Medical Forum / General / Alternative / September 2005
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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