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, ©1964Lorena read it in Deke’s glazed eyes. He had lost his battle to clean up River Street
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) Massachusetts
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 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 York
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
Doctor Jane
Book 2 of 6By 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, ©1963Cover 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.
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