'Everyone knows everyone' in this small Texas town. Now, COVID-19 is out-of-control there.

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'Everyone knows everyone' in this small Texas town. Now, COVID-19 is out-of-control there.
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COVID-19 has stretched this small Texas town where 'everyone knows everyone' to its limits.

That Williams is receiving texts at all from restaurant patrons she hasn't seen in months underscores how tightly woven the Del Rio community is with itself. Williams said it's a small town, and people like to hang out no matter what's going on.All the things that make small town living worthwhile: its connections and relationships, handshakes and hugs — like blood in the ocean to a hungry shark — it creates a feeding frenzy for COVID-19.

"There were lines at H-E-B and Walmart with people 6-feet apart. Everybody had their masks on," she said. "We saw a lot of teenagers driving to San Antonio, getting infected and coming back," Gutierrez said."It set off a huge wave of positives and it hasn't let up. ... It's been ungodly. ... Fortunately, the medical community here has really stepped up."Del Rio Hospital is a COVID-19 war zone

"For about three months, we sat on the fringes of COVID," said hospital CEO Linda Walker."We were preparing here at the hospital ... When things ramped up, they ramped up very quickly." "I've had employees in my office sobbing," said Chief Nursing Officer Jessica Nuutinen."They say, 'I'm going to pick up this extra shift,' and tears are coming down their face. They say, 'I'm so tired but I know it's the right thing to do. This is my family, my community. I'm going to pick up this shift.'"

When hospital staff talk about their work family, they are speaking more than figuratively about what binds them together. Santellanes's daughter is a nurse who also works at Val Verde Regional Medical Center. Her sister works in the Radiology Department. Martin is married and has five children, ages 17 years to 20 months old. She told her husband that something was wrong, then secluded herself in a bedroom and went to sleep.

July 23 was Martin's second day back at the hospital after recovering from the illness. She said her family is better, and understands the risks of what returning to work at a hospital with five coronavirus units could mean. "We're being sent wherever we're needed," McKay said."Other Navy teams have gone to New York. We have Navy critical care teams in places like Virginia, Jacksonville, Florida, San Diego, Okinawa, and Guam."

"There's no book for this," Owens said."For a flood, you have a template. For a tornado, you have a template — you have things you follow. But for COVID-19? Things we thought were right two months ago we're having to rethink."

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