Judith Keller, RN
Beware the 3 Ds

April 17, 2011 -- "Beware the three Ds," my mother's nursing instructor intoned: "Drugs, drink, and doctors!"

It was 1944 and America was at war. The experienced staff nurses were abroad, serving in the U.S. Nurse Corps, providing medical care for the troops. Judith -- my mother -- had just graduated from high school and, newly-admitted to nursing school, was pressed into service to fill the need here at home. She writes:

In 1944, we were student nurses at Bellevue, a 3,000-bed hospital in New York City, on First Avenue. Described as a city within a city, its many buildings stretched from East 26th St. to East 30th along the East River. It had a prison, a mortuary, and even its own State Supreme Court.

Bellevue could not refuse anyone. If you were a patient in a private hospital and couldn't pay your bill, you were shipped off to Bellevue, no matter how sick you were. That was sometimes referred to as your "last ride".

It was a catchall for paupers, psychotics and criminals. Bowery bums loved to winter at Bellevue, finding some way to get admitted and, once admitted, would figure out how to make their thermometers spike a fever, assuring them of a warm bed for another night.

Bellevue was one of the world's great teaching centers. It was a coveted learning ground for young, new M.D. interns (the third D!) and for student nurses, too. With the seasoned nurses gone, the student nurses filled in, taking classes during the day and covering on the wards at night.

It was hard work. Students were assigned to medical and surgical wards, immense rooms with 60 to 80 patients, none of whom we had seen before. On a good night we had a nurse's aide, but often we were alone with all these very, very sick patients to care for.

At Bellevue, we treated the worst cases of the worst diseases. Nurses who had trained at Bellevue proudly wore their organdy caps with the ruffle all around and were respected wherever they worked.

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