It’s now been a week since the fires began in San Diego City and County. Most of the fires are either out or will be soon. In the good news department, it appears all of my patients are back in their homes; the exception is the patient who lost his home but his family was able to move him to a new location where he can receive the care he needs. Two of my teammates were in danger of losing their houses; one is back and safe in her home while the other is still evacuated but her home is still intact.

The toll this week has exacted on all of us will take much longer to determine. The latest information tells us that 1,589 homes have been lost and they are in for a long process of rebuilding. But thousands were also evacuated and spent hours and days unsure if they had a house to go back to. The difficulty is that the first week brings a plethora of attention but the body reacts with a plethora of adrenaline; we’ve been flooded by stories of people who have lost everything and are cheered for their “positive attitude.” My prayer is that if their attitude has taken a few hits in the next few months, they will have resources they need (emotional and spiritual as well as financial).

By and large the politicians did well this week, but it wouldn’t be politics without some boneheaded moves. I’ve collected two:

• On Wednesday our City Attorney Mike Aguirre suggested that all 1,000,000 residents of San Diego evacuate because of poor air quality. He gave no suggestions on how to evacuate, where to evacuate to, or how to determine the air was once again safe. In fairness he hasn’t been in the way as much as usual, but Mike wouldn’t be Mike if he didn’t have something stupid to say.
• FEMA, the Federal Emergency Management Agency, held a press conference on Tuesday to give out information on how the Agency is responding to the fires. Normal press sources were given 15 minutes notice of the press conference to ensure they wouldn’t show up. The could call in and listen to the press conference but they could not ask questions. If the questions asked of Deputy Director Harvey E. Johnson appeared to be softballs, there was a reason: the “reporters” were actually FEMA employees who were instructed to ask easy questions. You have to give credit to Harvey though: he later admitted this fraud was “an error of judgment” but that the information given was correct. I guess that makes it OK.

It’s hard to imagine anyone doesn’t know this, but as I write this large parts of San Diego City and County are on fire. Late last week we learned that a Santa Ana was going to blow in on Sunday. Santa Ana’s are a mixed blessing around here; they are winds that blow from east to west (against the prevailing winds) and blow hot and dry air into our area. It’s good for people who like warmer weather (like Nancy) but bad for people who have asthma and/or allergies (like me) because they blow dust from the desert into our area. They also create fire dangers because if a fire starts it has the tools to be really bad (dry air and wind). On Sunday afternoon we noticed clouds of dirty air which are normally a bad sign.

We didn’t know how bad it was. By Monday morning we learned that several places nearby were threatened. My territory with San Diego Hospice includes Poway, Rancho Bernardo, Escondido, Valley Center, and Fallbrook. The first wave was the Witch Creek Fire that started east of Ramona (near San Ysabel) but was heading west with a vengeance; several of my patients were in areas that were under mandatory evacuation. I spent virtually all of Monday on the phone trying to find where the evacuees went; one was not hard because her next door neighbor dropped her off at our headquarters. I spent the next three hours with a few of my coworkers trying to find a place for her to stay with her cartons of cigarettes and her dog. Once the statute of limitations is over I’ll have a great story to tell.

Others took a few days to find. Waking up in the middle of the night and being told that you have 10 minutes to grab what you want to save and evacuate is incredibly stressful. It’s even more stressful if you need a pail of medication and oxygen tanks to survive the day. That’s what several of my patients (and their families) faced. In all the confusion they weren’t able to call us and tell us where they landed.

One of my first jobs entailed tracking them. Sitting in an office talking on the phone doesn’t sound like stressful work but it was. I spent the last three days scrambling to find cell phone numbers for patients whose home phones no longer work or were not being answered. Some are with relatives, others are with hotels, and some are in shelters who are not equipped for hospice needs. At least one has lost his home along with all his books, journals, and correspondence. He’s in his 90’s and I can only imagine what has been lost to the ages, but he’s philosophical and ready to start over. I wish I had his perspective.

A bright spot in this tragedy has been my hospice. I’ve had the chance to talk with and work with people from all levels of management at SDHPC. They’ve been, without exception, overwhelming in their support of the staff and the patients. It makes me more more and more convinced that I work for a good place.

A dark spot has been the impact on the lives my teammates. I live in La Jolla, several miles from any of the evacuations, and am safe. But many of my teammates live in these same areas as the patients. About half the team was evacuated and a few may have suffered the loss of their homes. I ask for prayers for them.

I’ll have more to say in the next few days but I ask for your prayers during this painful and difficult time.

News came today of the shooting at Virginia Tech in Blacksburg, Virginia. As I write this at 7:30 pm my time (10:30 pm on the East Coast) there is much we don’t know; we do know that 33 people have died in two separate shootings. We think there was one shooter and he committed suicide. Names are being held until family is notified.

The strangest part of this is that two people were killed in a dorm (West Ambler Johnson); two hours later 31 more died at Norris Hall. If one shooter was responsible for both shootings, what was he doing (let alone thinking) for those two hours?

My nephew Nate is a sophomore at Old Dominion University; it’s in a different part of the state but I needed to talk with him today. He has several friends at Tech but has heard from most everyone. I have to believe there are parents all over Virginia and beyond who are praying they don’t hear the doorbell tonight. My prayers are with them.