After hearing news of an impending ice storm, Maritza Ramirez did what she has so many times before: She packed a to-go bag and volunteered to work.

For Ramirez, a nurse at Methodist Hospital, five years of catastrophes made the ice storm feel almost routine. Like so many others in Houston’s health care industry, the 29-year-old nurse has come to expect the unexpected — chaos on top of chaos. The seemingly endless stream of catastrophic events has sometimes made it difficult for front line workers to take a step back and process the mayhem that has become the norm.

“It’s definitely not normal,” she said. “And I think anyone who says this is normal is kidding themselves or hasn’t processed it. Because none of this is normal.”

Ramirez chose to work with Methodist’s COVID-19 patients nearly a year ago, and during Tropical Storm Imelda, Hurricane Harvey and the onslaught of other natural disasters to hit southeast Texas in recent years. Then, last week, amid forecasts of a potentially dangerous winter storm, she again raised her hand for what became a four-day shift in one of the worst disasters to hit Texas in decades.

By Tuesday — the third day in her stretch — some 4 million Texans were without power in frigid temperatures. Dozens would ultimately die.

She spent the week sleeping on an air mattress, worrying about patients and trying to check in with her family when possible.

Across the region, nurses and doctors similarly juggled their own problems at home while tending to sick and dying patients, or the hundreds of people hospitalized for carbon monoxide poisoning and other health emergencies.

“You’re like OK, I mopped up my kitchen floor and the busted pipe,” said Dr. Ben Saldana, who oversees Methodist’s emergency departments. “Now I’ve got to go to work and deal with someone else’s anxiety and make sure they’re safe.”

Saldana said at least half of his staff’s homes were affected by the storm, and some were unable to commute throughout the week. But he said they never felt particularly overwhelmed — the challenges posed by COVID-19 over the last year have forced staff to become more “agile,” he said, and they’re now used to working in unprecedented conditions.

The week reminded him why he pursed medicine in the first place: “You always feel better when you’re doing something for someone.”

‘If you don’t laugh, you’ll cry’

Summer Block hopes that, with enough time, she’ll be able to find cathartic humor in the mayhem that the last year has brought.

“I think there will come a point where we look back and laugh,” she said. “It’s been a bad year, and it’s kind of like, ‘What else can get thrown at us?’

“But you never say that, because then an ice storm hits,” she added. “…If you don’t laugh, you’ll cry.”