Photos of the Patients I wrote about in my book: Stories from the Tenth-Floor Clinic: A Nurse Practitioner Remembers

This past Saturday, I received a box in the mail filled with old photos. The nurse practitioner who took my place when I left the Senior Center sent this delightful surprise. “Rita Wisniewski” (I changed all names in my book except for my immediate family) said in her note that sending me the pictures of the patients we both took care of was “long overdue.” Rita had read my book but due to illness was unable to come to the various venues in Chicago where I promoted the book 2019. Between ill health and the pandemic, Rita had forgotten about contacting me. 

Rita read my book and recognized many of the patients I wrote about. Thanks to Rita, now I have pictures of those who appeared in my book. 

Molly, a wiry, eighty-year-old woman with an Irish brogue, lived next door to Ms. Henry. She often dropped into the clinic to socialize rather than to seek care. She didn’t take medication, and rarely complained of aches or pains.  P 103

Jerry Johnson, mildly retarded, wiggled between us, (on the dance floor) gyrating and twisting with abandon. It was a raucous moment that transcended age and ability.  (At a retirement party) P 117

Lilly Parks, a strikingly attractive woman in her seventies, stuffed her shawl down the front of her dress, and staggered about the dance floor on her matchstick legs as if she was going into labor. I had heard she kept a silver handgun in her sock but that evening she must have left it at home since her slim ankles were surrounded only by her rolled-down stockings. She waddled around in the center of the room clutching her belly to hoots from an enthusiastic audience (same retirement party) P 117

Stella Bukowski: (Sitting in a wheelchair) A dirty blond wig sat askew on her head. Only one leg, which was covered with a wrinkled cotton stocking, extended past the skirt of her housedress, and her foot was encased in a heavy black orthopedic shoe.  She reeked of a sharp ammonia smell. Urine? P 144

A picture of me that I have never seen before. However, I remember the poster, which was one of my favorites. I don’t remember where the picture was taken. The picture is too faded to read the citation on the bottom of the poster. Maybe one of you older nurses will recognize the poster and get back to me with the answer. 

Health care today is changing

Today we need someone who can help us manage our health care needs in the hospital, the home, the HMO, the school, the workplace, in long term care and in the community. 

Today we need a provider who can teach us how to stay physically and mentally healthy and how to prevent illness and disease. 

Today we need access to specialty practitioners who can provide expert heath care for individuals and their families. 

Today more than ever we need an advocate who can deliver quality cost-effective care throughout all the stages of our lives.

Today, we need a Nurse

Remembering Doris

I submitted this essay to the Jersey City Medial Center School of Nursing Alumni Association Newsletter for the Fall publication. Limit: 500 words.

Remembering Doris Dolan

(December 31, 1926 – January 10, 2021)

Class of 1947

I met Doris back in 1965 when we both worked at Pollack Hospital in Jersey City. We became friends immediately. It was easy to like Doris: she was warm, gracious, non-judgmental, caring and a great nurse. 

Doris worked at the New Jersey College of Medicine and Dentistry’s Cardiac Cath lab at Pollack and moved with the College when they set up shop at Newark Hospital. She stayed with the Department of Cardiology until her retirement. 

Although I hadn’t seen Doris over the years, we exchanged Christmas cards. 

In 1994, my husband, Ernie, and I reunited with Doris and Bud at a wedding. The next few years, we, Doris and Bud and another couple, Mary Ann and Bill Owens, vacationed together. (Mary Ann worked with Doris at Pollack, too). “Bud and I always wonder why you include us old timers in your travels,” Doris would ask. We always had the same answer: “we enjoy your company.” 

The last time I spoke to Doris was before the Pandemic. She and Bud lived in a CCRC. She had had a couple of falls and suffered a subdural hematoma. Surgery released the pressure. She recovered well but had some short-term memory loss. 

Soon after that phone call, I was invited to speak at the JCMC Nursing Alumni Association at the Spring Luncheon in April 2020. I would talk about gerontological nursing: I was one of the first GNPs in the 1980s and wrote a book about my experiences: “Stories from the Tenth-Floor Clinic.” 

I planned to ask Doris to join me. 

What a great reunion it would be! 

But it never happened. 

The Spring conference was cancelled due to the pandemic. 

When I next called Doris, a caregiver answered the phone and told me that Doris couldn’t talk to me. Bud couldn’t articulate how Doris was doing. I called a few times after that—always told by the caregiver that Doris was either eating or napping. 

I wanted to thank Doris for sharing her “expert” cardiac knowledge from back in the 60s—the time frame of the nursing stories I had been writing for publication. She had mailed me reprints of studies and news clippings that filled the gaps in my memory. My essays were richer because of her input. 

I wanted to reminisce again about our talk at the Jug, a Greek restaurant not far from Pollack Hospital. I was 23 years old and afraid of marriage. I couldn’t decide to accept Ernie’s proposal. Doris was happily married to a loving, compatible husband. Thankfully, I listened to her. I think she felt delight for the longevity of my marriage. 

This past March, on a hunch, I looked up Doris’ name on Legacy.com. She had died on January 10th. The obituary was brief with one comment written by Doris’ only relative, a nephew. 

I hastily added mine:

So sorry to hear of Doris’ passing. She and I met back in the 60s when we worked together as nurses at Pollack Hospital in Jersey City. We also traveled with Doris and Bud and kept in touch over the years after we moved out of state.
She was the most generous, caring and kind person I ever knew. 
I will miss her.

Doris & Bud Dolan October 2010
(Bud died November 9, 2020)

Alphabet Challenge: R

I’ve signed onto The Blogging from A to Z April Challenge 2021.

The challenge is to blog the whole alphabet in April and write at least 100 words on a topic that corresponds to the letter of the day. 

Every day, excluding Sundays, I’m blogging about Places I Have Been. The last post will be on Friday, April 30 when I finally focus on the letter Z. 

R: Roof

My friend Carol lived with her family in a two-bedroom flat in the basement of an apartment complex in Jersey City. Her parents were the custodians. (See B for Basement) 

Carol and I began to play together before we started kindergarten. By the time we were in our early teens—after dolls and before boys—we discovered the roof of her apartment building.  

The four-story building had a flat roof surrounded by a brick wall high enough that we couldn’t plummet to the sidewalk but low enough we could stretch over and watch the cars below. Sometimes we sat on the tarpaper floor eating sandwiches for lunch or stretched out letting the sun warm our bodies. 

What I remember best was the evening sky dotted with stars as Carol and I took turns belting out the popular songs of the day. The crying catch in the voices of Teresa Brewer (Let Me Go, Lover) and Brenda Lee (I’m Sorry) challenged our vocal dexterity.

The serendipitous recording of Up on the Roof, released in 1962, never fails to take me back to Carol’s roof every time I hear it. 

Alphabet Challenge: H

I’ve signed onto The Blogging from A to Z April Challenge 2021.

The challenge is to blog the whole alphabet in April and write at least 100 words on a topic that corresponds to the letter of the day. 

Every day, excluding Sundays, I’m blogging about Places I Have Been. The last post will be on Friday, April 30 when I finally focus on the letter Z. 

H: Hospitals

I counted up all the hospitals I have worked in during the 40-plus years I have been a nurse. The total is 18. These are the hospitals where I was officially employed. That is, I attended an orientation, worked forty hours a week and received a regular paycheck. 

It doesn’t include the hospitals I visited as a nursing instructor when I had to review patient charts in order to choose appropriate student assignments. 

It doesn’t include the hospitals that I visited to enroll a patient in a home care program. 

It doesn’t include the community hospitals that I visited to evaluate the care that veterans received (I worked for the VA at the time).

So, I have been in many hospitals. Hospitals prompt a plethora of memories.  

The newer hospitals don’t stir up remembrances. They are disguised as hotels. Sterile. I suppose that’s desirable in reassuring patients and visitors that germs are kept in check. The older hospitals, to me, expose the nursing effort of caring for patients at a critical time in their lives—sometimes with success and sometimes with failure.   

I visited an older hospital in 2001, right before I retired, to enroll a patient in a hospice program. The hospital was a small community facility that had little renovation over the years. 

I needed to copy a form. The xerox machine was in the basement. I hiked down the stairway. On opening the door, humidity from steam heat, warm ovens in the kitchen and the noise of the washers and dryers immediately assaulted me. 

This was a functional basement of hospitals of long ago. 

Jolted by the sensory stimulus surrounding me, I trekked along the long corridor feeling as if I was twenty years old, wearing a white uniform, spotless white shoes and starched nursing cap held with bobby pins on the top of my head. My life in nursing, unlived, still ahead of me. 

Lost in nostalgia, I almost forgot to look for the Xerox machine.   

Haunted Townhouse

Back in the 70s we rented a townhouse in Arlington, Virginia that was haunted. 

Now what made me remember this? Maybe because I, like many others, have been fixated on food while sequestered in my home over this past year due to the pandemic. Food and kitchens and houses. Now there’s a connection. Right? 

Back in the 70s, I was young and energetic and loved to cook and entertain—even though I had a toddler and worked part time in the recovery room at a local hospital. Some of my best creations came from that tiny kitchen in the townhouse. My husband and I often hosted dinner parties for the other young families who lived in our cul-de-sac. Once, inviting several couples, I made my husband’s favorite meal: Sauerbraten, sweet and sour red cabbage, potato dumplings and, from scratch, Black Forest Cake. Foodies out there will know that Sauerbraten marinates for five days and then is cooked long and slow and Black Forest Cake is a bear to make. Not to mention the challenge of that cramped kitchen. 

Back to the haunted townhouse. First, you have to know that we moved into a friend’s townhouse. Karl and his family outgrew their two-bedroom house and moved next door to a three-bedroom. He suggested we move into his vacated rental. We loved the idea of being close to our friends and having more room than our one-bedroom basement apartment, especially since I was expecting a second baby.  

Continue reading “Haunted Townhouse”

Through the Eyes of Nurses

On February 25th in the New York Times, two stories appeared about nurses. Both sobering. Both timely. Both essential.

In my last post, I celebrated the fact that although the pandemic is killing scores of people and putting a strain on resources, including health care personnel, nurses have been in the forefront of the media getting the recognition that they have long deserved. And more nurses are speaking out by telling their stories. Long overdue. 

However, the two stories in the NYT need to be read/viewed. One is by Theresa Brown who I have many times spot-lighted here because of her accurate assessment (my view) of nursing issues. A nurse herself, she has been calling attention to the nursing profession in the media and through her books. 

Brown’s piece: Covid-19 Is “Probably Going to End My Career,” is an exposé of what is terribly wrong in the profession and what should be done. She writes bravely and honestly about the precarious state of organized nursing. 

The second article, One I.C.U. Two nurses with cameras, is written, not by a nurse, but by a photojournalist. He filmed a fifteen-minute video that is raw footage of two nurses working with dying Covid patients in the ICU. Unvarnished, compelling and poignant. It’s a must watch that shows exactly what nurses experience during their shifts.    

I’ve attached the links to both essays. The fifteen-minute video is imbedded in both. 

Covid-19 Is “Probably Going to End My Career 

One I.C.U. Two nurses with cameras

Country Music

I’m not writing my second book whose working title was to be “Home Visits.” The Pandemic has cast a spell on my brain, resulting in lethargy and an inability to focus on structuring another book. So, instead, I’ve decided to take each home visit story and submit it to a literary magazine for potential publication as a “stand-alone” essay. I plan to email one of the stories, Country Music, at the end of this week to an online journal. 

Country Music tells the story of three patients that I cared for when I worked as a nurse practitioner in a home care program at a Veterans Hospital outside of Chicago. They were at various stages of dying. In the late 80s, the hospice movement was just taking baby steps into the medical/nursing world. I was learning about dying and death from my patients and their caregivers. 

The locations of the three patients’ homes lined up perfectly for me to make the visits to them conveniently in the same day. This lasted for about three months. On the day of the story, a dreary, rainy day, I show the challenges I faced working with my three male patients and their wives (few women were enrolled in the VA health care system at that time), how each man played the hand he was dealt and how the women dealt their husband’s decline. 

One of the men loved country music. Talking with him about songs and artists, rekindled my interest in the genre. I found a great country western radio station on my government-issued compact car. The earthy, raw lyrics telling of common human emotions became my therapeutic passenger that accompanied me on my home visits. 

While I am editing this story for submission, I find myself checking into YouTube to listen to the familiar songs that supported me so many years ago. This is more fun than writing that second book. 

Olden Days of Nursing: A Pioneer of the Past Spurs Others Forward

Olden Days of Nursing: A Pioneer of the Past Spurs Others Forward

by Guest Blogger: Cynthia Freund

I talked with Marianna the other day about the book I’m writing (more about that later). She referred me to a post on her blog from a couple of months ago, a post describing the olden days of nursing. She added that she had some very positive responses to that post—and then she put the question to me, “Would you be interested in writing something about the olden days for my Blog?” I obviously fit the age criterion.

I read the post of August 4, 2020, Olden Days of Nursing: Dialysis, about a nurse working in the days when kidney dialysis first became available, the beginning of the 1960s. I know Marianna was asking me to write something about my own early experiences in nursing, and I may do that yet. But this particular post made me think of a dear friend who died a year ago, one-month shy of her 95th birthday. She, too, started one of the early kidney dialysis units, but this time at the Veteran’s Administration Hospital in Durham, North Carolina. 

In this millennial year of the nurse, I want to pay tribute to Audrey Booth, both a typical and unusual nurse—a pioneer in many ways.

From the dust bowl of Nebraska, Audrey, a curly-haired blonde, climbed on a horse twice her height to ride to-and-from a one-room country schoolhouse and onto become the Associate Dean at the University of North Carolina (UNC) at Chapel Hill. 

The interval between that Nebraska farm and UNC took her to Case Western Reserve in Cleveland, Ohio, where she earned a master’s degree in nursing. She became an expert in the care of polio patients during the height of the epidemic in the 50s, including caring for kids in iron lungs. That expertise brought her to Hawaii and Guam, and also transported her back to the mainland and the University of North Carolina (UNC). After the polio epidemic, she focused on kidney disease and, in the 60s became a leader in opening the new hemodialysis unit at the VA hospital in Durham—one of the very early dialysis units in the US.

Looking for new hurdles to jump, she joined a small select group planning the nurse practitioner program at UNC. And then, when the North Carolina Area Health Education Center Program started in the mid-70s, Audrey became the Director of Statewide Nursing Activities. (AHECs, as they are called, were designed to be centers of education and innovation, serving as magnets to attract health professionals to rural and underserved areas.) She became an Associate Dean in the School of Nursing in 1984—while continuing with all of her duties as AHEC Director. 

Throughout her career, the essence of Audrey was as a leader, a role model and a mentor. She led and taught many nurses, usually just by example. She was not well-known nationally, but she was known by hundreds of nurses—and other health professionals—in North Carolina. Many of us attribute our professional success to her leadership and guidance. 

And, as a matter of fact, it was Audrey who suggested to me that we interview the founders and influential promoters of the nurse practitioner movement in N.C. UNC started one of the very early family nurse practitioner programs. It was quite unique in its alliance with those starting a statewide AHEC Program and a Rural Health Program—a collaborative effort involving many. Audrey, and I, were involved in that pioneering effort. So, we conducted the interviews, but Audrey left the book-writing to me. 

I am about to finish that book, titled: Nurse Practitioners in North Carolina: Their Beginnings in Story and Memoir. It will be in print in the spring of 2021—and will feature many other nursing stars of the olden days of nursing.   

Audrey’s spurring me on to write this book is a perfect example of how Audrey led others—encouraging them to greater endeavors. Plain and simple: Audrey was an influencer, on a grand scale and with each individual. She was a mentor in the truest sense of that word. She was a strong voice for nursing and a strong model for women when women were still fighting for their due recognition. We indeed should celebrate all such nurses, just as the World Health Organization has done, declaring 2020 as the International Year of the Nurse and the Midwife.

Dean Emerita Cynthia Freund, MSN ’73, and Associate Dean Emerita Audrey Booth, MSN ’57, were awarded the highest honor of the North Carolina Nurses Association (NCNA) when they were inducted into the NCNA Hall of Fame on Thursday October 9, 2014. Nurses chosen for the Hall of Fame are recognized for their extensive history of nursing leadership and achievements in North Carolina.

Cynthia “Cindy” Freund, RN, PhD, worked for eight years with the newly developed Family Nurse Practitioner Program at the University of North Carolina at Chapel Hill in the early 70s. She then went to the University of Pennsylvania to start a joint program (MBA/PhD) between the School of Nursing and The Wharton School. She returned to UNC-CH and retired after serving 10 years as Dean of the School of Nursing. To her, retirement means “working without pay.” In her retirement, she worked on her book: Nurse Practitioners in North Carolina: Their Beginnings in Story and Memoir, to be published in Spring 2021.