search.noResults

search.searching

note.createNoteMessage

search.noResults

search.searching

orderForm.title

orderForm.productCode
orderForm.description
orderForm.quantity
orderForm.itemPrice
orderForm.price
orderForm.totalPrice
orderForm.deliveryDetails.billingAddress
orderForm.deliveryDetails.deliveryAddress
orderForm.noItems
A Flood of Problems


Like a lot of people in Houston, Ann Saunders, MD, had seen flooding before. Her house on Brays Bayou in southwest Houston flooded briefly in 2015 and almost flooded in 2016.


But then came Hurricane Harvey. >RO ]^Y\W N\YZZON K \OMY\N SXMRO] YP \KSX YX ^RO 2Y_]^YX K\OK Y`O\ `O NKc]


in late August. Dr. Saunders watched as water crept up one foot, two feet, then nearly three feet into her living room. That forced her daughter, son-in-law, and 2-year-old grandson up to the attic. Yet Dr. Saunders knew others had it worse. People on the other side of the bayou had water up to their ceilings. Dr. Saunders, a child psychiatrist and an associate professor at the McGovern


Medical School at The University of Texas Health Science Center at Houston, says that like a lot of physicians, she’s concerned about the trauma the storm caused her city and most of coastal Texas. “I think it’s because of the enormity of it,” she said. “In one afternoon or night, all your things are swept away and/or ruined. You’ve had that concern about whether you were going to be safe or not. … My daughter said, ‘Well, we KVaKc] RK`O Y_\ K^^SM SP S^ YYN] ^YY W_MR t ,_^ ^ROX cY_t\O _Z ^RO\O KXN cY_t\O thinking, ‘Oh, my God, is this really happening?’” Even though Hurricane Harvey no longer dominates news cycles, its health consequences will continue to reverberate around the state for months and even years to come, says David Lakey, MD, chair of the Texas Medical Association’s Council on Science and Public Health. Many of those consequences will be ZRc]SMKV ]_MR K] K T_WZ SX SVVXO]] ^SON ^Y WYVN Y\ ZYVV_^ON YYN aK^O\] ]Kc] .\ Lakey, who is a former commissioner of the Texas Department of State Health Services. Others will be psychological, such as depression and post-traumatic stress disorder (PTSD). “I think we’ve learned from our experience that these things are predict-


able,” Dr. Lakey said. “But I don’t think the primary care physician thinks a lot about those in their busy day-to-day clinic — thinking through the burden of the things they might see. It’s probably not at the top of their list.” Physicians across Texas will need to be vigilant for health problems caused


by Hurricane Harvey over time, says John Mutter, PhD, professor at Columbia University’s Earth Institute, who studies the impact of natural disasters. Doc- ^Y\] SX MYK]^KV K\OK] WSQR^ ZKc MVY]O\ K^^OX^SYX ^Y YYN \OVK^ON ROKV^R Z\YL


24 TEXAS MEDICINE November 2017


lems because they lived through the hurricane. But some of the most se- rious issues are likely to arise among ZK^SOX^] aRY ON ^Y Y^RO\ ZK\^] YP ^RO state and didn’t go back home — es- pecially those who are poor or elderly, Dr. Mutter says. “Sometimes, the displaced popula- tion needs more attention or as much attention as the people who’ve stayed or come back,” Dr. Mutter said.


“She was on the ground, pulseless, not


breathing” Lane Aiena, MD, and head nurse Tamara Blanton had already worked one shift at the Lone Star Convention Center in Conroe. But at about 6 pm on Aug. 30, they joined a group of new nurses in a team huddle to discuss that evening’s work when some of the shelter residents began screaming.


Page 1  |  Page 2  |  Page 3  |  Page 4  |  Page 5  |  Page 6  |  Page 7  |  Page 8  |  Page 9  |  Page 10  |  Page 11  |  Page 12  |  Page 13  |  Page 14  |  Page 15  |  Page 16  |  Page 17  |  Page 18  |  Page 19  |  Page 20  |  Page 21  |  Page 22  |  Page 23  |  Page 24  |  Page 25  |  Page 26  |  Page 27  |  Page 28  |  Page 29  |  Page 30  |  Page 31  |  Page 32  |  Page 33  |  Page 34  |  Page 35  |  Page 36  |  Page 37  |  Page 38  |  Page 39  |  Page 40  |  Page 41  |  Page 42  |  Page 43  |  Page 44  |  Page 45  |  Page 46  |  Page 47  |  Page 48  |  Page 49  |  Page 50  |  Page 51  |  Page 52  |  Page 53  |  Page 54  |  Page 55  |  Page 56  |  Page 57  |  Page 58  |  Page 59  |  Page 60  |  Page 61  |  Page 62  |  Page 63  |  Page 64