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    1. The small group of doctors decided to meet to discuss what they witness overnight they were unhappy that the hospital leader had turned down the chance to continue the helicopter rescue on Tuesday night into Wednesday morning, how rough the night had been for staff who had stayed awake to care for patients. Many were demoralized and some complained that one physician was being obnoxious and upsetting them.
    The decisions made at the gathering that they needed men and women of action, opted for insubordination over inaction. Rather than await the scheduled morning meeting to discuss options, also to organize a more concerted rescue effort, and they could re-triage the patients who remained. Their decision that day needed to be positive for everyone to get out.
    At the official gathering in the morning, hospital staff gathered at the emergency room ramp, Susan Mulderick stepped up on a curb to begin the meeting with CEO Goux and medical chairman Deichmann. Doctors, Nursing managers, maintenance workers, and security staff jostled and shushed one another. It was difficult to hear, and the conversation moved in order directions.
    2. The open conversation about euthanasia come out, and Dr. Deichmann took a side that the idea shouldn’t even be considered, Euthanasia’s illegal. there’s not any need to euthanize anyone, he recalled telling Mulderick he doesn’t think we should be doing anything like that. He had figured the DNR patients should go last, but the plan was still to evacuate them eventually.
    Susan Mulderick thinks, how could the doctor express more concern for a cat than for the patients all around her? She said “we are talking about euthanizing the animals but not what we can do to help the patients” she later recalled that her idea was to rid the patients of their pain and dull their senses to the point they would no longer care that they were smelling the feces they were lying in, that panting dogs were weaving past and linking their hands.
    Dr. Pou, Mulderick’s idea to medicate the patients found a champion in Dr. Pou, she thinks Pou would know what to do to help with the patients, she shared her feeling with Pou and repeated her statement, they were talking about euthanizing the animals, but not about what they could do to help the patients. She later remembered Pou said the men and women lying before her were much like many of her cancer patients, there was nothing else to do for them but try to make them comfortable. Pou said she would use pain medication to do that, though she wasn’t sure what to give the patients.
    Dr. Cook, Mulderick had worked with Cook for two decades, she knew he would know what to give them, and he didn’t shy away from ordering drugs to relieve suffering because he believed in making dying patients comfortable. She asks Cook to speak with Pou about what to give the patients. Cook told Pou how to administer a combination of morphine and a benzodiazepine sedative, he was telling her how to help the patients go to sleep and die.
    My thoughts, Mulderick was unhappy with the situation of patients without being taken care of, euthanizing the animals makes them believe they can do the same for the patients instead of suffering them. Sometimes it is better to ease the patients out of a terrible situation than put them in a torture process. Euthanizing is an option to avoid torture
    3. The tension that arises between caring for pets and caring for people was when Mulderick smelled worse in the second-floor lobby. Despite the broken windows, the fecal stench was intense. Nobody, she thought should have to bear such conditions, particularly not fragile patients. She got frustrated when Dr. Fournier was worried about her cat, it was sick and suffering no longer eating and drinking. It angered Mulderick to see them attending to pets around the corner from where the sickest patients lay but not about what they can do to care for the people.
    Yes, some of the staff were concerned about the patients and wanted to consider it and they viewed it to ease the patients out of a terrible situation, they needed to be comfortable.
    Later boats allowed the evacuation of pets, making the earlier deaths senseless after they were permitted to leave with their pets, but it was too late for many. It hadn’t been necessary to euthanize them after all.
    4. I felt good and excited about the last of the patients who leave the memorial alive load onto the helicopter, especially Rodney Scott who was able to make successfully airlifted, alive.

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