Student Nurse

By Peggy Gaddis, ©1959

“Being nice to you could easily become habit-forming,” he said quietly. Loyce Hamilton, pretty student nurse, felt a warm sweetness in her heart at handsome Reed Shelby’s words. For he was the head of the Shelby clan—and a bachelor to boot! But when Loyce realized the callous way the Shelbys dominated everyone in town, the warmth began to chill. And Reed’s jealousy of Dr. Gordon Grant didn’t help matters …

GRADE: B

BEST QUOTES:
“People who are destitute or almost, and who have mental quirks, are called crazy! But if they have enough money to get themselves out of unpleasant jams, then people say they are merely eccentric.”

REVIEW:
In Loyce Hamilton, we have a nurse named in one of the finer Peggy Gaddis traditions (see also her Leota, Luana, Leona, and Linette). Also like these lovely ladies, Loyce is a strong, capable, and compassionate nurse working in Georgia in a small community hospital of only 40 beds out in the sticks. There she meets another Gaddis staple, the stuck-up city doctor who hates the country but is forced to work there until his med school loan is paid off and he can go back to the city and become the highly paid specialist that only pompous, lazy, heartless snobs endeavor to be.

While she serves out her month-long rotation, Loyce rooms with the Shelby family, local landowners who own, well, everything in town. The family is headed by Ruth, the “very, very handsome” but “big—very big” spinster sister doomed never to marry, the numbers stacked against her: age (30), height (5'10"), and weight (200). Rounding out the family is Reed, the big brother, the obvious love interest, and Marcy the sister-in-law, widow of Hank, who died in the war. Marcy has a son, Paul, but she has been divested of any responsibility for the baby, who is cared for exclusively—and has even been renamed—by Ruth. Marcy is essentially a prisoner of the family, which they frankly admit: “Marcy wanted to stay in California and get a job after the baby was born. But of course we couldn’t permit that,” Reed tells Loyce. Marcy, though she has an inheritance that could support her, can only hand over the baby on command and cry. Loyce, hearing this story, is incredulous: “But for goodness sake, Marcy, he’s yourbaby!” she says. “I can’t see any reason you shouldn’t take the baby and go away.” There is no logical answer to this; all Marcy can do is fume that she’s a prisoner. She’s not exactly wrong; when she asks Reed if she can leave Georgia, he says she is free to go—but the baby stays. “This is his home; he’ll stay here and grow up here and take his rightful place.” Since she lacks the gumption to just take the boy and go, there she stays.

Loyce comes to fall for Reed, which we saw coming from page one. The two go on several dates, including to lunch at the Cloister, a historic hotel on Sea Island, which I know well; it’s like unexpectedly meeting an old friend when we drive up the causeway past the “century-old oaks, their massive limbs draped in swaying curtains of green-grey Spanish moss.” Despite these dates, when Marcy suggests that Reed is in love with Loyce, she all but falls off her chair: “I have never heard of anything so silly in my life,” she stammers. “Why, he’s never given me a second glance or a second thought!” This, after pages of him giving her tender looks and calling her “darling” and “wonderful,” and suggesting they honeymoon at the Cloister. If it were simple insecurity that makes Loyce respond so, I could forgive it, but it comes across as a false modesty that “nice” girls were forced to adopt in the day, pretending not to notice a man at all until the day he proposed, which I find irritating and stupid.

After the Shelbys grudgingly allow it, Marcy takes a volunteer job at the hospital, and while she’s there, she comes under the notice of Dr. Grant. So Loyce goes to bat for Marcy, telling Reed that she thinks the family is domineering and cruel to the spineless little lamb, pretty much pouring ice water on her blooming romance. Dr. Grant then shows up at the Shelby mansion for a meeting with the extended family, where he tells them he will stay in Shelbyville and marry Marcy—though he has never had any discussion with Marcy about his feelings for her—once again treating her like a voiceless pet. This time, however, she doesn’t seem to mind so much, and agrees to marry the doctor after he says that he will take her and the baby away from the Shelby house. 

Though the family is in uproar, Reed later thanks Loyce, surprisingly enough, for having pointed out some hard truths, and he tells her that they will make it up to Marcy, possibly by even “allowing” her to remarry. But there’s another marriage he wants to discuss, and he asks Loyce if she will mind becoming part of such a domineering family. Loyce, horrifically enough, after having fought for Marcy’s independence, is thrilled to have the chance to shed her own: “After being alone most of my life, having to make my own decisions, hoping they were right and sort of muddling through, I can’t think of anything more wonderful,” she coos. Even if she insists that she is going to work after they marry, it can’t quite resolve my nausea after she says, “No place in the world where youare could ever be dull to me! It would be exciting and beautiful—because I love you so much!” Ew.


On occasion Peggy Gaddis can turn out a great book, but this is not one of her best. The biggest problem is that it rehashes of all the usual Gaddis gimmicks and sexist attitudes, even if the latter are largely a product of the times and the region. For most of the book Loyce is an admirable, outspoken woman who fights for the underdog, and Gaddis’ writing is generally entertaining. Though she’s capable of better, this book is enjoyable enough for an afternoon on the veranda with a mint julep. 

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.

Doctor Jane

Book 2 of 6
By Adeline McElfresh, ©1955

Lovely, dark-haired Jane Langford had but one dream—to become a doctor. Orphaned, penniless, she fought her way through her internship in a big, tough, city hospital. A brilliant career lay before her. But tall, handsome Lance Hart—ambitious and socially prominent young lawyer—wanted Jane to renounce her dream, to belong to him alone. This is the story of a beautiful young woman forced to choose between a life of luxury and the stern rewards of her dedicated profession—of her daring quest for the truth which led her into a bitter battle against powerful and evil forces.
 
GRADE:B+
 
BEST QUOTES:
“That beautiful head of yours is as empty as the gourds I used to use for birds; nests when I was a kid. You could have a husband and a couple of kids—half a dozen, if you wanted them—but here you sit, waiting to go chasing off in an ambulance or to be called to Emergency.”
 
“Don’t go clinical on me, Dr. Langford. I don’t enjoy kissing a test tube.”
 
“I don’t see any royal carpet. Are you sure they’re expecting you?”
 
“I’m sick! Quick, someone, call me a beautiful doctor!”
 
REVIEW:
I have seldom been more disappointed by a VNRN than I was when I finished Dr. Jane, Interne, the debut novel in this series about Dr. Jane Langford. I am pleased to say that this follow-up novel does much better, and I have to admit that the cliffhanger is an effective way of propelling you on to the next installment in a series.
 
When we last left Jane, she had agreed to give up her most fervent dream of being a surgeon at City Hospital to join the staff of one of those posh and distasteful convalescent hospitals for rich neurotic patients. It’s smooth Lance Hart, the object of a schoolgirl-like crush, who has persuaded her to do so, as he had been unable to convince her to abandon medicine altogether, and this seems like the next-best he can do. She had also agreed to marry Lance, whom we know is completely wrong for her. As I said, it was quite an upsetting conclusion for our otherwise strong, dedicated, brilliant, and honorable heroine, and I remain upset that Jane tossed her career in surgery away without any apparent regret, particularly after the extreme dedication and hard work toward that goal we witnessed in Dr. Jane, Interne.
 
As this book begins, Jane is a year into her tenure at the convalescent hospital, and she is still not married to Lance. She’s not happy, with Lance or her career, but neither does she seem sure she wants to give either up. Furthermore, her emotional growth has been nonexistent, and she agrees with Lance that she would want the word obey included in her wedding vows—though she has gotten where she is today precisely because she has refused to obey, fighting the bromides of the medical establishment about what women should be. She decides to take the weakest form of action, a leave of absence, and goes back to the small town where she grew up poor and orphaned and miserable. Dr. Ed Johnson, the Old Doctor, begs her to temporarily step in for him so he can have the first vacation he’s had in decades—three months, the lucky guy. She agrees, and soon she’s making house calls and seeing patients—and Lance, who drops by from the city to sneer at the small town and make Jane swoon in giddy lovesickness that I should have become somewhat inoculated against after the first book, but no such luck: “Don’t let me go, Lance! her heart cried. Don’t ever let me go!” You see what I mean.
 
Soon, though, she’s entangled in a scandal, after the wife of the son of the owner of the town’s major enterprise, the box factory, runs over a small child in the street. Jane is the only eyewitness, and swears that the driver, Mrs. Lola Morton, never even swerved or braked as she sped through town. Lance turns up, now an attorney hired by Mr. Morton to hush up the incident and keep Lola out of jail, and begs Jane to drop the case. Though weak in the knees from Lance’s kisses, Jane clings with the barest of fingertips to her conviction and refuses to drop her accusations. Soon the town drunk turns up as a “witness,” clearly bribed to swear Lola did indeed try to avoid the child, and Jane’s patients, whose livelihoods depend on corrugated cardboard, stop showing up for their appointments. Jane is convinced that Lance is behind all this, and the pair stops seeing each other.
 
Next door, however, is Minister Bill Latham, a calm, dependable type whom Jane likes immediately. He is always supportive of her job, never objects when she has to cancel a dinner date, and even runs helpful errands for her. She’s slowly falling for him, but there’s the small matter of that photograph on his desk of a young woman signed, “With all my love …” God forbid she just ask the man about it.
 
Most of the book is about Jane’s work with the townspeople, and this works out well for us readers. Jane is quietly humorous, serious, and never foolish, outside of her relationship with Lance (though to her credit, her increasing distaste for him speaks of a similarly increasing maturity in terms of her love life). Her growing love for Bill feels neither sophomoric nor frivolous, the way her feeling for Lance does. Though it’s obvious from the word go how Jane’s decision to leave town for good when Dr. Ed returns from vacation is going to play out, the book overall is so gentle and pleasant that I didn’t mind a little simplicity of plot. So while the opening salvo of the Doctor Jane series had me a bit worried, with this next all is forgiven, and I look forward to Calling Dr. Jane—though if the series stretches on for four more books, somehow I expect that Bill is doomed.

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 fiancĂ©, 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 fiancĂ©, 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 fiancĂ©, 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.

Hollywood Nurse

By Patricia Libby, ©1962
Cover illustration by Rudy Nappi
 
Three men called her “Jenny, Darling.” There was Tom, honest and sincere, who wanted her as a “full-time wife.” There was Mike—Mike to her, to others a screen idol and notorious playboy—who had fallen hard for her and had said, “This time it’s forever.” And there was Brad, the young doctor who shared her dreams and her dedication—but was engaged to another girl.
 
GRADE: C+
 
BEST QUOTES:
“I’d marry you for your cooking even if you were an old hag.”
 
“She was incurably romantic despite the fact of being an old maid.”
 
“ ‘Oh, Tom,’ she sighed in a trembly, little girl voice guaranteed to bring out the protective in males.”
 
“ ‘I make good home for Johnnie. I give him much love and smiling face. Is right way, Miss Tyler?’
“ ‘It’s the wise way, Koyo,’ Jenny answered. ‘The way to happiness in a marriage. Don’t ever change.’ ”
 
REVIEW:
Jenny Tyler works at the Holly View Sanitarium in Beverly Hills, where unhealthy movie people go to get well. She’s in love with Dr. Bradford Conners, but after he got one look at the chief of staff’s glamorous daughter, Faye Kettering, ambition and testosterone got the better of him and he dumped Jenny to propose to Faye. A business proposal soon followed, and now Brad is the chief’s assistant and medical heir. As the book opens, Brad and Jenny—who still have to work together, of course—are squabbling over the hospital’s central philosophy, which is that the medical staff should only tell patients what they want to hear. Which means that sweet old Western actor Laredo Sims, found to be in possession of an inoperable lung tumor, is left ignorant of his fatal condition. “People in the entertainment business live in a world of pretense,” Brad tells Jenny. “Truth is a stranger to them. An unwelcome one.”
 
Even Jenny’s roommate, Suzan, prefers illusion to reality. “Don’t be so darn truthful and practical,” she tells Jenny. “It takes the fun out of my dreaming.” Suzan is engaged to Dr. Kris McKenzie, but early in the book Suzan comes down with flu-like symptoms and is found to have an unexplained bruise on her shoulder. You will not be shocked to learn that Suzan is soon diagnosed with leukemia and given less than six weeks to live. You will be even less shocked that Suzan is the only one who isn’t told this. Curiously, Jenny instantly decides that “truth, which had always been the principle she believed in and practiced, must be exchanged for pretense.” Despite the fact that she has taken the opposite view on Laredo Sims’ case, virtually identical to Suzan’s, Jenny decides that she has to “give Suzan hope for a little longer.” When Suzan finally figures it out, she takes it in stride that all her friends have been lying to her, curiously. She and Kris decide to get married—and the hospital staff pools its resources, giving the newlyweds a check for $230 which “meant that they could have a honeymoon.” Today this amount would buy you four days at a Motel 6 and McDonald’s, but I guess there’s been some inflation in the past fifty years.
 
When she’s not battling illness and illusion at work and at home, Jenny is struggling to decide who to marry. Tom Russell is kind, dependable, and in love with her. “She had only to give him a little encouragement and he’d surely propose. Why not, she asked herself. Tom would make a good husband. He was nice-looking, charming, fun to be with, and they shared similar interests.” Marriage, in most VNRNs, is first and foremost a business deal, unless love sweeps all common sense under the rug. But Tom wants Jenny to quit nursing if they are married, so this—and her love for Brad—keep her single. Soon another beau enters the scene: Mike Ryan, who is a sort of George Clooney–type movie star. Despite his reputation as a lothario, he proposes within a week and is apparently quite serious; turns out he’s been looking for an honest woman, but Jenny’s the first one he ever met in Hollywood. Jenny goes to lots of glamorous parties with Mike and seriously considers marrying him, but in the end decides that she could never be at home in his world of glitter and indolence. “Love wasn’t enough, Jenny wanted to tell him. It took understanding and tolerance and the wanting to share each other’s interests and thoughts for a successful marriage. Mike’s world was pretending. Hers was reality.” Of course, she doesn’t really love him, either, so that would be a bit of a handicap as well.
 
In the meantime, Brad is still carrying on a low-grade flirtation with Jenny, dancing with her at the hospital ball and fighting with her when her bitterness about being dumped makes her catty. Eventually Brad becomes impatient with all the bickering, and asks her, “Can’t you stop being such a fighter?” This puts her in a tailspin: “Had her job made her so independent that she had become less of a woman? Stand up for what you believe. Speak the truth. There it was again. The principles she had governed her life by were proving to have a high price. Faye was no fighter, that was a foregone conclusion. She was every inch a woman. Softly feminine and seeming helpless. No wonder Brad had fallen into her trap. Dumb like a fox. That was Faye Kettering.” I have to say, I’d take integrity over a wedding ring, any day, but that’s just me.
 
With all her beaux off the table, Jenny decides to take a job in another hospital in Oregon, close to her home town. When Brad comes to tell Jenny goodbye, he blurts out that he is less than satisfied with his prospects: “My future all decided with no sweat or struggle involved. All I’ll have to do is agree with my father-in-law and cater to my wife. A small price for success, wouldn’t you say?” Jenny is surprised by Brad’s bitterness, especially when he tells her, “You’ve been a banner of truth in a citadel of illusion,” now apparently coming to appreciate the very qualities he despised at book’s open. This leads them both to agree that “truth should be tempered with kindness, even with little white lies sometimes. Just as illusion should never replace reality. There was room and need for both.” It’s a pat lesson, not really earned, and it falls flat.
 
Jenny is all packed and ready to go, but Laredo Sims is dying and asks that she come see him. There’s this little matter of a forest fire in the Hollywood hills near the hospital, but Jenny talks her way past the fire trucks blocking the road. Unfortunately, she runs out of gas about a mile up the hill, and the flames are about to overtake her as she runs screaming hysterically down the road, but Brad pulls up on a white horse—oh, no, it was just his car—and carries her up the hospital, where she recovers from smoke inhalation for a few days. It’s just a few pages from the end, and you can surely figure out what happens in the final paragraphs. Except poor Laredo Sims apparently dies alone, because he’s never mentioned again.
 
This book, written before Patricia Libby’s excellent Winged Victory for Nurse Kerry and Cover Girl Nurse, has none of their camp or humor or even interest. It’s fairly plodding, as nurse novels go, and the whole central theme of truth versus illusion is too easily dismissed with Brad and Jenny’s agreement to compromise. I had high hopes for this book, but apparently it took Ms. Libby a bit to hit her stride. Unfortunately, this is apparently the last of the three nurse novels she wrote, so there will be no chance of redemption, except to go back and revisit the two novels we’ve already read. And given their fabulousness, you might want to consider just that.

Nurse Shelley Decides

By Arlene Hale, ©1964
Cover illustration by Mort Engle
 
“Are you after a fat paycheck, Nurse?” The contempt in Dr. Adam Victor’s voice stung Shelley—but it was true she was leaving the hospital to nurse a private patient, and Miriam Bleeker was very rich indeed. The handsome young doctor looked on Shelley as a deserter—and what made it worse was that Dr. Victor had declared war on the whole Bleeker family … and anyone who was with them was his enemy!
 
GRADE: C+
 
BEST QUOTES:
“I’m direct. That’s my big problem. I say what I think. Do you know how many people go around never really saying what they think or doing what they want, or being their real selves? IT’s sickening. It really is.”
 
REVIEW:
Dr. Adam Victor is a tall, hungry-looking young man who yells at all the nurses and “seemed to hate all women in general, nurses in particular and Shelley especially.” Naturally, Nurse Shelley Stevens is drawn to this doctor, with whom she does nothing but fight.  “She didn’t know why she allowed him to upset her so much, but he invariably did.” Well, we know why, don’t we, readers! Shelley has a boyfriend, artist Paul deWinters, but though she loves hanging out in his apartment, she’s not as emphatically gung-ho about him. He doesn’t have a lot of ambition, “content to drift along in his easy-going way,” and besides, “there was always something just not quite right. Something was not complete.” This setup is a fairly standard VNRN ploy, telegraphing from the first page what’s going to happen on the last. It bores me.
 
Shelley lives and works in a mill town, and the mill in question is owned by the Bleeker family. The operating conditions at the mills are poor, and many workers end up in the hospital after accidents that could have been avoided. This is why Dr. Victor hates the Bleekers so much. But Shelley is asked as a special favor by Dr. Harris, an old friend who encouraged her to go to nursing school, to take a job specialing Miriam Bleeker, who is recovering from a stroke. So though she knows it is going to get her into hot water at work—and sure enough, it does—she takes the job. While she’s living in the Bleeker mansion, she begins to run into numerous mysteries: Why won’t the unions advocate for the workers but are content to let the lax conditions go unchallenged? Why is Dr. Harris, who is the medical director for the mills, also disinterested in pushing for better safety for the workers? What is Dr. Harris’ relationship with Mrs. Bleeker? Why has Mr. Bleeker abandoned the family?
 
About halfway through the book, Dr. Vincent and Shelley meet up at the funeral of a much-beloved patient and end up at dinner together—and kissing afterward. “I don’t understand. I thought we hated each other,” says Shelley the simpleton. After kissing her silly, Dr. Victor insists that Shelley quit working for the Bleekers, or “we’ll forget what just happened.” She’s shocked, but has enough spine to give him a piece of her mind and go back to the Bleekers.
 
Eventually, the crisis you knew was going to happen actually does: There’s a big explosion at the mill, and many people are seriously injured or killed. The shock of the accident also sends Miriam into a second and fatal heart attack. This saves everyone from the responsibility of agency: With Miriam out of the picture, her son Blake finally has the spine to throw his cheating wife and the corrupt union boss out on their ears, and start running a responsible business, vowing to rebuild the mill according to the best safety standards out there! Mr. Bleeker is returned to the mansion from the nursing home where he’d been hiding out, and Shelley is obliged to return to her job at the hospital. So now all it takes is for Dr. Victor to come striding over to her, grip her painfully by the shoulders, and command, “You’re going to marry me, Shelley. Just as soon as it can be arranged.” And that’s that, all but the nauseating final sentence.
 
The writing isn’t bad, but the plot is trite, and Nurse Shelley’s capitulation is more than a little disappointing, especially after the way she has stood up for herself all through the book. And we’re left with the question: What did Shelley decide? Seems to me the decision was made for her. If you figure it out, let me in on it.

Traveling Nurse

By Jane Corby, ©1965
 
Nurse Sharon Stone always craved adventure. J. Morton Bishop, a wealthy hypochondriac, liked traveling to unusual places. And he took Sharon along as his nurse-companion. But when Bishop no longer needed her, would she be able to give up her exciting new way of life? Did she love Doctor Mike Baylis enough to return to Plainsville as a small town doctor’s wife?
 
GRADE: C
 
BEST QUOTES:
“The only thing that mattered was the expression of the intense, preoccupied man standing before her, looking at her as a person. It was an unusual experience—one she valued because it happened so seldom. Like J. Morton Bishop, there were many men who looked at her and saw someone who wore clothes well and was, they often said, beautiful. Or, like Dr. Maurice Hamilton, men saw her as an efficient nurse. But only rarely did a man give her credit for intelligence and pride and character.”
 
“I’ll take it for granted you are a great lover and most girls swoon with delight when you make a pass at them.”
 
“I’ve been sure from the minute I saw you that you’re everything I want in a wife: red-gold hair, green eyes, a perfect figure …”
 
REVIEW:
J. Morton Bishop is “a hard-hitting businessman who had successfully out-maneuvered all competitors in the hardware price war which had just been concluded,” and we’re not talking computers. He’s also a hypochondriac, and so has decided that he needs to be attended by a nurse at all times. Enter Sharon Stone—nurse, not actress—who decides she would like the job.
 
There’s just one hitch—her boyfriend, Dr. Mike Baylis. He’s been telling Sharon that they cannot marry for several years, until he’s finished his training. But now that Sharon’s been offered a glamorous job, he’s decided to take a job as a GP in upstate New York right away. “If she stayed on this glamour job, she would be spoiled for the simpler but more satisfying way of life he wanted,” Mike feels, so the only answer is for her to refuse the job with Bishop and marry him right away. “Can you deny that you’re trying to live like a duchess, without the title?” he shouts at her. It’s hard to see how a few months in luxurious hotels will ruin her forever, but such are the absurdities of a jealous male. Sharon, however, ignores his objections; “she could not let him go on assuming she would meekly follow whatever course he decided upon.”
 
And so off Bishop and entourage—which includes his son Luke, secretary Barney Armstrong, and now Sharon—for New Orleans, Yucatan, Denver, and San Francisco, where Bishop meets with a slick doctor in very swank offices who charges outrageous sums of money—$250!—in cash for consultations. Dr. Mellon refuses to allow Sharon to accompany her patient during the exam, and gives Bishop a $150 bottle of unnamed pills to take three times a day. When Sharon asks the pharmacist what’s in the pills, she’s told, “It wouldn’t do for me to give out the information. Professional ethics, you know.” Strange ethics that don’t allow a patient to know what medication they’re being given, but Sharon just nods and apologizes: “Of course. I shouldn’t have asked.”
 
Dr. Mellon doesn’t stop with the pills; he’s also pressing Bishop to enter his sanitarium for a month to regain his “precarious” health. In her alarm and conviction that Bishop is being swindled, Sharon calls Mike, who flies out and investigates, soon discovering that the pills Bishop has been taking are placebos. He also spends a day at the library and learns that Dr. Mellon has been investigated for tax fraud. So Sharon marches into Dr. Mellon’s office and demands that he tell Bishop that he is perfectly well, or she will call the IRS about his cash operation and the AMA about his sugar pills. Needless to say, the very next day, Bishop gets a call informing him that he’s completely healthy!
 
Back in New York a week later, there’s a big article in the paper about Dr. Mellon’s recent bust for fraud. It appears that the timing was a happy coincidence, but Sharon now takes credit for having “cured” Bishop of hypochondria and gives notice, returning to her pedestrian nursing job in the hospital. Now it’s just a matter of time before she agrees to go to Plainsville (and I have to wonder if the town name was deliberately chosen as a foil to the glitz of Mr. Bishop’s lifestyle) as Mike’s wife. Which comes as quite a letdown for a number of reasons. The issues of whether her fling with luxury has spoiled her, and of Mike’s presumption in trying to tell her what she should or shouldn’t do in her working life, are left completely unresolved. I wasn’t much of a fan of the domineering Dr. Baylis, and I wasn’t thrilled that Sharon, in the end, actually does meekly follow whatever course he decided upon, living up to Mike’s suggestion, early in the book, that “you’d better get this nonsense about traveling out of your system. As the wife of a doctor who is trying to build a place for himself in some community, you won’t have time for such nonsense.” In my opinion, it’s her choices after she gets home that are nonsense, but even without this perfunctory and unsatisfying ending, Traveling Nurse doesn’t have much to offer.

Prison Nurse

By Dr. Louis Berg, ©1934
 
Young Dr. Evan Dale was in prison, paying society’s just price for transgressing its commandments. This courageous outlaw was the man Judy Grayson loved, but when his life hung in the balance, the only person she could turn to was powerful, ambitious Dr. Hartmann, who wanted Judy for himself. Dr. Louis Berg, out of his years of experience as a prison psychiatrist, has written this frank and shocking story of actual life in the twilight world of men stripped of everything but their primitive desires—and of the lovely girl who came to live among them.
 
GRADE: C+
 
BEST QUOTES:
“Between fighting off internes who made passes at her in the ward kitchen, evading the attentions of elderly patients with Romeo complexes and parrying the advances of the attending staff, Judy became a nurse and a woman of the world at one and the same time.”
 
REVIEW:
Judy Grayson’s first job out of nursing school is at the local prison, where she works with Dr. Jack Stewart, the overseeing surgeon, whom she knows from the hospital where she trained. Jack is in love with Judy and wants to marry her, of course, but Judy does not reciprocate Jack’s feelings, even if Jack is a handy guy to have around to take Judy to dinner and out dancing. She is a bit horrified by Jack’s reason for wanting to practice medicine in the prison: “That place is a surgeon’s paradise,” he tells her. “I can get more surgical experience there in one month than I could in six at Medical Center.” She calls this attitude “cold-blooded,” but I find it more practical and, in fact, true; just because you are interested in acquiring experience and seeing unusual cases doesn’t preclude you from providing good healthcare, as Jack is demonstrated to do at the prison on more than one occasion.
 
In fact, the resident who is supposed to be on call to the prison, Dr. Gustav Hartmann, is really the abomination. He shows up drunk at the clinic, never comes when paged, fails to order life-saving medications despite repeated requests, and is skimming pain medication out of the clinic to sell to Red Mike, the inmate with the warden’s ear. (Dr. Hartmann does not, however, demonstrate any designs on Judy, despite the promises made by the back cover blurb, above.)
 
Red Mike and his gang have occupied the dormitory that gives onto the hospital ward and is supposed to be reserved for young patients, to protect them from the “wolves” in the general population before they are transferred to the “farm.” There they sleep between linen sheets, dine on steak and wine, and stroll through the hospital—indeed, even the entire prison—at will. If you can believe it, Judy even encounters Red Mike in the city hospital one day, where he has gone on leave to visit a sick friend. Red Mike is so thoroughly in charge of the prison that he even has a hand in Judy’s hiring, telling the warden, “It ain’t often that we get a nifty piece of fluff like that around here, and I’m sorta sizin’ her up for myself. I need a relief from ‘fags.’ You understand now, don’t you? She’s my stuff.” He pays for his luxurious life by selling drugs and whiskey to inmates, and by skimming off prison supplies for the warden’s own fencing business, so there’s no use complaining about the shocking goings-on to the warden, as Judy quickly finds out!
 
Her ally in all of this is Dr. Evan Dale, who is six months into a three-year sentence for having performed an illegal abortion on a family friend who was going to kill herself if she had to carry the baby to term. So while the book wants us to feel horrified by the concept of abortion, Judy firmly believes that Dr. Dale was justified in performing this one and should not be imprisoned for a “pardonable mistake.” Frequently people who are opposed to something in theory don’t have such a hard time with it when it applies to them personally. Dr. Dale is the “inmate nurse,” and spends his days doing the work that Dr. Hartmann should be doing if he weren’t sleeping off his latest bender. So Dr. Dale spends a lot of time with Judy, and proves his worth early on when she swoons after delivering morphine injections to the prison’s addicts (don’t ask), and he catches her before she drops to the cold, stone floor.
 
The bulk of the book follows the fates of various inmates, Dr. Dale and Judy’s blossoming romance, and Red Mike’s “sizin’ up” of Judy. It ends fairly predictably, though the prison is allowed to plod along in its corrupt and sinful ways at book’s end. I was quite surprised to find the copyright date of 1934 on this book, which makes it one of the oldest VNRNs I’ve met. It certainly is dated, with its cute slang—can, fish, scratch, wise—all hung with apostrophes like ornaments on a Christmas tree. The nicknames are adorable too: Wouldn’t you like to hang out with Cabaret Lou, Broadway Rose, Frankie the Dope, Tough Tony, Three Ball Johnny, and Ice Wagon Reilly? The book is not badly written, but I think most of its excitement is supposed to be in the drug use and homosexuality, which we are supposed to find “shocking” and even, to quote our heroine Judy Grayson, “disgusting.” At this point in time, however, it all seems fairly straightforward, so unless you’re particularly interested at a look at prisons as they were 80 years ago, this book doesn’t have much to offer.

Disaster Nurse

By Peggy O’More, ©1968

Mina Anne was troubled. She had loved Paul ever since the accident that had brought him to Cutler Hospital. But—one thought turned her days into torment. How could she love a man and still despise his outlook on life? How could she marry a man who so violently disapproved of the job she was doing?

GRADE: C-

BEST QUOTES:
“Put two girls and a can opener in the kitchen, and you have a feast.”
 
“For a physician, you are really very uninformed in a certain field of diagnosis.”
 
REVIEW:
Mina Anne Richards is, in addition to one of the more awkwardly named VNRN heroines I’ve met, a public health nurse. She’s concerned about a population of migrant workers who are living without basic plumbing or running water, and now they’re about to be evicted from their squatting grounds, apparently because “the camp was a veritable breeding ground for communicable diseases.” You could say the same about hospitals and elementary schools, but whatever.
 
Mina Anne’s boyfriend, attorney C. Paul Parker, is pressing her to give up her job and marry him, but she’s not completely convinced. Paul is particularly earnest in his proposal because the president of a large company will give Paul’s firm his business but only if Paul marries Mr. Chalder’s daughter—a very peculiar arrangement in a number of ways—and Paul will be off the hook if he’s already married, he explains to Mina Anne. When she objects, he responds, “Once we’re married, I’ll be able to show you where your perspective is out of focus.” Curiously, Mina Anne neither flings a skillet at his head nor shoves him out the door, but continues to consider, no matter how tepidly, his proposal.
 
The book gives us a lot of back-and-forth between Mina Anne and Paul, and even some mildly interesting if dated debates about welfare—one poor family with only one pair of shoes between the two children refuses to accept welfare, and Mina Anne debates whether this is admirable or “false pride.” A casual dinner or two with Dr. Louis Marquand, her boss, and then, at the book’s halfway point, it begins to snow. When Mina Anne and her roommate Joan, trapped indoors for several days by the blizzard, begin to snap at each other, wise medico Mina Anne chalks it up to dehydration: “The department warned us of the possibility.”
 
But then, even worse, the weather warms, and now it’s raining. And raining. The river is rising, and Mina Anne sets out in her galoshes and mackintosh to rescue, well, pretty much everyone: a man with an infected cut on his arm, a farmer and his family, a cattle rancher and his family, the entire migrant camp, a woman having a baby, a family trapped in a grove of trees, Paul’s parents. Just when you think we’re going to have a minute for a sandwich and a nap, someone is tapping on Mina Anne’s shoulder again and she’s off in the chopper with Dr. Louie. Sixty-plus long pages later, it’s finally over, and suddenly Paul has fallen madly for roommate Joan, whose “love would be an ever-burning searchlight on the roiled waters.” Even worse, a marginal character takes Mina Anne in his arms out of nowhere, and she agrees to allow him “to take care of her, not let her take care of him,” if you think you can take it.
 
Peggy O’More Blocklinger, whose work we have seen before under the pen name Jeanne Bowman, is not my favorite author, which should not surprise the regulars. In Disaster Nurse, she manages to do a little better than usual, which is still, clearly, not all that great. Her condescending psychobabble is slightly less prevalent, but we’re regularly treated to bon mots such as, “Premonitions are usually based on logical deductions distorted by emotions,” “Paul’s poverty was restricted vision,” and “This time I am thinking of our state inventory tax, of merchants buying heavily for the Christmas trade and being stuck with merchandise and having to pay taxes on what the weather kept them from selling.”
 
O’More’s main theme about poor migrant workers could hold some interest, but instead of making her points by showing them through her story, she hectors us with long pedantic lectures. When Joan ponders why the migrant families don’t take more pride in their admittedly temporary homes, instead letting them get so run down, Mina Anne climbs up on her soapbox: “I think it is an inner rebellion at their status. They can’t pinpoint the cause; it’s too ephemeral, ever-changing. So they rebel against their fellow man.” Then Joan jumps on the bandwagon: “They believe not: ‘The world owes me a living’ but rather, ‘The world owes me the right to earn a living.’ And when they can’t earn it, they don’t blame an impersonal escalating automation coinciding with population explosion; they blame those who have managed to maintain at least the appearance of economic stability.” Thanks, Professors, for elucidating these contemporary sociopychological tensions. I feel so much better now.
 
I’ve never met a Peggy O’More book I could recommend—unless it was so catastrophically bad that it could be worth a peek, like slowing down when you drive past a car accident (I’m looking at you, Conflict for Nurse Elsa). This book is neither good nor bad enough to bother with, however, so you’re best leaving this disaster to fend for itself.
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