San Antonio Express-News

Keep up with climate It pays to prepare

- By Drs. Barbara Robles-ramamurthy and Jessica Sandoval Drs. Barbara Robles-ramamurthy and Jessica Sandoval are faculty psychiatri­sts at the Long School of Medicine at UT Health San Antonio.

The author writes that spending millions of dollars on a oncein-a-25-year event would not be prudent due to cost. I disagree. Category 5 hurricanes were also once seldom events — but look at what the world has seen with the ferocity of these events and how they have become more common over the past 10 years.

The science community is now saying that these coldweathe­r events will become more common in Texas. I, for one, would like to see all aspects of the energy grid be weatherize­d.

Dan Carrera

The letter writer wonders if it is smart to spend millions on a weather event we’d see once every 25 years. The answer is in damage, which is supposed to be in the billions and result in the largest number of insurance claims in the state’s history (Re: “Damage expected ‘to total in the billions of dollars,’” Business, Feb. 19).

Insurance companies will recoup their losses by raising the rates on all of us. One way or another, we always pay for it. If we prepared for extreme events by spending money, we wouldn’t also pay for it in lives lost and, less importantl­y, in misery, disruption and inconvenie­nce.

William D. Sweet

Our community has been torn with stress and uncertaint­y in the past 12 months. A global, deadly pandemic. An awakening to racial injustice present for centuries. And now a deadly winter storm, placing millions of Texans in freezing temperatur­es inside their homes, without the ability to secure basic needs such as food, or medical needs such as individual­ized therapies, electrical medical equipment and clean water to take medication­s.

We all felt the fear of not knowing when it would end. Would the power go out again? Is my child safe inside our freezing home? Can I stock up on groceries? Necessitie­s were gone overnight. And now, even as we get back to “normal,” many of us are still feeling fatigued and distracted.

As psychiatri­sts who serve families with significan­t foundation­al safety and health needs, we noticed changes to the way our own brains processed the situation. These experience­s remind us of the feelings we had at the beginning of the pandemic but also shine a light on the experience­s we hear from so many of the families we serve.

In our medical world, we define this as a trauma or stress response.

When confronted by a direct threat, our brains go into “crisis” mode, gearing up neuropsych­ological processes that help us survive by focusing on preparing for the next “disaster” and to ensure our family’s safety. This is a normal response that has served humans well throughout generation­s. Stress and worry are not bad, but if present for long periods or at unhealthy levels, these can affect our overall health and functionin­g.

When these processes are prolonged or are turned on repeatedly, we may struggle to make the best use of these normal functions. If our worries and inability to think clearly go unchecked for too long, we may overestima­te the level of preparatio­n needed and find our attention and concentrat­ion may not be as sharp. Emotional numbing may result from incessant signals of danger. Many of us felt vulnerable, and in the days that follow may continue to experience these feelings as we adjust back to safety.

However, for many families in poverty in our city, this is just a daily part of life rather than an inconvenie­nce driven by a seasonal fluke. Clinically, we see families who find themselves constantly “putting out fires” that are out of their control and preparing for the next threat. The worries about whether there is a safe place to live with drinkable water, available food and power needed to survive the elements are ever-present. This state of being negatively impacts our physical health — such as blood pressure — and relationsh­ips, which can impact our ability to advocate for ourselves.

As we continue on “survival mode,” what can we do?

Awareness: Label your experience and feelings. Try to use objective descriptio­ns — “we went without power for 36 hours” — instead of a negative judgment such as “this was terrible.” Acknowledg­ing negative feelings is part of a normal human experience.

Find support: When we objectivel­y describe our situation, we can then acknowledg­e our needs. Ask for the help you need and offer support where you can.

Remind yourself of what’s known and real: All of us have been through challengin­g situations. Remind yourself that you will get through this and you are safe. Today is a better day.

Remember this experience: Take a moment to truly notice what this experience of “not knowing” and fearing for your safety and well-being feels like. The humility of learning from the voices of those struggling at baseline, and not just those when natural disaster meets structural inadequaci­es, will benefit us all.

Advocate: Be an advocate. Advocate to reduce poverty and improve public services that we benefited from during this shared trauma, as families will continue to be in need. Share more compassion to those who may not have the same privileges and resources.

Just as parents forget the arduous nights spent with their crying babies, most of us will forget the challenges seen during the snowstorm. With our families warm and safe, with clear running water and stocked-up fridges, our brains can recognize we are no longer under threat, but let it not be lost that there are those for whom it is not so simple. May we find new perspectiv­es, new approaches and possible solutions for a future where not a single San Antonio resident goes without basic human needs.

 ?? Lisa Krantz / Staff photograph­er ?? Community organizers help a resident of Fair Avenue Apartments stay warm during last week’s freeze. With the power back on and water running for many, let’s be mindful of those in our community who struggle to meet basic needs.
Lisa Krantz / Staff photograph­er Community organizers help a resident of Fair Avenue Apartments stay warm during last week’s freeze. With the power back on and water running for many, let’s be mindful of those in our community who struggle to meet basic needs.
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