Medical School mentors
Student coaches provide smooth transition
from classroom to clinic
When David Marks started his first day of clinical
clerkships at the beginning of his third year of Medical School at
Science Center, he was in unfamiliar territory. After two years in
the classroom learning basic sciences, Marks now had to learn
everything from the hospital layout to how to communicate with a
patient when there is a
David Marks, left, talks with University Hospital patient
Higinio Llanes while coaching first-year Medical School student
Terry Holster, right. Marks took Holster through the
process of removing staples from Llanes' heart surgery incision.
"When I started my first day of third year, I did not
know where anything was located or how the system worked," Marks
said. "I spent half of the first day trying to
locate my work areas."
In an effort to make the transition from classroom to
clinicals a smoother process, the Health Science Center added a
partnering program to its revised curriculum.
Third-year Medical School students rotating through six clinical
experiences act as mentors for first-year students who shadow
them at least one half day every six weeks. The program is mandatory
for first-year students and an elective for
"We felt this type of early, ongoing clinical experience
would help the first-year students see the relevance of the basic
science materials they learn in the classroom," said
Dr. Donald Currie, associate professor in rehabilitation medicine
and a member of the Medical School Curriculum Committee. "They
learn the practice of medicine."
Terry Holster, a first-year student at the Medical School,
can attest to that. While watching and working with Marks for the
afternoon, Holster observed the removal of
staples from the chest of an elderly heart surgery patient, and
witnessed a minor surgical procedure and a bypass operation.
"You really get an idea of the responsibilities that you
have and the different types of patients you come into contact
with," Holster said. "I also like the feeling I get from
the patients--that I am actually taking care of them. It makes me
feel that all of the work I am putting into this is appreciated."
Dr. Currie said initially there were concerns that the
program would be an added burden to the third-year students who were
already challenged with clinical rotation
work, but he received largely positive feedback after the trial year
from both sets of students. The first-year students gained experience
in taking patient histories, writing
progress notes and interacting with patients. Third-year students
such as Marks benefited in the course of reviewing information when
they explained procedures and diagnoses as
part of their coaching duties.
"Third-year students thought it was a positive
experience for them because they had to articulate their
knowledge," Dr. Currie said. "In some cases they even
they might be interested in teaching."
Dr. Currie is hoping the new program will be a model for
other medical schools. He and Dr. Cynthia Alford, family practice,
presented initial program findings and
student feedback from surveys and focus groups to colleagues at the
annual meeting of the Association of American Medical Colleges in
Washington, D.C., in late October.
Health Science Center gears up for 2000
What will it be like at the Health Science Center on the last day
of the century? Employees closest to the Year 2000 issue say it will
be quiet and probably filled with
talk about the "millennium bug."
"The holidays are always quiet, but this holiday is
different," said Dr. Frank Stafford, chair of the President's
Year 2000 Task Force, which has directed the Health
Science Center's projects to prevent and prepare for problems
related to Y2K. "Television plans all-day Y2K coverage
beginning in the morning, and our paychecks will be
distributed early. During mid-morning, log-ons to campuswide computer
systems will be suspended to allow data backups. So this will not be a
routine day," Dr. Stafford said.
The "millennium bug" describes the problem old
computers have recognizing the year change from 1999 to the year 2000.
In the mid-'90s, work began to fix the
problem. Logic systems that only recognize the last two digits of the
year might malfunction, and interpret 2000 to be 1900. Massive projects
to fix computer code have spanned
several years, and most experts expect few problems Jan. 1.
For employees, Dr. Stafford said, New Year's Eve will be
- Paychecks for salaried employees will be distributed
Dec. 31 instead of Jan. 3, which is a skeleton day. The checks
will be dated Jan. 3 so this income will be reported
on your W-2 form in 2000. Employees paid by direct deposit are not
affected. Hourly employees will receive their paychecks as usual
on Dec. 31.
- Universitywide systems including Lynx will be unavailable
beginning at 10 a.m. on Dec. 31 so systems engineers can make backup
copies of data. Systems are scheduled
to be restored by 8 a.m. on Jan. 3. E-mail will not be affected. The
university's Web site,
is scheduled to relay news about the
university's Y2K status during the three-day weekend.
The Year 2000 Task Force has recommended that users of
non-critical computers and sensitive electrical appliances shut down
and unplug their computers or appliances
on New Year's Eve. Disconnecting appliances and computers is a
precaution against "power spikes," the erratic flow of
electricity that could damage delicate systems, Dr.
Stafford said. No power spikes are expected, but large electrical
users in San Antonio and elsewhere plan to follow the same procedure
as an extra precaution.
"Any unplugged devices can be repowered on New Year's
Day," Dr. Stafford said.
The Task Force also suggested that individuals and
- Make backup copies of any critical data.
- Immediately examine any short-term need for supplies,
and order them if they have not already done so.
- By the middle of December, shut down and repower any
computer or electrical logic-based appliance that does not need to
run continuously. This test will verify that
the machine is operational, and will help isolate any potential
problem with the machine that is not related to Y2K.
- Make sure computers have anti-virus software installed,
and run the most up-to-date version of the software. Many experts have
warned of potential Y2K viruses.
- Verify that they have posted the proper identifying
stickers for mission-critical freezers or other electrical appliances.
The stickers were issued in October to clarify
priorities for emergency power in the event of an electrical outage.
In the event of any power outage, general stores will have an
additional supply of liquid nitrogen and dry ice
for appliances that may require it.
During the crossover period into 2000, Health Science Center
leaders will be on campus to monitor any events and issue directions.
Any questions may be directed to
Dr. Stafford, ext. 2200, or the Year 2000 e-mail center, at
Payday changes announced for Jan. 1 paycheck
Q. I am paid hourly. Will I get my paycheck on Dec. 31?
A. Yes, you will. Dec. 31 is a regularly scheduled payday
for hourly employees. Your paycheck will be distributed to you and
can be deposited on Dec. 31. The income from this check will
be included in your 1999 Form W-2.
Q. I am paid monthly and I do not have direct deposit.
I heard that we are getting our paychecks on Dec. 31 instead of
having to wait until Jan. 3. Won't that mean that I will
have to report the income on my 1999 tax return?
A. You will receive your paycheck on Dec. 31. The decision
was made to hand out these paychecks early because Jan. 3 is a
skeleton day and holiday. Although you will get your paycheck
on Dec. 31, it will be dated Jan. 3. This means that you will not be
able to cash your paycheck, or deposit it, until Jan. 3. Because you
will not have access to the funds until Jan. 3, the income
will be included on your Form W-2 for 2000.
Q. I am paid monthly, but my check is direct deposited. How
will I be affected?
A. You won't be. Your direct deposit will be credited to
your bank account on Jan. 3 and the income will be included on your
Form W-2 for 2000.
Peggy Campbell, administrative assistant in the Department of Dental
Diagnostic Science, says she is known around the office as
the "Little General." "I can be a little
bit bossy," she admits.
Campbell joined the Health Science Center in 1982 as a
secretary in the School of Nursing and moved to the Dental School
in 1988. She has served in many
capacities within the department, including network administrator
and editor. Computer work is her favorite aspect of the job.
Dr. Geza Terezhalmy, who directs the Oral Medicine Clinic,
cites among other accomplishments her "endless creativity, saving
funds for the department by utilizing two
or three different software packages to create teaching diagrams in
Campbell credits the faculty and staff in her department
with making this award possible. "If you like what you're
doing and have the right people to work for, anyone
can get this award," she said.
Campbell, who has a 24-year-old son, plans to go to Las
Vegas to celebrate. "I'm really thrilled to get this award,"
she said. "I'd also like to encourage all the Health
Science Center employees to strive for this award. It is well worth
it when you experience that enormous emotional rush as you reach one
of your goals and sparkle amongst your
peers. There is nothing you can't achieve with a little bit of effort
on your part."
Going the extra mile is not something Kristine Doyle does
occasionally--it is part of her everyday work ethic in the Graphic
Services Division. So it came as no surprise
to those who work with Doyle that she was one of five Health Science
Center employees honored with a 1999 Employee Excellence in Service
"Kris is one of the few really customer service-oriented
individuals," said Catherine Duncan, public affairs, editor of
The Mission magazine and one of several
colleagues who nominated Doyle for the award. "She tries to make
each publication the absolute best product it can be. She is truly
devoted to this university and making it a better place."
Doyle, a designer III in graphic services, came to the Health
Science Center in 1977 as a graphics technician. During her more
than 20 years of service, Doyle has
worked on numerous in-house publications, including
The News, The Mission and
Impact, providing page layout and design services. Doyle
also does graphic design and
production work on brochures, certificates, special publications and
projects such as the Health Science Center holiday card, among others.
Doyle said one of the highlights of her job is meeting with
clients and coming up with new ideas and creating new designs for the
numerous projects that she produces.
"Her hard work and dedication are coupled with
extraordinary design talents. Her work has been recognized by the
Health Sciences Communications Association,
the International Association of Business Communicators and Women in
Communications Inc.," said David Barrera, director of graphic
services, in a letter of nomination.
Doyle is an avid participant in volunteer activities for the
March of Dimes organization. She and her husband, Mike, have four
One thing Ralph Kaster is known for is streamlining.
Kaster, manager of accounting operations in the Office of
Accounting, has implemented a number of efficiency measures during
the 16 years he has worked at the
Health Science Center in an effort to cut costs and provide timely
service to the department's customers. Recently he was honored for
his service to the institution with a
1999 Employee Excellence in Service Award.
"During Ralph's tenure, accounting operations has gone
through four major reorganizations," wrote Delbert Gonzalez,
assistant director of accounting, in a letter
of nomination for the service award. "Ralph has used his time
as manager to improve processes within accounting operations. The
institution benefits by improved service."
Kaster implemented a document imaging pilot program and a
customer services section, realigned payment methods between travel
and service vouchers, and
re-engineered processes involving imaging, document retention,
distribution and data processing.
Those actions have resulted in quicker and better service for
Office of Accounting customers.
Kaster joined the Health Science Center in 1983 in the
Purchasing Department. In February of 1984 he began working for
the Office of
Accounting. He later worked in the Budget and Payroll Department
as an accountant II before transferring back to the Office of
Accounting in 1990. He held several
positions in the office and moved up from accountant I to accounting
group supervisor. In his current position, Kaster supervises 23
employees, whom he credits with his success.
"I am grateful to those who nominated me and I believe
it is a testimony to the whole office that I won this award,"
Kaster said. "I work with good people. If I didn't
have such a great staff, I wouldn't be sharing this honor."
In nominating Kaster, Gonzalez summed up: "Because of
Ralph Kaster's dedication to the Health Science Center, he is a major
contributor to the institution's
Fayerene Nelson said she was so surprised when she heard she won the
Employee Excellence in Service Award, she "couldn't even
talk." Nelson is an administrative
assistant in the Department of Prosthodontics, handling scheduling
and paperwork for the department's Mid-Rio Grande Border Area program
in addition to her many other duties.
On joining the Health Science Center in 1990, Nelson
said, "One challenge was to see how many mistakes I could find
and fix to justify my paycheck." She maintains
28 separate accounts, which more than justifies her salary.
Besides keeping accounts, Nelson supports the department chair,
Dr. William Kuebker, and his assistant, Elaine Melton. Nelson will be
70 in June and has no plans
to retire. She has worked at various jobs, taking a break to raise her
twin boys and a daughter.
She and her son started a small surplus and salvage merchandise
business and she served as a precinct judge. Those jobs involved much
of the organization and accuracy
she brings to her current position. After her husband died, Nelson went
back to school for business and computer training and rejoined the
"I believe that older workers are the best kept secret
in the workplace. In general, they have a good work ethic, understand
the importance of deadlines, and take less
time from the job because their children are grown," said Nelson.
"They can readily step in and handle critical
deadlines when younger workers must leave to care for their children.
A diverse workplace keeps the department
Nelson thinks older workers also have much to gain. They are
useful to their community, have a routine that ensures better health
and a chance to add funds to their retirement, and, most of all, they
Paul Summers has definitely made his mark in the 2 1/2 years he has
been with the Health Science Center.
As administrator in the Department of Acute Nursing Care,
School of Nursing, Summers managed the department's recent move and
reorganization with aplomb. In
the meantime, he cross-trained the secretarial staff members and
upgraded their computer literacy so they could handle more complicated
work for the faculty. "I believe
everyone should be able to do everyone else's job," he said.
"My number-one motto is customer service," Summers
said. "You can't turn customers away."
Dr. Nancy Girard, chair of the department, said he can
procure any item the faculty needs, find answers to any question or
locate any person. What's more, he does it with
a smile. Dr. Girard calls Summers "the consummate
Summers came to the Health Science Center following 25 years
in the Air Force, where he was an education and training manager. He
and his wife, Susan, have five sons.
"I was very surprised and honored to receive this award,"
Energy conservation measure
As part of a recently approved energy-conservation project,
much of the current lighting at the Health Science Center will
be replaced with more energy-efficient bulbs
replaces lighting on campus
The restroom facilities on campus also will be modified
with the installation of either new water-saving fixtures or new
flush valves to conserve water.
Chris Miller, assistant director of the Facilities Management
Department, who is supervising the campuswide project, estimates the
lighting improvements will take four to
five months; all buildings more than 10 years old will be affected.
Lighting retrofits and replacements will be done at night, and
each department will be notified in advance when its areas are
scheduled for construction activities. Restrooms
will be renovated one at a time, with minimal disruption.
Occupancy sensors, which turn lights on and off automatically
as they detect movement, will be installed in areas that are
candidates for energy conservation through
Additional energy conservation measures include the
installation of a fourth boiler and a new chiller in the Central
1999 Grass lecture set for Dec. 8
Dr. Mahlon Delong of the Emory University School of Medicine will present the upcoming Society for Neuroscience Grass Traveling Scientist Lecture on campus.
Dr. Delong, the Timmie Professor in the Department of Neurology at Emory, will discuss the "Pathophysiologic Basis of Movement Disorders and Surgical Approaches." His lecture is at 2 p.m. Wednesday, Dec. 8, in room 209L of the Medical School building. The public is invited to attend.
Dr. Delong, one of the world's premiere experts on the study and treatment of Parkinson's disease, discovered in the early '90s that tremor and other stilted movements result from overactive, not underactive, cellular activity.
This discovery led to his making critical refinements in pallidotomy (a type of surgery to relieve Parkinson's symptoms) and deep brain stimulation. Both are treatments for movement disorders.
Throughout his career, Dr. Delong has made numerous contributions to understanding the neural basis of movement, particularly with regard to the role of basal ganglia, a set of structures at the base of the brain.
Dialing patterns set to change in January
As the Health Science Center continues to grow in staff and faculty,
the institution is running out of its 567 telephone number exchange.
Beginning in January, on-campus calling patterns will change when the Health Science
Center switches to five-digit dialing.
When the new dialing pattern goes into effect, employees may
reach existing extensions on campus and at all other Health Science
Center buildings by dialing 7 plus
the original four-digit number. The change affects on-campus calls
Individuals calling from off campus will continue to use the
567 exchange and the regular extension number.
The Telecommunications and Networking Department plans to
make the transition the evening of Jan. 14, with the system in place
and running the morning of Jan. 15.
Additional information on five-digit dialing will be provided
in future editions of
Nine appointed to Nursing Advisory Council
Nine civic leaders--Rosemary Breedlove, Jean Carlyle, Bonnie Bauer
Gaskill, Kay Mary Harrell, Leslie Kingman, Rosemary Kowalski, Cindy
Leon, Ed Riojas Jr.
and Sherrill Rubin--have been appointed to the School of Nursing Advisory
Dr. Janet D. Allan, dean of the School of Nursing, announced
the appointments. The Nursing Advisory Council, which consists of 30
leaders from health care,
business, military, legal, civic and other backgrounds, provides an
important link between the School of Nursing and the South Texas
communities it serves.
The council relates the mission and purposes of the school
to the communities and helps the school seek resources to fund
Breedlove is a certified family nurse practitioner and civic
leader in Los Fresnos, near Brownsville in the Lower Rio Grande
Valley. Carlyle is the chief financial officer
of Severance & Associates in San Antonio. Gaskill is
administrative director of the Hartman Surgical Pavilion and the
J. Kent Trinkle Center for Transplant Sciences at
University Hospital. Harrell is manager of regulatory affairs for
Kingman is active in the Bexar County Medical Alliance, the
Junior League and the Alamo Heights Independent School District.
Kowalski, a noted caterer, founded the
RK Group. Leon is director of the U.S. Department of Housing and
Urban Development operations in San Antonio, a captain in the U.S.
Navy Reserves and a member of
the International Women's Forum. Riojas is vice president for
corporate relations at the San Antonio Federal Credit Union. Rubin,
a registered nurse, is a lawyer and partner
in General Health Law Practice, The Rubin Law Firm.
Phyllis Siegel, president of Biomedical Development Corp.,
is the current president of the Nursing Advisory Council.
The School of Nursing is the largest nursing school in The
University of Texas System. It offers undergraduate, master's and
doctoral degree programs.
The school is recognized for its innovative research,
distance learning initiatives in the South Texas/Border Region and
specialized efforts to train nurse practitioners.
Local dental research association to host fall dinner lecture
The American Association for Dental Research San Antonio
Chapter (AADR-SAC) is holding its annual Fall Dinner Lecture at
5:30 p.m. Tuesday, Dec. 7, in the
private dining room of the Dental School cafeteria.
This year's lecture will be given by Dr. Judy Johnson,
University of Illinois, who will speak about the role of
faculty in educational research. Tickets for the event are
$20 ($15 for AADR-SAC members) and include hors d'oeuvres,
dinner, dessert and coffee. Anyone interested in attending
Dr. Chris Flores, endodontics, at ext. 3400 or e-mail him at
Breast cancer symposium scheduled for Dec. 8-11
The San Antonio Cancer Institute (SACI) is sponsoring the
Annual Breast Cancer Symposium Dec. 8-11 at the San Antonio
Marriott Rivercenter. The event is being held in collaboration with
Health Science Center and the Cancer Therapy & Research
More than 460 presentations will be made during the four-day
symposium, focusing on clinical efforts toward prevention and
of breast cancer and recent developments made in the study of the
disease. Symposium directors include Dr. Charles Coltman, professor
of medicine at the Health Science Center. For more information,
Lois Dunnington at 616-5912.
Nursing association president to visit
Dr. Beverly Malone, president of the American Nurses Association
(ANA), will visit the School of Nursing on Friday, Dec. 10. The school
has scheduled a reception for
Dr. Malone from 8:30 to 10 a.m. in the large galleria on the
second floor of the School of Nursing.
Students, faculty, former faculty, community leaders, and
the deans and directors of other San Antonio nursing schools have
been invited to attend.
Holiday reception set
The Health Science Center's Holiday Reception is 3 to 5 p.m.
Thursday, Dec. 16, in the Medical School Auditorium and will include
a drawing for door prizes and
a donation drop-off for the Gifts for Children program.
Door prizes for the event include two tickets on American Airlines, Sunday brunch for two at the Omni Hotel, a free car rental at Avis, a one-month membership
to Concord Athletic Club, dinner for two at Acadiana Café, dinner for two at Los Barrios and lunch for two at Tony Roma's. Entries will be available the morning of Dec. 16
in the Medical School foyer. The drawing will be held at 4 p.m. that day.
Anyone interested in donating to Gifts for Children before the holiday event can drop off a new or handmade toy or cash donation at containers marked "Gifts for
Children" in the Dental School cafeteria, the bookstores, the "Easy Go" area by the cafeteria, the Allied Health/Research Building deli and Subway. Drop-off boxes also are
located in each department and donations may be brought to the reception.
Web page describes Senate idea
A group interested in forming a Faculty Senate on campus has
established a World Wide Web page, said Dr. Richard Suddick,
community dentistry. Faculty may
see proposed Senate bylaws at
An organizing group has held a number of open meetings for
faculty. Presentations have been made at faculty assemblies in
the School of Allied Health Sciences, the
School of Nursing and the Graduate School of Biomedical Sciences.
The group plans to present at faculty assemblies in the Medical and
The next meeting at which the proposed bylaws will be
considered is the Medical School Faculty Assembly at 4 p.m. Dec.
16 in room 409L, said Dr. Suddick,
who chairs the bylaws committee.
The Web page includes a letter from the Faculty Senate
Working Group, a preface to the bylaws, the purpose of the Senate
(Article II of the bylaws) and a tentative
timetable of events to be followed if a Faculty Senate is adopted.
Calendar for Dec. 6 - 12
MONDAY, DEC. 6
Medical Housestaff Specialty Conf. "Residents & Interns: M&M" (MED: 409L)
Physiology Seminar Series "Microbial Toxins, Rho Family GTPases & the Regulation Apoptotic Signaling Pathways," Dr. David Bobak, University of Virginia School of
Medicine (MED: 444B)
Microbiology Seminar "Feline
Immunodeficiency Virus: A Lentivirus Model for Molecular,
Cellular & Neuropathogenesis," Dr. Tom Phillips
TUESDAY, DEC. 7
Podiatry Case Conf. (LEC: 2.010)
Rehab Medicine Lecture Series "Therapeutic Exercise for Strength & Endurance-I," Drs. Kirsten Paynter & Mark Fredrickson (UH: Reeves Rehab Center 3rd-floor classroom)
Medical Housestaff Specialty Conf. (MED: 409L)
Training Office "Library Pathways," Cathy Rhodes (Library room 2A) (call ext. 2320 to register)
Medicine Research Conf. "The Chimpanzee Model of Hepatitis C Virus: In Vivo & In Vitro Studies," Dr. Robert Lanford, Southwest Foundation for Biomedical Research
Psychiatry Grand Rounds "Atypical
Antipsychotic Medication & Tardive Dyskinesia: Has TD
Been Eradicated?" Dr. William Glazer, Harvard Medical School &
Massachusetts General Hospital (MED: 409L)
Molecular Medicine Seminar Series "Function & Dysfunction of Cyclin-Dependent Kinase 5 in Brain Development & Degeneration," Dr. Li-Huei Tsai, Harvard Medical
School (IBT: 3.002)
Cardiovascular Pathobiology Research Conf. "Hyperglycemia-Associated Alterations in PMN Activation Via G Protein-Coupled Receptors," Dr. Linda McManus (MED: 331.5B)
WEDNESDAY, DEC. 8
Podiatry Grand Rounds "Offloading," Dr. Darmos (MED: 309L)
Vascular Surgery Grand Rounds, Dr. Mellick Sykes (MED: 209L)
Medical Grand Rounds "Are All Drugs in the Same Class
Interchangeable? Limitation of Class Affect
Concept," Dr. Curt Furburg (MED: 409L)
Surgery Trauma M&M Conf., Dr. Ronald Stewart (MED: 309L)
Pharmacology Seminar Series "Regulation of G Protein-Coupled Receptor Signaling & Trafficking," Dr. Jeffrey Benovic, Thomas Jefferson University (MED: 444B)
Training Office "Basic Travel Procedures," Donna Henckel (call ext. 2320 to register)
THURSDAY, DEC 9
Thoracic Surgery Resident Teaching Conf. (VA: 4th-floor CT Library A404 )
Obstetrics & Gynecology Grand Rounds "Proximal Tubal Disease," Dr. Gerard Honore (MED: 309L)
Pain Management Grand Rounds "IV Lidocaine & Testing," Dr. Carl Smith (UH: Reeves Rehab Center 3rd-floor classroom)
Pulmonary, Thoracic & Oncology Conf. (MED: 309L)
Surgery Tumor Conference, Dr. Anatolio Cruz (MED: 209L)
Citywide Thoracic Grand Rounds Conf. "Case Presentation," Dr. A. Joseph Atiya (MED: 309L)
Plastic Surgery Grand Rounds "Craniofacial Anomalies," Dr. Peter Wang (MED: 409L)
FRIDAY, DEC. 10
Pediatric Grand Rounds "Practical Approach to Pediatric Tuberculosis," Dr. Jeffrey Starke, Baylor College of Medicine (MED: 409L)
Rehab Medicine Lecture Series "Therapeutic Exercise for Strength & Endurance-II," Drs. Mirelle Foster & Mark Fredrickson (UH: Reeves Rehab Center 3rd-floor classroom)
SATURDAY, DEC. 11
Surgical Physiology Conf., Dr. Kenneth Sirinek (MED: 209L)
General Surgery Grand Rounds, Dr.
Wayne Schwesinger (MED: 209L)
Index of issues
THE NEWS is published Fridays by the Office of Public Affairs for faculty and staff of The University of Texas Health Science Center at San Antonio.
Vice President for University Relations.....Judy Petty Wolf
Executive Director of Development & Public Affairs.....Dr. Charles Rodriguez
News & Information Services Manager ..... Will Sansom
Writers.....Myong Covert, Catherine Duncan, Jennifer Lorenzo
Photographers.....Jeff Anderson, Lee Bennack, Lester Rosebrock
Web Editor.....Joanne Shaw
Office of Public Affairs, 7703 Floyd Curl Drive,
San Antonio, Texas 78284-7768