(pseud. Adele Maritano), ©1968
Susan Leighton was a pretty young nurse and as innocent as they come. She had no idea what was going on at Parsons Community Hospital, even though the newspapers hinted at mismanagement and malpractice. It was handsome Dr Corbett who opened her eyes—who set her off on a lonely crusade against some powerful enemies, and a shattering struggle against the man she loved.
GRADE: B+
BEST QUOTES:
“Any time that beautiful hunk of man wants to breathe down my neck, he’ll get a warm welcome.”
“Is that passion or asthma?”
“Nobody’s ever going to like you less for saying you’re sorry.”
“How can a man that handsome be that irritating?”
REVIEW:
Susan Leighton is admittedly not the strongest nurse on my
bookshelf. She took her training at a “small and not highly accredited” school
that had “left innumerable blanks in her education,” and after arriving in
Parsons, IL, to work at the community hospital there, she remains insecure about
her ability. She’s been reading her textbooks at night because, she tells
hospital board President Eugene Kalb, “I’m so terribly conscious of the
responsibility a nurse takes on. I actually get cold chills, sometimes, realizing
that a child’s life may depend on my doing the right thing. I want to be sure I
haven’t forgotten anything I learned in pediatrics.” Her temerity leads her to
be overmuch “in awe of the hospital and the people who ran it,” overly
impressed that “everyone’s so—so dedicated.”
When Eugene complains that reporter Mike Stetson is rooting around the hospital
for any evidence that the facility’s practices are subpar, on the heels of
stories the newspaper has published about graft in the city government, the administrator
candidly admits that there is “a little hanky-panky going on” at City Hall, but there’s none at the hospital! Susan just nods and smiles.
On the job, her colleague, Tenny Williams, a longtime and highly experienced nurse, voices concerns about safety practices—there’s only one nurse covering the night shift on the newborn nursery, which can hold up to 25 babies. “Susan frowned, wishing Tenny would stop involving her in matters that weren’t the concern of ordinary employees. She felt a queasy sense of disloyalty, questioning the decisions of her superiors.” Because it’s not her concern if she is responsible so many patients that they are in danger.
Then Dr. Dale Corbett turns up on the premises. He wanders around asking the staff a lot of questions about how the hospital is run, and it’s revealed that he’s from Boston and is working on a paper evaluating hospital safety. He eventually wanders into the nursery and starts asking Susan questions about her work. “It’s less taxing and it’s sort of fun,” she says, explaining why she likes working in the nursery. Possibly amused by how adorable this answer is, he then asks her if she is aware that two-thirds of infant mortality occurs in the first week of life and what she knows about erythroblastosis fetalis (aka Rh factor incompatibility) which one infant on the nursery suffers from, and she is forced to confess her ignorance. Despite her initial claims that she worries about being a conscientious and knowledgeable nurse, now she is “resentful of what seemed to be a petty inquisition” rather than horrified at her ignorance and dashing back to her textbooks. But she can’t help panting when he’s around, soon deciding after having lunch with him in the cafeteria that she is falling in love with him.
It’s not going to be an easy relationship, though, as she asks Dale why he isn’t “really serving humanity” by opening a medical practice instead of scrutinizing hospital policy. “Because maybe I’ll be forced to take patients to a hospital that kills instead of cures,” he answers—and she responds by again relentlessly and naively defending the hospital. After a couple of dates they finally kiss, and he proposes on the spot. Susan wisely answers that they should get to know each other better, but after he bizarrely stiffens up and leaves, Susan reverses course and decides, “They had disagreed on an important issue, they had known each other only a short time, they were virtually strangers. None of that mattered! Love was enough.” Of course, the question of whether it can really be love after just two dates is not asked.
The next day at work, everything should be bliss, but that darned Dr. Corbett shows up in the pediatrics ward where one child has a postop Staph infection after a tonsillectomy, and he asks why no one is taking infection precautions such as gowning and gloving and handwashing before and after seeing the patient. “Smugly, identifying herself firmly with the medical staff,” Susan declares, “Why, the laundry bill, if we put on and discarded a gown every time we go into this room, would be staggering.” Then, when Dr. Corbett points out a chain of medical errors and prevents Susan from delivering a major overdose to a patient, she snaps, “You’ve managed to unnerve everybody who works here. We’re all so nervous, we’re making mistakes because of you! All I know is that we were getting along very well without your constant sniping. We were doing a good job.” Her ignorance is colossally staggering, but more so is her arrogant conviction that she, a self-admittedly poorly trained nurse in her first weeks on the job, knows more than a doctor about management of a serious infection. I really can’t imagine why her alarming blindness does not turn Dr. Corbett off completely, as it seems to indicate a serious character flaw.
On her way out of the hospital, Susan runs into Eugene Kalb in the hallway. He starts to gripe about Dr. Corbett, and she, shaken by what might have been a fatal error, tells him there might be room for improvement in an organization as large as this one. He snaps, “You have to align yourself either with people who have worked hard to make this hospital a reality or with those whose object seems to be to tear it down.” Suddenly she sees “in Eugene’s ethic there were no patients whose lives depended on your skill and knowledge and compassion. There were only customers, from whom a specified sum was to be extracted.” Then, meeting with the hospital head nurse to confess her error, she catches the woman in a weak moment and she confirms of all Dr. Corbett’s insinuations—that the hospital is “a disgrace to the profession and a threat to this community,” that a number of patients have died or been injured due to shoddy practices.
Now Susan is all afire to save the hospital and decides to get all the hospital employees to start making suggestions about how their practices can be improved—and gets nothing but cold stares from her coworkers when she suggests it. And that’s the end of that—because the pediatrics ward’s lack of precautions with a highly infectious patient have resulted in a hospital-wide outbreak of Staph infections, and finally everyone is on board with improving their outcomes—after the epidemic, which results in seven deaths, has been tamed, and Dr. Corbett and the reporter have been vindicated in their mission to improve the hospital. All that remains is to find out if Susan will triumph in her mission of winning back Dr. Corbett.
This book is well written and amusing, as books by the erratic and prolific (this is the 33rd book of hers I have reviewed) author Adele Maritano are, and even includes a sensitive portrait of an experienced and intelligent Black nurse (Tenny Williams), one of the best Black characters I’ve met in a VNRN, alongside Marilyn Morgan. But our heroine’s head-snapping flips in attitude, from insecure new nurse to arrogant hospital defender to “crusading” (albeit only for a day) nurse, are problematic to say the least. It’s hard for me to understand why anyone who knows her at all would want to continue to do so, because her rigidity of thinking and her nastiness to anyone who challenges it are not pleasant character traits. But when Adele Maritano is on her game, she is second to none, and if her heroine brings down the grade on this book, her writing here is top form, making time with it well spent.
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