Hell in a Handbasket, Part II

This dispatch from a doctor setting up a makeshift hospital in the Ritz-Carlton.

Things were obviously bad yesterday, but they are much worse today. Overnight the water arrived. Now Canal Street (true to its origins) is indeed a canal. The first floor of all downtown buildings is underwater. I have heard that Charity Hospital and Tulane are limited in their ability to care for patients because of water. Ochsner is the only hospital that remains fully functional. However, I spoke with them today and they too are on generator and losing food and water fast. The city now has no clean water, no sewerage system, no electricity, and no real communications. Bodies are still being recovered floating in the floods. We are worried about a cholera epidemic. Even the police are without effective communications. We have a group of armed police here with us at the hotel that are admirably trying to exert some local law enforcement. This is tough because looting is now rampant. Most of it is not malicious looting. These are poor and desperate people with no housing and no medical care and no food or water trying to take care of themselves and their families. Unfortunately, the people are armed and dangerous. We hear gunshots frequently. Most of Canal street is occupied by armed looters who have a low threshold for discharging their weapons. We hear gunshots frequently. The looters are using makeshift boats made of pieces of styrofoam to access. We are still waiting for a significant national guard presence.

The health care situation here has dramatically worsened overnight. Many people in the hotel are elderly and small children. Many other guests have unusual diseases. We have commandered the world famous French Quarter Bar to turn into an makeshift clinic. There is a team of about 7 doctors and PA and pharmacists. We anticipate that this will be the major medical facility in the central business district and French Quarter.

Our biggest adventure today was raiding the Walgreens on Canal under police escort. The pharmacy was dark and full of water. We basically scooped the entire drug sets into gargace bags and removed them. All under police excort. The looters had to be held back at gun point.

In all we are faring well. We have set up a hospital in the the French Qarter bar in the hotel, and will start admitting patients today. We are anticipating to dealing with multiple medical problems, medications and and acute injuries. Infection and perhaps even cholera are anticipated major problems. Food and water shortages are iminent.

The biggest question to all of us is where is the national guard. We hear jet fignters and helicopters, but no real armed presence, and hence the rampant looting. There is no Red Cross and no salvation army.

In a sort of cliche way, this is an edifying experience. Once is rapidly focused away from the transient and material to the bare necessities of life. It has been challenging to me to learn how to be a primary care phyisican. We are under martial law so return to our homes is impossible. I don't know how long it will be and this is my greatest fear. Despite it all, this is a soul edifying experience. The greatest pain is to think about the loss. And how long the rebuild will [take]. And the horror of so many dead people .

Tag: hurricane katrina