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, by Sheri Fink Fink, Sheri,.
Ebook Download , by Sheri Fink Fink, Sheri,.
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Product details
File Size: 32451 KB
Print Length: 546 pages
Page Numbers Source ISBN: 0307718964
Publisher: Broadway Books; Reprint edition (September 10, 2013)
Publication Date: September 10, 2013
Sold by: Random House LLC
Language: English
ASIN: B00C4BA3GO
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SPOILER ALERT: I doubt that anyone who's read anything about this book doesn't know that it concerns the death of several patients, possibly by means of euthanasia, before they could be evacuated from Memorial Hospital in New Orleans following Hurricane Katrina.The book is a non-fiction version of Dante's Inferno. The first part, which tracks the developments at Memorial from the onset of Katrina until everyone living left, conveys a sense of chaos and disaster better than the most convincing dystopian film. I could almost palpably feel the heat and humidity, the discomfort and the terror of being in a dark, hot, stinking building. The second part concerns itself with the criminal investigation stemming from the deaths referred to above; while it was not as viscerally upsetting as the first part, it was as much if not more so emotionally. If this sounds like it's a prescription for a gripping if upsetting read, that's mostly right - but not entirely; hence the reference to "flawed" above.The flaws include that the author seems a bit too intent to prove to us how much research she's done for the book, though I don't think that was her motive. Rather, she's a Stanford-trained (i.e., very smart) physician and as such probably knows too much and wants to tell us about it. That said, the effect is the same - it's sometimes mind-numbing. Also, the detail makes the book a bit too long. This includes a lengthy epilogue on developments in "disaster medicine" that could have been trimmed down by many pages. In all cases, the details are relevant, but they aren't critical and could have been omitted or shortened. Another flaw is that there is some repetition, both of narrative and detail; one example, and I realize it may seem petty, is that she keeps repeating the full name of the husband of the heroine/villainess, even though at some point we don't need to know it and/or already do. I do not share the views of some other reviewers who felt that the second part of the book was much weaker; perhaps it's the lawyer in me, but I found the second part riveting, albeit in a different way. Last (for now), while I understand the author's desire for neutrality amidst the moral ambiguities of the facts, I came away thinking that she should have taken a position on whether or not homicide was involved; she seems to lean in that direction but doesn't commit to it.In any case, four stars is pretty good indeed, and the book has the added value of being extremely relevant to any discussion of modern medicine, in both its strengths and its failings, and for that reason is an important book that is well worth reading.
I had not followed Dr Pou's case when it was occurring, but I was aware that there was a female MD being investigated for practicing euthanasia during Katrina. When this was published, I wanted to learn the story. I have read two other books about medical care during Katrina- the first was CodeBlue, the second a collection of nurse's stories about working during the storm and its aftermath. Both were interesting, but not challenging in the way Five Days at Memorial has been. First, let me say that Ms Fink writes very well. Her excellent prose made the story very clear. I was horrified to learn just how dreadful the conditions became at Memorial hospital. This despite reading the two previous books. Reading this, I could smell the fetid odors, feel the heat and humidity and actually imagine myself in the nurse's shoes. I could clearly understand the terrible dilemma the staff faced as DAYS passed in 100 degree heat with no electricity and the chaos of no plan for rescue of patients, staff and family members stuck in Memorial hospital.I have been an RN for 37 years, and thankfully have never experienced a disaster. What Fink's excellent book has done is shocked me into the awareness that a disaster could occur at my hospital. It would most likely be an earthquake here; all our disaster drills focus on an earthquake.I have never before considered what would we do for our patients after we got them out of a presumably badly damaged building? I work in a free standing psychiatric hospital; fortunately none of our patients are on life support. But all our medical records are computerized. The medicines are dispensed through a electronic computerized dispensing machine. We would not be able to even give anyone a Tylenol, let alone their regular meds. We are on a hill; water is pumped uphill to us, so we wouldn't have much water. I was just informed there's some drinking water stored for the patients but none for the staff.The upshot of my reading this superb book is I am going to ask our upper administration to read Five Days at Memorial. Then I plan to be nosey and find out what are the plans for care for our emotionally fragile patients after the shaking stops. I am feeling very passionate right now about making certain there is a plan for the care of our patients afterwards, and that there is an organized well worked out evacuation program prepared now, before we need it. Where will we go? How? How will we get meds? How will we tell families where their loved one is? What will we do with the few patients who are dangerous?I thank Ms Fink for opening this nurse's eyes to the potential for horrific things happening to my patients. Because of this book, I am getting involved to prepare as best I can for what I hope never happens. I HIGHLY recommend this book to hospital nurses and their administrators everywhere. It is also an invaluable eye opener for those who have loved ones with chronic illness, who could face the same fate as the poor souls in LifeCare or Memorial hospital.This book is a life changer. I will say I was surprised by the legal findings. But I understand how they came to be. I will do my very best to protect my patients from a similar fate, by preparation.
Spending most of my life as an ICU nurse I could not stop reading this book until I found out what happened in the end. I was outraged at the way these healthcare professionals were treated while doing the best they could under an extremely difficult situation. It was eye opening to see how many people view things differently than most people who deal with the critically ill and life and death situations daily. It's very easy for people to look back in hindsight and play armchair quarterback. These professionals did not know the things we know now, such as how long it would actually take to be rescued among many other things.It's an eye opening account of what can happen under scarcity situations. People in the United States are not accustomed to scarcity of resources especially those involving electricity and gasoline and the tough decisions that accompany these scarcities. Puerto Rico is facing some of these issues now following the recent hurricane. It's food for thought as this is not the last time these types of decisions will have to be made in the USA and around the world.
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