Lessons learned following Hurricane Ike in Galveston, Texas in 2008 provide a foundation for future design, execution and analysis of black-water flood preparedness. To prevent serious losses from future floods, new linear accelerators were placed in vaults with water-tight doors, all incoming utilities were raised 20 feet, and generators were moved to higher elevations. Three and a half years after the hurricane, a new bed tower is being constructed; all essential services will be located on the upper floors of the support building and new hospital. Even resource-limited hospitals, like those in Thailand would benefit from such measures. A recent survey of Thai hospitals found that while many hospitals throughout the country had flood protocols similar to those taken in Galveston, only 52 percent had performed protocol-related exercises. The news also appears in MedIndia.