a complication of the antibiotics
used to treat the infection. To stay alive if her kidneys stopped working she’d need
dialysis to clean her blood. Under no circumstances, she said, did she want that.
The doctor discussed these preferences with Burgess, her sister, and a doting niece,
then shifted the goal of her care from treating her medical problems to ensuring her
comfort. She was scheduled to move out of intensive care and onto a regular medical
floor as soon as a bed became available. Small doses of morphine had been ordered
as needed to control any pain.
Burgess’s daughter, Linette, had lived overseas for more than two decades with her
Italian husband. Mother and daughter talked frequently, but visits were rare and often
did not go well. While Jannie Burgess hadhelped integrate New Orleans hospitals, Linette had done the same for the New Orleans
Playboy Club, becoming itsfirst black Bunny in 1973. This distinction had brought shame to the observant Catholic
mother she referred to as a Holy Roller. Years of tension over various issues followed.
Today’s visit was something of a reconciliation.
With the mayor demanding that New Orleanians evacuate the city, the relatives who
had driven Linette Burgess Guidi to the hospital were anxious to begin their exodus
west. It was time to leave. She told her mother she loved her and thanked her for
all she had done to raise her and make her the woman she was. “Release, let it go,”
Burgess Guidi said to her mother. She told her she’d be back to see her on Wednesday.
ALL STAFF MEMBERS assigned to work the hurricane at Memorial were to sign in by noon
to pick up wristbands and room assignments. They parked their cars in multistory garages
above the flood-prone streets. They emptied car trunks full of hurricane provisions
onto borrowed carts and pushed them down the hospital corridors. Those with pets carried
kennels and a requisite three-day supply of food to the medical records department
on the ground floor, checking the animals into rooms that filled with the sounds of
frenzied barking. They wrote the pets’ names on tracking forms and promised to keep
them out of patient areas.
Unlike many others, Dr. Anna Maria Pou didn’t bring much with her to Memorial when
she arrived early Sunday afternoon: no family members, no pets, no coolers packed
with snacks and junk food. It was the surgeon’s first hurricane at the hospital, and
when she arrived the activity struck her as highly disorganized. She sought the company
of the experienced operating-room and recovery-room nurses and offered to help them
move equipment. The main hospital, an amalgamation of the 1926 building and subsequently
built wings, was separated from Memorial’snew surgical suites by a bridge that administrators feared could collapse in the storm.
Pou lugged supplies and equipment from the new building to an old set of operating
theaters in the main hospital. She organized the rooms so that she and any other surgeon
could operate in them during the storm if necessary.
Other doctors retreated to private offices to sleep, but Pou had decided for the moment
not to do that. She was there to work. “I’ll just sleep on a little stretcher with
y’all,” she said to the nurses. They carried stretchers to an empty endoscopy procedure
suite to create an ad hoc bedroom. Staff members set up a table and unloaded abundant,
picniclike provisions, having been told to bring food for three days, the amount of
time local hospitals and their employees were expected to be self-sufficient in emergencies.
They watched as Pou unpacked only a six-pack of bottled water, crackers, tuna fish,
and something that flashed in her hand. “What’s that?” a nurse asked Pou. “That’s
a can opener,” Pou replied. Was that all she thought she needed? The nurses howled.
Water, tuna, and crackers were all Pou had been able to scrounge up at
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