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Monthly Archives: November 2013
Changing Times For A Volunteer Ambulance Corps
Looming in the shadow of the LIRR trestle, sits what used to be Forest Hills’ most prominent community service, the Forest Hills Volunteer Ambulance Corps, or FHVAC. The single-story building housing the corps, located at 92-29 Metropolitan Avenue, is the second location of the forty-year-old organization, and most passersby don’t think twice about the unimpressive structure or the hardworking volunteers within. Back in the seventies, FHVAC experienced an unbridled rise in communal esteem, a night rarely passed without Forest Hills 1 darting out of the brown garage, sirens shrieking.
The creation of the Forest Hills Volunteer Ambulance Corps was instigated by unreliable municipal, emergency medical care. Throughout the seventies, eighties, and most of the nineties, city ambulances were contracted out to The New York City Health and Hospital Corporation. Communication was poor within this system, and initially, relied on manual operators to connect emergency calls, delaying response times. The average city ambulance arrived to emergencies twenty to thirty minutes after distress calls were made. Felix Cabrera, an EMT, crew chief, and four-year member of FHVAC, said, “After FHVAC was created… [ambulance] response times dropped to three to four minutes in the Forest Hills area.”
Up until the late nineties, the Forest Hills Volunteer Ambulance Corps was the main provider of emergency medical services in Forest Hills, but in 1997, Mayor Rudy Giuliani awarded the FDNY oversight of all city ambulances. With the resources of one of the most respected organizations in the world, the city finally offered reliable emergency medical care. Cabrera said, “The fire department taking over EMS hurt us because the city could actually respond to calls rapidly.” He continued, “but when they cut us off from their radio-dispatch… That really hurt us.” Cabrera refers to the FDNY removing “vollies” from their CAD (dispatch) system in 2010, making the existence of volunteer ambulance corps, within the city, superfluous.
In the three years since the FDNY cut-off volunteer ambulances from their dispatchers, rumors have spread throughout the “volly” system about ambulance corps shutting down. One member of a volunteer ambulance corps said, “Glendale [Volunteer Ambulance Corps] has no money, and Corona [Volunteer Ambulance Corps] has legal trouble. It’s starting to look like dominos.”
Despite the dismal outlook on the future of ambulance corps in New York City, members of the FHVAC are not concerned about the future their organization. Unlike most of their sister corps, FHVAC has accepted the FDNY “isolating” themselves, and manages to stay financially viable and relevant in their community by nurturing a relationship with the local 112th Precinct.
“We’re not totally cut off here,” Joe Cannova, a volunteer dispatcher said. Forest Hills’ dispatchers and ambulance crewmembers can listen and even respond to NYPD dispatchers, something no other ambulance corps is privileged to. “The local 112th Precinct gives us their radio frequency because… we’re the local community guys. They want us at their calls.” added Cabrera, the six-year EMT.
Other FHVAC volunteers attribute the relationship between the volunteer ambulance corps and the NYPD to the identical credentials of “vollies” and FDNY EMTs. “We have the same EMT certification that those EMTs have—nothing different,” Jeremy Davis, a three-year member of FHVAC and EMT, said. It’s true all EMTs in New York State must pass the same state final, but FDNY EMTs undergo an additional three months of training at an FDNY facility. Davis claims that the NYPD doesn’t care who shows up to emergencies, as long as they have a New York State EMT certification.
Due to an influx of calls coming from the NYPD, FHVAC manages to stay busy, but still has been forced to adjust some of the ways they generate revenue. FHVAC used to only ask for donations from patients and the community. But now, the organization implements third-party billing. “We only bill patients if it won’t affect them in anyway,” said EMT Davis. “If they don’t have insurance or can’t afford it, they’ll only get a one-time call asking for a donation.”
Davis and Cabrera, like the other fifty active FHVAC members, are on several of the organization’s committees. Cabrera heads the youth outreach program, while both EMTs lend their medical expertise at community events, like the Metropolitan Avenue Fourth of July Parade and the Austin Street Fair. According to the two veteran EMTs, being active participants in community events helps maintain FHVAC’s bond with the NYPD, but the two volunteers also acknowledge personal bonds as well. Cabrera said, “They know us. That’s why they want and like having us at their calls.” Davis, his partner, added, “We see the same guys all the time. We know them and they know us.”
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The deadliest choices at Memorial
Sheri Fink does a great job of not showing whether or not she takes a side in the story, however in my opinion she took to the defense of the lifecare patients, basically saying that the decision to sacrifice the sicker patients was wrong without really saying it, but by how she inserted quotes in specific places, such as the end of the first part when she includes a quote from Mark Leblanc, who asked: ” do you just flip a switch and you’re not a hospital anymore?”, she’s trying to lean the reader to see how wrong the way the hospital managed the whole situation was. She gives us an image of a calamity waiting to happen from the moment you start reading.
The paragraph beginning with the full details… is important because it opens the forum to a very important and most likely controversial topic on what paramedics should and should not be able to do in states of emergency, obviously it lets us know that she (FInk) believes this particular part of the story is key, and whether she agrees with it or not, deserves more attention from the public, it is a key aspect of the story, and it is important because she wants the reader to lean in that direction.
The story is organized with the intent to arouse the curiosity of the reader, the beginning of the story is descriptive, but not telling us any real details, after arousing the reader’s attention with descriptive imagery of the bodies, she goes into a sort of narrative story on what exactly happened to lead to the events that caused such controversy into hurricane Katrina, but its also important to note that before she goes into the narrrative, she explains who Ms. Pou is and makes it a case to not portray her as some heartless women, which kind of helps her look as neutral as possible throughout the story.
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The Deadly Choices at Memorial
Sheri Fink starts off her story with a very descriptive anecdotal lede that draws the reader into the story. Her writing style gives the reader the feeling that they are reading a novel instead of an article for a publication.
The eighth paragraph I important because it makes the reader take a moment and think about whether what Pou did was wrong or right. It gives an insight as to the reason why these deadly choices were made.
Although Fink shows the reasoning behind the choice to “help patients through their pain”, I feel that she is biased and portrays that what the nurses and doctors did was wrong. She ended the article with the following quote, “Do you just flip a switch and you’re not a hospital anymore?” I feel that with ending with this quote Fink was sending the ,message that even though a patient is close to death, the job of a doctor is to save lives.
The Deadly Choices at Memorial
Shari Fink tells the story of the choices made by the hospital in a balanced fashion. It is clear that Fink does not agree completely with the choices Anna Pou and Dr. Ewing Cook made in deciding who to save and who to let die. She knew that the reader would be disgusted with the circumstances of the situation and the decisions that were made. Fink strategically includes commentary from families who loved ones were declared least likely to survive. She shows the reader the stress the hospital staff is experiencing and the reasoning for their decision making. Fink’s descriptive ability further makes the anxiety and mass death seem like the walking dead without the zombies. Fink is able to win the reader’s heart and ethical mind into thinking how can we better handle disaster situations.
Fink’s bias is fully spelled out in the eighth paragraph. The hyphenated part of the first sentence beginning with that and ending in deserve closer attention shows that Fink does not agree with the legislation Pou is trying to pass. It is made clearer in the second sentence of the paragraph when she says, “health officials are now weighing, with little public discussion and insufficient scientific evidence.” The key word is insufficient because it shows Fink’s disagreement with the ideology. If not why use the word it could have stopped at public discussion. Throughout the rest of the story Fink seems to raise ethical questions along every stop in the story making the reader think in a situation such as this, what is the right decision?
Fink’s story is in chronological order starting in the section “A Shelter from the Storm.” The introduction to the story begins with a descriptive scene of the make shift morgue in Memorial Medical Center. The nutgraf jumps ahead in time to July of 2006 to explain the legal repercussions of decisions made by nurses and doctors at the hospital during hurricane Katrina. At this point, the story follows Anna Pou’s journey on passing legislation in Louisiana. The organization of the story is brilliant for the topic and effective in keeping the reader’s attention.
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Deadly choices at Memorial
Sheri Fink does not reveal a biased story to her readers in “Deadly choice at Memorial”. Fink includes herself in the story based on how she obtained her interviewees but not on how she feels towards each of them. She allows the story to tell itself and for each person she interviews to tell their own story through her. She remains neutral throughout this piece to have a story based of facts which is more valid that a story based in someone’s opinion.
The role that ““The full details of what Pou did, and why, may never be known… arise again.” Is important because it leads way into what the story is about. Thus can be seen as a nut Graf. From this Fink, builds on Pou’s character as an individual being under pressure during an unfortunate disaster.
Fink organizes her story as a timeline narrative way. It’s readable and she focuses on Anna Pou, to be portrayed as a character in a novel. This helps to contribute to a much more interesting story. It is very detailed and helps give the reader a sense of what order the disaster occurred.
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‘The Deadly Choices at Memorial’
The investigation of allegations against Dr. Anna Pou of deliberately and lethally injecting patients in the aftermath of Hurricane Katrina is one of enormous significance. In her piece, Sheri Fink explores through over a dozen sources and two years, the reasons the events tragically unfolded at Memorial Hospital, with 45 corpses being carried out by workers afterwards. Despite the gravity of such an occurrence, and seemingly undeniable firsthand testimonies against Pou, Sheri Fink remains a decisively neutral journalist. It seems evident that in this incredibly sensitive topic, Fink wished to avoid taking a side in the story at all costs.
In the eighth paragraph, Fink displays the nutgraf of her article, whereby she implores that whether or not Anna Pou was guilty or not takes a back seat to the potential consequences that may arise from the turnout of events. These are the questionable decision to leave the most ill patients as the last to be evacuated, and the notion that “Medical workers should be virtually immune from prosecution for good-faith work during devastating events…” Both questions, according to Fink, “deserve closer attention”, and seem to be the main point of her article.
Throughout the piece, Sheri Fink remains as neutral as possible. It would be easy for Fink to barrage Dr. Pou with allegations and testimonies, yet she adeptly juxtaposed each negative aspect with another positive, explaining Pou’s position and painting her as a sweet, respected, and capable woman placed into an unbearable and inescapable situation.
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Deadly Choices at Memorial
In her article about Anna Pou’s decisions at Memorial Hospital, Sheri Fink takes the side of Ms. Pou in the sense that she is portrayed as a woman that ultimately made unfortunate decisions due to her extreme circumstances. She is detailed in the sense that she was trying to do her job to the best of her ability, and adamantly stands by her decisions. The introduction for the feature establishes the perspective on Ms. Pou to demonstrate her as one of many doctors faced with difficult decisions, and thus attempts to humanize her actions when they seem most inhumane.
The paragraph about Pou’s decisions and their impact on the medical world is important due to the fact that it establishes the event as a pivotal moment, with a lasting impact on the way others may prepare for disasters in the future. The paragraph fits into the rest of the story as a reminder to make a mental note of the weight of her actions, and how they are continuously brought up throughout the progression of the feature. This brings in a perspective of the consequences and events that followed the actions made in the midst of Hurricane Katrina.
Fink organizes her story with an introduction explaining who Ms. Pou is and the background of the decisions she had to make, and then goes into a deeply detailed retelling of the events that unfolded within the hospital, from the perspective of the people that worked there. The feature wraps up with a jump forward to Pou’s trial, bringing the story to a close with her quote on the decisions made during a natural disaster.
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A Powerful Yet Tragic Story ‘The Deadly Choices at Memorial’
Sheri Fink does take the side of an investigative journalist in her story chronicling the decision made by Anna Pou and other doctors at Memorial Medical Center in New Orleans to categorize intensive care patients as those with “terminal and irreversible conditions” who are not worth saving in times of disasters.
By reflecting how “stunned” morgue workers were at the number of dead bodies they received from the hospital and by mentioning her role as a journalist, interviewing Ms. Pou at length though she declined to comment on any patient deaths, Fink proves her credibility as a reporter and writer.
Fink implies that the eventual death of intensive care patients was wrong, but maintains her status as an objective journalist by including that although the Life Care staff members asked on Tuesday for their 52 patients be added to the transport plans, Tenet Healthcare, the hospital’s main healthcare provider, said that Life Care staff members turned down several opportunities to receive evacuation assistance the same day.
What is important to Fink’s storytelling technique is her ability to create Anna Pou as a character in a novel. She does not go into the personal details of Anna, simply that she has a tiny build, is passionate, and likes to wear pearls. But yet despite her calm demeanor, she was able to make such an important decision that cost numerous lives. “The full details of what Pou did, and why, may never be known,” Fink wrote. This statement lends itself to a more insightful portrayal of Ms. Pou as an individual.
Fink organizes her story from the most current news of Ms. Pou trying to save herself from three suits through advocacy of her decision, to the lack of public awareness of her idea on what doctors should due in the sake of “disaster preparedness,” then to leading up to the days handled by tiers of medical workers left with the aftermath of a bad decision, and finally to the inevitable deaths of so many intensive care patients, and the angry relatives they left behind in confusion.
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