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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 07:57 AM
Original message
Must Read: Dispatch from a Dr. in NO
*Note: this was sent to me by a friend.At the bottom the doctor says that it is OK to send to those that may be interested. Since I don't know him personally, I am putting xxxx's where appropriate.

goclark

A former xxxx physician writes from New Orleans

Aug. 31, 2005

This is a dispatch from New Orleans from Dr.xxxxx, a pathologist who recently moved from xxxxx:

Thanks to all of you who have sent your notes of concern and your prayers. I am writing this note on Tuesday at 2 p.m.. I wanted to update all of you as to the situation here. I don't know how much information you are getting
but I am certain it is more than we are getting. Be advised that almost everything I am telling you is from direct observation or rumor from reasonable sources. They are allowing limited internet access, so I hope to
send this dispatch today.

Personally, my family and I are fine. My family is safe in xxxxx, and I am now a temporary resident of the xxxx xxxxxxxxx Hotel in New Orleans. I figured if it was my time to go, I wanted to go in a place with a good wine list. In addition, this hotel is in a very old building on Canal Street that could and did sustain little damage. Many of the other hotels sustained significant loss of windows, and we expect that many of the guests
may be evacuated here.

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 is 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. ... There are (Infectious Disease) physicians in at this hotel attending an HIV confection. We have commandeered the world famous French Quarter Bar to turn
into an makeshift clinic. There is a team of about seven doctors and PAs 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 garbage bags and removed them. All under police escort. The looters had to be held back at gunpoint. After a dose of prophylactic Cipro I hope to be fine.

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. Many will be from the hotel, but many will not. We are anticipating dealing with
multiple medical problems, medications and and acute injuries. Infection and perhaps even cholera are anticipated major problems. Food and water shortages are imminent.

The biggest question to all of us is where is the National Guard. We hear jet fighters 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 cliché way, this is an edifying experience. One 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
physician. 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 .

PLEASE SEND THIS DISPATCH TO ALL YOU THING MAY BE INTERSTED IN A DISPATCH from the front. I will send more according to your interest. Hopefully their collective prayers will be answered. By the way, suture packs, sterile gloves and stethoscopes will be needed as the xxxx turns into a MASH
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SmokingJacket Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:03 AM
Response to Original message
1. I wonder if those who condemned the looters would feel the same
Edited on Sat Sep-03-05 08:04 AM by SmokingJacket
about the looting doctors...

Really -- an amazing story. But I see he wrote this on Tuesday... I wonder what he was thinking a few days later.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:05 AM
Response to Reply #1
3. I'm trying to contact my friend that sent this to me nt
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madrchsod Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:10 AM
Response to Reply #1
7. "looting doctors"???
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SmokingJacket Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:19 AM
Response to Reply #7
11. I just mean... the doc cleaned out a Walgreens.
Technically that is looting.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:51 AM
Response to Reply #11
19. They went to Walmart with a police escort

But the question would still be, what if their were no police in the area? Would it be called looting?

I would think that a physician would be covered if it could be determined that it was done to save lives.
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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:44 AM
Response to Reply #19
26. As should all those desparate people tagged with 'looting' that
were only trying to get survival goods to stay alive. The fact that the doctors had a police escort and the others who also were trying to save lives did not makes not a hoot of difference to me. Neither were looters.
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kansasblue Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:18 AM
Response to Reply #7
22. I heard the police did the same. They never call it looting...
the tv newscast said they are managing to get by on thing left in stores. Sounded heroic..verus looting.
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mondo joe Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:10 AM
Response to Reply #1
9. I dunno - how many condemned looting for essentials?
Edited on Sat Sep-03-05 08:18 AM by mondo joe
The ones I saw condemned theft of non essenntial commercial goods.

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SmokingJacket Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:19 AM
Response to Reply #9
12. Bush said "zero tolerance" for looting, I believe. nt
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mondo joe Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:25 AM
Response to Reply #12
15. I thought you were talking about DU posters. n/t
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:33 AM
Response to Reply #12
17. Yep he did say that "zero." I bet if Jenna

and Barbara couldn't get their little hands on a bottle of booze, they would smash windows and break down doors.

So would their coke head daddy.
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GreenPartyVoter Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:05 AM
Response to Original message
2. Why did he take Cipro? What was he exposed to?
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Mayberry Machiavelli Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:06 AM
Response to Reply #2
4. Cipro provides pretty broad coverage against bacterial bugs such
Edited on Sat Sep-03-05 08:08 AM by Mayberry Machiavelli
as might be present in the flood waters, sewage etc.

It's a good preventive agent against traveller's diarrhea etc.

On edit: People taking care of patients in this environment are probably being exposed to a lot more bugs than doctors and nurses even normally are, due to the fact that everyone is probably getting really sick.
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GreenPartyVoter Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:07 AM
Response to Reply #4
6. Thanks. I had only heard of it in association with the anthrax scare.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:06 AM
Response to Reply #2
5. I have no idea. I did not cut and paste it at all nt
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blondeatlast Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:53 AM
Response to Reply #2
20. Sewer water. nt
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KharmaTrain Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:10 AM
Response to Original message
8. This Letter Is From Tuesday
Reports were the doctors and guests were taken from the Ritz sometime on Friday.

Sadly, so much of what he reported he feared would happen did.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:16 AM
Response to Reply #8
10. It is so sad. Where was the Red Cross?

If the doctors could get to the Drug Store why couldn't the Red Cross get suppies in to them?
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KharmaTrain Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:22 AM
Response to Reply #10
13. Red Cross Had To Wait
The procedure before the Red Cross goes in is that the "situation is stable"...meaning that the storm has passed and some order is in place. This is the responsibility of FEMA. The Red Cross can't move in until FEMA gives them the green light, and all they have been getting is yellows and reds.

When it's all said and done, one of the biggest question will be the one you asked? Why weren't supplies airdropped or a supply line with food, water and other materials immediately set up into the city. Why did we have to wait 4 to 5 days?
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rfkrfk Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:23 AM
Response to Reply #10
14. Gov. Blanko not allowing the Red Cross into the city,
same for other NGOs.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:30 AM
Response to Reply #14
16. Help me understand why not?


Is that still true?

I thought jr. was sending in the national guard to "keep those looters in their places."
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rfkrfk Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:22 AM
Response to Reply #16
23. National Guard takes orders from Gov. Blanco, not shrub n/t
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:26 AM
Response to Reply #23
24. What is Blanco saying now?

It is hard to believe that Blanco would still refuse the service today,Saturday.

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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:52 AM
Response to Reply #24
29. It isn't Blanco, it was and is Homeland Security that is doing this
Here is the link to the Red Cross site spelling it out:

http://www.redcross.org/faq/0,1096,0_682_4524,00.html#4524

There is a concerted effort by the right wing to try and blame the Governor so they can shield bush and his admin. Don't fall for it, please.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:21 AM
Response to Reply #29
31. Thanks for letting us know


Politics is SO in the middle of this mess.
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Mayberry Machiavelli Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:02 AM
Response to Reply #14
21. link?
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rfkrfk Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:40 AM
Response to Reply #21
25. try this link... I just don't believe anybody
http://www.post-gazette.com/pg/05246/565143.stm

note the word request.

Why does Fema want this?
Blanko has final say.
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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:50 AM
Response to Reply #25
28. You are wrong!
Homeland Security has the authority on this, NOT the Governor.
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Mayberry Machiavelli Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 12:51 PM
Response to Reply #25
40. Your LINK does not support what you SAID in ANY WAY.
The WHOLE STORY is about how HOMELAND SECURITY, A FEDERAL AGENCY has denied access to New Orleans by the Red Cross.

The only place where the word "REQUEST" appears in the article is where the department of HOMELAND SECURITY "REQUESTED" that the Red Cross NOT enter New Orleans.

Do you even READ the links you post?
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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 09:48 AM
Response to Reply #14
27. You keep saying that and you are WRONG!
I will post this every time is posts like this:

Hurricane Katrina: Why is the Red Cross not in New Orleans?


Acess to New Orleans is controlled by the National Guard and local authorities and while we are in constant contact with them, we simply cannot enter New Orleans against their orders.

The state Homeland Security Department had requested--and continues to request--that the American Red Cross not come back into New Orleans following the hurricane. Our presence would keep people from evacuating and encourage others to come into the city.

The Red Cross has been meeting the needs of thousands of New Orleans residents in some 90 shelters throughout the state of Louisiana and elsewhere since before landfall. All told, the Red Cross is today operating 149 shelters for almost 93,000 residents.

http://www.redcross.org/faq/0,1096,0_682_4524,00.html#4524

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rfkrfk Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:06 AM
Response to Reply #27
30. NG is giving orders to RC, NG takes orders from Blanco
perhaps Fema/HomelandSecurity is twisting
Blanco's arm

the tendency of the local authorities...
state police, Blanco in command
National Guard, Blanco in command
N.O. police, N.O. mayor in command

is to say somebody else is giving orders
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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:26 AM
Response to Reply #30
32. I will continue to counter this crap because you seem intent
at trying to spread and not looking at facts regardless of how many times they are posted. Trying to put this on Blanco is NOT going to work but if you want to keep trying, so be it, you will be wasting your time.

Please provide the chain of command information that says Blanco has more authority than Homeland Security in a designated' national disaster' area.
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:44 AM
Response to Reply #32
33. I still don't understand

why little or nothing is happening.
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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:49 AM
Response to Reply #33
35. Here are a couple of links that may help expain why it was such a
FUBAR:

"New Mexico Gov. Bill Richardson offered Louisiana Gov. Kathleen Blanco help from his state's National Guard on Sunday, the day before Hurricane Katrina hit Louisiana. Blanco accepted, but paperwork needed to get the troops en route didn't come from Washington until late Thursday."

(NOTE that the paperwork didn't come FROM WASHINGTON till LATE THURSDAY)



http://news.yahoo.com/s/ap/katrina_national_guard

From the BBC:

K: NorthCom started planning before the storm even hit. We were ready for the storm when it hit Florida because, as you remember, it crossed the bottom part of Florida, and then we were plaining, you know, once it was pointed towards the Gulf Coast. So what we did was we activated what we call defense coordinating officers to work with the state to say okay, what do you think you'll need, and we set up staging bases that could be started. We had the USS Baton sailing almost behind the hurricane so that after the hurricane made landfall it's search and rescue helicopters would be available almost immediately. So we had things ready. The only caveat is, we have to wait until the President authorizes us to do so. The laws of the United States say that the military can't just act in this fashion, we have to wait for the President to give us permission.

Link to the thread with this info:

http://www.democraticunderground.com/discuss/duboard.php?az=view_all&address=104x4605183

There is more info on the same vein on DU but it is on various threads and I haven't yet compiled them.

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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:53 AM
Response to Reply #35
37. Now I get it "paper work" needed from Washington
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rfkrfk Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:48 AM
Response to Reply #32
34. Fema is a bunch of pencilheads, the guys with guns report to...
National Guard, takes orders from the Governor
State Police, takes order from the Governor

if Blanco does not do what Fema says,
Fema will delay shipment of PortaPottys
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Spazito Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 10:51 AM
Response to Reply #34
36. The request for the National Guard must come from the Governor
but the command and control of the National Guard, once on site, is NOT under the Governor, it is then under Homeland Security. They have the authority to bring all agencies under their authority.
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rfkrfk Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 11:11 AM
Response to Reply #36
38. the National Guard is not agency
the NG, in times such as now, becomes
sworn peace officers of Louisiana,
except that their commander is not in the
regular police command structure,
the NG 'adjutant' {commander} reports
directly to the Governor.
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HamdenRice Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 08:49 AM
Response to Original message
18. kicked and nominated nt
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goclark Donating Member (1000+ posts) Send PM | Profile | Ignore Sat Sep-03-05 12:29 PM
Response to Reply #18
39. I thought that Bush held up the paper work

for the Gov. to act immediately.

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