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Medical Forum / General / Alternative / September 2005

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Doctors working in hurricane-ravaged New Orleans killed critically ill patients

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Tim Campbell - 13 Sep 2005 03:21 GMT
Patients put down

September 12, 2005

   DOCTORS working in hurricane-ravaged New Orleans killed critically
ill patients rather than leave them to die in agony as they evacuated.

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.

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 doctors spoke only on
condition on anonymity.

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

"I didn't know if I was doing the right thing," the doctor said.

"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, denied her actions were murder.

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

"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 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.

"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, who worked closely with emergency teams, added: "They had
to make unbearable decisions."

http://dailytelegraph.news.com.au/story/0,20281,16566858-5001022,00.html
Twittering One - 13 Sep 2005 03:35 GMT
I know that must have been a horendous
decision for those physicians, under such
horrendous circumstances.

But I support their courage,
and williness to take that step for those patients,
under those circumstances.
Al - 13 Sep 2005 06:00 GMT
what a disturbing story.   The one nurse I've talk to who works for the
red cross said at one hospital  once power went out, vents went on the
emergency generators. and after 24 hours the emergency generators died
and unfortunately had to face a similar situation. God bless those
healthcare staff, i'm sure that was a difficult decision

http://www.dailymail.co.uk/pages/live/articles/news/news.html?in_article_id=361980
Twittering One - 13 Sep 2005 07:26 GMT
When a person is dying,
there are very clear physical stages the body undergoes.

Those physicians knew which patients
were dying, and they knew
that being left alone in a flood would be torture,
on so many levels,
a trip through Hades before dying.

I am inclear about what happened to the patients
in the intermediate critical care stage ...

did they survive, after being left alone,
after staff evacuation?
Robert - 13 Sep 2005 22:08 GMT
> When a person is dying,

There was no and is no credible source for that story. Read the source
please.
cathyb - 13 Sep 2005 07:31 GMT
> I know that must have been a horendous
> decision for those physicians, under such
[quoted text clipped - 3 lines]
> and williness to take that step for those patients,
> under those circumstances.

Hope when I'm in extremis, I have a doctor like that.

Cathy
Barry - 13 Sep 2005 06:03 GMT
I support those doctors too, but I wish people would post snippets
instead of violating people's copyrights by posting entire articles.
And take them from regular American newspapers instead of the foreign
ones.

Why should I have to be in a flood to be euthanized? Here's a scary
excerpt from http://www.annals.org/cgi/content/full/121/10/822 :

"Doctor?" The hospice nurse was on the phone. "Your patient with
pancreatic cancer has been vomiting for 18 hours, and compazine is not
helping. Could we try some ondansetron, either orally or by
subcutaneous infusion?" "What? I've never heard of the drug. Who are
you and what business do you have telling me what to do?" Click.

"Doctor? This is the hospice nurse taking care of your patient with
advanced prostatic cancer. He's taking ms contin, 100 mg every 12
hours, and his pain is uncontrolled despite frequent doses of roxanol.
Could we increase the ms contin?" "Are you serious? You want me to
prescribe a lethal dose of morphine? Absolutely not." Click.
Mortimer Schnerd, RN - 13 Sep 2005 10:49 GMT
> "Doctor?" The hospice nurse was on the phone. "Your patient with
> pancreatic cancer has been vomiting for 18 hours, and compazine is not
> helping. Could we try some ondansetron, either orally or by
> subcutaneous infusion?" "What? I've never heard of the drug. Who are
> you and what business do you have telling me what to do?" Click.

The doctor's a moron.  Zofran is used EVERY DAY in the hospital to control
nausea, and it is usually given in that setting as an IV.

> "Doctor? This is the hospice nurse taking care of your patient with
> advanced prostatic cancer. He's taking ms contin, 100 mg every 12
> hours, and his pain is uncontrolled despite frequent doses of roxanol.
> Could we increase the ms contin?" "Are you serious? You want me to
> prescribe a lethal dose of morphine? Absolutely not." Click.

An experienced oncologist wouldn't hesitate to issue the proper order.  I once
had a terminal cancer patient who was getting 235mg / hour of IV morphine.  We
had to have the pharmacy mix a special bag as the usual dilution is 1mg / cc...
it would have drown him so they made something about 4mg / cc.  The order said
to "titrate to comfort".  I thought that was a very compassionate order.

Every time he moaned the family had me increase the rate a bit.  That made
almost everybody happy.  I was nervous as a whore in church because a more
common dosage of morphine might be 5-10 mg every 2-3 hours... this was way
beyond the pale for me.  Of course, the body can develop a tremendous tolerance
to narcotics over time and that's what happened here.

The patient didn't die on me that night, though I'm sure he probably died within
the next 24 hours.  But I'm fairly certain he died comfortably; in no small part
due to a doctor intelligent enough to create a vague order that would cover the
situation.

Getting back to hospice nurses, I have to say they are truly angels.  I dealt
with them for the first time on more than a passing meeting last Christmas when
my mother died of pancreatic cancer (lot of that going around).  I was gratified
to see how effectively they dealt with our situation... every eventuality was
covered.  And my mom didn't die in pain either.

Signature

Mortimer Schnerd, RN

mschnerd@carolina.rr.com.REMOVE

Peter Bowditch - 13 Sep 2005 12:04 GMT
>"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.

People who don't understand what the word "triage" means ...
Signature

Peter Bowditch aa #2243
The Millenium Project http://www.ratbags.com/rsoles
Australian Council Against Health Fraud http://www.acahf.org.au
Australian Skeptics http://www.skeptics.com.au
To email me use my first name only at ratbags.com

Robert - 13 Sep 2005 22:09 GMT
No source and no names!!!!!!
Barry - 14 Sep 2005 02:24 GMT
> No source and no names!!!!!!

The source is
http://dailytelegraph.news.com.au/story/0,20281,16566858-5001022,00.html
and names are in these excerpts:

---------------
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."
...
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."
---------------

Maybe you can get confirmation by contacting Abita Springs Town Hall at
http://www.townofabitasprings.com/contact.php but there have been
numerous confirmed reports of people drowning after being left in
hospitals and nursing homes alone, waiting for a promised rescue, so a
euthanasia story isn't so shocking.
Robert - 14 Sep 2005 07:29 GMT
> > No source and no names!!!!!!
>
[quoted text clipped - 18 lines]
> hospitals and nursing homes alone, waiting for a promised rescue, so a
> euthanasia story isn't so shocking.

Yeah right. They also fed the dead people to the rest of the living to
survive also because there was no food.
The doctors were also raping all the good looking patients also after using
sedatives.
What other salacious absurd things can we say to generate people reading
some unsupported gossip reports to make money?
Twittering One - 14 Sep 2005 07:57 GMT
"Yeah right. They also fed the dead people to the rest of the living to
survive also because there was no food.
The doctors were also raping all the good looking patients also after
using
sedatives.
What other salacious absurd things can we say to generate people
reading
some unsupported gossip reports to make money?"
Robert

Those docs in NO were heros.

And they are speaking truth, not lies.
Twittering One - 14 Sep 2005 07:59 GMT
The nurses too!

All the rescuers.

All the helpers, survivors, who did no harm to others.
Robert - 14 Sep 2005 19:28 GMT
> The nurses too!
>
> All the rescuers.
>
> All the helpers, survivors, who did no harm to others.

People are trying to make money by writing all that sh.t about stories that
are purely invented without basis.
J. Davidson - 14 Sep 2005 20:39 GMT
This scurrilous report is probably not true.
No matter how dire the situation, killing the patients would still be
murder.  Would a doctor admit to that?  NO.
Jackie
Robert - 14 Sep 2005 21:18 GMT
> This scurrilous report is probably not true.
> No matter how dire the situation, killing the patients would still be
> murder.  Would a doctor admit to that?  NO.
> Jackie

No way in hell would a doctor admit that and why would they. There is no
reason to do what is alleged. Enough people were killed on their own and
they needed no help. Dehydration and loss of food is painless as most
hospice care can tell you. Moving the patients could also kill some patients
by itself.
Morgues, and I found this true of most hospitals is always located in the
lower floors below the hospital. In house patient care is rarely on the
ground floors of most large hospitals. It is usually administrative.
 
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