The Blue Cotton Gown: A Midwife's Memoir

by Patricia Harman

Book Overview

A nurse-midwife takes readers behind the exam room door of her rural West Virginia clinic in this "utterly true and lyrical" memoir (Jacquelyn Mitchard, author of The Deep End of the Ocean)

As a nurse-midwife and the manager of a women's health clinic in West Virginia, Patricia "Patsy" Harman bears witness to the struggles and triumphs of every woman who walks through her exam room door. She sees Heather, a teenager pregnant with...

• Format: Paperback
• Language: English
• ISBN: 0807072915
• ISBN13: 9780807072912
• Release Date: October 2009
• Publisher: Beacon Press
• Length: 296 Pages
• Weight: 0.86 lbs.
• Dimensions: 0.9" x 5.4" x 8.4"

Customer Reviews

Good book

Reading now and I love it. Author has a lot of good books I have read so far!

Rich, Readable, Reccommended

Patsy Harman's memoir starts out with a revelation about drinking in order to sleep and the restless nights spent worrying about the practice, patients, and her life. The book immediately drew me in with rich character development and the range of emotions, successes, failures, worries, and triumphs that make up all of our lives. I felt a strong connection to her - her love of her work, her connection to her clients, her relationship with her husband, and her joys and sadnesses. Unlike other memoirs that focus on birthing and assisting laboring moms, this book delves into all of the other aspects of working with women - violence, disease, puberty, trans-identification, sexuality, pregnancy, care, drug use, birth loss, and more. I highly recommend this book, not just to birth professionals, but to anyone who loves a good read!

Touched by this book...

I haven't ever written a review before but feel compelled to do so with this book. I couldn't put it down. It's a memoir that reads like a novel (the best kind, I think). The women's stories and that of Patsy herself captivated me and drew me in and made me hopeful and sad and anxious and eager always to learn more. Their stories and hers are inspiring and yet they are ordinary and they are us. Thank you, Nurse Midwife Counselor and Friend to so many, Patsy Harman. I loved your book and am eager to read a second one. Not only is your work remarkable but you've done something that isn't easy, you've written about it in a way that allows us to be included in your life and work. Thank you. Tracey McGee Chicago, IL

Holding the light

The stories of Patsy Harmon's Blue Cotton Gown are the stories of everyone who has ever closed the door of an exam room. Yet Harmon imbues the stories with a humor, pathos and insight that make this telling unique in the writings about women's health. We end up caring what happens to Nila, Kasmar and Aran as they come in and out of Patsy's exam room and our compassion is aroused by Patsy's compassion. Yet Patsy has the ability to put a knife in your gut, to make you long for things you have experienced and things you have not. She takes you to her green fields and lets you play among the stars, but she is also merciless when looking at her own complex relationships and her practice challenges. The only thing missing in the drama of her day to day life in Appalachia is the revenue agent charging out from behind the hills to discover that she and her husband, who is also her practice partner, have an illegal still in their office. Practice is not easy, relationships are not easy, being a driven and compassionate mother and woman are not easy, and Patsy makes that painfully clear. You come to cheer on her thoughts of running away from it all and returning to a simpler time. If anyone who practices modern day healthcare does not share this fantasy, then they are not present to the challenges of today's practice. Patsy, more than any other writer in this time, has the skill to take us into a world where tragedy, joy and tedium mix every time the exam door closes behind another woman. Penny Armstrong, CNM, MSN

This is a book for everyone

This is a book everyone should read, both patients and healthcare providers alike. It is both heartwrenching and heartwarming; I could not put it down, and it brought me to tears several times. As patients, we think that our doctors (or midwives, in Patricia's case) have it made. We think that they make tons of money, travel the world, and many do. However, Patricia gives us a behind the scenes look at what she and her gynecologist husband go through daily. Struggles with malpractice insurance, the possibility of being sued, etc., and the toll it takes on their personal lives. If only all doctors were as caring as the Harmans. I have had doctors that took care of me physically, but were cold and callous as to my feelings about the problems I was experiencing. This book is beautifully written, though difficult to read at times because of the stories of her patients and her problems in her personal life, but I felt very blessed to have read the story of her struggles and triumphs.

Some women are born to be midwives

I think this is the bravest book I have ever read. It took me captive from the first paragraph: I have insomnia...and I drink a little. I might as well tell you. In the middle of the night, I drink scotch when I can't sleep. Actually, I can't sleep most nights; actually, every night. Even before I stopped delivering babies, I wanted to write about the women. And held me captive with this: ...in the stillest part of the deep night, I sit down to write. I need to sleep...but I need to tell the stories. The stories need to be told because they are from the hearts of women; the tender, angry hearts; the broken, beautiful hearts of women. The women. The women who bring their bodies and their souls into Harman's examining room. Who tell her their stories, which she captures for us with a rare compelling clarity and honesty. And not just their stories, but her own, as well--the story of a nurse-midwife, half of a wife-husband medical team, who is struggling to keep a small family practice afloat in the face of IRS threats, uterine cancer, a gangrenous gall bladder, and problems in her thirty-year marriage. The Blue Cotton Gown is a compilation: a memoir of a year in the author's life, its passages interspersed with the stories of the women who visit her practice, as well as the story of the practice itself. Every part of this memoir is about women's bodies, since that is Harman's profession and her calling. There is Heather, an unmarried teenager pregnant with twins. Nila, who has already delivered seven babies and is cheerfully expecting her eighth. Holly, whose daughter is anorexic, and Trish, whose daughter kills herself with an accidental overdose. Reba, who needs instruction in finding physical pleasure ("Sometimes I wonder where I get the balls to talk to women like that...Sometimes I crack myself up"). And there's Kasmar, who is transitioning from being a woman to being a man, and needs a little help. We all need a little help, Harman says. "We are all here for one another...gifts to one another...We are all here for one another and that is enough." And in Harman's practice, which is all about women's bodies, being here is enough, most of the time. The Blue Cotton Gown is about women's stories, each different yet all held together by common elements, each told with sympathy and loving attention that bears witness to the inevitable pain, the loss, the fear that comes with being human, whether we are the nurtured or the nurturer. "The patients, me included, are all the same under these blue cotton gowns," Harman thinks, disrobing before the surgery that will remove her cancerous uterus. "Naked and scared." Yes, naked and scared. This is not an easy book to read, in part because it is so utterly unformulaic. I could not predict how any of the stories were going to turn out. Would Caroline's baby die, nearly strangled by an umbilical noose? Would Kasmar's transgendering bring happiness, would Nila make it through another pregnancy, woul