UPMC physician among 11 killed in Pittsburgh synagogue shooting


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Jerry Rabinowitz, MD, was among the at least 11 people killed after a man opened fire at the Tree of Life synagogue in Squirrel Hill, Pa., early Oct. 27, according to NBC News.

Here are six things to know:

1. Robert Bowers, 46, entered the synagogue Oct. 27 armed with an AR-15 semi-automatic rifle and three handguns, CBS News reports. The incident lasted roughly 20 minutes, during which 11 people were killed and at least six were injured. Mr. Bowers eventually surrendered himself to police.

2. During the shooting, Mr. Bowers reportedly expressed hatred toward Jewish people, according to a charging document obtained by CBS News. Federal prosecutors are seeking approval to pursue the death penalty against Mr. Bowers, who is expected to make his first court appearance Oct. 29.

3. Among the 11 killed was Dr. Rabinowitz, a 66-year-old primary care physician from Edgewood Borough, Pa., according to CNN. In a Facebook post Oct. 28, Dr. Rabinowitz’s nephew said, “When [Dr. Rabinowitz] heard shots he ran outside to try and see if anyone was hurt and needed a doctor. … That was Uncle Jerry, that’s just what he did.”

4. Dr. Rabinowitz was affiliated with Pittsburgh-based UPMC. Tami Minnier, BSN, MSN, RN, chief quality officer of Pittsburgh-based UPMC Shadyside, told the Pittsburgh Post-Gazette, “The UPMC family, in particular UPMC Shadyside, cannot even begin to express the sadness and grief we feel over the loss of Dr. Jerry Rabinowitz.”

5. A spokesperson for the district attorney’s office also told the Pittsburgh Post-Gazette Dr. Rabinowitz served as the personal physician for former deputy district attorney Law Claus for 30 years.

6. Pittsburgh-based UPMC and Allegheny Health Network treated seven victims of the shooting. Three UPMC physicians, Pittsburgh Emergency Medical Services and other first responders arrived on the scene within a half-hour of the shooting.



Houston hospitals may not be back to normal for a month


Amid the evacuation of approximately 1,500 patients from Houston-area hospitals, officials are commending the emergency response by health providers — while also cautioning that it may be weeks before the facilities are back to business as usual.

The SouthEast Texas Regional Advisory Council — which has overseen catastrophic medical operations since Hurricane Harvey as part of Houston’s emergency command center — estimates that nearly two dozen hospitals have evacuated patients by ambulance and airplane over the course of the past week.

“The storm was so huge it was uncertain what hospitals might be in harm’s way,” said Darrell Pile, chief executive officer of SETRAC. Had they known Harvey would grow into a Category 4 storm, Pile said, they would have staged evacuations three days in advance. But Harvey was unpredictable from the start — and grew stronger without much warning.

Evacuations have been slow not only because of the perils involved in moving patients but also because it has taken time to find other hospitals to accept them. “Some patients may have had gone to Dallas, San Antonio, Austin, or even Waco,” Pile said. “You’ve got to find the hospital to handle the unique needs of the patients you want to transfer.”

Evacuation numbers continued to climb on Tuesday. But Pile said numerous hospitals also scaled back or suspended plans for evacuations. One such facility was Ben Taub, one of Houston’s major safety-net hospitals, which only evacuated three patients after originally seeking to move all 350 patients after flooding occurred inside the hospital basement.

“In the case of Ben Taub, as the waters went down, and additional staff were able to arrive, they whittled down their list,” Pile said, speaking Wednesday. “They may even open back up to full service later today.”

Bryan McLeod, director of external and online communications at Harris Health System, said in a statement Tuesday afternoon that Ben Taub, the system’s largest hospital, is now seeking to “offload some of the patients that we currently have” in anticipation of a “surge of patients” expected as roads clear.

“I can only imagine the burden is going to increase,” said Vivian Ho, a health care economist with Rice University. “It’s going to get tough on them.”

Coordinated response

Pile praised the coordination of hospitals, first responders, and civic leaders. In other major storms elsewhere, he said, some hospitals have failed to communicate effectively; ambulances would bring patients to their doors even though the facilities might be unable to meet their needs.

By contrast, Pile said, roughly 25 hospitals affected by Harvey declared an “internal disaster” — a status that reflects a hospital facing problems in carrying out normal daily operations — that allowed SETRAC to pass along timely information along to first responders who could, in turn, divert patients toward care at hospitals capable of treating them.

“The majority of our hospitals stayed open,” Pile said. “The teamwork of hospitals and EMS agencies through our coalition kept it from becoming an even a bigger disaster.”

Pile hasn’t heard of any hospitals in the Houston area devastated to the point of shuttering — something that’s also occurred in other storm-ravaged cities. It’s because of that he believes nearly all Houston-area hospitals will be fully up and running by the end of September.

“This storm was paralyzing,” Pile said. “Within a month, [I expect] 90 to 95 percent of hospitals will be back in full service. That’s a first.”