Niño and
Espinosa for their support of community events and the “countless hours”
they dedicate to civic and youth activities. “[Niño is] probably the most
respected practitioner of the healing arts in East Harris County,” Bosse
writes in a letter supporting Niño’s nomination for TAFP Physician of the
Year.
So how does such a
mild-mannered and seemingly meek fellow gain such notoriety and clout? Niño
has a way of getting things done. Through his various positions and his
membership in service organizations like Rotary International, he has built
relationships with community and business leaders. When alerted to a concern
or a problem, Niño puts the right people together to create a solution. “I
like to keep my eyes and ears open,” he says. “I sort of remember things,
like who works where and who does what.”
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That’s how the Galena Park
Independent School District in Niño’s community got a much-needed
school-based clinic. According to Niño, the district had tried for some time
to find support for a clinic. Around 19,000 children attend schools in the
vast district, and many of them come from poor, working-class families.
There’s no public transportation in the area and without money or a car, it
is very difficult to get out of the neighborhood. Many of the families simply
walk wherever they have to go. “It’s like a little third-world country out
here,” Niño says, and before the clinic was built, when a child became ill
or needed a vaccination, getting to a doctor could be quite a challenge.
Espinosa tutored students at
a middle school in the district, and she and Niño would take the students
bowling on occasion. “I could see the kind of kids that lived here,” Niño
says. “They are nice kids and low income, and when [school officials] came
up to me about the clinic, I knew exactly where they needed to put it —
right here in this community.”
Niño knew the person in
charge of school-based clinics for the hospital district and he knew the
superintendent of the school district, so he put the two together. “With the
help of my rotary club and the local newspaper, we sort of urged the community
to start a letter writing campaign to the hospital district and asked them to
make a clinic out here.”
These days, families line up
outside the clinic each morning at 7 a.m. “It’s packed, every day,” says
Ofelia Garza, principal of Cloverleaf Elementary School where the clinic is
located. According to her, absenteeism at the school has dropped significantly
since the clinic opened.
Linda Smith, MSN, a pediatric
nurse practitioner at the clinic says they sometimes see 350 sick kids a
month. They give a lot of vaccinations, perform well baby checks and measure
lead levels in the students. Almost all of the staff is bilingual, and they
keep Medicaid and CHIP applications at the desk. The clinic has become one of
the busiest in the Greater Houston area.
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“If it weren’t for that
fellow, this place wouldn’t be here today,” Smith says of Niño, who
serves as physician consultant for the clinic. For his part in opening the
clinic, the local chamber of commerce named him Citizen of the Month.
Niño joined the Northshore
Chapter of Rotary International in 1989, after a patient nominated him for
membership, and since then he’s held every office in the club. In 1994 he
was named Rotarian of the Year. “Usually, the Rotary Club members are the
movers and shakers,” he says. “That’s how I get to meet the presidents
of the banks and the superintendents of the schools, the representatives and
the judges.
“You know, I’m doing
service in my office all day long, so why stop there? In the Rotary Club, I
can do things after office hours, on the weekends and I can touch other people
that I can’t touch through my practice,” Niño says.
A few years back, a local
boy’s home called Youth Reach Houston, where Niño sometimes makes calls,
needed a building to store supplies. From time to time, the Rotary Club would
help them out by donating some money, so the administration of the home asked
for a donation. Niño knew the club could give the money to the boy’s home,
but he also knew he had a homebuilder in the club who could get the building
materials at a discount. And he knew there were some electricians and
construction workers in the club. So Niño rounded up the Rotarians and set
them to task. “We got the president of a college out there tacking up tar
paper and other guys on the roof shingling,” Niño says, and the boys got
their new garage.
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“It blew us away how quick
they could work,” says Kurt Williams, director of Youth Reach Houston.
“They threw in together and did it in a Saturday.” He says it’s been a
blessing to have Niño available for the boys, many of whom have gang- and
drug-related issues and need strong role models. “It’s good also just to
call him a friend,” Williams says.
In the year since Niño was
named TAFP Physician of the Year, he’s been working to better the
vaccination rate for the Houston area. “I’ve decided to select that as my
platform, you know, like Miss America has a platform,” he says. Niño chairs
the Polio Plus Committee for his entire Rotary district, a group of more than
50 clubs comprised of more than 2,000 Rotarians. He uses that position as well
as the TAFP award to open doors for promotion of the Vaccine for Children
Program, sponsored by the Texas Department of Health. He has contacted each of
the district’s Rotary chapters to arrange for TDH to give presentations on
the program at chapter meetings. He’s even given a few presentations on the
subject himself.
Niño also works with the
U.S. congressman representing his district, Rep. Gene Green, to put on an
annual Immunization Day event. “[Niño] has channeled the resources of the
Northshore Rotary Club to assist us at each location, supplying volunteers and
much-needed school supplies,” Green writes in a letter of support for Niño’s
recent nomination for the AAFP Physician of the Year Award.
Each year at the Houston
Livestock Show and Rodeo, Niño volunteers his time to the Go Tejano
Committee, which sponsors a day featuring the rich Latino heritage of the
rodeo. Of course, Niño takes this relationship one step further. Through his
participation with this committee and his membership in the Harris County
Chapter of TAFP, the two entities have come together to form the Invest in
Care for Tomorrow Program, which offers mentoring and scholarships to minority
students interested in medicine. Niño has mentored several students through
this program, some of whom have gone on to become the first physicians in
their families.
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And the list goes on. For the
last 19 years, Espinosa has sponsored a troop of Girl Scouts, and she and Niño
are life members of the organization. Espinosa calls her husband the troop
“do-dad.” He helps when they go camping and he puts on programs for the
girls. He’s the camp doctor for all of their day camps.
Because the couple wants to
interest the girls in science and math, they have created what they call the
“Mad Scientist” routine. Niño puts on a tattered lab coat and his “Mad
Scientist” name badge, and then he mixes boric acid, white glue and food
coloring to make slimy “goop.”
“He’s got so many
talents,” Espinosa says. “He does so much for me behind the scenes, and
whenever I need money or something, he’s there, ‘How much?’” Niño
enlists the scouts at the snow cone stand at Rotary Club fundraisers, and he
says that since the members see the girls and interact with them, the club is
eager to support the Girl Scouts with whatever they need.
“Well, both of us have been
bitten by the volunteer bug,” Espinosa says, “and we know how good it
feels to give back … I know part of it is because we don’t have a family
— we don’t have children.” She says they made a decision not to have
kids because they like the way life is with just the two of them. They like
the freedom — that and Niño doesn’t like anyone messing with his stuff,
according to Espinosa.
There is so much more to
tell. Niño was instrumental in forming a family practice department at East
Houston Regional Medical Center. He attends school events like band concerts
and he mans the concession booth at sports events. Niño works the hot dog
stand at Lion’s Club gatherings. He and his wife even donate first aid kits,
flashlights, pens, paper, tissue and more to Cloverleaf Elementary School so
that each classroom is equipped with a bucket of supplies in case an emergency
or a fire drill suddenly forces the kids to exit the building.
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Aside from everything else,
what Niño does most is practice medicine. His soft voice and mild confidence
suits him well for the task. He spends a couple of hours each day outside his
practice with his patients in the hospital.
“He’s the best doctor
there is on the hill, and I’ll say that right to his face,” says Edith
Vance, an 83-year-old patient of Niño’s at East Houston Regional during his
rounds one day. The next day, doctors would amputate her left leg above the
knee, and Niño had dropped by to comfort her and allay her fears.
“You’re going to be there
with me, right?” she asks.
“I’ll be there, I’ll
watch out for you.”
“I’m depending on you and
the good Lord,” she says.
In his 10th grade advanced
classes, Niño says teachers would frequently ask students what professions
they wanted to pursue. He says everyone talked about how hard it must be to be
a doctor. For Niño, tests and schoolwork were easy, and he didn’t want to
be bored, so he decided he wanted to be a doctor. “It’s the stupidest
reason I can imagine to be a doctor,” he says.
He started working with
patients in his third year of medical school and he loved it. “People tell
you everything,” he says. “I’m nosy. I want to know everything.” When
he was in residency, the hospital admitted a kid who had hurt his leg on some
farm equipment. He spoke only Spanish, so the attending physician enlisted Niño’s
help. Niño visited his patient everyday, and he says they built a bond.
When the doctor in charge was
explaining treatment options to the boy’s family, they looked to Niño for a
sign of approval. The attending physician noticed. “You’re already a
doctor,” he told Niño.
“I thought, ‘this is fun.
I can do something for these people.’ There’s not too many jobs that all
you do is good for somebody else. You may not see the results, but you know in
your heart you are helping.”
Part of what makes a
candidate for the Physician of the Year Award is the willingness and
selflessness it takes to become a part of a community and not just an
inhabitant. For Niño and Espinosa, the community — the families of
Channelview and Galena Park, the boy’s home and the Girl Scouts, the line
outside the clinic at Cloverleaf Elementary and the people walking from place
to place — these have become their children, their family.
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