Five days at Memorial: life and death in a storm-ravaged hospital
Description
Pulitzer Prize winner Sheri Fink’s landmark investigation of patient deaths at a New Orleans hospital ravaged by Hurricane Katrina – and her suspenseful portrayal of the quest for truth and justice.In the tradition of the best investigative journalism, physician and reporter Sheri Fink reconstructs 5 days at Memorial Medical Center and draws the reader into the lives of those who struggled mightily to survive and maintain life amid chaos.After Katrina struck and the floodwaters rose, the power failed, and the heat climbed, exhausted caregivers chose to designate certain patients last for rescue. Months later, several of those caregivers faced criminal allegations that they deliberately injected numerous patients with drugs to hasten their deaths. Five Days at Memorial, the culmination of six years of reporting, unspools the mystery of what happened in those days, bringing the reader into a hospital fighting for its life and into a conversation about the most terrifying form of health care rationing.In a voice at once involving and fair, masterful and intimate, Fink exposes the hidden dilemmas of end-of-life care and reveals just how ill-prepared we are for the impact of large-scale disasters—and how we can do better. A remarkable book, engrossing from start to finish, Five Days at Memorial radically transforms your understanding of human nature in crisis.One of The New York Times' Best Ten Books of the Year
More Details
9780307718983
9780804128124
9780307718976
9781410466228
Table of Contents
From the Book - First edition.
Subjects
Disaster hospitals -- Louisiana -- New Orleans
Disaster hospitals -- Louisiana -- New Orleans -- Case studies
Disaster medicine -- Case studies
Disaster medicine -- Louisiana -- New Orleans
Disaster medicine -- Louisiana -- New Orleans -- Case studies
Forensic pathology -- Louisiana -- New Orleans
Forensic pathology -- Louisiana -- New Orleans -- Case studies
Health facilities -- Louisiana -- Administration
Health facilities -- Louisiana -- Administration -- Case studies
Hurricane Katrina, 2005
Memorial Medical Center (New Orleans, La.)
Nonfiction
Sociology
True Crime
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Published Reviews
Booklist Review
*Starred Review* As the floodwaters rose after Hurricane Katrina, patients, staff, and families who sheltered in New Orleans' Memorial Hospital faced a crisis far worse than the storm itself. Without power, an evacuation plan, or strong leadership, caregiving became chaotic, and exhausted doctors and nurses found it difficult to make even the simplest decisions. And, when it came to making the hardest decisions, some of them seem to have failed. A number of the patients deemed least likely to survive were injected with lethal combinations of drugs even as the evacuation finally began in earnest. Fink, a Pulitzer Prize winner for her reporting on Memorial in the New York Times Magazine, offers a stunning re-creation of the storm, its aftermath, and the investigation that followed (one doctor and two nurses were charged with second-degree murder but acquitted by a grand jury). She evenhandedly compels readers to consider larger questions, not just of ethics but race, resources, history, and what constitutes the greater good, while humanizing the countless smaller tragedies that make up the whole. And, crucially, she provides context, relating how other hospitals fared in similar situations. Both a breathtaking read and an essential book for understanding how people behave in times of crisis.--Graff, Keir Copyright 2010 Booklist
Publisher's Weekly Review
"They were in a war zone," Fink (War Hospital: A True Story of Surgery and Survival) writes of those stranded inside New Orleans' Memorial Medical Center in the calamitous wake of Hurricane Katrina. In this astonishing blend of Pulitzer Prize-winning journalism (Fink, who also has an M.D. and Ph.D., won the award for the investigative reporting on which this book is based) and breathtaking narration, she chronicles the chaotic evacuation of the hospital and the agonizing ethical, physical, and emotional quandaries facing Memorial nurses and doctors, including a nightmarish triage process that led to the controversial decision to inject critically ill patients with fatal doses of morphine in order to refocus attention on those with a chance of surviving. An alarming 45 bodies were recovered from the crippled hospital, nine of which were deemed suspected victims of euthanasia. Yet investigators realized that unraveling the tragedies was "as impossible as collecting fragments of a fractured mirror and then, somehow, inferring what image had once appeared there." Some members of the medical staff were charged with murder, but a grand jury acquitted them. Plenty of hard-earned lessons were learned from the stunningly mismanaged response to the disaster, yet Fink acknowledges that for the families of those who never made it out of Memorial, the "war against nature" could only be considered a loss. (Sept. 10) (c) Copyright PWxyz, LLC. All rights reserved.
Library Journal Review
Fink's meticulous and extensive research is apparent in her first book, a detailed description of a large urban hospital in New Orleans in crisis during Hurricane Katrina. Memorial Hospital was seen as a place to shelter from the pending storm, and even had patients transferred there from other facilities. When the woefully unprepared hospital lost power and seemed under siege, the doctors made some difficult and controversial decisions about evacuation and triage, with the most physically able people leaving first. As a result of this policy, a doctor and two nurses were charged with injecting some patients with drugs to hasten their deaths. The first half of the book vividly describes the situation in the hospital and the equally engrossing second half describes the legal cases resulting from the storm's aftermath, a situation that took years to play out. Reader Kristin Potter narrates professionally and even handedly. Verdict Highly recommended for all listeners. ["Fink's six years of research and more than 500 interviews yield a rich narrative full of complex characters, wrenching ethical dilemmas, and mounting suspense," read the starred review of the Crown hc, LJ 9/1/13. See Best Books 2013: Top Ten, http://ow.ly/ruZ6p, LJ 12/13.-Ed.]-Mary Knapp, Madison P.L., WI (c) Copyright 2013. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Kirkus Book Review
Pulitzer Prizewinning medical journalist/investigator Fink (War Hospital, 2003) submits a sophisticated, detailed recounting of what happened at Memorial Medical Center in New Orleans during and after Hurricane Katrina. Under calamitous, lethal circumstances, the staff at Memorial did a remarkable job of saving many lives in the wake of Hurricane Katrina--though others would point out they didn't have the street smarts of the staff at Charity Hospital, whose creativeness resulted in far fewer deaths. Fink draws those few days in the hospital's life with a fine, lively pen, providing stunningly framed vignettes of activities in the hospital and sharp pocket profiles of many of the characters. She gives measured consideration to such explosive issues as class and race discrimination in medicine, end-of-life care, medical rationing and euthanasia, and she presents the injection of some patients with a cocktail of drugs to reduce their breathing in such a manner that readers will be able to fully fashion their own opinions. The book is an artful blend of drama and philosophy: When do normal standards no longer apply? what if doing something seems right but doesn't feel right? In the ensuing investigation of one doctor, who is clearly the fall guy (or woman, as it were), Fink circles all the players, successfully giving much-needed perspective to their views. The obvious villains are the usual suspects: nature, for sending Katrina forth; big business, in the guise of Memorial owner Tenet Healthcare, for its failure to act and subsequent guilty posturing; and government, feds to local, for the bungling incompetence that led to dozens of deaths. The street thugs and looters didn't help much, either. With apparent effortlessness, Fink tells the Memorial story with cogency and atmosphere.]] Copyright Kirkus Reviews, used with permission.
Booklist Reviews
*Starred Review* As the floodwaters rose after Hurricane Katrina, patients, staff, and families who sheltered in New Orleans' Memorial Hospital faced a crisis far worse than the storm itself. Without power, an evacuation plan, or strong leadership, caregiving became chaotic, and exhausted doctors and nurses found it difficult to make even the simplest decisions. And, when it came to making the hardest decisions, some of them seem to have failed. A number of the patients deemed least likely to survive were injected with lethal combinations of drugs—even as the evacuation finally began in earnest. Fink, a Pulitzer Prize winner for her reporting on Memorial in the New York Times Magazine, offers a stunning re-creation of the storm, its aftermath, and the investigation that followed (one doctor and two nurses were charged with second-degree murder but acquitted by a grand jury). She evenhandedly compels readers to consider larger questions, not just of ethics but race, resources, history, and what constitutes the greater good, while humanizing the countless smaller tragedies that make up the whole. And, crucially, she provides context, relating how other hospitals fared in similar situations. Both a breathtaking read and an essential book for understanding how people behave in times of crisis. Copyright 2013 Booklist Reviews.
Library Journal Reviews
Journalist Fink (War Hospital: A True Story of Surgery and Survival) won the 2010 Pulitzer Prize for Investigative Reporting for her work on the harrowing events at New Orleans's Memorial Hospital during and after Hurricane Katrina, reporting that became the basis for this book. Two thousand patients, staff members, and their family and friends sought safety at Memorial as Katrina approached on Monday, August 28, 2005. Without power, running water, air-conditioning, or standard high-tech medical equipment, conditions quickly deteriorated, particularly for the oldest and most critically ill patients. It wasn't until Friday, September 1, that everyone was finally rescued, and, by that time, there had been 45 patient deaths—18 of them deemed suspicious by the New Orleans coroner. A legal hurricane followed, and one doctor and three nurses were accused of second-degree murder. Fink devotes half of her book to the criminal investigations and ensuing grand jury inquiry, guiding readers through the concepts of triage, euthanasia, and end-of-life care that made the cases so controversial. VERDICT Fink's six years of research and more than 500 interviews yield a rich narrative full of complex characters, wrenching ethical dilemmas, and mounting suspense. General readers and medical professionals alike will finish the book haunted by the question, "What would I have done?" [See Prepub Alert, 6/24/13.]—Kathleen Arsenault, St. Petersburg, FL
[Page 132]. (c) Copyright 2013. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.Library Journal Reviews
Fans of nonfiction that's backed by extensive, meticulous research—think The Immortal Life of Henrietta Lacks—will savor this examination of events at a New Orleans hospital before, during, and after Hurricane Katrina. Fink's work mainly concerns a doctor accused of euthanizing patients at the hospital during the disaster, but the journalist's portrayal includes many other staffers, too, and their activities and backstories form a compelling picture of the city and social injustices that persist. (LJ 9/1/13)—HT-V (c) Copyright 2013. Library Journals LLC, a wholly owned subsidiary of Media Source, Inc. No redistribution permitted.
Publishers Weekly Reviews
"They were in a war zone," Fink (War Hospital: A True Story of Surgery and Survival) writes of those stranded inside New Orleans' Memorial Medical Center in the calamitous wake of Hurricane Katrina. In this astonishing blend of Pulitzer Prize–winning journalism (Fink, who also has an M.D. and Ph.D., won the award for the investigative reporting on which this book is based) and breathtaking narration, she chronicles the chaotic evacuation of the hospital and the agonizing ethical, physical, and emotional quandaries facing Memorial nurses and doctors, including a nightmarish triage process that led to the controversial decision to inject critically ill patients with fatal doses of morphine in order to refocus attention on those with a chance of surviving. An alarming 45 bodies were recovered from the crippled hospital, nine of which were deemed suspected victims of euthanasia. Yet investigators realized that unraveling the tragedies was "as impossible as collecting fragments of a fractured mirror and then, somehow, inferring what image had once appeared there." Some members of the medical staff were charged with murder, but a grand jury acquitted them. Plenty of hard-earned lessons were learned from the stunningly mismanaged response to the disaster, yet Fink acknowledges that for the families of those who never made it out of Memorial, the "war against nature" could only be considered a loss. (Sept. 10)
[Page ]. Copyright 2013 PWxyz LLC