Atkins, who lives in Missouri City, Texas, near Houston, spent the day ensuring that the older residents in his neighborhood had enough of their medication, and he helped evacuate people who were stranded. After he got home, he noticed an insect bite on his left arm, just above the wrist, but thought nothing of it. He took a shower and ate dinner. By late evening, the bite was nickel-sized. He ignored it until the next morning, when it was even bigger. A few hours later, his entire hand was swollen.