Harrowing Questions, and Ethics, During Katrina

Sheri Fink's book Five Days at Memorial was reviewed in the New York Times.

Eight years ago, Hurricane Katrina hit New Orleans. Floodwaters rose in the Uptown streets surrounding Memorial Medical Center, where hundreds of people slowly realized that they were stranded. The power grid failed, toilets overflowed, stench-filled corridors went dark. Diesel generators gave partial electricity. Hospital staff members smashed windows to circulate air. Gunshots could be heard, echoing in the city. Two stabbing victims turned up at this hospital, which was on life support itself, and were treated.

By Day 4 of the hurricane, the generators had conked out. Fifty-two patients in an intensive care wing lay in sweltering darkness; only a few were able to walk. The doctors and nurses, beyond exhaustion, wondered how many could survive.

When evacuations were done, 45 patients had not made it out alive. The State of Louisiana began an investigation; forensic consultants determined that 23 corpses had elevated levels of morphine and other drugs, and decided that 20 were victims of homicide.

In her book Five Days at Memorial, Dr. Sheri Fink explores the excruciating struggle of medical professionals deciding to give fatal injections to those at the brink of death. Dr. Fink, a physician turned journalist, won a Pulitzer Prize for her investigation of these events in a 2009 joint assignment for ProPublica and The New York Times Magazine. This book is much more than an extension of that report. Although she had the material for a gripping disaster story, Dr. Fink has slowed the narrative pulse to investigate situational ethics: what happens when caregivers steeped in medicine’s supreme value, preserving life, face traumatic choices as the standards of civilization collapse.