The blue cotton gown

In Patricia Harman’s exam room, patients open their hearts. Harman, a nurse-midwife, manages a private practice with her husband, an ob-gyn, in Torrington, West Virginia—a practice now providing only gynecological exams and first trimester care because they’ve been forced by escalating malpractice insurance costs to give up delivering babies. Despite this, the women who sit before her receive nurturing in all aspects of their lives.This unique memoir juxtaposes the tales of these women with Harman’s own story of keeping a small medical practice solvent and coping with personal challenges. Her patients include a mother of seven who is stalked by her ex-husband; a teenager who is pregnant with twins and loses first one then the second baby; a young mother addicted to drugs; a long-time patient’s dangerously anorexic daughter; and a professor who needs help and support in transitioning to become a man. The nurse-midwife tells her secrets, too. Her outwardly successful practice is in deep financial trouble. She develops serious medical problems, including uterine cancer, and her thirty-year marriage seems on the verge of collapse. This vivid narrative, full of courage, is impossible to put down.