Village Nurse

By Joanne Holden, ©1964

Lorena read it in Deke’s glazed eyes. He had lost his battle to clean up River Street. And failure could mean an epidemic. As Deke’s office nurse—and the woman he loved—Lorena had to help him. There was just one way. The one who could save him was Beat Wetherill, the richest man in town. Lorena would go to him—and plead. But she was asking for trouble. Beat Wetherill—once Deke’s friend—was now his enemy. And he was irresistably attractive …

GRADE: B-

BEST QUOTES:
“You’re what is known as a natural dancer. I ought to have gotten the message from the way you cross the office floor.”

“I wasn’t born with a thermometer in my pocket. I’ll date anyone I please.”
 
“You add a decorative touch to this plain office.”

“I’m sorry you felt it was necessary to mix your threat to me and your proposal to Lorena in the same breath.”

REVIEW:
Lorena Loring is a rare nurse with a blot on her record. Of course, it’s ill-deserved: She was once sued for assault and battery for having given a patient a blood transfusion despite the fact that the patient refused it on religious grounds. It’s actually an interesting story, from today’s perspective: An unconscious man, brought to the ED, had been ordered blood. When he came to, he told her to stop it, but she was unable to reach the doctor who ordered it. All she could do was “tell the patient once more she could not stop the transfusion except by doctor’s orders.” It’s curious in that, at least in this fictional event, (1) the doctor’s orders superceded the patient’s, (2) Lorena could not bring herself to at least put a hold on the order until the mess was straightened out, and (3) the patient didn’t just rip the IV out of his arm. I certainly hope this sort of thing didn’t happen even in the long-ago ’60s.

Anyway, she moves back to her hometown of Laurelton, in the Berkshire Hills of (presumably) Massachusettsto escape the ignominy, and quickly winds up working alongside Dr. Derek “Deke” Collingwood. There are other men on her horizons, too: the unfortunately named Beat Wetherill, the heir to the paper mill owner. This “exalted being,” as Lorena describes him, was the object of an alarming high school crush; Lorena had spent her time “lurking near the entrance to the Wetherill driveway, hoping to catch sight of Beat Wetherill. She had even been successful a few times and, as Beat flashed by in his sports car, had felt her heart jump in her throat.” What goes around comes around, though, as now she’s the object of an obsession: former casual beau Clyde Furness is convinced she’s returned to town just for him, and can hardly wait for her to marry him and quit nursing. “I’ve going to have you for my own,” he tells her. “Go on and play at being a nurse, and I’ll be waiting when you come back.”

Dr. Deke wades into the action when he tells her, “I’m not going to make a practice of this, but I’m going to kiss you, and nothing you can stay will stop me. Relax.” I can only hope this never really passed for romantic, because today it’s just creepy. Nonetheless, “Lorena did as she was told and thrilled to his kiss,” but not wanting to get into a relationship with her employer, pulls away and offers him a sandwich. Having disposed of him, she now has to fend off Beat, who walks in off the street and kisses her hard as she struggles to get away. Discovered by Dr. Deke, “Lorena was furious: with Beat for his thoughtless attentions; with herself for not anticipating his actions; and with Deke for having picked that moment to come out of his laboratory.” Curious that she blames not just her attacker but herself and the one who helps her fend him off, even if he is pissy about it, though it’s unclear whether he realizes she was being assaulted.

Naturally, Lorena is soon dating the insufferable Clyde and Beat as well, perhaps just to prove Clyde wrong, who has told her that Beat would “never look at a village girl” like her. Their first date is curious, from a sociological standpoint: Out on a picnic by the river, he puts his arms around her and tries to kiss her, “but she slipped away” and started setting out lunch—and then “silently scolded herself for putting him off so abruptly.” Then she brings up the name of a young woman in town who is putting the moves on Dr. Deke, suggesting that Beat would rather have brought her to the picnic. Beat becomes annoyed, telling her, “You’re a spoiled brat. If you weren’t such a beautiful spoiled brat, I’d be tempted to spank you as you deserve.” She, for her turn, becomes upset by his “resentful attitude” when she had brought up this other woman, and wonders if she should “plead a headache and ask to be taken home.” All these headgames brought me back to junior high, yet Lorena doesn’t seem to mind them and continues to see Beat.

Deke, meanwhile, is busy mounting a crusade against the slum that lines River Street, all owned by Clyde Furness. Sure enough, a small epidemic of German measles breaks out, claiming the child of the local handyman. Clyde’s own nephew Eddie is also a slum victim: There’s a cute little rumble between the River Rats gang and the slightly less imaginatively named Bridgers of nearby Bridgerton in which several boys are injured with antiquated weapons including switchblades, a skid chain, the antenna from a car, and a zip gun, and Eddie is the only fatality. Clyde responds to this personal tragedy by stating that he will publicly (and falsely) accuse Deke of malpractice and expose Lorena’s past unless Lorena marries him and Deke leaves town. Deke agrees to go, and Lorena is furious, calling him a quitter for abandoning the poor and the effort to improve health conditions in town. Deke argues that the next doctor will pick up the effort, and that if he didn’t succeed, he furthered the fight. “I don’t feel as if I’d failed, or that I’m running away from the problem at all,” he says, though he clearly has done both. Lorena, relieved, hurries off to make instant iced coffee.

Over these refreshing beverages, Deke tells her he’s going to take a research position in New Yorkand he wants her to marry him and go with him. Her main objective accomplished, she’s suddenly tepid: “She had thought she might be in love with him. Yet now she felt curiously detached, as if they were casual co-workers.” Her main concern, it seems, is that, “suppose he ever wants to talk to me about his work? It would be another language as far as I am concerned. A nurse doesn’t deal in abstractions or theories. All nurses deal with people.” I’m not quite sure I follow this at all, but Lorena’s landlady renders the argument moot when she points out that “you would give up nursing anyway and start to raise a family.” The ending soon follows, a tidy resolution to all Lorena’s problems, including that pesky career, as her fiance (and you knew there would be one) tells her, “I’d expect a home-cooked supper” every night. Phew!
 
Lorena is a curious character. On one hand, she is feisty, often ready with the snappy comeback, and not afraid to tell people off. Yet throughout the book we are given example after example of her bizarre motivations and self-defeating decisions, and the two sides of her character seem incompatible. In the end I am just puzzled by the whole book, and the nauseating ending just confirmed the feeling. With the slums about to be revitalized (and you knew they would be), the poor families are summarily dealt with in a way that the healthcare team could have accomplished themselves, had they thought for five minutes about the problem. Furthermore, Clyde’s defense of the slums still echoes: “Suppose I fixed up those houses and charged the people a fancy rent—could they pay it, when they can hardly pay the pittance I ask? How many houses are there in Laureltown where these people could go, if it were not for me? Where would they live, if not on River Street?” Now that the slums are going to be torn down, and the developer emphatically telling Lorena that he plans to make money on the deal (Lorena answers, “You deserve to make money when you do something as fine and necessary as cleaning up the River Street pesthole”), it seems that all that really mattered was that the poor folks be relocated somewhere else so their blighted neighborhood could be eliminated. Both professionally and personally, Lorena has accomplished her missions, and we can all rest easy. Unless you’re one of those poor families about to lose their homes.

A Nurse on Horseback

By Adelaide Humphries, ©1959
 
When Nora Williams completed her nurse’s training and went home to the lawless West, she was determined to stay in this remote country where a nurse was so desperately needed. But then one day, on a lonely mountain trail, as Nora was riding to a sick child, the silence was shattered by the bark of a gun. Suddenly Nora knew that the bullet was meant for her! Who was trying to keep this dedicated young nurse from her task of helping the poor and defenseless in this wild country?
 
GRADE: B
 
BEST QUOTES:
“Every young girl likes to pretty-up at the end of the day for the evening ahead.”
 
“I should think such a beautiful girl could demand for more. And having a professional career is not altogether what I had in mind, though probably that will lead to marriage, too—which must be what you most desire for her.”
 
REVIEW:
It’s true, as advertised on the back cover blurb above, that this book starts off with a fairly literal bang when someone takes a shot at nurse Nora Williams as she ride—horseback, of course—to see a patient not long after arriving in the west to live out her days on her Aunt Til’s ranch. She believes, though, that the shot was made by a hunter, and she’s more concerned about the fact that her horse threw her and then ran off, leaving her with several miles to walk before reaching her destination. And it’s really not much more than a device to place her into close contact with the cowboy who comes riding down the path, Dan Corby. Naturally, Nora draws a gun on him and accuses him of having fired the shot “at my mare—or at me!” which is not what she had just been thinking a few moments earlier. He offers her a look at his gun to show it hasn’t been fired, and when it’s clean, she asks him for a ride and swings up behind him onto his own horse, the floozy.
 
Anyway, all that and her nursing visit over, Dan takes her home and is promptly hired to be ranch foreman. The ranch is in financial trouble, of course, and the mortgage is owned by banker Burt McCulley, who is pressing Til to sell the ranch. But Til has a trick up her sleeve; a young man who invested all her life’s savings for her is coming to deliver the enormous profits he’s reaped in a week. The day Thomas Jeffries is due on the ranch, Til rides out to meet him, but comes back alone, and Thomas never shows up—until a week later, when he is found murdered in the desert. And it’s discovered that he’d lost all Til’s money to boot! Which means that Til won’t be able to pay off the mortgage, and is a suspect for murder!
 
To solve both these problems, Nora lies to the sheriff about Til’s whereabouts that day and then dates banker Bart, who proposes on the first date: “I might remind you that if you marry me, all your worries—your aunt’s worries—will be over,” he tells her, the suave lothario. To reassure her that he is not motivated to propose because of her aunt’s property, he points out that she will make a good mistress of his own huge ranch since “you come from good stock.” To her credit, Nora thinks, “You might have thought he was picking out the finest breed of cattle,” but she winds up accepting him anyway, and the fact that this will make her essentially a whore isn’t discussed.
 
Then Aunt Til fires Dan, for reasons she fails to explain. And starts coughing a lot, and staying in bed, and talking about dying. And confesses that it was she who shot at Nora, because she wanted Nora to go back to the East Coast and never find out that the ranch was heading into foreclosure. It’s an overly lame note that could have been avoided, and it doesn’t even make sense—how could Til possibly hide the fact that the ranch had been lost to the rest of her family, no matter where they are, when she has to find another place to live?
 
Things go from bad to worse for Nora and her beaux: Dan is arrested for the murder of Thomas Jeffries, because apparently he’d been riding the range that night as well, and Jeffries’ saddlebag is found in Dan’s bunk. And Bart’s unimpressive reputation is further sullied when Nora learns that Bart’s men are burning down the ranches of farmers who won’t sell out to Bart. Then the sheriff shows up at the ranch with Nora’s little gun—the one she’d threatened Dan with in the first chapter, remember?—which was discovered near where Thomas Jeffries’ body had been discovered, and has been found to be the murder weapon. The sheriff is about to arrest Nora when Til—hold onto your hats, friends—confesses to the murder. Before the sheriff can drag her off to jail, however, Til conveniently collapses and dies in Nora’s arms. To top off one perfunctory, obvious scene with another, the final chapter finds Nora nearly drowning in a river, to be rescued by Dan and discovered to have broken off her engagement to Bart.
 
The problem with this book is that it bitterly disappoints: Early on it manages to depict Dan and his interest in Nora in a completely believable and appealing way, only to totally squander your emotional investment with a whole host of absurd and obvious scenarios that dot the remaining three-fourths of the book. I truthfully mourned the book that could have been. So while I can easily recommend that you pick up this book, I have to also suggest that you strongly consider putting it down again after page 30.

Masquerade Nurse

By Jane Converse, ©1963
 
Kathy Barrett awoke in a hospital bed … When the lovely nurse opened her eyes she remembered the sickening skid, the crash, and nothing else. How did she get there; where were here friends Jim and Lynne? She struggled to speak, to ask questions of the handsome young doctor who stood at her bedside and who looked so much like Jim Stratton. His eyes were concerned, his voice tender as he spoke. “It’s all right, Lynne,” he said. “You’re going to be all right now, Lynne….” This stirring novel is the story of a nurse who is the sole survivor of an automobile accident, a nurse who borrows the identity of her dead friend to find a new home and escape a threatening past, a nurse who lives a life of painful lies while she falls deeply in love with a dedicated doctor.
 
GRADE: B+
 
BEST QUOTES:
“You had to keep remembering the miracles and doing what you could to prolong life, even when your patient begged for release.”
 
REVIEW:
The back-cover blurb of this book—and the similar plot abstract just inside the book’s cover—are a serious detriment to the reader, who would be far better off not knowing what’s coming. Because the setup is a bit complicated and requires almost 50 pages before we can get on with the car crash, I for one tended to rush the earlier reading. But that’s a shame, because it’s a pleasant story of a smart, competent nurse with a few issues. Like many a nurse before her, she comes from an orphanage, but she had her best friend, Lynne Haley, to suffer alongside. The two share an apartment, and it’s Kathy who introduces Lynne to the doctor who would become her fiancé, Jim Stratton. This is one of the aspects of the VNRN that I’ve always enjoyed best, the nurse and her roomie sharing jokes and dinner together, but this doesn’t get as much play as I would have liked in what is actually a too-short nurse novel (and it may well be a first that I have said that here).
 
Kathy’s troubles begin when, her better judgment obviously still on break, she accepts a date with the unctuous hospital administrator, Ralph Knoll. After a steak dinner that includes too many drinks, Ralph predictably puts the moves on, and Kathy is forced to tell the little troll what she thinks of him. So when a terminally ill cancer patient is discovered to have been relieved of his suffering with an unhealthy dose of Nembutal, Ralph is quick to lead the inquisition, declaring that Kathy—who subbed during the dinner hour for the nurse specialing the patient—is guilty of a mercy killing. Though no one believes her guilty, she is nonetheless suspended until the truth can be learned—and the bereaved widow, who just happens to have been given a script for Nembutal recently, is catatonic with shock and can’t answer any questions. So it’s going to be a long suspension.
 
To pass the time, Kathy drives to Oregon with Jim and Lynne, who is to meet Jim’s family for the first time. En route is the fatal mishap, and Kathy wakes, groggy and dazed, with this hot doctor holding her hand and calling her Lynne (because she had been passing Lynne’s pocketbook to its rightful owner at the time of the accident, and everyone assumed that the ID inside the bag belonged to the woman clutching it; apparently IDs didn’t have photos in the 1960s). At first too dazed to correct Dr. Dane Stratton, then attracted by the idea of the family Dane wants her to become part of, and also concerned that Dane’s poor mother will suffer another heart attack when she learned that the “daughter” she’s now pinning all her hopes on is actually as dead as her son, Kathy goes along with the misunderstanding. She isn’t totally ignorant of the fact that assuming Lynne’s identity could help her out of the jam she’s in at the hospital, but she spends a lot of time berating herself for perpetuating the charade and not coming clean, planning the moment when she will spill the beans, and then letting the moment pass yet again. It’s the sort of inner dialogue that could come across as stupid or overwrought or unbelievable, but Jane Converse is a fine writer and pulls it off seamlessly.
 
Kathy obviously can’t return home as Lynne and has been pressed to join the family unit, which includes the charmingly boyish 17-year-old brother Petey as well as Mom and Dale. This assemblage of characters is as attractive to the reader as it is to orphan Kathy, who has always longed for a home. As the weeks pass, the deceit becomes increasingly difficult; posing as the schoolteacher Lynne she is unable to chat about educational reform or explain the flawless tracheotomy she performs on a choking neighborhood boy. After she resigns from Lynne’s job she is forced to cash Lynne’s final paycheck. The fact that this is a felony does not pass lightly, as Kathy now realizes that her deception has crossed legal lines, and she worries about how this crime will impact her ability to retain a nursing license if discovered.
 
The suitor character in VNRNs is usually drawn fairly loosely—this character is seldom as important as his potential as The Possible Husband in the VNRN—and, true to form, Dale is not among the more detailed men we’ve met. Nonetheless, he is a solid, pleasing character. The lead up, when Kathy is finding Dane increasingly attractive, is well-played, and the electricity she feels when he palpates her shoulder fracture (silly as that sounds), or when “brushing against him accidently while they fixed a midnight snack in the kitchen,” is real. Though Dane eventually succumbs to that very bad habit of VNRN boyfriends, pushing themselves on reluctant heroines with over-the-top declarations of undying love and an alarmingly stalkerish intention of remaining her shadow until she falls for him or at least agrees to marry him, he does so in a very mild and organic way: She’s crying after the tracheotomy, thinking he’s about to tell her he knows she’s a fraud, and instead he, “bewildered and helpless,” tries to console her. He ends up smoothing the tears from her face and saying, “You’re the most wonderful thing that ever happened to us … the most wonderful thing that ever happened to me,” and “looking at her with a burning intensity, yet an expression so poignantly tender” before he quickly snaps out of it and gives her two sleeping pills and rushes awkwardly from the room. This I found much more cute than creepy, which is how those scenes usually come across.
 
Anyway, you know it’s just a matter of time before Dane finds out who Kathy really is and freaks out. You can also guess that there will be a terrible accident at the high school gymnasium, where Petey has gone to watch a basketball game between the Chatsville Chargers and the Bayport Bruins (carrying a sign he’s made that reads, “Bruins, Sí! Chargers, No!”) that causes radio announcers to plead for any healthcare workers in hailing distance to come to the gym right away to aid in the relief efforts. And you can guess that Kathy’s heroic efforts there, and her genuine alarm for Petey’s safety, will go a long way toward getting her through this mess, as does a little surprise twist.
 
I always open a Jane Converse novel hopefully, because I know what she is capable of (see Surf Safari Nurse). While Masquerade Nurse is not her best in terms of exuberant writing or humor, she has assembled here a good plot and characters, and she writes them well enough that you can really believe them and not snicker more than once or twice at their stupidity. If this isn’t her best, there’s enough here to make it absolutely worth reading, and certainly a lot more than you might find in most VNRNs.

Cruise Ship Nurse

By Dorothy Daniels, ©1963
Cover illustration by Lou Marchetti

Karen Carlisle thought her frantic flight from the past was over when she boarded a luxurious ocean liner, to become the ship’s nurse. There, among strangers—the richest and most glamorous people in the world—she felt safe. Nobody asked why she was there. And she could pretend she was free like the others. But when an infant was stricken with a fatal disease which only Karen understood, her safety, her career, the love she had learned to cherish above all else, must be sacrificed. Though it might mean disgrace and the loss of her fiancé, Karen Carlisle prepared to reveal the scandalous truth.

GRADE: A-

BEST QUOTES:
“What a bedside manner. You’ll charm the women out of their minor illnesses.”

“I suppose everyone is entitled to a ship romance. It must even be included in the brochure of the cruise.”

“Now run along and attend to your gown and your makeup, all the things that will make everyone appreciate you so much.”

“There’s nothing better than a pizza in Japan.”

“They want a doctor, not a fashion plate.”

REVIEW:
Seldom do we meet a VNRN heroine as smart and as feisty as Karen Carlysle. In truth, she should really be a physician assistant or nurse practitioner, so focused is she on diagnosis and treatment (she had wanted to be a doctor, but financial considerations forced her to drop that dream). This interest surfaces right away when she is assisting society hack Dr. Radcliffe, who is “oozing his bedside best” with a rich, demanding woman with a thyroid tumor. The patient wants an immediate diagnosis, so Dr. Radcliffe pulls out a Vim-Silverman needle for an on-the-spot biopsy. Karen, who had been studying up on thyroid cancer, looks upon the doctor with horror and reminds him that a needle biopsy of a cancerous lesion can seed tumor cells, causing metastasis. He drags her into the corridor and, as she argues with him that the procedure is incorrect and dangerous, declares that he will have her license revoked for interfering with a doctor.

Fortunately, though, also present in the room was her fiancé, Dr. David Logan, who will naturally back her up with this important but outdated doctor. “I’m a lowly resident. I don’t know anything,” he tells her. “A nurse should know even less, but the most important thing she should know is to keep her mouth shut. Damn it, you’re not a doctor. You’re just an interfering nurse who shouldn’t even wear that uniform.” Thanks, Dave. Needless to say, when called to testify before the chief of staff that Dr. Radcliffe had been about to perform a contraindicated biopsy, Dr. Logan “promptly” denied it.

Karen, expecting to lose her license as quickly as she lost her fiancé, is on her way out of the hospital when she passes the room opposite the thyroid patient’s, where she finds an elderly man in respiratory distress. She cannot resist a patient in need, so despite her own problems, she helps him until he is better. It turns out that he had heard the entire exchange, and now wants to help Karen. It turns out that he is the owner of a cruise line, and with one phone call gets her a job on the Prince Thatcher, a luxury liner embarking on a three-month cruise through the Pacific tomorrow.

So off she sails … but her troubles are not exactly behind her, because the ship physician, Dr. Lloyd Dunlop, is more concerned with cocktail parties and bridge games than he is with medicine. You don’t have to be a brain surgeon to see what is coming next. One patient on board, a Filipino diplomat named Ramon Morrano, is returning to Manila with a fatal lung cancer to die, but it looks like he won’t make it. Karen “had made it a habit of reading all of these journals she could find.” This was how she had known so much about papillary carcinoma of the thyroid; “the hospital library had been at her disposal and she’d studied case histories thoroughly. It was like Karen to do that because her interest in medicine and nursing was such that all this hard work was of vast satisfaction to her if she understood a little more.” So now a little paper about advanced treatments of terminal cancers is teasing her memory. A few hours and a stack of Dr. Dunlop’s virgin medical journals later, Karen discusses a new anabolic medication with Mr. Morrano, who would like to try it—but a nurse can’t prescribe, only Dr. Dunlop can. Needless to say, he is not at all impressed with his uppity nurse. “I refuse to take any responsibility for administering a drug I know nothing about,” he shouts.

Fortunately, Karen has a new friend on board, Pete Addison. Pete refuses to tell Karen what he does for a living and seems to be trailing—and photographing—another passenger, Robert Nesbit, a shy recluse who turns out to be one of the richest men in the world. Karen is upset about this, but Pete tells her that he has given his word to keep this secret and so cannot tell her about it, much as he’d like to. Karen believes Pete to be honorable, and it also turns out that he’s powerful, because he has some of this drug flown by jet from New Jersey to Los Angeles, then on a military bomber to Hawaii. Pete also has a few words with Dr. Dunlop, and soon Mr. Morrano is well enough to take some liquids and even go out on deck to enjoy the views. And remember that Pete is a journalist for a very important and quite conservative news magazine, who had interviewed him once in Washington. “You must never let him become aware of the fact that you know who he really is and what he’s up to,” Morrano advises. “Let him tell you himself, for then he will feel more important and honest. Never bring a young man’s head down out of the clouds.”

And it’s not too long before Pete’s compunction to keep secret his mission fades, and he tells Karen that he is trying to do a profile about Mr. Nesbit, who has always refused any press in the past. But “he has no right” to privacy, Pete states, that the public has “a right to at least know what he looks like,” a curious assertion. And Mr. Nesbit’s six-month-old baby, Melissa, is looking a bit blue about the lips and not taking her food. Dr. Dunlop prescribes a change in formula, but our bold diagnostician Karen has cardiac ideas. When she finds, after a more careful examination than Dr. Dunlop’s, that Melissa is limp, pale, afebrile, and tachycardic, she insists that the baby has more than a minor stomach upset, but Dr. Dunlop furiously denies it. “See that you remember your place,” he snaps. “You are a nurse, not a doctor.”

Needless to say, however, the formula change makes no difference to Melissa, and now the Nesbits are calling for Karen, not Dr. Dunlop. “Frankly, I think you know more than he does and you apply your skill better,” he tells her. Karen is worried, of course, that she’s just adding to her troubles: “I guess I’m not a very good nurse. The first thing we’re taught is to obey the doctor.” But Pete has confidence in her: “If you saw Dunlop going off on a wrong diagnostic tangent, you’d step right in and do what you honestly knew to be right, even if it meant more trouble. You stick by your guns, my girl.” So she returns to the sick bay and promptly starts reading up on pediatrics. When she discusses the case with Dr. Dunlop the next day, he declares that the baby may have acute appendicitis, and Karen is “almost in awe of the man’s complete ignorance.” A blood count proves him wrong, but Dr. Dunlop is afraid to do and EKG for fear of upsetting the Nesbits. Feeling powerless to contradict the doctor, Karen pours out her worry to Pete, who has a talk with Mr. Nesbit. Mr. Nesbit listens to Karen’s reasoning and insists that she do the EKG, but now Karen is in the precarious position of having introduced the journalist to her patients.

The EKG shows ventricular hypertrophy, and Karen diagnoses coarctation of the aorta. The baby will need immediate surgery, but again, a medication, plus oxygen and antibiotics, will help relieve her symptoms until she can have the surgery. She just has to go up against Dr. Dunlop again. “If she was wrong, she was finished as a nurse. But she was certain the medical books backed her up—if she had read them properly—and she knew she had.” In her discussion with him, she is calm, confident, and insistent that he do the right thing, advising that he communicate with a cardiologist by radio—which is promptly done, and the MDs ashore confirm Karen’s diagnosis. In a meeting with the captain, however, Dunlop brings up Karen’s insurrection with Dr. Radcliffe, suggesting that she “has some type of complex and is possibly psychotic. If that’s all, Captain, I’ll return to my party.” But Pete steps up and asks the doctor if he even knows what the proper treatment for the baby is. He does not, unsurprisingly, but Karen sure does! Her treatments are confirmed by the cardiologist ashore, so now all we have to do is get Melissa to a hospital that specializes in pediatric cardiology in the next 36 hours. But Pete—first confessing his occupation to Mr. Nesbit, destroying his film, and tearing up his story—calls on his amazing contacts with the military and arranges a helicopter from a nearby aircraft carrier to swing by and pick up Melissa, Mrs. Nesbit, and Karen, take them to the ship and then to Honolulu by military jet, then by private jet to Los Angeles—the very hospital Karen was to be drawn and quartered at. There, the baby is saved, and Karen is cleared of all wrongdoing in the thyroid case, after sworn affidavits from the cruise ship owner, the supply room manager, and the patient herself showed that Dr. Radcliffe had called for a Vim-Silverman needle. Phew! All that’s left is for Karen to receive Pete’s proposal of marriage over the telephone from Singapore, and all is well.

I’m not really certain that Karen is going to be happy professionally as a nurse, now that her name is cleared—she most positively would not be content as a housewife. But I appreciated both her confidence as a healthcare practitioner, her diligence in doing her homework, and her assertiveness (and her doubts) in challenging the doctor. She is truly an enjoyable heroine, one able to toss of a biting remark when necessary. The writing is slightly above par, and the characters were, for the most part, well-drawn. And when the first class of physician assistants matriculates at Duke in a few years (the first four PAs graduated in 1967), we can only hope that Karen Carlyle will apply.

Doctor Dee

By Elizabeth Wesley
(pseud. Adeline McElfresh), ©1960

When Dr. Dee Bailey joined the surgical staff of big, modern Still River General Hospital to serve as anesthesiologist under Surgeon Arn Thurston she made an implacable enemy of Nurse Cele Maynard. For the young nurse was madly in love with the handsome surgeon and believed Dr. Dee wanted him, too. Then fate played into the hands of Nurse Maynard. A powerful underworld czar was brought for an emergency operation and Nurse Maynard listened on an extension phone as a sinister voice offered Dr. Dee “real money, a hundred grand—if he don’t come through that operation.” When Phil Roscoe died on the table, the young nurse, almost insane with triumphant malice, made her accusation—Dr. Dee Bailey had taken a man’s life for a hundred thousand dollars!
 
GRADE: B
 
BEST QUOTES:
“Let a doctor be personable and good-looking, and they don’t trust him.”

REVIEW:
I didn’t realize until I started in on this book that it is actually the prequel to
Dr. Dorothy’s Choice, which is not a book I cared for very much, since the Dr. Dorothy “Dee” Bailey was a spineless wimp buffeted about by the men in her life. Here, though, she shows a bit more starch, and with good writing to bolster the storyline, we’ve got a better yarn with Dee’s introduction, and one worth reading.
 
Dee has returned to Still River, Indiana, her home town, after medical school and residency and a job in New York, to work for Dr. Paul Courtney. She’s walked into a bit of a mess, however, taking control of the anesthesiology department from Celia Maynard, nurse anesthetist, who is not happy about her demotion. Cele is also ridiculously jealous because about a week after Dee’s arrival, Cele’s boyfriend, surgeon Arn Thurston, makes a major pass at Dee at a dinner party that he has attended with Cele on his arm. Dee does not show enough sense to tell Dr. Thurston to get lost, unfortunately, and the gossip about Arn and Dee’s moonlit peccadillo doesn’t make things any better between the two ladies.
 
Then, when a golf buddy of Arn’s collapses with a gallbladder attack, it is revealed that he has a bad heart due to an unspecified stab wound to the pericardium that makes surgery risky. Scrubbing up for surgery, Dee gets a phone call during which she is advised of a unique financial opportunity: Should former Sing Sing resident and wise guy Phil Roscoe not survive the surgery, her bank account could be $100,000 heavier. Then, when Phil does arrest on the table, Cele, present in the room as a curious onlooker, starts shrieking that she was eavesdropping on the extension and overheard the whole exchange, and that Dee is a murderer.
 
The rest of the book is a somewhat strange muddle in which a pack of fairly stupid gangsters threaten Arn to speak out against Dee or they will reveal an incident from his past in which he ordered a barbiturate for a young patient who subsequently died; he had denied having written the order and was never proven to be guilty of wrongdoing, though everyone suspected him of it. A bundle of cash is hurled onto Dee’s doorstep, and when she turns it over to the police, she is kidnapped. Instead of whimpering in a corner, though, she plots her escape, and thank goodness she decided to forego the Keds for heels this morning!
 
In the end, delivered back to Still River by a passing truck driver, Dee lands in the arms of a man she has dated but professed little interest in, so though we should see it coming, it still feels a bit odd. The fate of Dr. Thurston, the gangsters, Cele, and even Dee’s career is left unanswered, and unless there’s another book between this and Dr. Dorothy’s Choice, we can only guess how all that turns out. But there’s some nice writing and some fun characters in this book, and the plot is livelier than many. Even if you decide not to follow Dee’s career path going forward—and I can’t strongly recommend that you do—you could do a lot worse than to watch her debut.

Nurse into Woman

By Marguerite Mooers Marshall, ©1941
Cover illustration by Dave Attie
 
“I’m a nurse, not a woman,” said Kristine. “I’ve resolved never to marry—never to have a child. I’m a good nurse—I’ll stay one. I’m not going to be a woman.” But to Captain Jim Dudley, whose life she had saved, and to Dr. Bowen, Chief of Staff, Kristine was far more than a nurse—she was a beautiful woman—a woman to be loved.
 
GRADE: A+
 
BEST QUOTES:
“People with imagination turned around to look at Kristine, in the subway or on a crowded city street.”
 
“What’s the use of being a good nurse, since I haven’t got eighteen-karat hair and big blue eyes? Nothing else seems to count, with patients or doctors either!”
 
“Many nurses at Samaritan had learned to make allowances for a physically unattractive girl’s jealousy, rooted in her inferiority complex.”
 
“You’re like a rock. Why can’t all women be fit and fine and adequate—not just physically but in other ways? Why do they think helplessness attractive?”
 
“Nothing seemed to hard, no personal peril—hers had not ended—mattered a whit, if this petty, stupid woman could be made whole again.”
 
“A nurse knew too much of the strength of sex drives to dismiss them as unforgivable sins. A nurse went too far behind the scenes of human nature to be surprised by any revelation of its baseness.”
 
“Her professional pride disliked being reminded that nurses can display as much stupidity, vulgarity and petty animosity as any other mortal.”
 
“Love and marriage and motherhood are three reasons why a woman must live.”
 
REVIEW:
Kristine Grant is a 22-year-old New York City nurse who has vowed never to get involved with anyone, because her parents died when she was a girl. “The only way to be emotionally secure is not to form personal ties,” she tells her pneumonia patient, Captain Jim Dudley. “I’ll help people who suffer, but I won’t—I won’t—be hurt again. I shall never love anyone. I shall never marry.” We’ll just see about that!
 
Jim is not like her other patients. Well, he is in that he immediately tumbles for the long-limbed Norse goddess of a nurse. But his love, unlike the spurious fancy that most male patients soon forget, is real: He worries about her working too hard taking care of him. He sends her gifts with personal significance, asks her about herself—but he never kisses her. Eventually he explains that there’s another woman, and when he leaves the hospital he will go disentangle himself and then come back to her. Kristine is quite smitten with this handsome, intelligent, devoted gentleman—as, indeed, so are we—but is convinced she will soon fade from his mind.
 
So now it’s back to nursing while she doesn’t wait for Jim to come back. Kristine goes to Quebec—one of author Ms. Marshall’s favorite places (she had a home there)—to nurse a recovering morphine addict, on vacation to Belltown (a stand-in for Kingston, the small New Hampshire town where Marshall grew up, and where we meet characters the author has illustrated previously in her not–nurse novel Salt of the Earth), then back to New York to nurse a case of psittacosis, a bird-borne illness that was at that time almost universally fatal (turns out the right antibiotic will put it to a quick end!). While Kristine is on that job, Chief of Staff Lee Bowen, at 45 more than twice her age, tells her that he’s in love with her and begs her to marry him. She trots out her childhood heartbreak: “You say I’m a good nurse—I’ll stay one! I’m not going to be a woman!”
 
But Dr. Bowen is not to be dissuaded, and with one sentence turns Kristine completely around: “This obsession of yours—for a girl like yourself it’s defeat, spineless surrender to the victory of the grave. You belong to life!” And now, suddenly, she knows she should get married, after all. But though she dates Dr. Bowen, she cannot bring herself to love him and tells him so. But he’s OK with that, he says; he wants to marry her anyway. She’s still holding out for Jim, however, until a young Italian woman lands on the OB ward, saying that the father of her child is Capt. Jim Dudley!!! That bastard! The man, I mean, not the baby. Kristine writes Jim a letter telling him that she cannot marry a man who would leave his child—and the mother of same—so cruelly, and that she is going to marry Dr. Bowen. He responds that she has condemned him without hearing his side of the story, denies ever having met the young woman, and says he will never see her again. She’s beside herself in misery over what she recognizes is the accuracy of his charges—made all the worse because her betrothed, Dr. Bowen, has committed suicide over a scandal that was about to be made public.
 
Now what is she to do? “A man wishing to make amends for a wrong could take the initiative and go to a woman; reverse the case and she could not run about town after him.” I’m not sure why, but double standards apparently abounded 70 years ago. So Kristine books a passage to Bermuda on the ship he is captaining. Now it’s just a question of catching him alone so that all can be set to right. You know exactly what is going to happen, but the writing is so exquisite that you experience Kristine’s tension and misery for pages before the crucial scene comes to pass—not to mention your own misery with the realization that another Marguerite Mooers Marshall book is nearing its end.
 
Marshall is a truly talented writer, easily one of the best VNRN authors out there. Her writing is smart, sophisticated, and picturesque, and her description of the vacation Kristine spends in New Hampshire has me packing my bags—if only I could get to that fictional place and time (though I am definitely going to shop for Salt of the Earth). Marshall only wrote four nurse novels that I’m aware of, much to my chagrin, three of which we’ve already enjoyed. But these four are certainly books one could read more than once, not something I would say about many vintage nurse novels.

An American Nurse in Vienna

By Diane Frazer, ©1966
Cover illustration by Harry Bennett
 
When nurse Mary Tyler learned that she was being sent to Vienna, she was overjoyed. Cannister Memorial in New York had always seemed to her an exciting place. But all her life she had longed to see Europe. Besides, Franz Schneider, who also worked at Cannister Memorial, was to be one of the two doctors on the team. And Mary was secretly in love with him. Then in Vienna she met a young Hungarian baron who swept her off her feet. She had intended only to make Franz jealous. But soon she found that she was playing with fire.
 
GRADE: B-
 
BEST QUOTES:
“Who’s not married? I mean, of the doctors, that is. Among the nurses the percentage is heartbreakingly high, of course.”
 
“ ‘You have my best wishes. I’m rooting for you,’ Shirley said.
“ ‘Root for the Mets,’ Mary said. ‘They need it more than I do.’ ”
 
“Do you think I think that any man just wants to hold hands?”
 
“No man should be allowed to have eyelashes like that.”
 
REVIEW:
Nurse Mary Tyler has been dating Austrian Dr. Franz Schneider, a neurosurgery fellow at Cannister Memorial Hospital, but it hasn’t gone well. Right out of the gate the two are rehashing an old argument: He claims she made an error at work by neglecting to give a patient a medication, and she says the medication was never written in the order book, and he says it was a verbal order, and she says he never gave her the order, that he was just mad because she’d come in five minutes late after inviting an old (male) friend from her home town to her apartment for dinner the night before. She says that only if they are married or engaged does he have the right to question her behavior, and he says her behavior went beyond acceptable standards. “He was horrid, simply horrid,” she thinks, and then agrees to have dinner with him.
 
Over veal parmagiana, she categorizes his faults: He’s exasperating, ponderous, elderly, very stuffy, critical, possessive, watchful. But the hospital is sending two doctors and two nurses to Vienna, and Franz is going, and he would like Mary to go. She agrees, if he will stay out of her life. But once they arrive, Franz offers to show her around and she accepts. Before long, they’re spending their days and their dinners together. Really, the quality about him she seems to admire is the fact that he’s not hard to look at. “He was so marvelous-looking, she thought. Like a dark Greek god.”
 
When she meets Otto, Franz’s childhood acquaintance and a now-impoverished Hungarian baron, she starts seeing him, and Franz sees red—and not just the color of Mary’s hair. Franz forbids Mary to go out with Otto, telling her that Otto is a wolf; you can guess how well that goes over. Now she refuses to see Franz at all, on the grounds that “he was a dictatorial and possessive and smothering personality, and if she allowed him to he would take over her life completely, and finally her mind.” Not only does Mary continue to see Otto, but she even recklessly accepts a dare: to cross over the iron curtain and visit Otto’s ancestral property in Hungary for an afternoon. Once there, Otto tells Mary that the border has been sealed for the evening and that they won’t be able to get back until the next day. Otto then makes a pass at Mary, but she fights him off, telling him that if he comes near her she will jump out the second-story window. The next day he coldly drives her, virtue intact, back to the hospital, but it’s clear he won’t be calling her again.
 
Franz finds out Mary’s been out all night with Otto, though, and he is furious. Now Mary is suddenly heartbroken: “She had thrown away her chances with Franz, played her cards stupidly, lost him,” she thinks. “Oh, yes, she loved him, loved him dreadfully, had always loved him, would continue to love him.” What?!? And there’s more: “She had always felt so safe with him, so protected against the world.” No, she had felt imprisoned by him, which is not the same thing at all. Franz refuses to accept her story, however, believing that she slept with Otto. So she resigns her post in Vienna and returns to the United States. When Franz returns a few weeks later, he takes her to dinner, where he tells her that although he really knew she had not slept with Otto, he was so angry that “I wanted to beat you.” What more is there to do but accept his ensuing proposal of marriage with an emphatic, “I guess so,” thinking that Franz is “the man to whom she had just given over her independence, and it came to her that it was a most desirable loss.”
 
I cannot stand a book that wants to have it both ways. The Franz we meet in the beginning of the book is a domineering, brooding, condescending ass, and Mary fights his attempts to subjugate her tooth and nail; as the book opens she had stopped seeing him because she could not tolerate his oppressive attempts to control her. Yet suddenly she can’t live without him, and willingly sacrifices her individuality for what will most likely become one of those marriages where if he doesn’t actually beat her, as he’s already expressed an interest in doing, he’ll keep her shut away in the house and refuse to allow her any contact with the outside world. This book is written in an engaging, lively style, and Mary was a character that I particularly liked—up until the end, anyway. When she becomes yet another spineless milquetoast who sells out for an engagement ring, it’s time to say Auf Wiedersehen.

Nurse in Love

By Jane Arbor, ©1953
Cover illustration by Paul Anna Soik

What is a woman to do when she finds herself in love with a man who not only does not love her but has been cruelly prejudiced against her even before they met? The problem is made more difficult when they are brought together every day by their work as nurse and doctor. Kathryn’s solution was to take refuge behind a façade of pride—but she found it a very inadequate defence.

GRADE: B+

REVIEW:
This book was among the handful I acquired in my first purchase of VNRNs, yet it has remained unread all these years, due in part to its shabby condition and odd cover illustration. It may well be, however, the best of that initial lot (which also included Dr. Merry’s Husband, Congo Nurse, and Nurse Kathy). Kathryn Clare is a 25-year-old nurse on the children’s ward at Wardrop Hospital in Surrey. In her past is one declined proposal, from Dr. Steven Crendall, for whom she felt nothing but friendship when he asked her to marry him before leaving for a post in Nigeria. His heart was broken, and his catty and beautiful sister Thelma assiduously circulated the idea that it was this that led him to contract a tropical disease and return home in some disgrace, having been revealed as not made of stern enough stuff to succeed overseas.

Now there’s a new MD on the ward, Adam Breve, whom Kathryn meets for the first time when coming to the aid of a five-year-old boy who has been hit by a bus. She rushes in to keep uninformed Samaritans from moving the child and possibly injuring his spine, only to be rudely chastised by Dr. Breve, who pushes his way in and sharply lectures her about “the public’s well-meant efforts with accidents” and tells her, “You can rarely leave ill alone, but must do your misinformed best to make it worse,” before patronizingly instructing her to run off and call for an ambulance. The next day on the ward—though he doesn’t even recognize her, much less apologize for his rude assumptions—he is brusque, but she is inexplicably smitten: “She was seeing him not now so much as a welcome colleague as with an instant’s electric awareness of him as a man.”

He is soon revealed as Steven Crendall’s best friend, so he despises Kathryn on sight for her rejection of Steven, clearly believing Thelma’s lies that Kathryn had encouraged Steven but turned him down because she did not want to live in Africa. Kathryn, insulted by Adam’s rude judgment and verbal assault, is too proud to tell him her true, noble reason for declining Steven—that she did not love him. She continues to adore Adam, however, though he ill deserves her: “She loved a man whose friendship and understanding thought might be for others, but were rarely for her. From her he kept them as private territories to be guarded with words that were edged with reserve, and even with scorn. He did not love her in return. He merely despised her.”

Thelma, a divine shrew, is meanwhile plotting to win Adam for herself and even push Kathryn back to Steven so as to dispose of a rival for Adam’s affections. Steven is offered another position, this time in South Africa with the deliciously named Sir Pirbright Chaffen, and Thelma works the gossip mill like a seasoned professional to get Steven to accept the post and take Kathryn with him; Adam believes the wild rumors and coldly insists that Kathryn accept Steven should he propose again.

Misunderstanding compounds misunderstanding, fortified by pride and prejudice, and you wonder how all is going to come to rights in the end. But it does, of course, and rewardingly so, to the point where I can almost overlook the fact that I did not like Adam Breve one bit in the book’s first 75 pages or so. Fleshing out the story are the trials of Kathryn’s friends, who are a largely comfortable, enjoyable lot, and the viciously fabulous Thelma. If there are no Best Quotes, author Jane Arbor has a quiet, pleasant, and occasionally humorous writing style, which I also encountered in My Surgeon Neighbour (though I found the plot there less satisfying). If it’s not a firecracker of a story, it’s certainly thoroughly enjoyable, and makes for a comfortable afternoon in a cozy chair.

Jennifer James, R.N.

By Norman Daniels, ©1961
Cover illustration by M. Hooks
 
Nestled deep in the California hills was a hospital so strange, so unique that only a handful of people knew of its existence, let alone its mysterious mission. Through its antiseptic corridors moved the shadiest of characters—bullet-ridden gangsters, suicidal actresses, punch-drunk pugs—people who could not stand the all-revealing daylight of public exposure. A truly odd assortment of bedfellows. Here, under the most modern and efficient conditions, beneath the secretive cloak of midnight, life-saving operations were performed by a team of highly skilled, dedicated men and women. Jennifer James, Registered Nurse, was one of them. Some people will condemn her for it. Others will come to her defense. But no one will be indifferent to her, or to the doctor she loved—the man she had no right to want.
 
GRADE: B
 
BEST QUOTES:
“Bye, sweetie, and I hate you because you’re so damn attractive.”
 
“Now that’s the epitome of our gentle era. Booze through a straw. Bombs from the bomb bays, missiles from the pads, rockets and men in orbit, atoms from the smashers and booze through a straw.”
 
“Would you like to go down by the river? There are benches, and I promise to behave outrageously.”
 
“California now has something to talk about whenever the subject of beauty is brought up.”
 
“She’s your wife. You should be able to handle her or you shouldn’t have married her.”
 
“You are much too attractive to worry.”
 
REVIEW:
Jennifer James, R.N., is wholly unique among the more than 200 nurse heroines I have met to date: Right off the bat, right there on page 16, she sleeps with a married man she had admired but barely known when she worked with him years ago. The man in question, Dr. Rafferty Corbett, is a surgeon at Manhattan’s West Side General, but now he is a rude, sloppy drunk, babbling on about his Eskimo pie of a wife at the hospital’s annual ball. She takes him outside for some fresh air and he all but passes out, so she takes him to her room in the nurse’s dormitory. Big mistake. In his gratitude for her assistance, he forces her down and tears off her dress. She responds as women in VNRNs usually do when they are being assaulted, namely, “she found herself clinging to him instead, pulling him closer.” Next thing you know, she’s picking up her underwear off the floor and rushing to the OR, where she is head surgical nurse, for an emergency surgery.
 
There she works on a man who has been assaulted to the brink of death by the henchmen of gangster Sydney Delgado. The man, a former associate of Sydney’s, was about to sing to the police about Sydney’s illicit activities, but now he’s fighting for his life with just Jennifer James, R.N., between him and the grim reaper. But there’s this mean police detective, who wants the patient to wake up and talk before his imminent death. Jennifer, who has orders to keep the man sedated lest his shredded spleen start hemorrhaging, dopes the patient with morphine even as the detective is rushing to the hospital administrator to make Jennifer keep the man alert. Her efforts come to no avail and the patient dies, and now there is hell to pay. Jennifer is fired from her job for obeying the doctor’s orders and not the detective’s, and is blacklisted from every job in town—except for one, working for an abortionist, which she turns down, so we know she has some morals.
 
Then she gets a phone call from Raff. He’s in California, having left his wife, and he wants her to take a job at the hospital where he works. Next thing you know, she’s at a very upscale medical facility in the Los Angeles hills. The patients are glamorous movie stars, dirt-poor Mexican immigrants, anyone who needs care—including a number of shady types with suspicious wounds; Jennifer’s first surgery upon arriving is assisting Raff in removing a bullet from a seedy fellow who repays her by grabbing her breast, and only Raff’s quick intervention with a right cross to the jaw preserves her relative modesty.
 
It turns out that the hospital is financed by Sydney, who after watching his mother die of cancer, impoverished and without proper treatment, swore that he would help others in the same situation—apparently the only act of goodness he has ever committed. So all these nice poor people get top-notch care, but the down side is that Jennifer and RAff have to minister to any of Sydney’s associates who might need medical attention. But to have a job again, and to work alongside Raff—and to open her door to him at night—is all Jennifer needs, so she accepts the good with the bad. And the bad includes another assault, this time a near-rape—she is again saved by Raff, whose timing really is uncanny—and the arrival of Sydney himself, who has survived a plane crash and crawled across the California desert to the hospital. Oh, and Raff’s wife turns up as well, and a Hollywood gossip columnist, both of whom are threatening to expose Jennifer and Raff as adulterers as well as the hospital’s slimy underbelly.
 
It seems black for everyone concerned: How can Raff shake off his wife and the gossip columnist, and persuade Sydney to continue funding the hospital, which, after his first-hand experience as a patient, he now regards as an unworthy medical facility staffed by quacks? (He may have a point there; shortly after his arrival, he is determined to have metastatic lung cancer and less than two weeks to live, and though he is even given radiation treatment, he is never informed of his diagnosis lest he freak out and pull the plug on the hospital’s endowment trust.)
 
Not to worry, in the event that you are: All is resolved when the hospital handyman (a very dignified Mexican) essentially murders Sydney by brutally revealing his illness to him, the shock of which sends Sydney into a coma from which he never recovers, and also by a bit of dirt that Jennifer and Raff fortuitously uncover on Mrs. Raff and Mr. Columnist. It isn’t really a satisfying ending; I had hoped that someone might literally put an end to Sydney, which would have made for a more thought-provoking conclusion to the hospital’s woes, and the way in which Mrs. Raff is dispatched seemed too facile. But on the whole it’s an enjoyable book, even if at the same time it doesn’t have all that much to recommend it. The writing is pleasant and brisk, and the surgeries are well and accurately described, but the plot just aren’t that enticing. I also wasn’t really impressed with Raff, who goes around either threatening to hit everyone or actually doing so, and his initial assault on Jennifer wasn’t too nice, either, even if she did succumb to his charms. It’s an odd addition to the VNRN genre and for that reason alone perhaps worth reading, but otherwise you won’t find that Jennifer James has much to offer outside the bedroom or the OR.
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