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I really debated whether I should purchase this book. I think I've been on disaster overload. But, I thought the book sounded interesting and the author is a Pulitzer Prize winning journalist. So, I used one of my credits and I'm glad I did. This book made me mad, it made me sad, but most of all it made me think. While it is an account of what happened at Memorial Hospital during hurricane Katrina, it raises moral and ethical questions that are further reaching than that moment in time. Frankly, I had to stop listening several times. I just had to walk away.
The narrator did a great job. The Author did not try to sway your opinion, she just told the story in a straight forward manner. I will be thinking about this one for a while.
35 of 37 people found this review helpful
Sheri Fink, MD, PhD, published "The Deadly Choices at Memorial" in the New York Times on August 30, 2009. I read it on line, and, when I found an abandoned copy at a Starbucks, I read it again. It was a great article, and I wished for more details - why did the hospitals generators fail? - why didn't the hospital's emergency plan have procedures in place for a catastrophic failure? - why didn't the doctors who administered fatal injections wait for rescue that, in hindsight, was just hours away? That article won a Pulitzer Prize for investigative reporting; and this lengthy book (576 pages on paper) answers those questions, and more.
Fink has the rare gift of understanding how complex systems work and fail, and the ability to explain them in a lively, intriguing narrative that weaves history, culture, engineering, medicine, medical ethics and people and companies together into a compelling story. She doesn't draw conclusions: she gives the conclusions reached by the government; the American Medical Association; the people that survived Memorial and the family members of those who didn't; law enforcement; expert witnesses; criminal attorneys and civil attorneys; and ethicists.
As a reader/listener, I reached my own conclusions about why Memorial failed as a physical building, and how and why Dr. Anna Pou, did what she did - she apparently euthanized patients, and was arrested for second degree murder. A grand jury declined to indict Dr. Pou or the two nurses that helped her, years after Katrina.
Would I have made the same kind of decision in an analogous situation? It's easy to pass moral judgment sitting in my comfortable backyard, well rested, enjoying a Sunday croissant and strong, black coffee. I don't think I would have, especially as to patient Emmett Everett, Sr., but I really don't know.
Fink's epilogue makes a strong recommendation: guidelines need to be in place for medical priorities when medical resources are short, and those decisions need to be made well before natural or man made mass casualty events happen, not in the middle of a catastrophe.
The book was so well narrated, I realized I was up at 1 a.m., after repeatedly setting the Audible sleep timer, listening. I had to switch to a book I'd already heard so I could sleep.
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153 of 167 people found this review helpful