Showing posts with label malpractice. Show all posts
Showing posts with label malpractice. Show all posts

Monday, August 5, 2019

Prodigal Nurse


By Harriet Kathryn Myers, ©1963

All her life, Nurse Judy Austin had regarded Graystone Memorial Hospital as a haven, a place where problems were solved and lives set straight again. But suddenly all the comfort of the hospital turned to coldness; for the very doctor who had courted her so amorously was now accusing her of negligence and the death of a patient. How could Judy fight to protect her reputation as a nurse when the truth might ruin her last chance for happiness?

GRADE: B-

BEST QUOTES:
“He’s naturally a wolf, like very other man you’ll ever know. But that’s the nature of the beast, and it’s up to girls like us to tame that savage nature.”

“‘I won’t bite you,’ he teased. ‘If I do, I’ll warn you in advance.’”

“I’ll take him. Even if you don’t want him. I know how to handle him. With care and feeding—and gentle training—he can yet be a wonderful man, and an M.D. to be proud of.”

“Never let a man think you needed him; it was like money or fishing, you never got either if you needed them.”

“I always run a temperature when you’re near me, and I hope I always will.”

REVIEW:
I’ve looked forward to reading this book for quite some time, drawn largely by the excellent and unusual cover illustration. What I found behind it, though, did not deserve my interest. In this fairly perfunctory  book, Nurse Judy Austin is a cynical, bitter young woman who, having recently graduated from nursing school, already hates her new career. She’s fled to a tropical island for a vacation where she contemplates her options with her best friend, Lora Kneeland. “Are you really going on with it?” Lora asks. “Can you really endure what they do to you? The hours without sleep? The doctors who either don’t know, or don’t care, or both? The pay—good lord, the pay! They want girls. They actually get up in front of you and tell how badly they want girls in nursing, smart, dedicated girls, and then offer you a salary you couldn’t live on! We must have had holes in our heads” But—but—what about our dedication to a higher cause? Actually Judy doesn’t have that either, having lost her ideals working alongside the hospital’s resident quacks.

Lora’s answer is for Judy to snag the ubiquitous handsome, rich society doctor. “You’ve got Warren Blackmarr down here all to yourself and you’d better take advantage of it while you can,” Lora advises. “You hook Warren Blackmarr in the next two weeks. You get him wrapped up in orange blossoms before you leave here.” But—but—what about True Love? “Would it kill you to fall in love with a man as rich as Warren Blackmarr?” It seems like it would, though. On her next date with Warren, she feels only self-conscious, “somehow contrived and dishonest.” “She was conscious of a part she had to play, and an interest Lora warned her to pretend when she wasn’t sure yet what she felt in her heart.” Though it’s pretty clear, when he dismisses her deep attachment to her family, what she ought to feel. So she flees the island early and comes home, on the plane sitting next to a poor sap of a man. He expresses concern at how troubled she looks, but “she was old fashioned, a square about many things: about talking to strangers, tricking men into marriage, loving her family and wanting to stay near them.” So she gives him the cold shoulder—besides, “most of all was the white suit. A white suit? A white suit in the dead of winter!” What a loser! But in the airport he’s looking so lost, she offers to share her cab with him. When she arrives at her house, she finds that Dad has dropped with a heart attack in the hallway and Mom is running a fever. In ten pages Dr. Guy Forrest—you knew he was—has cured Dad, and Mom too, and best of all bought some black clothes. He’s quickly adopted by the entire Austin clan, which he deeply appreciates, having grown up an orphan, so he’s ensconced most nights at the dinner table.

Dr. Warren, meanwhile, has come home to chase Judy some more—but before long he’s revealed himself for the wolf that he is when he offers her not a ring but an apartment!! She sprints home, berating herself because “she’d thought he loved her,” suddenly, when she’d had only doubts before—but the clouds break apart with equal alacrity and she is at once aglow with the knowledge that “she loved Guy Forrest. She had always loved him, from the first,” again another surprise to the reader.

With 40 pages left to go, we end up in the OR with Dr. Blackmarr and the other hospital quack, Dr. McLenton, who manage to assassinate a patient who’d come in for a routine hysterectomy, and the duo attempt to throw the OR nurses—Judy among them—under the bus for the death, despite the nurses’ valiant but futile attempts to nudge the surgeons in the right direction, away from the major arteries in the pelvis. The hospital chief, prodded by Guy, exonerates the nurses and insists the surgeons resign, but Dr. McLenton goes berserk and attempts to shoot Guy in the parking lot, just as Judy is rushing to him to tell him she loves him. A more successful murderer when wielding a scalpel than a handgun, Dr. McLenton gets Judy instead, and she is saved by the only competent surgeon in the building, Dr. Guy Forrest.

Awakening after apparent weeks—it must have been one big bullet—Judy undergoes yet another epiphany and finds that the world of medicine suddenly has meaning. “At last she was truly one of them. She had found herself at last because she knew she owed her life to dedicated doctors, devoted nurses, all working together. She  believed in them now, and what nursing stood for, wanted to be one of them after this long time of doubt and indecision.” Jesus rays shining down around her, all she has to do now is softly whisper Guy’s name and he appears before her, so she can tell him she loves him and we can close the book.

An ordinary novel for the most part, Prodigal Nurse swivels like a top in its positions: Does Judy love Warren? Does Warren love Judy? Does Judy love Guy? Does Judy love nursing? Depends on what page you’re on. Its finest point is that the usually righteously square Judy, who cannot tolerate fashion faux pas or an indecent proposal that should have surprised her not a whit is suddenly brazen enough to chase Guy Forrest across a parking lot. But maybe that’s just more swiveling.

Sunday, December 11, 2011

Kay Manion, M.D.

By Adeline McElfresh, ©1959

For the first time in her life, Kay Manion was running away, driving alone cross-country, fleeing her position as a surgeon in a large California hospital. The young and beautiful doctor could not face the thought that a moment of weakness had endangered a patient’s life—or that the man she loved, Dr. Frank Silvester, was infecting her with his own self-serving attitude toward medicine. But when the floodwaters of a raging river suddenly stranded Kay in the ravaged town of Woodbine, she could run no longer. In the midst of terrible human disaster, she had to prove her worth as a doctor. Forced to choose between a love she could not forget and a new love she could not bring herself to trust, Kay learned how foolish a woman’s fears could be, and how wise her heart.

GRADE: B+


BEST QUOTES:
“Since when have pain and illness and death recognized office hours?”

“I’ll bet when he takes my pulse I’ll really register!”

“That was good—‘Good,’ Kay said.”

“She was, first of all, a doctor. First a doctor, then a woman—”

“Her heart plummeted to the toes of her pumps.”

“If you don’t stop talking I am going to pop a thermometer under your tongue.”

“You can’t believe that, Kay. You’re no dewy-eyed teen-ager, you’re a doctor, sweetheart—you know love is strictly biologic.”

“A surgeon pitting his skill against time realizes that time has snatched his patient’s life and is running away with it and he doesn’t dare make one swift, reckless plunge to catch up. If he does, if in his haste the hand holding the scalpel, the fingers tying a ligature, or handling a clamp—as hers had—God—please God—”

“Perhaps she needed to get away from strictly surgery for a while, perhaps that had been a part of her trouble. She had heard it argued that surgery was not for a woman. Pediatrics, definitely. And o.b., internal medicine. But not the long tedious grind that was surgery.”

“Didn’t it give her a turn, sometimes, to open people up? He wan’t right sure that he approved any such shenanigans, looks as though if God had wanted such things done he’d have put a zipper in.”


REVIEW:
Kay Manion, M.D., is fleeing California in her red Jaguar. Like all VNRN heroines who flee home, she’s running from a terrible tragedy: While in surgery, she starts thinking about her miserable love life and misses the call for a clamp from the senior surgeon. An artery spurts for an extra moment or two until she is called back to earth—but “in that infinetismal span of time before the strength she willed came back into her hands, had Harvey Webster’s chance for life been snatched from him?” In the throes of despair, Kay’s “heart and her whole future crumbled and trampled beneath her own foolishness,” she flings her belongings into a bag and heads out of town, before it’s even known whether Mr. Webster is going to pull through. (This is the second VNRN I’ve read where an extra second of hemorrhage convinces the heroine that she’s a murderer; see also Surgical Nurse by Florence K. Palmer.)

Stopping at a gas station in Indiana for directions, the friendly fella there warns her under no circumstances should she stay on Route 50, because there’s a huge flood coming. But when she gets to the intersection where she’s supposed to turn, she’s busy ruminating over that fateful day and biting her lip “until the salty taste of blood was there,” so she just keeps on going. Even as the water gets higher and she has to drive on flooded roads, it never crosses her mind that maybe she ought to turn around. Until she’s crossing this rickety bridge and it collapses under her.

She’s saved by a couple of locals, but now she’s stuck in this backwater, because the bridge was the only way out. But they can always use another doctor, and before long she’s helping with disaster management. She always seems to be seconds away from hysteria, though; Harvey Webster is never far from her thoughts, of course, but even when she’s in the middle of treating patients, she’s still hysterically obsessing: “Kay opened her mouth to ask why hadn’t the Davidsons gotten out while they could, then closed it, the words unspoken. Why didn’t people, herself included, do a lot of things? If she had paid attention to her driving she wouldn’t be here, she would be headed east on 50, far from flood-drowned southern Indiana by now. If she hadn’t followed her foolish heart until even the marrow in her bones was weary, if she hadn’t fallen in love with Frank Silvester the instant their eyes met that day in Dr. Frank’s cubbyhole of an office—she withdrew the needle from Evy’s hip, straightened.” This woman is a nervous breakdown or a malpractice lawsuit, or both, waiting to happen. Fortunately, she can turn it down a notch after page 50, when she finally calls home and finds out that Harvey Webster is going to be all right. The wise old doctor she talks to tells her that she was running not just from Harvey Webster—“It was Frank, too,” she thinks. “And—and her—”

You see, back in California she is engaged to one of those ubiquitous young doctors hoping to set up an office catering to neurotic rich women, apparently not recognizing that his fiancee is, perhaps more than anyone, in need of his services. To develop his clientele, Frank spends a lot of nights out club-hopping and being seen at all the fashionable spots, and poor Kay has been at the verge of exhaustion trying to keep up with him and still get up early for surgery in the morning. But on her midwestern detour she meets steady, dependable Chris Buford, publisher of the local newspaper. For some reason, he falls for her, and now Kay has another reason to anguish endlessly and speak with italics and em dashes: “Chris, I—Oh, Chris, please! I—I don’t know!

The town is predictably on the verge of going under in the flood, but relentless sandbagging by the townspeople saves it, and there is much rejoicing. The strain, however, is too much for the elderly doctor, who is felled by the hard work: “Pinching the doubt in the bud she found a pulse in the muscular hairy wrist, with an eye on the sweeping second hand of her watch counted … seventy-nine…eighty…eighty-one, and it was a minute. Eighty-one! Oh, God—” Before she completely freaks out, someone ought to remind her that 81 is a normal pulse. So Kay has to stay on to help, and six months later, the old doc is better and hoping she’ll stay permanently. But there’s a rumor going around town about Chris and a beautiful music teacher, who is soon sporting a diamond. Kay flees home to California without finding out the truth of the situation—clearly she hasn’t learned anything at all—and we’ve got 20 more pages, plenty of time to develop a subplot! Back at the hospital, the staff is gossiping that one patient declined surgery, “not if Dr. Manion was to do the operating,” and that she’s a tramp, and now the medical board wants to see her in a closed session. But another surgeon tells her that there is “a master plan behind the whole thing,” an attempt to drive her out of the hospital. Who—who would do such a thing? Oh, God

Frankly, I’m torn over this book. Kay is a horrible doctor, unable to keep her mind on her work and needing to be talked in off the ledge on every other page. Though she does seem to be a magnet for disaster, the amout of emotional drama she wrings from even ordinary events is seriously psychotic. The camp factor is turned up to eleven, and though it does offer up numerous laugh-out-loud moments, it can feel overdone at times and leave you rolling your eyes at yet another self-absorbed diatribe. I did enjoy the fairly realistic descriptions of surgery and the red Jag—before it drowned, anyway—but this book is a roller coaster of amusement and exasperation. I think it’s worth reading—aloud, preferably, to a group of like-minded friends—but be prepared for a wild ride, on a rickety, collapsing bridge.

Sunday, September 11, 2011

Night Call

By Adeline McElfresh, ©1961
Cover illustration by Robert Abbett


To Nurse Lyn Jennings, hurrying through Carter Memorial’s cool white corridors, emergencies were part of the life she had chosen—the challenging, exciting world of a hospital at night:
—in the operating room, a valiant struggle to stem a sudden hemorrhage—
—in 212, a lonely, crying child, afraid to go to sleep without its mother—
—in the driveway, an ambulance shrieking to a halt after a race with death, bearing the victims of a highway collision—
—in the darkened supply room, storage place for drugs and narcotics, a mysterious figure moving toward a cabinet,

no longer able to resist temptation.

GRADE: C+

BEST QUOTES:
“There’s nothing like having a baby to reveal a woman as she truly is.”

“As a surgeon he was a good butcher.”

“I wish you two were married. When a man is in trouble he needs a woman.”

“Her superbly brassièred bosom heaved a sympathetic sigh.”
 

REVIEW:
Lyn Jennings works the night shift at Carter Memorial in Carter, Ohio, with surgeons Dr. Arthur, the assistant chief of staff, and Dr. Seymour, the chief of staff. In the opening pages, a local alcoholic attorney and bastard hits another car and “finally” kills someone. Brought to the hospital with a major hemorrhage, he dies on the table in the OR when the surgery appeared to be finished—but then a new bleeder mysteriously opens up and the surgeons, Dr. Seymour and Lyn’s boyfriend, Tim Neil, are unable to stop it.

Lab tech and hospital gossip Nat Willis thinks one of the surgeons made a slip with the scalpel. The attorney had it coming, everyone agrees, but the attorney’s wife sues the hospital over his death, and a major scandal erupts. The hospital itself, according to Lyn’s astute perception, seems “tossed in the troubled wake” of the crisis, “filled with a plaguing unease, a dysphoria that touched even the sickest patient.” The building has so many feelings this book almost counts as a gothic novel.

No one who was at the table is talking, but the gossip around the hospital—and the town—is that it was junior surgeon Tim’s fault. It seems some people in town—like the manager of the local high-end department store—have information that clearly comes from inside the hospital, like that the cause of death was a severed inferior epigastric artery. “He doesn’t know his inferior epigastric artery from his astragalus,” says another nurse in an obscure reference to the ankle. Who’s spilling the beans?

Lyn is frantic with worry about what this will do to Tim’s reputation, and then, to make it worse, Tim is removed from OR duties. Tim himself has nothing to say about this, and indeed in the two or three dates we observe between the couple in the entire book, he says little at all, mostly just lying on the grassy bank of a stream and watching the clouds while Lyn respectfully observes him and his silence. What exactly she is attracted to remains a mystery, but I guess there’s someone out there for everyone.

Then Lyn is strangled by someone walking with a staggering gait that she almost recognizes—who could it be? Narcotics are missing from the hospital, it is eventually revealed, and slowly her suspicions turn, no matter how reluctantly, to Tim—it would explain the slip in the OR!

This book gives us a lot of questions—Lyn is strangled by someone with “strong efficient hands that had strangled people before,” who is spilling the hospital’s secrets around town? Why wasn’t Dr. Seymour’s wife (his second) not home in the middle of the night?—and few of them actually get answered. It’s shades of Nurse Kathy, though perhaps not as extreme. Confusion also stems from trying to keep track of the 66 characters that populate this book; a dramatis personae would have been helpful. I did have to wonder what Adeline was thinking in creating this extensive cast. It might be more realistic, but did she really think it would be helpful to her book? At 190 pages, it’s a bit over-long, since there’s not all that much to the plot, and the extra pages seem to further only the hand-wringing, angst, and unanswered questions, which it could have done with less of. It’s not a bad book, but it really didn’t deserve this magnificent cover.