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    <title>After Harvey Hit, a Texas Hospital Decided to Evacuate. Here’s How Patients Got Out. - The New York Times</title>
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  padding-top: 2px;
}
.vis-dispatch.vis-desktop .g-dispatch-byline h5 {
  font-family: 'nyt-franklin', arial, sans-serif;
  font-weight: 300;
  font-size: 14px;
  color: #333;
  line-height: 17px;
}
.vis-dispatch.vis-desktop .g-dispatch-headshot img {
  width: 60px;
  float: left;
  margin: 0 12px 0 0;
}
.vis-dispatch.vis-desktop .g-dispatch-byline p.story-body-text strong {
  font-family: 'nyt-franklin', arial, sans-serif;
  font-weight: 700;
  font-size: 24px;
}
.vis-dispatch.vis-desktop .media.photo .image .media-action-overlay {
  display: none;
}
.vis-dispatch.vis-desktop .media.photo .image {
  cursor: default;
  pointer-events: none;
}
.vis-dispatch.vis-desktop.type-size-small.viewport-medium-10 .story.theme-main .story-body-text {
  font-family: 'nyt-cheltenham-sh', georgia, serif;
  font-size: 17px;
  max-width: 480px;
}
.vis-dispatch.vis-desktop.viewport-large-11 .story.theme-main .media.embedded.layout-large-vertical .image,
.vis-dispatch.vis-desktop.viewport-small-20 .story.theme-main .media.embedded.layout-large-vertical .image {
  width: 100%;
}
.vis-dispatch.vis-desktop.viewport-small-20 .story.theme-main .media.embedded.layout-large-vertical {
  -webkit-box-orient: vertical;
  -webkit-box-direction: normal;
      -ms-flex-direction: column;
          flex-direction: column;
  -webkit-box-align: stretch;
      -ms-flex-align: stretch;
          align-items: stretch;
}
.vis-dispatch.vis-desktop.viewport-small-20 .story.theme-main .media.embedded.layout-large-vertical .caption {
  margin-left: 0;
  margin-top: 4px;
  margin-bottom: 0;
}
.vis-dispatch.vis-desktop blockquote.story-quote p {
  margin-top: 2em;
  margin-bottom: 2em !important;
  margin-left: 1.5em;
}
figure.video.embedded,
figure.video.lede {
  margin-left: auto !important;
  margin-right: auto !important;
}
figure.video.embedded figcaption,
figure.video.lede figcaption {
  display: none;
}
#video_outer_position_embedded_100000004701190 .vhs-video-title,
#video_outer_position_embedded_100000004705268 .vhs-video-title {
  display: none;
}
</style>
<script>(function(){
  // TODO log some kind of error if more than one `vis-` tag is found on a page?

  var tagsFound = crunchTags();
  // addSurveyBox();
  
  if (hasTag('vis-dispatch')   && isDesktop()) desktopScripts_dispatch();
  if (hasTag('vis-photo')      && isDesktop()) desktopScripts_photo();
  if (hasTag('vis-multimedia') && isDesktop()) desktopScripts_multimedia();
  if (hasTag('vis-comments') && isDesktop()) desktopScripts_comments();



  // // // // // // // // // // // // 

  // add correct classes based on metadata tags

  function crunchTags() {
      // list of the tags we are using to mark visual pilot stories
    var targetTags = ['vis-photo','vis-multimedia','vis-dispatch','vis-comments'];

    // grab the correct <meta> tag for each device,
    // then coerce to an array of keywords
    var tags = {
      desktop: getKeywords(document.querySelectorAll('meta[name="keywords"]')[0]),
      mobile:  getKeywords(document.querySelectorAll('meta[name="subj"]')[0])
    }

    // realistically only one or the other should exist
    var allTags = tags.desktop.concat(tags.mobile);

    // given a list of keywords embedded in the metadata (`tags.desktop` and `tags.mobile`,
    // loop over them and grab any we are interested in (Those which show up in `targetTags`)
    var tagsFound = checkForTargetTags(tags, allTags, targetTags);

    // add the classes
    // also adds some generic classes based on whether we saw mobile or desktop metadata.
    addClasses(tagsFound);

    return tagsFound;
  }



  // inject a survey box at the end
  function addSurveyBox() {
    // remove crud at the end of the current url, hopefully standardizing it for surveys
    var loc = getPathFromUrl(window.location.href);

    var blurbText = 'We\'re interested in your feedback on this page. <strong> Tell us what you think.</strong>';
    var blurbUrl  = 'http://nyt.qualtrics.com/jfe/form/SV_4INloKlK2qDNyfz?source='+loc;


    var story     = isDesktop() ? document.querySelector('#story') : document.querySelector('.article-page article');
    var surveyBox = document.createElement('div');

    
    surveyBox.className = 'vis-survey-box';
    surveyBox.innerHTML = '<a href="'+blurbUrl+'">'+blurbText+'</a>';

    story.parentNode.insertBefore(surveyBox, story.nextSibling);
  }


  // per-template desktop scripts

  function desktopScripts_dispatch() {
    function createDispatchByline() {
      var fallbackImage = 'https://static01.nyt.com/newsgraphics/2016/09/13/visual-pilot-assets/assets/transparent.gif';

      var headline       = document.querySelector('h1#headline');
      var dispatchTitle  = document.querySelector('.story-notes p strong').textContent;
      var dispatchAuthor = document.querySelector('.story-notes p').textContent.replace(dispatchTitle, '');
      var dispatchImage  = getPortraitFromString(dispatchAuthor);//'https://static01.nyt.com/newsgraphics/2016/08/15/vis-pilot/byline-anne-barnard.png';

      var dispatchByline = document.createElement('div');
      dispatchByline.className = 'g-dispatch-byline';
      
      // Incorporate onerror to replace any broken images with a generic image. Just a safeguard
      // <img src="foo.jpg" onerror="if (this.src != 'error.jpg') this.src = 'error.jpg';">
      dispatchByline.innerHTML = '<div class="g-dispatch-headshot"><img src="' + dispatchImage + '" onerror="if (this.src != \''+fallbackImage+'\') this.src = \''+fallbackImage+'\'"></div>' +
                                      '<h3>' + dispatchTitle + '</h3>' +
                                      '<h5>' + dispatchAuthor + '</h5>';
 

      headline.parentNode.insertBefore(dispatchByline, headline);
    }

    // var interval = setInterval(function() {
    //   if (document.querySelector('.story-notes p strong')) {
    //     createDispatchByline();
    //     clearInterval(interval);
    //   }
    // }, 50);
  }

  function desktopScripts_photo() {}
  
  function desktopScripts_multimedia() {}

  function desktopScripts_comments() {}



  // // // // // // // // // // // // 



  // convert tag `content` attributes into an array of keywords
  function getKeywords(element) { 
    if (typeof element === 'undefined') return [];
    return element.getAttribute('content').replace(/des\:/g, '').split(','); 
  }
  
  function checkForTargetTags(tags, allTags, targetTags) {
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    // loop over the targets, keeping track of any that match the tags found on the page.
    for (var j = 0; j < targetTags.length; j++) {
      var targetTag = targetTags[j];
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    };

    if (tagsOfInterest.length === 0) {
      tagsOfInterest = null;
    } else {
      tagsOfInterest.push('vis-general');
      if (tags.desktop.length > 0) tagsOfInterest.push('vis-desktop');
      if (tags.mobile.length  > 0) tagsOfInterest.push('vis-mobile');
    }
    
    return tagsOfInterest;
  }

  function isDesktop() { return hasTag('vis-desktop'); }
  function isMobile() { return hasTag('vis-mobile'); }
  function hasTag(searchTag) { return tagsFound.indexOf(searchTag) !== -1; }

  // add an array of classes to `<html>`
  function addClasses(classesToAdd) {
    var html = document.getElementsByTagName('html')[0];

    for (var i = 0; i < classesToAdd.length; i++) {
      var thisClass = classesToAdd[i];
      html.className += ' '+thisClass;
    };
  }
  
  // http://stackoverflow.com/questions/2540969/remove-querystring-from-url
  function getPathFromUrl(url) { return url.split(/[?#]/)[0]; }

  function getPortraitFromString(string) {
    var result;


    // var portraits = {
    //   'Anne Barnard': 'https://static01.nyt.com/newsgraphics/projects/vis-portraits/anne-barnard.png',
    //   'Josh Katz':    'https://static01.nyt.com/newsgraphics/projects/vis-portraits/anne-barnard.png'
    // };

    var portraits = [
      // for testing
      'Josh Katz',
      
      // manual additions
      'Anne Barnard', 'Ben Hubbard', 'Mark Mazzetti', 'David E. Sanger','Mohammed al-Asaadi',
        
      // from correspondent sheet
      'Adam Nossiter','Ahmed Salah','Alison Smale','Alissa Rubin','Andrew Higgins','Andrew Kramer','Aurelien Breeden','Azam Ahmed','Brad Spurgeon','Carlotta Gall','Ceylan Yeginsu','Chris Buckley','Christopher Clarey','Dan Bilefsky','Daniel Hakim','David Jolly','David Jolly','David Kirkpatrick','Declan Walsh','Didi-Kirsten Tatlow','Dionne Searcey','Doreen Carvajal','Edward Wong','Elaine Sciolino','Elisabeth Malkin','Elisabetta Povoledo','Elisabetta Povoledo','Ellen Barry','Geeta Anand','Gia Pianigiani','Hisako Ueno','Ian Johnson','Ihsan Tipu','Isabel Sarah  Kershner','Ismail Khan','Jack Ewing','James Kanter','Jane Perlez','Javier Hernandez','Jeffrey Gettleman','Jim Yardley','Joanna Berendt','Joe Cochrane','Jonathan Ansfield','Jonathan Soble','Jonathan Soble','Kareem Fahim','Katrin Bennhold','Keith Bradsher','Kimiko De Freytas','Kirk Semple','Lilia Blaise','Liz Alderman','Mark Scott','Marlise Simons','Melissa Eddy','Michael, Glenn Forsythe','Mujib Mashal','Neil Gough','Neil MacFarquhar','Nick Cumming-Bruce','Nicola Clark','Nida Najar','Norimitsu Onishi','Nour Youssef','Omar Hikmat','Paulina Villegas','Philip Pan','Rachel Donadio','Raphael Minder','Richard Lyman','Rob Hughes','Rod Nordland','Salman Masood','Sam Borden','Sang-Hun Choe','Simon Romero','Somini Sengupta','Stephen Castle','Steve Erlanger','Su Hyun Lee','Sukhanyar Jawad','Taimoor Shah Noori','Thomas Erdbrink','Timothy Arango','Timothy Arango','Waqar Gillani'
    ];

    var fallbackImage = 'https://static01.nyt.com/newsgraphics/2016/09/13/visual-pilot-assets/assets/transparent.gif';
    
    var portraitsFound = [];

    // go through the lookup table, searching the provided string for each person's name and pushing the image URLs of any we find
    // for (var person in portraits) {
    //   var url = portraits[person];
    //   if (string.indexOf(person) >= 0) portraitsFound.push(url);
    // };

    var baseUrl = 'https://static01.nyt.com/newsgraphics/projects/vis-portraits/';
    for (var i = 0; i < portraits.length; i++) {
      var person = portraits[i];
      var slug = person
                  .toLowerCase()
                  .replace(/\s/g,'-')
                  .replace(/\./g,'');
      var url = baseUrl + slug + '.jpg';

      if (string.indexOf(person) >= 0) portraitsFound.push(url);

    }

    console.log(portraitsFound);

    // just use the generic portrait if for some reason we found more than one match in the lookup table.
    // Also use it if no portraits were found.
    if (portraitsFound.length !== 1) result = fallbackImage;
    else result = portraitsFound[0];

    return result;
  }


  if (hasTag('vis-dispatch') && isDesktop()) {

    function createDispatchByline() {
      var fallbackImage = 'https://static01.nyt.com/newsgraphics/2016/09/13/visual-pilot-assets/assets/transparent.gif';

      var headline       = document.querySelector('h1#headline');
      var dispatchTitle  = document.querySelector('.story-notes p strong') ? document.querySelector('.story-notes p strong').textContent : '';
      var dispatchAuthor = document.querySelector('.story-notes p').textContent.replace(dispatchTitle, '');
      var dispatchImage  = getPortraitFromString(dispatchAuthor);//'https://static01.nyt.com/newsgraphics/2016/08/15/vis-pilot/byline-anne-barnard.png';

      var dispatchByline = document.createElement('div');
      dispatchByline.className = 'g-dispatch-byline';
      
      // Incorporate onerror to replace any broken images with a generic image. Just a safeguard
      // <img src="foo.jpg" onerror="if (this.src != 'error.jpg') this.src = 'error.jpg';">
      dispatchByline.innerHTML = '<div class="g-dispatch-headshot"><img src="' + dispatchImage + '" onerror="if (this.src != \''+fallbackImage+'\') this.src = \''+fallbackImage+'\'"></div>' +
                                      '<h3>' + dispatchTitle + '</h3>' +
                                      '<h5>' + dispatchAuthor + '</h5>';

      headline.parentNode.insertBefore(dispatchByline, headline);
    }

    var interval = setInterval(function() {
      if (document.querySelector('.story-notes p')) {
        createDispatchByline();
        clearInterval(interval);
      }
    }, 50);

  }

})();</script>

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                                                                                            <span class="kicker-label"><a href="https://www.nytimes.com/section/us">U.S.</a></span>
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                        			<h1 itemprop="headline" id="headline" class="headline">After Harvey Hit, a Texas Hospital Decided to Evacuate. Here’s How Patients Got Out.</h1>
	                                                <div id="story-meta-footer" class="story-meta-footer">
                                                                                                    

<p class="byline-dateline"><span class="byline" itemprop="author creator" itemscope itemtype="http://schema.org/Person"  itemid="https://www.nytimes.com/by/sheri-fink">By <a href="https://www.nytimes.com/by/sheri-fink" title="More Articles by SHERI FINK"><span class="byline-author" data-byline-name="SHERI FINK" itemprop="name" data-twitter-handle="sherifink">SHERI FINK</span></a> and </span><span class="byline" itemprop="author creator" itemscope itemtype="http://schema.org/Person" ><span class="byline-author" data-byline-name="ANDREW BURTON" itemprop="name">ANDREW BURTON</span></span><time class="dateline" datetime="2017-09-07T05:57:15-04:00" itemprop="dateModified" content="2017-09-07T05:57:15-04:00">SEPT. 6, 2017</time>
</p>

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                        <div id="sharetools-story-meta-footer" aria-label="tools" role="group" class="sharetools theme-classic  sharetools-story-meta-footer  "
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data-url="https://www.nytimes.com/2017/09/06/us/texas-hospital-evacuation.html"
data-title="After Harvey Hit, a Texas Hospital Decided to Evacuate. Here’s How Patients Got Out."
data-author="By SHERI FINK and ANDREW BURTON"
data-media="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE1/00AMBULANCE1-jumbo.jpg"
data-description="The hospital, Baptist Beaumont, was one of many health care institutions disrupted as the storm Harvey, once a Category 4 hurricane, swept across the region."
	data-publish-date="September 6, 2017"
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    <script type="text/javascript">
        if (
            window.magnum
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            && window.magnum.headlineBalancer
            && window.magnum.headlineBalancer.initialize
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            window.magnum.headlineBalancer.initialize();
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    </script>

        
    <div class="story-interrupter">
    <figure id="media-100000005410338" class="media photo embedded layout-full-bleed-horizontal media-100000005410338 ratio-tall" data-media-action="modal" itemprop="associatedMedia" itemscope itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE1/00AMBULANCE1-superJumbo.jpg" itemtype="http://schema.org/ImageObject" aria-label="media" role="group">
    <span class="visually-hidden">Photo</span>
    <div class="image">
            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE1/00AMBULANCE1-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE1/00AMBULANCE1-superJumbo.jpg" data-mediaviewer-caption="Firefighters and emergency medical technicians helped evacuate Theodore Atwood from Baptist Beaumont hospital on Friday." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE1/00AMBULANCE1-superJumbo.jpg"/>
            <meta itemprop="height" content="1365" />
            <meta itemprop="width" content="2048" />
    </div>
        <figcaption class="caption" itemprop="caption description">
                <span class="caption-text">Firefighters and emergency medical technicians helped evacuate Theodore Atwood from Baptist Beaumont hospital on Friday.</span>
                        <span class="credit" itemprop="copyrightHolder">
            <span class="visually-hidden">Credit</span>
            Andrew Burton for The New York Times        </span>
            </figcaption>
    </figure>
</div>
<div class="story-body-supplemental">
    <div class="story-body story-body-1">
        <p class="story-body-text story-content" data-para-count="563" data-total-count="563" id="story-continues-1">As floodwaters from Hurricane Harvey began filling his north Beaumont, Tex., home last week, Theodore Atwood waded outside to get a utility knife, so he could pull up his carpet and protect it. Coming back to his kitchen, he slipped and fell on the wet linoleum, and ended up at a local hospital with a severely broken pelvis. But that was only the beginning of his journey, as he became one of 243 patients evacuated from the hospital last Thursday and Friday, according to a hospital spokeswoman, after flooding from the storm damaged the city’s water system.</p><p class="story-body-text story-content" data-para-count="356" data-total-count="919">“Due to the failure of the city’s water pump, it is in the best interest of our current patients to transfer to other acute care facilities,” the hospital, Baptist Beaumont, <a href="https://www.facebook.com/BHSET/posts/1641451625873713">said in a statement</a> on Thursday. “Due to the citywide lack of services, we have no other alternative but to discontinue all services which will include emergency services.”<br></p><p class="story-body-text story-content" data-para-count="390" data-total-count="1309">The hospital in Beaumont, which did not flood and kept its emergency room open throughout, was one of many health care institutions disrupted as the storm, once a Category 4 hurricane, swept across the region. It started admitting patients again Tuesday morning with a backup water system using water shipped in from Nederland, Tex., Mary Poole, the hospital spokeswoman, said on Wednesday.</p><p class="story-body-text story-content" data-para-count="348" data-total-count="1657">Emptying even a modest-sized hospital during a disaster often requires a vast logistical effort and the cooperation of ambulance teams and other hospitals. Sometimes a health system has enough resources to transfer patients within its own network of hospitals. But when that is not possible, Texas has procedures in place to move patients en masse.</p><p class="story-body-text story-content" data-para-count="505" data-total-count="2162">A catastrophic medical operations center — set up in Houston during emergencies and run by the <a href="https://www.setrac.org/" title="Link to SETRAC">Southeast Texas Regional Advisory Council</a>, a regional organization that coordinates medical disaster responses — matches patients to specific hospitals that can take them. Then the center passes a request for medical transport to <a href="http://txemtf.org/TXEMTF/TXEMTF_Home.html" title="TX Emergency Medical Task Force">an emergency medical</a><a href="http://txemtf.org/TXEMTF/TXEMTF_Home.html" title="TX Emergency Medical Task Force"> task force</a> that coordinates ambulances and emergency service crews contributed by fire departments around the state and, in the case of Harvey, the nation.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-2">Continue reading the main story</a>
    </div><!-- close story-body -->
    <div class="supplemental first" id="supplemental-1">
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<div class="story-interrupter" id="story-continues-2">
    <figure id="media-100000005410332" class="media photo embedded layout-jumbo-horizontal media-100000005410332 ratio-tall" data-media-action="modal" itemprop="associatedMedia" itemscope itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE2/00AMBULANCE2-superJumbo.jpg" itemtype="http://schema.org/ImageObject" aria-label="media" role="group">
    <span class="visually-hidden">Photo</span>
    <div class="image">
            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE2/00AMBULANCE2-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE2/00AMBULANCE2-superJumbo.jpg" data-mediaviewer-caption="Firefighters and emergency medical technicians from Weslaco, near the southern tip of Texas, drove an ambulance bus to Beaumont to help. From left, Aaron Gomez, Carlos Hernandez and Jaime Castillo." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE2/00AMBULANCE2-superJumbo.jpg"/>
            <meta itemprop="height" content="1365" />
            <meta itemprop="width" content="2048" />
    </div>
        <figcaption class="caption" itemprop="caption description">
                <span class="caption-text">Firefighters and emergency medical technicians from Weslaco, near the southern tip of Texas, drove an ambulance bus to Beaumont to help. From left, Aaron Gomez, Carlos Hernandez and Jaime Castillo.</span>
                        <span class="credit" itemprop="copyrightHolder">
            <span class="visually-hidden">Credit</span>
            Andrew Burton for The New York Times        </span>
            </figcaption>
    </figure>
</div>
<div class="story-body-supplemental">
    <div class="story-body story-body-2">
        <p class="story-body-text story-content" data-para-count="496" data-total-count="2658" id="story-continues-3">On Friday, a day after Baptist announced its evacuation, firefighters and emergency medical technicians <a href="https://www.facebook.com/WeslacoFireDept">from Weslaco</a>, near the southern tip of Texas, were among those called upon to respond. Their ambulance bus — known as an Ambus and capable of transporting up to 20 patients — pulled out of a parking lot in Houston that was filled with rows of ambulances. In addition to the regular kind, Texas has more than a dozen ambulance buses across the state for use during mass-casualty disasters.</p><p class="story-body-text story-content" data-para-count="333" data-total-count="2991">The route to Beaumont, about 85 miles from Houston, took the bus along stretches of closed highway, past flooded areas and through several inches of water on the roadway. The trip took two hours. As the bus arrived, medical evacuation helicopters droned overhead, waiting to land on a cleared portion of the hospital’s parking lot.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-4">Continue reading the main story</a>
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<div class="story-interrupter" id="story-continues-4">
    <figure id="media-100000005410334" class="media photo embedded layout-jumbo-horizontal media-100000005410334 ratio-tall" data-media-action="modal" itemprop="associatedMedia" itemscope itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE6/00AMBULANCE6-superJumbo.jpg" itemtype="http://schema.org/ImageObject" aria-label="media" role="group">
    <span class="visually-hidden">Photo</span>
    <div class="image">
            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE6/00AMBULANCE6-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE6/00AMBULANCE6-superJumbo.jpg" data-mediaviewer-caption="Gurneys for transporting patients were lined up in the Beaumont Baptist parking lot Friday for use in evacuating patients from the hospital." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE6/00AMBULANCE6-superJumbo.jpg"/>
            <meta itemprop="height" content="1365" />
            <meta itemprop="width" content="2048" />
    </div>
        <figcaption class="caption" itemprop="caption description">
                <span class="caption-text">Gurneys for transporting patients were lined up in the Beaumont Baptist parking lot Friday for use in evacuating patients from the hospital.</span>
                        <span class="credit" itemprop="copyrightHolder">
            <span class="visually-hidden">Credit</span>
            Andrew Burton for The New York Times        </span>
            </figcaption>
    </figure>
</div>
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        <p class="story-body-text story-content" data-para-count="300" data-total-count="3291" id="story-continues-5">The Weslaco ambulance crew rolled special gurneys into the bustling emergency room, as patients were brought down from throughout the hospital. The state’s lieutenant governor, Dan Patrick, appeared in the emergency department and shook hands with busy hospital workers; moments later, he was gone.</p><p class="story-body-text story-content" data-para-count="143" data-total-count="3434">Vernessel Woodard, a nurse, remained calm and professional as she coordinated patients’ discharge and handed paperwork to the ambulance crew.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-6">Continue reading the main story</a>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE4/00AMBULANCE4-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE4/00AMBULANCE4-superJumbo.jpg" data-mediaviewer-caption="The Weslaco team transfered Mr. Atwood to a gurney for evacuation by lifting his bedsheets." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE4/00AMBULANCE4-superJumbo.jpg"/>
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                <span class="caption-text">The Weslaco team transfered Mr. Atwood to a gurney for evacuation by lifting his bedsheets.</span>
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        <p class="story-body-text story-content" data-para-count="174" data-total-count="3608" id="story-continues-7">One of the patients, Mr. Atwood, winced in pain from his broken pelvis as Capt. Ray Marroquin of the Weslaco team and others grasped his bedsheets and slid him onto a gurney.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-8">Continue reading the main story</a>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE5/00AMBULANCE5-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE5/00AMBULANCE5-superJumbo.jpg" data-mediaviewer-caption="Roosevelt Edwards, another patient, was rolled on to the Weslaco ambulance bus." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE5/00AMBULANCE5-superJumbo.jpg"/>
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                <span class="caption-text">Roosevelt Edwards, another patient, was rolled on to the Weslaco ambulance bus.</span>
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            Andrew Burton for The New York Times        </span>
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        <p class="story-body-text story-content" data-para-count="85" data-total-count="3693" id="story-continues-9">The ambulance team pushed his gurney and others up a ramp into the back of the Ambus.</p><p class="story-body-text story-content" data-para-count="327" data-total-count="4020">Receiving oxygen through a face mask, Elaine Smith, another patient, smiled at her rescuers as they wheeled her to the Ambus. Crew members pushed her stretcher onto brackets attached to the vehicle. A total of eight patients were put aboard, including several with <a href="http://health.nytimes.com/health/guides/disease/pneumonia/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Pneumonia." class="meta-classifier">pneumonia</a>, one who had a stroke and one who had <a href="http://health.nytimes.com/health/guides/surgery/brain-surgery/overview.html?inline=nyt-classifier" title="In-depth reference and news articles about Brain surgery." class="meta-classifier">brain surgery</a>.</p><p class="story-body-text story-content" data-para-count="466" data-total-count="4486">It was less than a week after the streets had flooded around the hospital where the Ambus was headed, Baylor St. Luke’s Medical Center in Houston. The hospital is on the campus of the Texas Medical Center, where billions of dollars were invested after the flooding from Tropical Storm Allison in 2001 to protect buildings and vital equipment from encroaching water. St. Luke’s was one of many hospitals in Texas and Louisiana that took in patients from Beaumont.</p><p class="story-body-text story-content" data-para-count="281" data-total-count="4767">The Ambus rolled over speed bumps as it left Baptist, and every bounce from the uneven roadway was excruciating to Mr. Atwood. He reached up to grip the rails above his head, trying to lift his pelvis. The ambulance’s driver slowed the vehicle to a crawl to make the ride easier.</p><p class="story-body-text story-content" data-para-count="218" data-total-count="4985">Other crew members came to Mr. Atwood’s side, pushing duffel bags under his stretcher in attempts to stabilize it. Mr. Atwood tried bracing himself by gripping the folded-up seats along the wall beside his stretcher.</p><p class="story-body-text story-content" data-para-count="137" data-total-count="5122">The bus’s movement still caused him agony. “Would you like to stop?” one crew member asked. Mr. Atwood replied, “I sure would.”</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-10">Continue reading the main story</a>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE8/00AMBULANCE8-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE8/00AMBULANCE8-superJumbo.jpg" data-mediaviewer-caption="One patient, Clifton Charles, left, tried to sleep on the ambulance bus as it made its way to Houston." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE8/00AMBULANCE8-superJumbo.jpg"/>
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                <span class="caption-text">One patient, Clifton Charles, left, tried to sleep on the ambulance bus as it made its way to Houston.</span>
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            Andrew Burton for The New York Times        </span>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE9/00AMBULANCE9-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE9/00AMBULANCE9-superJumbo.jpg" data-mediaviewer-caption="When the ride on the ambulance bus proved painful for Mr. Atwood, he was transferred to a regular ambulance." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE9/00AMBULANCE9-superJumbo.jpg"/>
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                <span class="caption-text">When the ride on the ambulance bus proved painful for Mr. Atwood, he was transferred to a regular ambulance.</span>
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            Andrew Burton for The New York Times        </span>
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        <p class="story-body-text story-content" data-para-count="320" data-total-count="5442" id="story-continues-12">The bus pulled over along Interstate 10, near another cluster of emergency vehicles that had been sent to help with the evacuation. The crew rolled Mr. Atwood out of the Ambus and into a regular ambulance for a smoother ride. “They were real caring,” Mr. Atwood said of the ambulance team. “They were good guys.”</p><p class="story-body-text story-content" data-para-count="190" data-total-count="5632">Back on the Ambus, the journey stretched into its third hour. Sitting up on a seat, Rose Cox, another patient, tried to take a nap as ambulance workers, including Derrick Galvan, kept watch.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-13">Continue reading the main story</a>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE10/00AMBULANCE10-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE10/00AMBULANCE10-superJumbo.jpg" data-mediaviewer-caption="Rose Cox, another patient, tried to take a nap as ambulance workers, including Derrick Galvan, kept watch on the ambulance bus." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE10/00AMBULANCE10-superJumbo.jpg"/>
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                <span class="caption-text">Rose Cox, another patient, tried to take a nap as ambulance workers, including Derrick Galvan, kept watch on the ambulance bus.</span>
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            Andrew Burton for The New York Times        </span>
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        <p class="story-body-text story-content" data-para-count="260" data-total-count="5892" id="story-continues-14">The bus pulled up to St. Luke’s at around 10 p.m. The driver began heading down a ramp toward the ambulance bay, but the clearance was too low for the bus. He backed up and awaited instructions, eventually parking across from the hospital’s front entrance.</p><p class="story-body-text story-content" data-para-count="264" data-total-count="6156">Ms. Smith, the patient who had smiled from behind her oxygen mask, peered out the back of the ambulance as she waited to be unloaded. “I’m trying to see if my kids are here,” she said. She was wheeled into the hospital and directly up to a pre-assigned room.</p><p class="story-body-text story-content" data-para-count="273" data-total-count="6429">A nurse asked how she was feeling. “I’m tired,” Ms. Smith said. “That’s understandable,” the nurse replied. After half an hour or so, Brent Roye, a grandson of Ms. Smith’s, walked through the doorway. “You O.K.?” he asked. “I’m all right,” she said.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-15">Continue reading the main story</a>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE11/00AMBULANCE11-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE11/00AMBULANCE11-superJumbo.jpg" data-mediaviewer-caption="A patient is taken out of the ambulance bus after arriving at the hospital in Houston." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE11/00AMBULANCE11-superJumbo.jpg"/>
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                <span class="caption-text">A patient is taken out of the ambulance bus after arriving at the hospital in Houston.</span>
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            Andrew Burton for The New York Times        </span>
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        <p class="story-body-text story-content" data-para-count="288" data-total-count="6717" id="story-continues-16">A doctor came to see her around 11:30 p.m. He told her he had no information about her in his computer, and asked what had brought her to the hospital. Mr. Roye called a family member to try to get answers for the doctor, who said he was not sure what the hospital could do for Ms. Smith.</p><p class="story-body-text story-content" data-para-count="455" data-total-count="7172">In another room, Mr. Atwood, the patient with the broken pelvis, reunited with his daughter, Angela M. Hayes, and his granddaughter. Believing that Baptist’s patients would be flown north, Ms. Hayes, a <a href="http://topics.nytimes.com/top/news/health/diseasesconditionsandhealthtopics/nursing_and_nurses/index.html?inline=nyt-classifier" title="Recent and archival health news about nursing and nurses." class="meta-classifier">registered nurse</a>, had driven from her home in Silsbee, Tex., to Palestine, a place she thought would be closer to where he might be taken. On Friday she was told that Mr. Atwood would be transferred instead to Houston, around three hours to the south.</p>        <a class="visually-hidden skip-to-text-link" href="#story-continues-17">Continue reading the main story</a>
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            <img src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE12/00AMBULANCE12-superJumbo.jpg" alt="" class="media-viewer-candidate" data-mediaviewer-src="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE12/00AMBULANCE12-superJumbo.jpg" data-mediaviewer-caption="Mr. Atwood, safely arrived at the hospital in Houston, with Angela M. Hayes, his daughter." data-mediaviewer-credit="Andrew Burton for The New York Times"  itemprop="url" itemid="https://static01.nyt.com/images/2017/09/06/us/00AMBULANCE12/00AMBULANCE12-superJumbo.jpg"/>
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                <span class="caption-text">Mr. Atwood, safely arrived at the hospital in Houston, with Angela M. Hayes, his daughter.</span>
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        <p class="story-body-text story-content" data-para-count="190" data-total-count="7362" id="story-continues-18">Even so, she and her daughter made it to St. Luke’s before he did. “I got here, the bed’s empty,” Ms. Hayes said. “There’s a certain amount of mass confusion with all of this.”</p><p class="story-body-text story-content" data-para-count="332" data-total-count="7694">After midnight on Saturday, Mr. Atwood was still waiting to be seen by his new doctor, and occasionally winced in pain. His daughter, however, was only grateful. She said it was miraculous to her that in the midst of a huge disaster, individual workers had cared enough about her father to find a more comfortable means to move him.</p><p class="story-body-text story-content" data-para-count="63" data-total-count="7757">“To me, that shows a high quality of care,” Ms. Hayes said.</p><footer class="story-footer story-content">
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