Chalmette, LA.—By the time water encroached on the Chalmette Medical Center parking lot, the worst of Hurricane Katrina was over. Upstairs on the second floor, Dr. Bryan Bertucci had spent a sleepless night admitting emergency cases, taking medical histories, conducting physicals. That job done, he caught an hour's nap. At about 9:30 a.m., he noticed the flooding in the parking lot. It was Monday, August 29, 2005, in St. Bernard Parish, La.—just east of New Orleans. Bertucci ran down to the first floor to grab his belongings. By the time he got there, the water had already risen to knee level inside the hospital. After 45 minutes it was 6 feet deep, and it kept rising, submerging the first floor but mercifully sparing the second. The electricity shut down when the generators went under; ventilators, X-rays, suction, and other medical machines died. So, before it was over, did seven patients. One choked on vomit that doctors had no way to suction out.
The hurricane gave way to a stifling heat. Bertucci, who is a family practitioner and the parish coroner, spent the next two days dispensing care as patients were gradually transferred to the jail, which was not flooded. (Prisoners had been evacuated to safety before the storm.) Then he hitched a boat ride to his house and found his first floor under water; his son's house had floated off its foundation and ended up on a neighboring street. Now homeless, Bertucci had no time to register the shock; he was summoned to the jail, where he treated hospital patients and storm victims for staph infections, heart failure, dehydration. It was Friday before helicopters got all the sick out of the parish. Over the course of five nights, he had slept 10 hours.
Today the hospital is a ruin. Bertucci works out of a temporary clinic in the Wal-Mart parking lot (the store, like the great majority of businesses in St. Bernard, is closed). The clinic sees 85 to 113 patients a day; 50 to 60 percent of them show symptoms of depression. Bertucci says, "I'll sit down and say, 'How are you doing?' They'll start crying." To understand what they feel, he suggests, imagine getting up one morning and finding that your lawnmower won't start, your car has been stolen, your house is demolished, your job is gone, and your friends have died or moved away.
And how is Bertucci doing? He gets depressed. He cries at movies, gets angry. "I tell my wife, I think the person I was died that day." He begins to cry. "You can't go through something like this and be the same."
Collecting himself, he explains that his house is gutted. He plans to sell it and buy another. With his wife and three of his five grown children, he lives in a mobile home, which makes him fortunate; most people are living in travel trailers. "Candominiums," they call them. Or "crampers." For therapy, Bertucci mows lawns in his ruined neighborhood, cleans up trash: Augean chores, but they help him grasp at normalcy.
Why does he stay? The parish needs a new hospital, and he wants to help make it happen. "And I'm a Christian person," he says, "and this is where I'm needed most."
Needed he is. A year after the storm, St. Bernard Parish is struggling to survive. The recovery has gone little better than the initial response. The deluge of water was followed by an alluvium of indecision and a blizzard of red tape.
The parish council—St. Bernard's equivalent of a city council or county commission—meets in a trailer behind the half-gutted government building. At a recent session, a resident complains that the streetlights on his block don't work. The parish's public works director explains that staff and equipment are short, electrical poles are expensive, and salt water destroyed much of the circuitry. "It's just taking too long to get the little things done," the resident replies, his voice bitter. Lynn Dean, the council chairman, retorts curtly, "I'm sorry we're not perfect. Thank you."
As the meeting drags on, the sun sets pink and charcoal. Driving along random streets near the council chamber, a visitor passes empty houses, one after another. Many streetlights work, but they are too far apart to dissipate the gathering gloom. The houses are husks, hulls, dark, their empty or boarded windows black on black. A few appear livable but unlived in; more are gutted; many are simply abandoned. Here is a caved-in roof, there a vine-covered car amid chest-high weeds in what was once a driveway. Some bear spray-painted messages. One says, "MONEY IS TIGHT AND TIMES ARE HARD IN ST. BERNARD. SORRY WE HAVE MOVED." Another simply: "WE WILL SURVIVE."
Some houses are under repair; trailers are parked in their yards. A family is barbecuing at a gas grill outside a half-renovated garage. Next to another trailer, a few people chat in a pool of light. On most blocks, however, one encounters no people, hears no human sounds. There are no dogs or cats. The odd car prowls by, picking its way amid potholes. By day, people come and work on their houses. By night, the sense of desertion is overpowering. Even a graveyard feels less desolate, because it is not meant for living.
St. Bernard is low ground surrounded by water on three sides. It shares the levee system that was designed to protect the New Orleans metropolitan area and that failed catastrophically on August 29. Although the parish is geographically contiguous with New Orleans's devastated lower 9th Ward and is an easy 20 minutes by car from the French Quarter, residents insist they are not a "New Orleans suburb."
St. Bernard is predominantly white and working-class. It has oil and sugar refineries, as well as its own port. The parish owes some of its growth to white flight from the New Orleans schools, but St. Bernard retains a deep-rooted identity of its own. Extended families tend to stay put, with three generations living in close proximity. It's not uncommon to meet people like Beryl Hargis, a school-system employee whose family—including siblings, grown children, aunt, niece, and cousins—count, between them, 11 homes in St. Bernard.
Or, rather, counted. On August 29, levees breached to the west and to the north. Water poured in from two sides and then sat for days, as it did in New Orleans. Unlike New Orleans, however, St. Bernard found itself not partly under water, but entirely under water. Floodwaters covered the entire parish in depths ranging from 2 feet in the south to 28 feet in the north. The parish awoke that day to find it had become a lake -- soon a toxic lake, after a storage tank spilled a million gallons of oil into a neighborhood of thousands of homes.
"There was not a livable house in this parish," says Henry J. (Junior) Rodriguez, the 70-year-old parish president. Officials say that only 40 to 50 structures escaped serious water damage; five or six homes, out of 26,900, were inhabitable.
Everyone in St. Bernard has a story, but it is the same story: I lost my home and everything in it. Intensifying the blow, the storm wiped out St. Bernard's extended families, shattering the relational networks that people could ordinarily have relied on for aid. All 11 homes in Beryl Hargis's family were wrecked. Families scattered around the region and the country.