Hurricane Ian strikes Florida hospital from above and below

Hurricane Ian swamped a Florida hospital from both above and below, the storm surge flooding its lower level emergency room while fierce winds tore part of its fourth floor roof from its intensive care unit, according to a doctor who works there.

Dr. Birgit Bodine spent the night at HCA Florida Fawcett Hospital in Port Charlotte, anticipating the storm would make things busy, "but we didn’t anticipate that the roof would blow off on the fourth floor," she said.

Water gushed down Wednesday from above onto the ICU, forcing staff to evacuate the hospital's sickest patients — some of them on ventilators — to other floors. Staff members resorted to towels and plastic bins to try to mop up the sodden mess.

The medium-sized hospital spans four floors, but patients were forced into just two because of the damage.

Bodine plans to spend another night at the hospital, when incoming storm injuries could make things worse.

"The ambulances may be coming soon and we don’t know where to put them in the hospital at this point," she said. “Because we’re doubled and tripled up.”

Despite the inundation, Bodine said patients have been mostly understanding and upbeat.

“For us, as much as everything is terrible and we’re exhausted ... as long as our patients do OK and nobody ends up dying or having a bad outcome, that’s what matters,” Bodine said.

One of the strongest hurricanes to ever hit the United States, Ian left a path of destruction in southwest Florida, trapping people in flooded homes and knocking out power to 2 million people before aiming for the Atlantic Coast.

The National Hurricane Center's 2 a.m. advisory said Ian was expected to emerge over Atlantic waters later on Thursday, with flooding rains continuing across central and northern Florida.

Law enforcement officials in Fort Myers received calls from people trapped in flooded homes or from worried relatives. Pleas were also posted on social media sites, some with video showing debris-covered water sloshing toward homes’ eaves.

Brittany Hailer, a journalist in Pittsburgh, contacted rescuers about her mother in North Fort Myers, whose home was swamped by 5 feet (1.5 meters) of water.

“We don’t know when the water’s going to go down. We don’t know how they’re going to leave, their cars are totaled,” Hailer said. “Her only way out is on a boat.”

Hurricane Ian turned streets into rivers and blew down trees as it slammed into southwest Florida on Wednesday with 150 mph (241 kph) winds, pushing a wall of storm surge. Ian’s strength at landfall was Category 4 and tied it for the fifth-strongest hurricane, when measured by wind speed, to ever strike the U.S.

Ian dropped in strength by late Wednesday to Category 1 with 90 mph (144 kph) winds as it moved overland. Still, storm surges as high as 6 feet (2 meters) were expected on the opposite side of the state, in northeast Florida, on Thursday.

The storm was about 55 miles (90 km) southwest of Orlando with maximum sustained winds of 75 mph (120 kph) at 2 a.m. Thursday, the Miami-based hurricane center said.

A hurricane warning remained in effect north of Bonita Beach, about 31 miles (50 km) south of Fort Myers, to Anclote River including Tampa Bay and from Sebastian Inlet to the Flagler/Volusia county line.

The center discontinued a hurricane warning between Bonita Beach and Chokoloskee. A tropical storm warning from Chokoloskee to Flamingo on the state’s southwest tip also was discontinued.

Hurricane-force winds were expected across central Florida through early Thursday with widespread, catastrophic flooding likely, the hurricane center said.

No deaths were reported in the United States from Ian by late Wednesday. But a boat carrying Cuban migrants sank Wednesday in stormy weather east of Key West.

The U.S. Coast Guard initiated a search and rescue mission for 23 people and managed to find three survivors about two miles (three kilometers) south of the Florida Keys, officials said. Four other Cubans swam to Stock Island, just east of Key West, the U.S. Border Patrol said. Air crews continued to search for possibly 20 remaining migrants.

The storm previously tore into Cuba, killing two people and bringing down the country’s electrical grid.

The hurricane’s eye made landfall near Cayo Costa, a barrier island just west of heavily populated Fort Myers. As it approached, water drained from Tampa Bay.

More than 2 million Florida homes and businesses were left without electricity, according to the PowerOutage.us site. Nearly every home and business in three counties was without power.

Sheriff Bull Prummell of Charlotte County, just north of Fort Myers, announced a curfew between 9 p.m. and 6 a.m. “for life-saving purposes,” saying violators may face second-degree misdemeanor charges.

“I am enacting this curfew as a means of protecting the people and property of Charlotte County," Prummell said.

The Weather Underground predicted the storm would pass near Daytona Beach and go into the Atlantic before veering back ashore in South Carolina on Friday.

The governors of South Carolina, North Carolina, Georgia and Virginia all preemptively declared states of emergency. Forecasters predicted Ian will turn toward those states as a tropical storm, likely dumping more flooding rains into the weekend.