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Old 09-13-2005, 12:01 PM   #1 (permalink)
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Patients Killed in New Orleans

http://www.dailymail.co.uk/pages/liv...n_page_id=1770

Quote:
Doctors working in hurricane-ravaged New Orleans killed critically ill patients rather than leaving them to die in agony as they evacuated hospitals, The Mail on Sunday can reveal.

With gangs of rapists and looters rampaging through wards in the flooded city, senior doctors took the harrowing decision to give massive overdoses of morphine to those they believed could not make it out alive.

In an extraordinary interview with The Mail on Sunday, one New Orleans doctor told how she 'prayed for God to have mercy on her soul' after she ignored every tenet of medical ethics and ended the lives of patients she had earlier fought to save.

Her heart-rending account has been corroborated by a hospital orderly and by local government officials. One emergency official, William 'Forest' McQueen, said: "Those who had no chance of making it were given a lot of morphine and lain down in a dark place to die."

Euthanasia is illegal in Louisiana, and The Mail on Sunday is protecting the identities of the medical staff concerned to prevent them being made scapegoats for the events of last week.

Their families believe their confessions are an indictment of the appalling failure of American authorities to help those in desperate need after Hurricane Katrina flooded the city, claiming thousands of lives and making 500,000 homeless.

'These people were going to die anyway'

The doctor said: "I didn't know if I was doing the right thing. But I did not have time. I had to make snap decisions, under the most appalling circumstances, and I did what I thought was right.

"I injected morphine into those patients who were dying and in agony. If the first dose was not enough, I gave a double dose. And at night I prayed to God to have mercy on my soul."

The doctor, who finally fled her hospital late last week in fear of being murdered by the armed looters, said: "This was not murder, this was compassion. They would have been dead within hours, if not days. We did not put people down. What we did was give comfort to the end.

"I had cancer patients who were in agony. In some cases the drugs may have speeded up the death process.

"We divided patients into three categories: those who were traumatised but medically fit enough to survive, those who needed urgent care, and the dying.

"People would find it impossible to understand the situation. I had to make life-or-death decisions in a split second.

"It came down to giving people the basic human right to die with dignity.

"There were patients with Do Not Resuscitate signs. Under normal circumstances, some could have lasted several days. But when the power went out, we had nothing.

"Some of the very sick became distressed. We tried to make them as comfortable as possible.

"The pharmacy was under lockdown because gangs of armed looters were roaming around looking for their fix. You have to understand these people were going to die anyway."

Mr McQueen, a utility manager for the town of Abita Springs, half an hour north of New Orleans, told relatives that patients had been 'put down', saying: "They injected them, but nurses stayed with them until they died."

Mr McQueen has been working closely with emergency teams and added: "They had to make unbearable decisions."
This is pretty sad

They should have been able to protect the hospital instead of doing what they did. We should have had troops on the ground within hours of the hurricane passing.
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Old 09-13-2005, 12:03 PM   #2 (permalink)
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With gangs of rapists and looters rampaging through wards in the flooded city...
Seriously? GANGS OF RAPISTS?

Did I miss a broadcast or is this reporter punching this story up a little?
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Old 09-13-2005, 12:17 PM   #3 (permalink)
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My wife was watching the Oprah show and said she was talking to people who said that they had to get their families out of the Superdome because there were rapists grabbing women and children and raping and kiling them. They said you had to step over dead bodies all over the place.
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Old 09-13-2005, 12:18 PM   #4 (permalink)
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It was a most unfortunate act, but I believe it was the right decision to make.
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Old 09-13-2005, 12:29 PM   #5 (permalink)
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Quote:
Originally Posted by pixelbend
My wife was watching the Oprah show and said she was talking to people who said that they had to get their families out of the Superdome because there were rapists grabbing women and children and raping and kiling them. They said you had to step over dead bodies all over the place.
Couldn't that mean that:
1) There were *stories* about rapists grabbing women and children, so they wanted to get their family out.
2) There were dead people in the superdome, which has nothing to do with 1.

I can understand that the superdome would be a pretty bad place, but I cannot believe that there would be "gangs of rapists" running around grabbing random women. Or, to be more accurate, I dare not believe that...
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Old 09-13-2005, 12:36 PM   #6 (permalink)
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Quote:
Originally Posted by Dragonlich
I can understand that the superdome would be a pretty bad place, but I cannot believe that there would be "gangs of rapists" running around grabbing random women. Or, to be more accurate, I dare not believe that...
I heard that women basically stopped using the restrooms in the Superdome at some point, for fear of being raped. Instead, they found boxes in which to crouch and relieve themselves. Appalling.
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Old 09-13-2005, 12:44 PM   #7 (permalink)
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To those people those days probably seemed like the apocolypse. We would all probably be appalled to find out what some people are capable of in that situation. I wonder how many people were killed over bottled water or canned vegetables.
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Old 09-13-2005, 12:49 PM   #8 (permalink)
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Quote:
Originally Posted by Rekna

They should have been able to protect the hospital instead of doing what they did. We should have had troops on the ground within hours of the hurricane passing.


Within hours, really? Precidence, any?

Can you name me one hurricane that hit the US where we had troops on the ground within hours of the hurricane passing?
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Old 09-13-2005, 01:00 PM   #9 (permalink)
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Quote:
Within hours, really? Precidence, any?

Can you name me one hurricane that hit the US where we had troops on the ground within hours of the hurricane passing?
Not only that... the Federal Government cant just invade a city without it's Mayor or Governor asking for it first (open rebellion excluded). That request didnt come until about 5 days after the storm.
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Old 09-13-2005, 01:03 PM   #10 (permalink)
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Quote:
Originally Posted by Seaver
Not only that... the Federal Government cant just invade a city without it's Mayor or Governor asking for it first (open rebellion excluded). That request didnt come until about 5 days after the storm.
And even after a request is made it typically takes 48 hrs to get the first troops there.

Its easy now to say that they should have had troops there as soon as the winds died down, but isn't it just as easy to say they should have evacuated all those people to begin with?
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Old 09-13-2005, 01:54 PM   #11 (permalink)
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I heard a report today (I'll try and find it), that we had troops in New Orleans days earlier then we had in Homestead, Florida, after Andrew.

I can't believe the original story here.

EDIT: stevo posted it on another thread; I actually heard it on the radio this morning during the news.

The post: http://www.tfproject.org/tfp/showpos...&postcount=113

The story: http://www.post-gazette.com/pg/05254/568876.stm
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Old 09-13-2005, 02:04 PM   #12 (permalink)
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First off the request didn't come days afterword, someone recently posted a link where the request was made before the hurricane hit. So unless that person posted a false link they should have had help. Second there are also local troups which should have stayed to help. The police force should have all bunkered up somewhere safe (maybe the super dome?) and then as soon as it was safe hit the street in mass. Third I find it funny that we can invade a forgien land and have troups at the oil ministry within minutes but we can't defend our own hospitals from our own people?
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Old 09-13-2005, 02:23 PM   #13 (permalink)
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I'll be the first to admit that I'm not surprised we didn't have troops on the ground within hours, and Rekna you've got to admit the Operation Iraqi Freedom was planned pretty well in advance.

About the state of emergency thing:

Blanco's Website with pdf linkage to the request for expedited federal disaster status on August 28.

I do find it hard to belief that we could drop supplies in or anything, period, for days afterwards. I would think it might have chilled people out a little bit, at least.
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Old 09-13-2005, 02:29 PM   #14 (permalink)
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Quote:
Originally Posted by Rekna
http://www.dailymail.co.uk/pages/liv...n_page_id=1770



This is pretty sad

They should have been able to protect the hospital instead of doing what they did. We should have had troops on the ground within hours of the hurricane passing.

The title of the article was "We had to kill our patients"... Yet after reading the article, I couldn't find where the doctors or staff killed anybody. I also watched a doctor being interviewed in TV and he told of nurses inserting IV's into each other just to remain hydrated.

Is comforting a patient by giving him/her pain medication killing them? Is having compassion for the dead and dying killing them? No it isn't. I guess the reporter would have had the medical staff ignore the patients pain, and just let them suffer. About all these people (doctors & nurses) could do was comfort the sick and dying. They were completely out of resources, with no more on the way. No power, no food, no water, no nothing...

That article is complete BS. The reporter, publisher, and owner of this publication ought to be ashamed. They should be sued.
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Old 09-13-2005, 02:32 PM   #15 (permalink)
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the 5 days later story about the request for aid has been demolished elsewhere, i don't think it merits serious consideration.

what i worry about in this account is the way perception altered the triage practices in this case. Indeed, the gangs of rapists story has been pretty much dismissed as hyperbole. Individual sexual assaults may have/are likely to have occured, and this is a serious problem. However, the level of danger is inflated by misperception from serious to beyond comprehension.

i should hope that no patient classified as too weak to transport on account of such hyped up fear...but i do commend the medical professionals who gave the dying the best care possible in the situation, even if that means pain management in the face of certain death.
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Old 09-13-2005, 02:32 PM   #16 (permalink)
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What I didn't see in the article that I'd be curious about is where they drew the line. the split 'em into 1. going to die, 2. critical need, and 3. will be ok. Was it only #1 that got the morphine?

I think it's horrible to have to do it, but it's the only responsible thing to do.
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Old 09-13-2005, 02:42 PM   #17 (permalink)
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Quote:
Originally Posted by texxasco
The title of the article was "We had to kill our patients"... Yet after reading the article, I couldn't find where the doctors or staff killed anybody. I also watched a doctor being interviewed in TV and he told of nurses inserting IV's into each other just to remain hydrated.
well here is another source

http://www.pej.org/html/modules.php?...ticle&sid=3276


The doctors gave them a lethal dose and the nurses stayed with the patients until they died.
Quote:
Australia's Daily Telegraph reports, Doctors faced with a deteriorating situation in a New Orleans' hospital administered lethal doses of morphine to patients they believed terminal and suffering. Euthenasia is illegal in the state of Louisiana, and doctors spoke on condition of anonymity, but their stories have been corroborated by an emergency worker in the hospital at the time.

William Forest McQueen, a utilities worker in neighbouring Abita Springs, said: "Those who had no chance of making it were given a lot of morphine and lain down in a dark place to die."

The doctor in question agonized over her decisions in accounts, saying: "I didn't know if I was doing the right thing," ..
"But I did not have time. I had to make snap decisions, under the most appalling circumstances, and I did what I thought was right. I injected morphine into those patients who were dying and in agony. If the first dose was not enough, I gave a double dose. And at night I prayed to God to have mercy on my soul."

She says she finally left the hospital, fearing she would be set upon by reputed gangs of armed looters and rapists, adding that, she did not believe her actions murder, but compassion for dying patients she didn't believe would survive the disaster.

"This was not murder, this was compassion. They would have been dead within hours, if not days," she said.

At the height of the crisis, hospital staff set up triage, dividing patients into three groups as in standard in emergencies involving great numbers of victims. McQueen described the scene: "We divided the hospital's patients into three categories: Those who were traumatised but medically fit enough to survive, those who needed urgent care, and the dying. People would find it impossible to understand the situation. I had to make life-or-death decisions in a split second. It came down to giving people the basic human right to die with dignity. There were patients with 'do not resuscitate' signs. Under normal circumstances some could have lasted several days. But when the power went out, we had nothing.
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Old 09-13-2005, 07:34 PM   #18 (permalink)
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Two things come to mind here. Firstly, both of my kids had a visit to the NICU thankfully for nothing serious. The wife and I got to know a few nurses fairly well, and one night I asked a nurse what she owuld do if there was a fire or catastophy.She got real serious, looked me staright in the eye and said that if they couldn't get all the kids out, she at least would stay with them.. and if it got really really bad, she would call her husband if possible to say goodbye. We all got a little misty eyed over that.

Secondly and quite a bit less personally, I wonder if either side of the euthanasia debate will use this as a precedent or springboard for their cause.
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Old 09-14-2005, 10:29 PM   #19 (permalink)
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This is shocking.
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Old 09-17-2005, 03:24 PM   #20 (permalink)
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"I didn't know if I was doing the right thing. But I did not have time. I had to make snap decisions, under the most appalling circumstances, and I did what I thought was right."

This seems like all we can actually ask of people in this situation. I believe the doctors did the right thing.
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Old 09-17-2005, 11:03 PM   #21 (permalink)
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Quote:
Originally Posted by Rekna
well here is another source

http://www.pej.org/html/modules.php?...ticle&sid=3276

The doctors gave them a lethal dose and the nurses stayed with the patients until they died.
it actually looks like the same source, repackaged by a different outlet.

It's unclear from the article whether this was actually euthanasia. Given the circumstances, I would definitely give the doctors the benefit of the doubt.
Still, if true, it certainly is a tragic situation.
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Old 09-18-2005, 04:17 AM   #22 (permalink)
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I certainly can't imagine having to make such decisions!

However, in the face of failing power, failing backups, depleting supplies, locked-down pharmacies, increasingly-unsafe conditions, along with the fact that many of these patients simply wouldn't make it...I'm glad they gave these patients the opportunity to die in at least a painless manner.

Truth be told, doctors make this kind of decision every day. We just don't like talking about it. When a cancer patient's treatment options run out and s/he is transferred to hospice for pain relief / to die, it is the SAME decision. It just takes longer for death to occur.

I'm torn on whether I hope that investigations occur and the people involved are prosecuted - I think that each case needs to be taken on an individual basis. Certainly there have been doctors in the past who did this kind of thing for a power-trip. We need to look at each of the patients' histories & see if there really was NO HOPE for them in the medium-term (say, 8 days without support). If so, then let it go. If not, then prosecute for negligence/homicide.
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