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Deadly Choices at Memorial

The Deadly Choices at Memorial written by Sheri Fink on ProPublica was fair but expressed Fink’s judgment of Dr. Anna Pou’s actions.

Fink captured the devastation of Hurricane Katrina hitting Memorial Medical Center in gripping detail. She involved herself in the investigation of the critically ill evacuees as she writes in first person at times. She was able to portray the irony in decisions that seemed small at the time of their making but that resulted in huge tragedies. In writing about this investigation, she coupled positive information with negatives following, making the piece fair but biased.

The nutgraf of the article shows that she felt the actions of the medical administrators increased the number of deaths at Memorial. She paralleled the actions of a “well-regarded doctor and two respected nurses” to the most deaths- 45 bodies- than any other hospital of the same size. Fink wrote about the night after Katrina hit where the 52 LifeCare patients had not been evacuated and the Coast Guard was denied to take more patients for the night because of poor lighting and infrastructure. Before mentioning this, Fink wrote that the doctors were “under stress and sleeping little.” She said a doctor had ordered a patient’s heart monitor to be turned off and was angry when disobeyed. Although understandable, Fink may suggest that the doctors’ emotional states formed their decision making.

Fink goes farther than putting blame on the group of medical administrators and singles out Dr. Pou. She positively listed the laws and procedures Dr. Pou helped enact after the disaster. She even characterized her as “funny” and “sociable.” Fink injected a negative perspective after mentioning those positives. For example, she said that through her own research, she found that “more medical professionals were involved in the decision to inject patients” than was thought. She later said that “the full details of what Pou did, and why, may never be known.” First she said that many professionals wanted to inject patients but then she pinpoints Dr. Pou as the one who made the game-changing decision.

Fink seemed personally involved in the aftermath of this tragedy. She portrayed the horrors of the storm undoubtedly well. It is both easy and saddening to visualize volunteers carrying “patients who relied on ventilators down five flights of stairs in the dark.” Fink used this information in the piece to paint a picture of the absolutely helpless in the hands of administrators who – quoting one of them- stopped treating and went into survival mode.

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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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