I was entranced by an essay in Emergency Physicians Monthly. It’s an oral testimony by Dr. Kevin Menes, who was in charge of the emergency department of Sunrise Hospital in Las Vegas the night Stephen Paddock opened fire on a concert.
Menes’ description of what happened that night is dry, methodical and compelling, and it deserves the first of this second batch of the year’s Sidney Awards, which I named for the philosopher Sidney Hook and give for outstanding long-form journalism.
More than 200 patients arrived that night at Sunrise Hospital, sometimes piled five or six at a time in the back of cruisers, ambulances and pickup trucks. Menes had to decide who was “dying now, in a few minutes or in an hour.” He tagged each, from red to green.
“Some were shot in the neck or shot in the chest, but they were still awake and talking to me. These went into my orange area because I knew that I probably had 30 minutes before they crashed. … It was important to get the red tags into the operating room because the orange tags would start to crump and become the next red tags.”
Throughout, Menes was thinking of flow. Moving patients through the system and identifying the choke points. If you want to know what professional craftsmanship looks like, this is it.
It’s nearly impossible to write an essay capturing an entire region’s culture and feel, and it’s doubly hard if that region is as sprawling as the Midwest. So Phil Christman gets a Sidney plus for his essay “On Being Midwestern” in the consistently splendid Hedgehog Review.
Christman notes that the early settlers were fanatically devoted to education. The grid road pattern one sees across the Midwest was laid out so that children would grow up no more than 1.4 miles from a schoolhouse.
He also observes that the Midwest is always held up as the definition of normal America. “What does it do to people to see themselves as normal?” Christman asks. One thing it leads to is a certain self-repression. “Any emotion spiky or passionate enough to disrupt the smooth surface of normality must be shunted away.”
He continues: “A regional identity built on its own denial, on the idea of unqualified normality: This sounds, of course, like whiteness — a racial identity that consists only of the absence of certain kinds of oppression.”
Caitlin Flanagan’s “Death at a Penn State Fraternity” from the Atlantic describes the death of a fraternity pledge during hazing: “After Tim Piazza fell, four fraternity brothers carried him, unconscious, to a couch. He was in obvious need of medical attention, yet the fraternity brothers treated him with a callousness bordering on the sadistic. They slapped him and punched him, threw his shoes at him, poured beer on him, sat two abreast on his twitching legs.”
But the essay is really about how the whole system closes up around the incident, refusing to see it and deal with it, like an ocean swallowing up a truth it did not want to face.
In “The New Class War” in American Affairs, Michael Lind points out that by the time of the Great Recession, 95 percent of microprocessors were manufactured by just four companies. Two-thirds of the glass bottles in the world were made by just two firms. In 2007, two firms controlled 86 percent of the global market in the financial information industry. Sixty percent of the tires in the world were made by just three companies.