Analyze

I've found myself returning to thinking about/around/within interstitial spaces of care, particularly within hospital settings, interested in how viral activity unsettles the ideas we have around space and boundaries, both biological and infrastructural. In COVID-19 pathology and response, the inbetween, the interstitial, become sites challenge and possibility. With COVID-19, we see an acknowledgment of once forgotten spaces quite obviously, with hospital atria and hallways being reconfigured into patient care spaces, makeshift morgues established in refrigerated trucks, and hospitals spilling out into neighboring streets and parks. More than ever, we see how hospitals are simultaneously bounded and unbounded--the most stable and unstable sites for care. Along this line of thought, what might thinking through hospitals as heterotopia of crisis and deviation afford?

Foucault outlines six principles for heterotopic spaces

The heterotopia is capable of juxtaposing in a single real place several spaces, several sites that are in themselves incompatible

Heterotopias are most often linked to slices in time—which is to say that they open onto what might be termed, for the sake of symmetry, heterochronies. The heterotopia begins to function at full capacity when men arrive at a sort of absolute break with their traditional time. This situation shows us that the cemetery is indeed a highly heterotopic place since, for the individual, the cemetery begins with this strange heterochrony, the loss of life, and with this quasi-eternity in which her permanent lot is dissolution and disappearance.

Heterotopias always presuppose a system of opening and closing that both isolates them and makes them penetrable. In general, the heterotopic site is not freely accessible like a public place. Either the entry is compulsory, as in the case of entering a barracks or a prison, or else the individual has to submit to rites and purifications.

I'm currently based in Troy, NY where I recently completed a PhD in Science and Technology Studies.  I'll soon be living in NYC to attend medical school. I can be reached at amorgan14[at]gmail[dot]com

I've long been interested in the disaster of routine medical care in the U.S. healthcare system. As far as COVID-19 is concerned, I'm particularly interested in how the long-term health impacts of intensive care are conceptualized and communicated (including Post Intensive Care Syndrome (PICS)) and the tensions between acute and chronic illness, broadly. 

How is the aftermath of COVID-19 crisis being imagined in different settings? How is this shaping beliefs, practices, and policies?

A professor of Medical Anthropology at Harvard University, Dr. Byron Good, Ph.D. is an anthropologist who has conducted research on mental illness and the society's perspective on various mental illnesses. He has authored and published numerous research articles, publications, and books on his areas of research. 

The authors cite instances of violence against healthcare providers and the environments in which these instances have occured. Anecdotal evidence along with research data on these issues are presented to support the authors' case.

New York governor Andrew Cuomo ordered over 2000 National Guard troops were deployed to Long Island, New York City , and the hudson valley. Defense secretary Leon panetta had issued a prepare-to-deploy order in case the hurricane relief effort needed more support. Each service had to have 6,500 active duty troops ready in case they were called upon. 

"Moreover, in any mumber of disasters over the past two centuries, the 'disaster investigation,' far from proving itself the dispassionate, scientific verdict on causality and blame, actually emerges as a hard-fought contest to define the moment in politics and society, in technology and culture."

"And, no investigation he could provide would change the fact that most Americans viewed the burning of the Capitol in 1814 as a diplomatic and military, not an engineering, disaster."

"Certainly the move to NIST places a great premium on the power of "investigation" as not only a technical, but also a moral tool, a sacred act, assigning a higher meaning to the tests and calculations that must ultimately assign causes and fix blame--but this is nothing new in American history. While the investigator's tools may have sharpened since Latrobe's study of the Capitol, the Hague Street inquest, or the Iroquois Fire, disaster investigation still pits expert against expert, the demand for patient study against the will to rebuild and forget."

This policy was, in part, designed to prevent "patient dumping" whereby hospitals would refuse to treat certain patients due to inability to pay for treatment and either refuse admittance or transfer them to other hospitals. Furthermore, it specifically addresses female patients in active labor, requiring that hospitals ensure that these patients are also treated and stabilized in the emergency department or receiving facility.

The authors rely heavily on anecdotal evidence provided through interviews of survivors of Hurricane Katrina, though they supplement this with statistics, socioeconomic data, and mental health data.

Figure 1 was developed as a platform to serve medical professionals and students by providing widespread access to information on medical cases and enable discussion among medical professionals.

The BSVAC is a volunteer EMS agency that provides 911 basic life support service to its area of service. In addition, the organization has responded to Ground Zero on 9/11, Louisiana after Hurricane Katrina, and Haiti on three occasions in 2010.