Five Days at Memorial

Five Days at Memorial

By Sheri Fink

This was an incredibly gripping book on the doctors, nurses, and patients at Memorial Hospital in New Orleans during Hurricane Katrina and the subsequent investigation into the numerous deaths there and accusations that patients were being euthanized (just as rescue helicopters were evacuating people again).  It's less concerned about pointing fingers or assigning blame than it is in warning how American social mores and patient care practices can break down in less than five days and how it might be prevented (or likely to occur) in the future.

Do I think that Dr. Anna Pou and her two assistants murdered at least nine and potentially eighteen patients? Yes.  Am I going to second guess her actions? Probably not.  However, although I was sympathetic to the conditions in Memorial (and in fact, all over the city, as this was not the only facility facing "suspicious" concentrations of morphine and midazolam in the bodies left behind), and I understand that the potential murder charges hang over her head, what I most aggrieved by was the complete lack of remorse, guilt, or doubt expressed by them and by their supporters after the fact.  Yes, you did what you thought was right at the time, and I don't doubt that you were despairing, after five days in post-Katrina conditions, fear, rumors, and foul smells, but when you left that hospital and realized that help had been available, that not everyone descended into chaos and death, I think that should have given you pause.  You made a mistake.  And it was life or death, and you chose poorly.  Face it.

It was only as we near the end of the book and you realize that not only did she have tunnel vision at the time, she's become entrenched into her position that I lost my sympathy for her.  Maybe it's a defensive mechanism to avoid having to examine her own actions more closely, but Fink's argument that this attitude of refusing other perspectives in end-of-life decisions can cause more harm than it purports to solve is a fairly persuasive one. There's a good argument that doctors, unfortunately, are human like the rest of us - (over)confident in their own skills, brought low by disaster, unending work and stress, and, while willing to make the "hard" decisions, unwilling to open that decision to criticism.  Of course, other actors in the justice process fucked up too, and maybe it could have been an opportunity for a discussion, but instead the whole indictment just screwed everybody over. This review is a bit longer than intended, and the book is no novella either, but it's worth a read.