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Fri Sep 12 20:24:32 BST 2008

Thank you for the information

Claudia Kenworthy MD
Medical Concepts  Ltd.

"Ability is what you're capable of doing.  Motivation determines what you do. 
Attitude determines how well you do it."  

In a message dated 9/12/2008 12:19:03 P.M. Pacific Daylight Time,  
KMATTOX at aol.com writes:

FYI  -   SORRY FOR THE Cross posting.   

To CCM-L,  Trauma-list, and Surginet.      I sent  this to a large  network 
of 
trauma and other physicians we have in the Texas   area.    Just to let you 
know what is happening in   Houston.   

To All of my friends in the  Trauma network and within the leadership of  
Texas Medical  Association
Thank many of you for your concerns, prayers, and   inquires.     

For our friends south and east of  us.    If you need us for  major clinical 
problems lets  know.   The persons on this list can make  things happen.   

We have 325 patients in this 600 bed hospital.   The  ICUs and EC  are full.  

We have at least 2 faculty from  every service in  house, and for some 
services (Medicine) we have an  excess.   The  reserve internists and 
radiologists 
are  going home at noon today.    The radiologists are here in mass to  
assure 
that NO unread images are backlogged  as of NOW.   It is cloudy here, but so 
far NO WIND or RAIN  in  Houston.   In Galveston 60 miles to our south, sea 
water 
is  already  lapping over a 17 feet sea wall.   Those on Galveston  Island 
who 
are  not OUT will probably not now get off the  island.    

The low areas to the south and east of Houston,  are vulnerable, all the way  
to Port Arthur over by the Texas  Louisiana border, where a 20-24 foot surge 
is 
anticipated.    

The state, county, and city governmental officials have communicated  well  
together.   The 5000 person Conference Call 3 times a  day has done a  lot to 
let 
everyone know who has what assets and how  needs  help.    

So far medical problems in evacuees  (except a few problems in the relocated  
special needs  patients).    
>From a medical standpoint, we do not need any  additional assets in people  
or 
supplies, at least as far as I  know.     All tanks for  emergency generators 
are  topped off.    It is now just a matter  of waiting and being  available 
first to those who are in the hospital right now,  then to  those who come in 
after the impact.     

I would  recommend that none of you plan to come to Houston, unless it is   
totally coordinated with the local Incident Commands.      It  would be much 
better, because of loss of infrastructure,  electricity, etc, after  impact, 
you  
and your city consider  having a sister city rescue facility to  MOVE 
activities 
OUT of the  impact area if this becomes  necessary.    We do not anticipate  
a 
need to evacuate any  hospitals, but it might happen.     If it happens, it 
would be  wonderful, if someone had tabulated where  and for what kind of 
patients  
(neonates, intubated, CV, septic, etc)  your hospital could take if transfer 
were  made available.   

It is not 13 hours before land fall, but we expect  gale force winds to  
begin 
within a couple of hours. 

We  expect the impact area, including Houston to have significant power   
outages, and property damage.   We expect the power outages to  last up  to 2 
weeks 
or more.    HOT &  Humid.   

Kenneth L. Mattox,  MD

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