Hurricane Katrina occurred when I was pretty young. My hometown in the Southern United States was lightly affected by the hurricane, but the effects of Hurricane Ivan the year prior were much worse where I lived. I vividly remember taking my dog out during the storm and feeling the wind switch directions over and over, the rain bombarding me from all sides. A while later the eye of the storm seemed to pass over my home, bringing an hour or two of clear blue skies before the bad weather returned.
The personal impact of Ivan in my childhood is a likely explanation for why my memories of Katrina are so fragmentary. I knew that the events were a national tragedy, but I didn’t understand exactly what transpired or what the residents of New Orleans lived through during and after the storm. Ms. Sheri Fink’s Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital fills that mental gap, describing the crisis in vivid detail through the experiences of patients and staff at a single medical facility.
Some readers may already be familiar with the happenings at Memorial Medical Center (now called Oschner Baptist Medical Center and formerly known as Southern Baptist Hospital). The hospital became the center of a national controversy late in 2005 after allegations arose that healthcare staff had participated in mercy killings during Hurricane Katrina. A doctor and two nurses were charged with multiple counts of second-degree murder stemming from their conduct during the storm, though a grand jury later declined to indict any healthcare professionals.
Five Days at Memorial does not push any viewpoints regarding the healthcare professionals’ guilt or innocence, serving instead as a definitive account of events, with any contradictions between individual parties noted without comment. The reader is left to formulate his/her own opinion on whether what happened is morally right or wrong. What struck me the most, personally, was the cascade of mistakes and miscommunications which piled on top of one another to cause a disaster of the scale which is depicted. Would anything have been different if the medical staff had allowed rescue helicopters to land on their helipad at night? What if rescuers had been fully briefed on the existence of a separately owned, long-term acute care unit within the hospital?
As a former caregiver of a family member with advanced dementia, I found that my position changed multiple times as I read. I would never want my family member to be euthanized without consent. On the other hand, I also would not want him to be trapped in a flooded neighborhood for days, in a building with no electricity or air conditioning and dwindling stocks of medical supplies, medicine, and even food. I think it is difficult to judge the staff’s decision making processes without having experienced the conditions oneself.
I recommend Five Days at Memorial to readers interested in the history of Hurricane Katrina, as well as those interested in medical ethics. It has certainly provided me with a lot of food for thought.