Living in the Cone 2008 (Part VI): September is the Disastrous Month

By 5:oo pm Saturday the aircraft had started to arrive in San Antonio. The skies were alight with Medevac helicopters shuttling patients from the airport to hospitals all over the San Antonio area all night and all morning.



FEMA had learned her lessons well from Katrina. Plans had been laid well in advance for possible hurricane strike areas and how to evacuate them prior to landfall of any hurricane. When Hurricane Gustav first began to look like he would make landfall in the Gulf Coast, FEMA had already activated National Guard Units and Federalized aircraft under the Civilian Air Board to transport hospital patients from threatened areas to designated evacuation zones.



San Antonio is the Evacuation zone for Beaumont and Victoria, Texas. (An Air Force C-9 Nightingale medical evacuation plane flew overhead as I wrote that. It was followed by a C-130 cargo plane.)



By 7:00 pm last night three fully-loaded medical transport planes had arrived in San Antonio, evacuating Nursing Home residents and hospital patients. By 9:00 pm most of the Emergency Rooms in San Antonio were closed to admissions from the onslaught of admissions. At 11:00 pm my own hospital began to plan to block off the street in front of the hospital to put a a massive circus-sized tent to triage the evacuees expected for Sunday and Monday.



By 1:00 am almost all of the ER's in San Antonio were closed to new admissions. By 2:00 am FEMA had politely informed them that they were open for business, and to get to work. I admitted people to my little Med-Surg unit all night long until we were packed to the gills.



At 5:00 am Sunday (today) they began the "contra-flow" operations on select Interstate highways leading away from the coast. During Hurricane Katrina this meant that I-10 flowed two sides both pointing towards San Antonio from New Orleans all the way back here. I don't know if that means the same this time, but I doubt it. During Katrina it was more reactionary response, while Gustav's FEMA plan is carefully considered.



But there's a lot of damned cars on the road -- and they're not looking for a Labor Day cookout.



By noon Saturday even Mayor Ray "Chocolate City" Nagin of new Orleans had caught the FEMA fever, and ordered a mandatory evacuation of the city. Buses that had stood silent during Katrina were fueled and ready to move everyone and anyone out of the city, along with their family, friends, and pets. I watched the Homeland Security director Micheal Chertoff on Fox News last night lay out a very clear, thin line: Areas under mandatory evacuation are also as of now under curfew. Once the storm winds come up, there is no further possibility of evacuation.

And time is running out -- fast. Get out, and Get out Now.



Hotels are filling up fast in San Antone. Our church this morning had an almost overflow crowd -- easily twice the crowd from the last time we attended. The worshipers seemed happy to be there, and there was a lot of "Nice to Meet You!" greeting going on, but there was a distinct unease in the air. It was the unease of uncertainty of the future, and the hope of better days to come; but mixed in was a double shot of pragmatism from Katrina's fury.


It's an eerie feeling to know that those electronic highway signs advertising "Hurricane Shelter Directions" are talking to YOU.


The foreboding is not limited to the evacuees. Edouard's grand tour of Florida had the unexpected side effect of temporarily reversing the normally clockwise Gulf weather patterns, showering South Texas with a bounty of rain the last 10 days. The ground currently is almost saturated. Gustav could make that much, much worse very, very quickly.


I watched the thunderheads march northward towards Austin and Dallas last night, silhouetted by the dying setting sun. Their dark purple bases made them look almost royal, and dignified. None dared challenge their power, or right to do as they please to us mere mortals. Their pink tops caught the last light of the sunset, making them look like curious giraffes, peering towards the north.


Right now they scare the hell out of me, pretty or not.

~~JD~~