“I am now a temporary resident of the Ritz-Carlton Hotel in New Orleans,”
the exhausted pathologist typed on Aug. 30, the day after Hurricane Katrina
struck the Central Gulf Coast. “The city now has no clean water, no sewerage
system, no electricity, and no real communications.... We hear gunshots frequently....
We are anticipating dealing with multiple medical problems, medications and
acute injuries.” He concluded with what would prove to be the understatement
of the week: “It has been challenging to me to learn how to be a primary
Just as Gregory S. Henderson, MD, PhD, section head of ana tom ic pathology
in the Department of Pathology and Laboratory Medicine at Ochsner Clinic Foundation,
New Orleans, finished the e-mail to his family and friends and hit “send,”
the hotel power went out. He wouldn’t know for days whether anyone had
received his message and its plea for medical supplies. And he had no way of
knowing that it would eventually end up on the BBC News Web site, or that it
would lead to interviews with Time magazine and CNN.
Instead, all Dr. Henderson knew was that within days of sending the e-mail,
he found himself serving as the only physician for the thousands of people huddled
in the city’s convention center. Though he had some drugs (appropriated
from abandoned pharmacies under police escort), “it was 15 years since
I had any pharmacologic training,” he says. “I was praying to God
that some knowledge of primary care medicine would infect me. But I was surprised
how much I remembered.” As he told one of the police officers he befriended
during the crisis: “I’m a pathologist, but I’ll do the best
Dr. Henderson had attended a strategic planning retreat for Ochsner medical
staff at the Ritz-Carlton the weekend before the storm hit. When the retreat
was cut short by news of the impending hurricane, he sent his wife and two daughters
to stay with his parents in Jackson, Miss., but stayed behind himself “on
the outside possibility that if they needed help at Ochsner, I’d be available
to do it.” After boarding up his house in uptown New Orleans, he went
back to the Ritz-Carlton to ride out the storm.
Once Katrina had passed, the destruction it left behind didn’t seem alarming
at first. “There was minor damage here and there, but nothing real astounding,”
Dr. Henderson says. “But Tuesday morning when we woke up and looked out
the window, it was pretty obvious that we had a different deal altogether.”
That was after the levees had broken, and the hotel was surrounded by water.
Shortly thereafter, infectious disease specialists who had been staying in
the Ritz-Carlton for a conference organized a clinic in the hotel bar. Dr. Henderson
offered his services and soon found himself across the street in a flooded Walgreens
with another physician and a pharmacist, stuffing prescription medication into
plastic bags while police officers held off looters at gunpoint. “As we
were leaving, the crowd just poured in,” he says. Back at the hotel, after
swallowing precautionary Cipro, he wrote the e-mail asking for help and then
aided the other physicians in the improvised clinic.
On Aug. 31, the residents of the Ritz-Carlton—including the other doctors—were
evacuated. Dr. Henderson stayed behind with a group of police officers, who
set up a makeshift precinct in the Sheraton Hotel across the street. For the
rest of the day and into the night, he did his best to treat the officers’
diabetes, hypertension, rashes and diarrhea from the filthy water in the streets,
and minor wounds.
“I found addressing the pharmacologic needs of the police officers, essentially
all of whom had none of their prescription medications, quite a task,”
he says. He had only the medications that he had gathered from the Walgreens
to work with, and many of the officers and the police support staff had only
a vague recollection of all the medications they were taking.
“I had to do a brief history and physicals, try to decide what medicines
they were likely taking, which ones were important to continue, compare that
with what I had collected, and if I didn't have what they were on, make some
decision as to a reasonable replacement—as you can imagine, a huge mental
challenge for someone who hasn’t managed meds in 12 years,” Dr.
At about 4AM on Sept.1, he managed to get a few minutes of sleep before being
awakened by a giant explosion. Afraid it was a toxic gas explosion, he called
his wife: “I told her I loved her, and I was trying my best to stay alive.”
And what did he do after finding out 30 minutes later it had been a train car
filled with gasoline that had exploded, and not a toxic gas incident? “I
took a deep breath. I knew I was going to live through the day, or at least
I hoped I was.”
Dr. Henderson knew he wasn’t equipped to handle serious trauma, such
as a gunshot wound, so he asked the police officers to drive him to Ochsner,
where staff gave him trauma packs, scrubs, a stethoscope, and other supplies.
“Most fortunately, I was not presented with a case of gunshot wound, deep
penetrating wounds, or major trauma,” he says. On his way back to the
Sheraton, he passed the convention center. “I had never seen anything
like it in my life,” he says. “I never thought I would see it happen
in the United States. It was infants, grown-ups, handicapped people, this incredible
mass of people that had been thrown up on the banks of the convention center.
As I was driving through with the police officers, they saw I had scrubs on
and started banging on the window.”
For the next 48 hours, Dr. Henderson and a police officer named Mark Mornay
did their best to tend the desperate crowd. “It was every primary care
problem you could ever want,” Dr. Henderson says, from kidney transplant
patients who’d run out of their anti-rejection medication to recovering
heroin addicts looking for methadone. One elderly woman told him she thought
something was wrong with her legs. “I lifted up her housecoat and saw
a bunch of deep leg ulcerations and several gangrenous toes. I said, ‘Ma’am,
there’s nothing I can do for you right now.’ She said, ‘That’s
okay, baby, it doesn’t hurt too bad.’”
The first glimmer of hope arrived on the evening of Sept. 1, when Dr. Henderson
started getting calls on his cell phone from colleagues who had received his
note by e-mail. Colleagues of his from Wilmington, NC, told him they were having
medical supplies flown to Baton Rouge; the humanitarian aid organization Northwest
Medical Teams called and said, “We got your e-mail, and we’re halfway
to you. Just hang on.”
“It was the first indication I had that somebody knew what was
going on and were sending help our way,” Dr. Henderson says.
The next day brought hope, too, when a MASH unit landed at the convention
center: “I went out and hugged them.” On Sept.3, two school
buses from Wilmington—along with an 18-wheeler truck from Texas—arrived,
filled with medical supplies. “It was just like the cavalry coming
in,” Dr. Henderson says. He had the supplies taken to the MASH unit
at the convention center, where people were waiting to be evacuated in
helicopters and buses.
The next day, Northwest Medical Teams personnel arrived and began treating
patients. Dr. Henderson stayed with them for two days, until “it was clear
that there were enough teams there to take care of the people,” he says.
A reporter from the New Yorker gave him his rental car so he could drive to
Jackson to be reunited with his family. He’s now working at Ochsner—the
only New Orleans hospital that remained operational during the storm—and
living in his house, which survived the hurricane, while his wife and children
stay in Jackson until the New Orleans schools reopen.
Remaining unruffled was one of Dr. Henderson’s biggest challenges. “Remaining
calm and focused and maintaining at least the appearance of being in charge”
was difficult, he says, when “I was very uncertain at times as to our
fate, and the fate of the city, and as I became increasingly sleep-deprived
over the course of a week of very high stress.”
What are the lessons of Katrina for hospitals and laboratories?
“What you learn is what it is really like to go from First World to Third
World in the matter of a day,” Dr. Henderson says. “You can plan
and plan and plan, but plans don’t often take into consideration the fact
that all these things you rely on just don’t exist anymore. Okay, so you’ve
got backup generators for your hospital, but those generally don’t take
care of the air conditioning. One of the great challenges Ochsner dealt with
was, there was no air conditioning and it was 100 degrees and a lot of lab equipment
had to shut down.
“Also, we learned the hard way that as sad as it is to say, you really
cannot rely on the federal agencies or the state agencies to come to medical
At Ochsner, “for the past six weeks, we’ve been wrestling on a
daily basis with the challenges of the complete destruction of a medical infrastructure
in an American city. I think what stuns us all is there’s really no template
Still, he says, there’s a guarded optimism among the city’s medical
community about the chance to redress the health care delivery problems that
existed in New Orleans before Katrina. “One thing that keeps me going
day to day,” he concludes, “is: What other chance in your life will
you ever get to start anew in every way and say, ‘Now, how can we do this
Anne Ford is a writer in Chicago.