Mark Rouleau (7 Sep 2005)
"Report from the (New Orleans) Front"


I got this from an attorney friend.

Mark Rouleau
rouleau-law@afo.net


This was  forwarded from the physician father of one of ________'s best friends.  The email is authored by a doctor friend/colleague  who was attending a medical convention in New Orleans..I think their speciality is Infectious Disease.
__________________________________________

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 Jackson, Miss., and I am now a temporary  resident of the Ritz Carleton 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 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  .

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 Ritz turns into a  MASH

Greg Henderson, MD