Nurse Cathy Green looked at the elderly lady lying on the asphalt floor of the hospital's parking garage. The lung cancer patient was wheezing. Her oxygen tank was near empty. The rattled nurse couldn't stand to watch this woman die just because no one came to rescue her, so she walked away. It is gut-wrenching scenes like this that stay with you in Five Days at Memorial: Life and Death in a Storm-Ravaged Hospital, Sheri Fink's riveting, exhaustively researched account of what happened at one particular hospital following Hurricane Katrina.
For the doctors and nurses at Memorial Medical Center in New Orleans, the principles of the Hippocratic Oath were severely tested in the days following the storm when the floodwaters rose. Keeping the sick alive became an exercise in ping-pong triage. Patients were controversially grouped for evacuation. Rancid air and pitch-black interior rooms made conditions unbearable. Help was slow in coming. Complicating the picture was the "hospital within a hospital." LifeCare housed the most critically ill patients on Memorial's seventh floor. Who gets help first? Who is evacuated last? In Memorial's case, Fink attempts to contextualize what really happened after the hurricane and who was responsible for the 45 patients who died there under suspicious circumstances.
A medical doctor who has worked in disaster relief, Fink won the Pulitzer Prize in investigative reporting for her 2009 article, “The Deadly Choices at Memorial.” Published in The New York Times magazine, it chronicled the mercy killings at the hospital under horrendous conditions. In her book's shifting perspectives and reconstructed narrative, she places readers where they need to be: inside the mindset of those who were there. "We went into survival mode and were just trying to keep them alive with food and water," said a staff member. Readers who like their narrative nonfiction with some kick will find this issue-oriented page-turner of ethical choices made by a beleaguered staff a difficult read to put down.