Friday, April 27, 2012

One Nurse, Two Presidents

It was early spring in 1993 and the cherry blossoms around the District had never been more beautiful.   The trees were in full flower, particularly lining the tidal basin creating a magnificent tableau.  Thomas Jefferson looked out from his domed memorial and seemed to have a happier chiseled expression as if he had come alive to once again witness the beauty of his native landscape.  One could imagine the thought running through his marble head… “It’s not Monticello.  But it’ll do.”


The last weekend in March had been cloudless and unseasonably warm, causing a tourism onslaught that resident Washingtonians had come to expect this time of year.  They were everywhere that weekend.  But, who could blame them?  There are few cities more splendidly adorned than the Nation’s Capital in the spring of the year, cherry blossom time. 

The conclusion of the weekend however, was also the conclusion of the fair weather.  A spring drizzle set in on that Monday and stalled over the city for the week.  The rain officially became “April Showers” as the calendar turned its page on Thursday.

Jana Hastings, RN, MSN, arrived as usual at six-fifteen that morning in the Cardiac Intensive Care Unit of George Washington University Hospital where she was the Nursing Supervisor.  The hospital’s Chief of Cardiology, Noel Hupman, MD, had used all of his considerable persuasive powers to convince Ms. Hastings to accept the Supervisor’s position as soon as she had completed her Masters Degree in Nursing with an emphasis in cardiology.  That had been two years ago, and Hupman could not have been more pleased with her acceptance and performance.  At 34 years of age, she was one of the youngest nurses to hold such a supervisory position in any critical care area of the hospital.  Not only did Jana understand cardiac physiology as well as any physician, she had a remarkable talent for getting the best out of her staff.  They were all fiercely loyal to her out of both respect and appreciation.  They knew that if they ever needed her, Jana Hastings had their back.
So it was on this drizzly morning, the sun not yet up, when a call came into the unit.  “Cardiac Care, this is Hastings,” Jana answered.

“Ah, just the lady I’m looking for,” said the caller.  “This is Jim Fridley in the ER.  I’ve got a V.I.P. who just arrived with pronounced arrhythmia and Dr. Hupman is on his way in.  He told me to get you down here until he arrives.  Can you come on down?”

“Uh,well, sure, Dr. Fridley.  I’ve just had a shift change, but I can get away for a bit,” she answered.  “Who is the V.I.P.?”
“The President of the United States.  See you soon?”

Jana had no problem in finding the patient in the Emergency Department; she simply moved toward the crowd of gentlemen who had those springy looking wires running into their ears and mysterious bulges in their jackets.  She pushed through the crowd and into the treatment room where the President, recently installed in office, lay on a stretcher in his running shorts and t-shirt.  An oxygen cannula had been placed in his nose and a blood pressure cuff encircled his arm.  A pulse oxymeter dangled from the forefinger of his right hand.  There were two Secret Service agents stationed at the door, inside the room.  Dr. Jim Fridley, with stethoscope in place, was listening to the President’s chest, moving the acoustic diaphragm from place to place. 
Fridley looked up as Jana approached, “Good morning, Jana,” he said.  “Thanks for coming right down.”

The President looked over at the slender, strikingly attractive woman.  “Well, yes ma’am,” he said, with a mischievous twinkle in his eye.  “I’m feeling better already, uh….” he looked at her I.D. badge, “Ms. Hastings.”
“Good morning, Dr. Fridley, Mr. President,” she responded.  “Any pain, sir?”

“Just had a twinge while I was jogging.  It seemed to be getting worse, so I stopped.”
“That was the right thing to do,” she said.

“I didn’t think I needed to come in, but these Bozos who follow me around insisted,” he said.  He waved absently toward the Secret Service agents.
“Better safe than sorry, Mr. President,” said Dr. Fridley.

“Have we got an EKG?” asked Jana.
“Thought I’d let you do that,” Fridley responded.  “I’ve got a GSW next door and we are a bit short-handed…”

“Well,” said the President, “you just go on over and take care of whatever a ‘GSW’ is, Dr. Fridley.  I’m sure I’m in good hands here with… Jana.”  The President didn’t take his eyes off of Ms. Hastings as he encouraged Fridley’s departure.
The doctor looked over at Jana with a questioning expression.   She responded to him with a nod, saying, “A ‘GSW’ is a gunshot wound, sir.”  Then to Dr. Fridley, “I’ll do the EKG right away so we will have it when Dr. Hupman gets here.”

“I shall leave you in Ms. Hastings’ capable hands then, Mr. President,” Fridley said, backing away from the stretcher.  “She is as good as any cardiologist I know.”

“I’m sure she is,” responded the President.
Dr. Fridley opened the treatment room door as an orderly was pushing an EKG machine in.  “Call me if you need me, Jana,” he said.  “I’ll be right next door.”

The orderly pushed the EKG machine to the stretcher and plugged it into a power outlet.  “Can I get you anything, ma’am?” he asked.
Jana looked over at the machine and saw that all of the supplies she needed were there.  “No, thanks, Jackson.  Looks like everything is here.”

Jackson retreated back out of the room.  The President looked over at the agents stationed at the door.  “You guys go on out and grab a cup of coffee.  I’ll be fine here,” he said.
“But, sir…” one of them responded.

“Just step on outside, Bill,” the President ordered.  “Everything is fine here.”
Bill Retty had been on the Presidential detail for seven years.  In private, he would admit to having favorites under whom he had served.  Suffice it to say that his present boss was not one of them.  He looked at his partner and nodded. 

“We’ll be right outside, here, Mr. President,” he said.  The two backed out the door.
Jana Hastings had been paying little attention as she readied the machine for the test.  She took the sterile packet of cables and electrodes that would connect the President to the machine.  “Now,” she said, “I must ask you to take off your shirt, sir.”

“You first,” said the President with a twinkle in his eye.
“Sorry, Mr. President,” she answered, “My heart is doing just fine.  Here, I’ll give you a hand.” 

She moved closer and reached for the tail of his shirt as he pulled it up over his head.  When she took hold of the shirt, she felt him move his hands down around her waist, then pull her closer to him.  She used the shirt and gently pushed herself away from him.  Then, standing at a distance, she took the EKG electrodes from the packet.
“Now, please lie back with your hands down at your sides, sir,” she said.

The President did as he was told, with a muffled “Aw, shucks.”
She applied the conductive jelly to his chest and placed the twelve electrodes in place.  “Just lie there calmly, sir, and we will be through in just a moment.”

“Are you married, Jana?” the President asked.  “I don’t see a wedding ring.”
“Yes, I am, sir.”  She held up a gold chain that hung around her neck.  On the chain was a beautiful diamond engagement ring, along with a very wide wedding band.  “Lots of doctors and nurses wear their jewelry around their necks.  It’s safer for patients, and us.”

“Your husband is a lucky man,” he said.  “I find you very attractive.”
“I’m a lucky woman, too, Mr. President,” she said, ignoring the compliment.  “My husband is an Army officer, a West Point graduate.”

“Well, good for him,” the President responded, an ever so slight sneer detectable in his voice.  “I never could see myself in a uniform,” he said.
“So I’ve heard,” she responded.  “But, you’re serving the country now.  Let’s get this EKG done, sir.  I’m sure you have better things to do than hang around a hospital today.”

“Well…maybe, and maybe not.”  The President lay calmly, thinking.  “Is your husband stationed at the Pentagon?” he asked.
“No.  At the moment, he is attending the Command and General Staff College at Fort Leavenworth,” she answered.

This seemed to peak his interest.  “You are living here in D.C. alone?” he asked.
“I live in Fairfax.  He’ll only be there several more months,” she said.

“Really?  Well, then, I wonder if you would be free for dinner tonight?  A kind of ‘thank you’ for all this fine care I’m getting.”
The invitation caught Jana completely by surprise.  Unless she was missing something, the President of the United States, a married man, just asked her out. 

“Sir, uh… the White House, for dinner?” she asked.
“Well, not exactly.  There is a hotel suite at the Barrington Plaza that I keep for more… casual meetings,” he explained.

With the All-American good looks of a Texas beauty queen, which she had been, Jana had drawn her share of male attention.  But she couldn’t believe what was taking place here in this Emergency Room between her and the President of the United States.
She thought quickly.  “I’m afraid that will not be possible, sir.  I am to give a workshop this evening on advanced cardiac life support.  It’s part of the nursing curriculum here at the University.”

“Oh,” he said, his disappointment showing.  “Pity.  Well, perhaps you and the general can come to a dinner at the White House sometime soon.  I’m sure we could arrange to get him back to town.”
“He’s not a general, Mr. President,” she said.  “At least, not yet.  He’s a major.  And we’d love to come to the White House… if you’re serious, that is.”

“Of course, I am.  But, it is a shame about tonight,” he lamented.
The EKG machine gave three short beeps.  “Ah, here, you are.  All done,” she said.  A very tall man dressed in a long white lab coat came through the door.  “And just in time.  This is Dr. Hupman.  He’s the Chief of Cardiology, here...  the ‘Big Heart Kahuna.’”

The President looked up and nodded at the doctor who was now hovering over him with stethoscope in hand.  “Please forgive my tardiness, Mr. President.  I’m afraid I was lecturing at Walter Reed this morning, but I came over as soon as I got the call.”
“It’s okay.  Jana here has taken excellent care of me,” he said smiling at her.  “I’m just trying to find a way of paying her back.”

Hupman’s eyes arched in surprise.  “Yes, she is an excellent clinician.  We are fortunate to have her here.  May I see the tape, Jana?”
Jana reached over and tore the printed tape from the EKG machine.  She handed it to Dr. Hupman who began studying the tracings closely. 

“Now that you are here,” Jana said to Dr. Hupman, “I must get back to the unit.”  She looked down at the President who made no effort to hide his disappointment.  “It was very nice to have met you, Mr. President, but I must go back to the salt mine where Dr. Hupman keeps me enslaved for hours and hours every day.”
The President leaned up on one elbow on the stretcher and offered his hand to her.  She stepped forward and took it.  His eyes penetrated hers as he affectionately squeezed her hand.  It was not a handshake at all.  He said, “Thank you for your care.  And… please, my invitation is open.  I will have my office contact you.”

Jana felt herself blush, just as she felt Dr. Hupman’s eyes raised in quizzical amusement.  “It was my pleasure, sir.  And, thank you.”  She turned, stepped out of the room and stood outside the door a moment trying to digest what had just occurred.  She glanced questioningly over at Agent Retty standing guard at the door.
He returned her look and said, almost in a whisper,   “I hope he behaved himself, ma’am.”


The President was good to his word.  Two weeks later, a very official looking envelope arrived at the hospital addressed to ‘Jana Hastings, RN, and Guest.’  It was an invitation to a Memorial Day reception to be held at the White House for the holiday.  Jana immediately called her husband at Fort Leavenworth who was able to arrange to return to D.C. for the long weekend.
The Hastings moved through the reception line that was set up on the South Lawn of the White House.  Jana preceded Jack as they approached the Presidential couple.  “I’m Jana Hastings,” she said, offering her hand to the First Lady, “and this is my husband, Jack.  I took care of the President at the hospital after his jogging incident last month.”

The First Lady nodded, while looking over Jana from head to toe.  Jana was wearing a red sequined cocktail dress that complimented her short blonde hair and sparkling blue eyes perfectly.  The dress was what fashion designers might describe as ‘understated elegance’ in that it accentuated Jana’s hourglass figure in a tasteful and graceful manner.  Before the First Lady had a chance to say hello, if she had planned to, the President reached for Jana’s hand.
“Oh, Jana,” he said, smiling broadly, “you look ravishing.  So good to see you.”  He held her hand the same way she remembered when she left him in the Emergency Room.  Not a handshake at all. 

“Good evening, Mr. President.  I’d like to introduce my husband, Jack,” she said.
It looked almost painful for the President to remove his eyes from Jana and move to her husband.  “Good of you to come, Colonel,” he said.  “Your wife took extraordinary care of me when I visited the hospital last month.”

“It’s a pleasure to be here, sir,” said Jack.  “Thank you for the invitation.”
“You’re welcome.   Your wife is quite a gal,” the President responded with his eyes following Jana’s every move.

The Hastings moved on as the reception line ended. 
“He doesn’t know the difference between a colonel and a major?  Maybe I should tell him I’m the Superintendent of the Military Academy,” Jack stated with grin.

They found a table and introduced themselves to the others seated there.  An old fashioned barbeque was set up in a buffet that offered pulled pork, Brunswick stew and Cole slaw.  Jana quietly remarked to her husband that you would never find pork at a barbeque back home in Texas.  When the receiving line broke up, they watched as the President moved about the gathering, laughing, and telling jokes, working the crowd.  At one point, he joined the small orchestra that was providing the music.  He played a respectable saxophone part in the 1940’s tune of “In the Mood.”  The Hastings accurately viewed the President as the life of the party.


History has been known to repeat itself.  It was the spring of 2003 and the cherry blossoms were once again in bloom.  Jana Hastings, RN, MSN, now Clinical Director of Critical Care at George Washington University Hospital had returned to her office from a morning meeting with the Vice President of Nursing.  The meeting had been about staffing needs in the areas under Jana’s responsibility which included the Emergency Room, the Intensive Care Unit, Post Surgical Care Unit, the Neonatal Intensive Care Unit, and the Cardiac Care Unit.  The nursing shortage that was nation-wide had also impacted GWU.

It was ironic that, as she returned from her staffing meeting, Jana received a frantic call from the Nursing Supervisor in the Emergency Room.
“Jana, it’s Mary downstairs.”  Jana could hear a buzz of activity in the background.  “We’ve got a full house down here and a V.I.P. is on the way in.  We could use an extra pair of hands.”

“I’ll be right there,” Jana replied, hanging up.  She knew that Mary Spivey was not one to ask for help unless it was absolutely necessary, so she didn’t question the need.  She simply went.
Crossing through the double doors into the E.R., Jana could see a flurry of movement.  She took note of those men with the springy wires running into their ears and the strange bulges in their suit jackets, all congregated around one treatment room.  Mary Spivey saw Jana approach.

“The President slipped and took a spill on his morning jog,” Mary explained.  “He’s in Room 3 there.  It’s either a sprain or a broken ankle.  He just arrived and we are waiting on X-Ray right now.”
“How can I help?” asked Jana.

“I’ve got a stabbing victim, a pediatric gunshot wound, and a multi-vehicle car crash on the way in.  Can you babysit the President?  Dr. Shandling from Orthopedics is on his way.”
“How many RNs are you short today?” asked Jana, walking toward the treatment room where the President was being treated.

“Only four,” Mary answered with a wry smile on her face.
Jana pushed through the door and saw the President sitting up on the stretcher.  He was wearing a black sweat suit with gold lettering that spelled ‘ARMY’ stitched across the chest.  A splint had been placed around his left ankle.  A young nurse, looking very nervous, was taking the President’s blood pressure.

“Good morning, Mr. President,” Jana said.  “I’m Jana Hastings, one of the nurses here.”
The President offered his hand as his eyes scanned Jana’s I.D that read ‘Director, Critical Care.’  “Good morning, Ms. Hastings.  Sorry to cause you folks all this bother.”

“No bother at all, sir.  Let’s get you to lie back so we can elevate that foot,” she said and reached to help lift the leg onto the table.  “How did you do this, may I ask?”
“Very carelessly,” he smirked.  “No, I was out jogging this morning with a couple of the guys from Walter Reed.  Can you believe this?  They were running on prosthetic legs, and I slip on some wet cherry blossoms.   Pretty embarrassing.”

“I’ve heard you do that,” she said.  “Run with the soldiers, I mean.”
“It’s the least I can do.  They’re heroes.  Can’t thank the American soldier enough,” he said.  “Same with these Secret Service guys,” he said waving toward the two men standing by the door.  “Can you imagine having their job?”

“Well, I’ll pass that along.  My husband is an Army officer.”
"You be sure and pass that along then,” said the President.  “Is he stationed here in D.C.?”

“No, sir.  He’s with the Joint Special Operations Command, based out of Fort Bragg,” she answered.  “He travels a lot with that job… I guess you know,” she laughed.
“I’m sure sorry about that.  But if he’s with JSOC (and he pronounced it ‘Jay-sock’ just like Jack did) he is working hard.  Please convey my thanks to him.”

At that moment an X-Ray technician came through the door of the treatment room pushing a large piece of equipment.  “Good morning, Mr. President,” said the technician.  “I’m Alfredo Ruiz.  I’m here to take a snapshot of your foot.”
“Ah, thank you Mr. Ruiz.  Sorry to put you to the trouble,” he said.

Ruiz smiled.  “No trouble at all, Mr. President.  That’s why they pay me the big bucks.”
Jana glanced around the room.  One of the Secret Service agents at the door looked familiar.  While Alfredo Ruiz was positioning the equipment, Jana walked over to the agent.

 “Haven’t we met before?” she asked.  “Under similar circumstances?”
A flash of recognition crossed the agent’s face.  Bill Retty gave her a smile and said, “I do believe we have, Ms. Hastings.  It’s been a while.”

“Ten years,” she said.  “I’m surprised you are still at this same job.”
“Best job in the world, ma’am.”

“Really?” she asked.
“Well, it can be,” he answered.  “I sure like it now.”

Jana smiled and nodded, then moved back over to the President.  “Tell me more about your husband, Ms. Hastings.  Does he like the Army?”
“Oh, yes, sir,” she answered.  “He’s wanted to be a soldier all his life.  He went to West Point and was a classmate of my brother.  That’s where we met and were married there in the Cadet Chapel the day after he graduated.”  Jana smiled with pride at the memory of the dashing Lieutenant Hastings and their wedding in that beautiful setting.

“Oh, a brother, too, huh?  That’s wonderful,” the President said.  “I sure would like to meet your husband.  What’s his rank now?”
“He’s a colonel.  He was promoted last June,” she answered.

“Well, it would be an honor to have you and Colonel Hastings over to the White House.  In fact, I’m going to see what I can arrange.”
The door to the room opened again with a short stocky man dressed in surgical scrubs and a surgical cap entered.  He strode directly over to the President.

“Hello, Mr. President.  I’m Jim Shandling with Orthopedics.  Are you feeling okay?” asked the doctor.
“Yeah, I’m okay, Doc.  I think it’s just a sprain.”

“Well, Fredo here has got a picture so we’ll just make sure…”
Jana looked over at the President and said, “You’re in great hands, now, Mr. President.  I will leave you to Dr. Shandling.”

The President shook Jana’s hand.  “It was so nice to meet you, Ms. Hastings.  Thank you for what you’ve done for me here.  And, again, please express my gratitude to the colonel.  We hope to see you at the White House soon.”

Two weeks later, Jana had to chuckle when an official looking envelope was delivered to her office.  It was addressed to ‘Colonel and Mrs. J. Hastings,’ in care of her hospital address.  Again, she called Jack who had just arrived back at Fort Bragg from a quick trip to the Middle East.
“Jack, are you up for another Memorial Day Reception at the White House?” she asked.

“Are you kidding?” he laughed.  “How do you keep coming up with these, Jana?”
“I guess it’s called being in the wrong place at the wrong time,” she answered.  “Looks like the same type of affair as we attended ten years ago.  Just the faces have changed.”

“Well,” he said, “so have ours.”

Colonel and Mrs. Hastings presented their invitation at the West Gate entrance to the White House and were shown through the mansion and out onto the South Lawn.  He wore his Army dress blue uniform and was pleased that Jana was able to, again, wear the same red sequined dress that she had worn ten years earlier.

“Do you think anyone will notice,” she asked Jack.

“Oh, they’ll notice all right.  But it won’t be because they’ve seen the dress before,” he said.  “You look smashing.”
As they made their way down the reception line, Jana approached the First Lady.  “I’m Jana Hastings, and this is my husband, Jack,” she said.

The First Lady smiled genuinely and said, “Ah, yes.  You’re the nurse from the hospital when ‘Twinkletoes’ here sprained his ankle.”
“Yes, ma’am.  Guilty,” she said.

“Well, I’ve heard very nice things about that visit, Jana,” said the First Lady.  “Thanks for looking after him.” She paused a moment, then said, “You look lovely.  I love the patriotic red dress.”
“Ms. Hastings,” said the President, “so good to see you again.”  He smiled broadly at Jana, then looked past her to Jack.  “And this must be Colonel Hastings.”

Jack stepped forward, offering his hand.  “Mr. President.  It’s an honor, sir.”
“Oh, the honor is all mine, Colonel.  I want to thank you for your service to the country.  And your wife treated me so well last month at the hospital.

“Thank you, sir,” Jack replied.  “That’s very kind of you to say.”
The President motioned Jana and Jack toward the lawn.  “Please.  Make yourselves at home.  We want you to enjoy this place where the good folks of America have allowed us to live for a few years.”

The Hastings moved onto the lawn and found a table.  A white jacketed waiter came by and took their drink orders.  A Texas barbeque was offered in a buffet line. 
Getting her plate, Jana said to Jack, “Now this is real barbeque, Jack.  Beef.  Purely does my Texas heart good.”

The President came by several times to make small talk and insure that all his guests felt welcome.  Jack and Jana enjoyed meeting the others at their table and the fireworks display over the Washington Monument later that evening.

 As they crossed the Potomac on their way back to their home in Fairfax, Jana asked, “Did you enjoy the evening?  How did you like this one compared to the one ten years ago?”
A wry smile came to Jack’s face.  “For running the country and treatment of the military, I’ll take the Texan.  For a good time at a party, give me ‘Bubba.’”

To read more about Jack and Jana Hastings, please read “The Prosecution of General Hastings,” available on Amazon and all other ebook outlets.

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