At Queens High Rise, Fear, Death and Myth Collided

The action she captured played out by flashlight beam, illuminating elderly men and women swaddled in coats, robes, sweaters, hats and scarves in their apartments. “It’s cold, so cold,” one gray-haired man said in Russian, sounding short of breath. The privately owned high rise had been without heat, water or working elevators since the evening of the storm.

In the lobby, Rodney Duff, a burly resident in a black sweatshirt, made a grim prediction. “Two hundred seniors that can’t move up and down these stairs,” Mr. Duff said. “One of them is going to die in this building tonight.”

Those scenes inside the complex, known as the Sand Castle, soon appeared in a disturbing five-minute video on YouTube, telling what has become a familiar story in the storm’s aftermath. Like thousands of other vulnerable city residents, the tenants endured hunger, cold and fear for days, deprived of assistance and, in some cases, vital medicines. Almost everyone — the residents, their families, the building owners, city officials and aid workers — was poorly prepared for the magnitude of need caused by power failures that persisted long after the hurricane had passed.

But the video produced by Ms. Balandina, who was volunteering aid and pulled out her camera because she was horrified at what she was seeing, made this story all its own. After YouTube viewers witnessed the desperation at the Far Rockaway complex, some sprang into action. Aid convoys rumbled in from out of state. People as far away as Britain called City Hall, pleading that officials help the Sand Castle. Ambulances were summoned there by residents of Pennsylvania.

Facebook reports and blog posts, some by people who had not visited the buildings, even circulated accounts of multiple bodies being removed from the complex when the power was out. Those reports were not borne out by the police, medical examiner and health department records, but they contributed to the making of a myth, a social-media tale that seemed believable amid so much misery.

After the lights came on nearly two weeks after the storm, Danny Sanchez, an assistant superintendent, used a master key to enter Apartment C on the 13th floor of Building B, where no one had answered the door on repeated visits. There, he found Thomas S. Anderson, 89, who had lived alone, face up on the floor beside his bed.

His was the sole death at the Sand Castle, where no one in the days after the storm could claim to understand the full story of what was happening and what it meant.

The New York City medical examiner’s office classified Mr. Anderson’s death as natural after consulting with his doctor. A World War II veteran, he was buried the next week with military honors at Calverton National Cemetery on Long Island. Without an autopsy, the specific factors that preceded his death and the possible ways the post-hurricane conditions might have contributed to it — A fall in his unlighted studio? Heart disease worsened by stress? — will never be known.

But what can be said for certain is that Mr. Anderson spent his last days largely alone in the dark, trapped high above the ground without heat, dependent on the haphazard good will of others for his survival.

Perpetually Cool

Mr. Anderson projected cool well into his 80s, a tattooed, earring-wearing great-grandfather with a white Van Dyke mustache that curved into a goatee. He wore glasses and rarely left his apartment without a baseball cap or beanie and his clip-on, yellow-tinted shades.

Before retiring, Mr. Anderson, a native of North Carolina, had worked in a post office and as a supervisor at Marboro Books in Lower Manhattan, a chain acquired by Barnes & Noble. He once took tailoring classes to learn to make his own suits, and loved baseball — he had played with an old-timers club in Harlem called The Unknowns and watched or attended nearly every Mets game.

In his early 20s, he was an Army infantryman who served in the Pacific during World War II and earned several decorations, his daughter, Jannette Elliott, said.

Alain Delaquérière, Lisa Schwartz and Jack Styczynski contributed research.

Follow Sheri Fink on Twitter: @SheriFink

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Woman Is Held in Death of Man Pushed Onto Subway Tracks in Queens

The woman, Erika Menendez, selected her victim because she believed him to be a Muslim or a Hindu, Richard A. Brown, the Queens district attorney, said.

“The defendant is accused of committing what is every subway commuter’s nightmare: Being suddenly and senselessly pushed into the path of an oncoming train,” Mr. Brown said in an interview.

In a statement, Mr. Brown quoted Ms. Menendez, “in sum and substance,” as having told the police: “I pushed a Muslim off the train tracks because I hate Hindus and Muslims ever since 2001 when they put down the twin towers I’ve been beating them up.” Ms. Menendez conflated the Muslim and Hindu faiths in her comments to the police and in her target for attack, officials said.

The victim, Sunando Sen, was born in India and, according to a roommate, was raised Hindu.

Mr. Sen “was allegedly shoved from behind and had no chance to defend himself,” Mr. Brown said. “Beyond that, the hateful remarks allegedly made by the defendant and which precipitated the defendant’s actions should never be tolerated by a civilized society.”

Mr. Brown said he had no information on the defendant’s criminal or mental history.

“It will be up to the court to determine if she is fit to stand trial,” he said.

Ms. Menendez is expected to be arraigned by Sunday morning. If convicted, she faces a maximum penalty of life in prison. By charging her with murder as a hate crime, the possible minimum sentence she faced would be extended to 20 years from 15 years, according to prosecutors.

On Saturday night, Ms. Menendez, wearing a dark blue hooded sweatshirt, was escorted from the 112th Precinct to a waiting car by three detectives. Greeted by camera flashes and dozens of reporters, she let out a loud, unintelligible moan. She did not respond to reporters’ questions.

The attack occurred around 8 p.m. on Thursday at the 40th Street-Lowery Street station in Sunnyside.

Mr. Sen, 46, was looking out over the tracks when a woman approached him from behind and shoved him onto the tracks, according to the police. Mr. Sen never saw her, the police said.

The woman fled the station, running down two flights of stairs and down the street.

By the next morning, a brief and grainy black-and-white video of the woman who the police said was behind the attack was being broadcast on news programs.

Patrol officers picked up Ms. Menendez early Saturday after someone who had seen the video on television spotted her on a Brooklyn street and called 911, said Paul J. Browne, the chief spokesman for the Police Department. She was taken to Queens and later placed in lineups, according to detectives. Police Commissioner Raymond W. Kelly said on Friday that, according to witnesses’ accounts, there had been no contact on the subway platform between the attacker and the victim before the shove.

The case was the second this month involving someone being pushed to death in a train station. In the first case, Ki-Suck Han, 58, of Elmhurst, Queens, died under the Q train at the 49th Street and Seventh Avenue station on Dec. 3. Naeem Davis, 30, was charged with second-degree murder in that case.

Mr. Sen, after years of saving money, had opened a small copying business on the Upper West Side this year.

Ar Suman, a Muslim, and one of three roommates who shared a small first-floor apartment with Mr. Sen in Elmhurst, said he and Mr. Sen often discussed religion.

Though they were of different faiths, Mr. Suman said, he admired the respect that Mr. Sen showed for those who saw the world differently than he did. Mr. Suman said he once asked Mr. Sen why he was not more active in his faith and it resulted in a long philosophical discussion.

“He was so gentle,” Mr. Suman said. “He said in this world a lot of people are dying, killing over religious things.”

Reporting was contributed by William K. Rashbaum, Wendy Ruderman, Jeffrey E. Singer and Julie Turkewitz. Susan C. Beachy contributed research.

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Death of Inouye Means Loss of Power for Hawaii

After he died last week at 88, this state went into a mourning period usually reserved for monarchs and presidents. His remains were flown to four islands so people could pay their respects, like Abraham Lincoln’s cross-country journey by train after he was assassinated.

When his coffin was carried into the state Capitol, the local news stations all broadcast the live scene. And on the day he was honored at a memorial service at the veterans’ cemetery here, Honolulu city buses flashed “Mahalo Dan” on their electric displays, using the Hawaiian expression for “Thank you.”

They have good reason to be thankful.

Hawaii has had only six United States senators since it became a state in 1959. And since 1962, Mr. Inouye had been one of them, all the while heaping the federal government’s largess on his small state.

When he died, he was the senior member of the Senate, the second-longest serving member in the Senate’s history, and the chairman of the powerful Appropriations Committee, the ideal perch for directing billions of federal dollars back home.

The state ranked the highest by far in per-capita federal earmark spending, according to the most recent figures from Taxpayers for Common Sense. The $412 million spent on Hawaii in 2010, before a moratorium on earmarks went into effect, was equal to almost $320 for each of the state’s 1.3 million people. (North Dakota was second, at about $233 per person.)

Hawaii, it is often joked here, has three industries: tourism, the military and Dan Inouye.

But with his death and the retirement of the state’s other senator, Daniel K. Akaka, Hawaii will lose all of its seniority in the Senate, raising concerns here that the influence the state has accumulated over the last half-century will be greatly diminished and that federal aid will be harder to obtain.

“Going from first to last is a hard pill to swallow,” said Justin Hughey, a teacher from Maui who sits on the central committee of the state’s Democratic Party. “With all the money Dan was able to raise, those are some big shoes to fill.”

Mr. Inouye’s appointed successor, Brian Schatz, was sworn in on Thursday. Representative Mazie Hirono, a Democrat who was elected in November to replace Mr. Akaka, will be sworn in when the new Congress meets next week.

Like many people here, Mr. Hughey can point to a particular project that he associates with Mr. Inouye. For him, it was the Lahaina Bypass, a highway on Maui that helped alleviate traffic congestion. “That money wouldn’t have been there if it weren’t for Dan,” he said. “There’s no bridge to nowhere here.”

Mr. Inouye, who lost his right arm in combat during World War II, also persuaded the United States military to leave its bases in Hawaii open, even though the state is no longer as vital for strategic defense purposes. The Army, Navy, Coast Guard, Air Force and Marine Corps all maintain installations here.

“There were several times that there was talk of Pearl Harbor being shut down, but he protected us from that,” said Jeanne Ishikawa, who attended a memorial service for Mr. Inouye on Oahu over the weekend. “What he did is huge. You can’t define it. You can’t quantify it.”

Complicating matters even more, the state’s House delegation will be especially junior in the next Congress. Colleen Hanabusa, 61, a Democrat, will be the state’s senior representative, but she will be in only her second term. Tulsi Gabbard, 31, who will succeed Ms. Hirono, was just elected in November.  

If Hawaii’s loss of seniority is worrying some residents, its elected officials are putting on stone faces. “Let’s not be wringing our hands,” Ms. Hirono said. “He would expect us to show strength and to build on the foundation he laid.”

Gov. Neil Abercrombie, himself a former member of the House, characterized the seniority shifts as an inevitable changing of the guard. “Between Tulsi Gabbard coming in at 31 in the House and Brian Schatz coming into the Senate at 40, we’re investing in the long run,” said Mr. Abercrombie, who decided to appoint Mr. Schatz, his lieutenant governor, this week. “Sooner or later, it has to begin again. That’s what we’re doing. We’re not whining. We’re not complaining.”

Hawaiians often describe Mr. Inouye’s contributions as immeasurable or unquantifiable. In one way, they are.

Unlike Senators Robert C. Byrd of West Virginia or Ted Stevens of Alaska, whose legacies of pork barrel spending are evident in the structures named for them, Mr. Inouye’s name appears on almost nothing here. A soft-spoken man whose small stature belied his influence, Mr. Inouye was always reluctant to herald his work.

But there is already talk of memorializing him. “I guess we’ll have to name a highway after him, or put up a statue,” said Grace Fujii, whose father is a veteran of the same Army combat team as Mr. Inouye. “But he’d probably say, ‘Who, me? Why?’ ”   

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About New York: One Boy’s Death Moves State to Action to Prevent Others

The action by New York has elated sepsis researchers and experts, including members of a national panel who this month formally recommended that the federal government adopt standards similar to what the state is planning.

Though little known, sepsis, an abnormal and self-destructive immune response to infection or illness, is a leading cause of death in hospitals. It often progresses to severely low blood pressure, shock and organ failure.

Over the last decade, a global consortium of doctors, researchers, hospitals and advocates has developed guidelines on early identification and treatment of sepsis that it says have led to significant drops in mortality rates. But first hints of the problem, like a high pulse rate and fever, often are hard for clinicians to tell apart from routine miseries that go along with the flu or cold.

“First and foremost, they need to suspect sepsis,” Dr. Mitchell M. Levy, a professor at Brown University School of Medicine and a lead author of a paper on the latest sepsis treatment guidelines to be published simultaneously next month in the United States in a journal, Critical Care Medicine, and in Europe in Intensive Care Medicine.

“It’s the most common killer in intensive care units,” Dr. Levy said. “It kills more people than breast cancer, lung cancer and stroke combined.”

If started early enough, the treatment, which includes antibiotics and fluids, can help people escape from the drastic vortex of sepsis, according to findings by researchers working with the Surviving Sepsis Campaign, the global consortium. The tactics led to a reduction of “relative risk mortality by 40 percent,” Dr. Levy said.

Although studies of 30,000 patients show that the guidelines save lives, “the problem is that many hospitals are not adhering to them,” said Dr. Clifford S. Deutschman, director of the sepsis research program at the Perelman School of Medicine at the University of Pennsylvania and the president of the Society of Critical Care Medicine.

About 300 hospitals participate in the study, and the consortium has a goal of having 10,000. “The case is irrefutable: if you take these sepsis measures, and you build a program to help clinicians and hospitals suspect sepsis and identify it early, that will mean more people will survive,” Dr. Levy said.

At a symposium in October, the New York health commissioner, Dr. Nirav R. Shah, said that he would require state hospitals to adopt best practices for early identification and treatment of sepsis. Gov. Andrew M. Cuomo intends to make it a major initiative in 2013, said Josh Vlasto, a spokesman for the governor. “The state is taking unprecedented measures to prevent and effectively treat sepsis in health care facilities across the state and is looking at a wide range of additional measures to better protect patients,” Mr. Vlasto said.

In April, Rory Staunton, a sixth grader from Queens, died of severe septic shock after he became infected, apparently through a cut he suffered while playing basketball. The severity of his illness was not recognized when he was treated in the emergency room at NYU Langone Medical Center. He was sent home with a diagnosis of an ordinary bellyache. Hours later, alarming laboratory results became available that suggested he was critically ill, but neither he nor his family was contacted. For an About New York column in The New York Times, Rory’s parents, Ciaran and Orlaith Staunton, publicly discussed their son’s final days. Their revelations prompted doctors and hospitals across the country to seek new approaches to heading off medical errors.

In addition, Commissioner Shah in New York convened a symposium on sepsis, which included presentations from medical experts and Rory’s parents.

At the end of the meeting, Dr. Shah said that he had listened to all the statistics on the prevalence of the illness, and that one had stuck in his memory: “Twenty-five percent,” he said — the portion of the Staunton family lost to sepsis.

He said he would issue new regulations requiring hospitals to use best practices in identifying and treating sepsis, actions that, he said, he was taking “in honor of Rory Staunton.”

The governor’s spokesman, Mr. Vlasto, said that “the Staunton family’s advocacy has been essential to creating a strong public will for action.”

Dr. Levy said New York’s actions were “bold, pioneering and grounded in good scientific evidence,” adding, “The commissioner has taken the first step even before the federal government.”

Dr. Deutschman said that initiatives like those in New York were needed to overcome resistance among doctors. “You’re talking about a profession that has always prided itself on its autonomy,” he said. “They don’t like to be told that they’re wrong about something.”

The availability of proven therapies should move treatment of sepsis into a new era, experts say, comparing it to how heart attacks were handled not long ago. People arriving in emergency rooms with chest pains were basically put to bed because not much could be done for them, said Dr. Kevin J. Tracey, the president of the Feinstein Institute for Medical Research at North Shore-Long Island Jewish Health System. Dr. Tracey, a neurosurgeon, has made major discoveries about the relationship between the nervous system and the runaway immune responses of sepsis.

If physicians and nurses were trained to watch for sepsis, as they now routinely do for heart attacks, many of its most dire problems could be headed off before they got out of control, he said. The Stauntons have awakened doctors and nurses to the possibility of danger camouflaged as a stomach bug.

“We are with sepsis where we were with heart attack in the early 1980s,” Dr. Tracey said.

“If you don’t think of it as a possibility, this story can happen again and again. This case could change the world.”

E-mail: dwyer@nytimes.com

Twitter: @jimdwyernyt

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