“Are they really that resistant?” asked Rick about the staff.
“Well, working with Ray is a dream,” I said. “You’ll love him. Harold Bacon has been terrific. Mitch is a tough taskmaster, but he’s totally supportive of our being here. Paul Sale has been friendly, but a bit standoffish. Drs. Mathieson and Nordling have been downright ugly at times. When I’m walking down the hall toward them, they hightail it the other way. Patients and staff tell me that their comments about my living here and my practice style are less than complimentary. Hopefully you’ll have better luck than I’ve had.”
“I’m not sure. The dentist that came by this afternoon . . .”
“Mike Hamrick?”
“Yes. His wife told me that some of the doctors in town don’t like you or Ray. You know, Walt, you’d think they’d be glad to have some help.”
“I know. I guess they’ve just been at it for so long it’s hard to give up what they’ve always had or to let in any new blood.”
Rick added, “This afternoon Louise told me that none of the older doctors ever take time off.”
“That’s true. Paul Sale takes a week twice a year, but he tells me he forces himself to stay away so that by the time he gets back, he can’t wait to get going. I’m not sure I’ve ever seen Mathieson or Nordling take time away. Gay forces Mitch to go with her—once in a while. I’m not sure Dr. Bacon has ever left town.”
“They really are married to their medicine, aren’t they?” Rick mused.
“I think that’s right, Rick.”
For a moment we looked out over the mountains.
Then I laughed as I remembered a story Louise had told me. “Rick, once you get to know her, I think you’ll love Louise. She told me the cutest story about Dr. Bacon. She said it happened way back when he was a younger man. He had been going day and night for nearly a week. Between delivering babies and dealing with an outbreak of typhus, he had been forced to keep up his round-the-clock visits until he became nearly exhausted. He finally reeled into his house late one evening and crashed into bed next to his wife. He told her, ‘Don’t let anyone wake me up unless it’s life and death.’”
“So,” asked Rick, “what happened?”
“Well, in the middle of the night there was a knock on the door. A neighbor told Mrs. Bacon the story, who then scurried to the bedroom. It took her a bit to rouse the good doctor, but when she did, she told him that a woman who lived only a few doors down from Dr. Bacon’s house was having a heart attack.
“Dr. Bacon groaned and pulled himself out of bed complaining, ‘She’s the most obese person in the county and she’s always thinking she’s having a heart attack—but she has the heart of an ox. If it is a heart attack, she won’t survive long. If it’s not, I’ll commence to tell her off—like I’ve been meaning to do for some time. Either way, I’ll be back soon!’ Louise said the woman reportedly weighed over 300 pounds. She rarely got out of the house, and she was always suffering from one medical affliction after another. She seemed to take great delight in having the doctor visit her at home.
“So Dr. Bacon staggered sleepily down the street, following a frightened family member into the house and to the bedside. He was so tired that he pulled up a chair by the bed to take a history and to perform a brief exam. The patient was a massive mound of flesh—but in no apparent distress. Dr. Bacon asked a few questions, determining from the history that her discomfort was almost certainly not from her heart. He took her pulse, examined her eyes, nose, tongue, and throat, and then placed his right ear on the left side of her chest in order to listen to her heart—having left his stethoscope at home.
“Dr. Bacon asked her to start counting. To start with one-two-three and to continue until he told her to stop. ‘Madam,’ he instructed her, ‘count very slowly.’ Being one to always follow the doctor’s directions, she began her counting.”
Rick began to groan and laugh as the story drew to its inevitable conclusion. “The next thing Dr. Bacon remembered was feeling the morning sun on his face and hearing a fatigued woman’s faint voice saying, ‘Six thousand four hundred, six thousand four hundred and one.’”
Rick began to double over in laughter. Soon we both were laughing so hard we were crying.
“Boys, it’s time to go to the Cunninghams,” shouted Barb from the dining room window.
“Well, Walt,” Rick summed up, “should be an interesting practice.”
“Indeed!”
chapter twenty-six
’TWAS THE NIGHT BEFORE CHRISTMAS
Barb and I had talked a number of times about what our first Christmas in Bryson City might be like. We had wondered, Would we would be enjoying our new home?Would we feel welcome? Would this feel like home?
Now it was only two weeks until Christmas. The town was decorated to the nines. Lampposts were adorned with garland and festively lit Santas and reindeer. Christmas lights and stars crisscrossed up and down the streets. The store windows were decorated with window paintings, trees, and displays. Even Sneed’s Café, perhaps the most tacky of the local cafés, made an attempt to be merry—though, of course, tackily so.
On Saturday Rick, Barb, Kate, and I went downtown for the annual Christmas parade. Kate loved being carried by her “Uncle Rick.” As we strolled the streets I imagined we were in a Currier and Ives scene—without the snow. The streets were lined on each side with, it seemed to us, everyone in town. We were surprised to discover how many people we knew and how many knew us. To stop and chat with patients and friends, to have them welcome Rick, to have them talk to and tickle Kate, and to have them offer their best wishes and prayers for Erin’s coming arrival all contributed to making us feel at home.
The parade began and included cars with public officials, the sheriff’s cavalry, the high school homecoming court, and high school marching bands from Robbinsville, Cherokee, and Bryson City. We cheered and clapped as floats from a variety of community groups—each one throwing candy to the kids—passed by. I found myself hoping that Kate and Erin would be able to ride on one of these floats one day.
For most of the parade we wandered. The folks without kids wouldn’t just stay in one place. They’d walk and talk and visit and laugh. We did the same. Kate was now riding in her carrier on my back, and she took it all in—squealing with joy at each passing float, holding her hands over her ears at each passing band. We met a number of new folks—including Monty and Dianna Clampitt, who owned Clampitt’s Hardware Store. Monty was also the chief of the rescue squad.
“The squad’s been around a long time,” he said. “We’re housed in the volunteer fire department, and our guys are trained in all the search-and-rescue techniques. I’m sure you’ve already met our ambulance crew—Don and Billy. We do everything from extractions of people from automobile accidents, to searches for lost hikers in the park, to rescues of folks that’s been hurt or hobbled in the backwoods. And because of all the water, we have to know river and lake rescue techniques, too.”
“Sounds pretty intense.”
“Sure is. We’re always in training. Guys get together every week to learn new skills and to keep the old ones up-to-date. We’ve also got to keep all the equipment in shape and ready to go at an instant’s notice.”
“Do you all get much medical training?”
“Yep, my guys are all trained in basic life support—basic cardiopulmonary resuscitation. All of the guys are trained in basic first aid—and most are certified in advanced field and wilderness first aid. We see about everything from severe trauma to hypothermia to near drownings. Like I say, it can be intense.”
“Do any of the local docs work with you all?”
He cocked his head and looked at me a bit queerly. “No. Why?”
“I just thought that with all the medical stuff you have to do, you might have some of the doctors involved.”
“Hmm. Well, to tell you the truth, none of them have seemed that interested in what we do. Don’t get me wrong, they all support us financially, but I don
’t think any of them, excepting Dr. Bacon, have ever been down to the station—and Dr. Bacon hasn’t been down for a few years now!”
We watched the Cherokee High School marching band go by, playing “In Excelsis Deo.” Then he looked back at me. “You sound interested, Doc.”
“Well, I’d like to come to a meeting or two and learn more about what you all do.”
“After the holidays I’ll call over to your office and have you come down for a visit.”
Bringing up the end of the parade was Santa’s float. Kate squealed with delight. We all felt filled to the brim with holiday cheer.
The week before Christmas I ran into Nancy while rounding at the hospital. “What are you and Barb going to do for a Christmas tree?” she inquired.
“I’m not really sure. I guess we’ll just go to the Christmas tree lot down by the river and pick one up.”
“Oh, I wouldn’t do that.”
“Why not, aren’t they any good?”
Nancy laughed. “No, that’s not what I meant. It’s just that there are folks who sell live Christmas trees with their roots intact. That way you can plant the tree after the holiday.”
“Are they expensive?”
“Not really. The Shulers sell them for less than the cost of some of the cut trees.”
During lunch with Kate and Barb I mentioned Nancy’s suggestion. Barb loved the idea. So after work we drove up to the Shuler place in a small valley cove. Their home place was at the top of the cove, and there was a small trailer home at the entrance to the cove. Across the hill was a well-manicured orchard of four- to five-foot-tall Norwegian spruce trees. We parked by a sign next to the trailer. A couple about our age came out to greet us.
“Howdy,” the man said as he approached, offering his hand, “my name’s Greg Shuler. This here’s my wife, Myra.”
“Hi, I’m . . .”
Before I could finish, he interrupted with, “Dr. Larimore. Yep, I know ’bout you. I done hear’d ’bout your fishin’ trip with Don Grissom over thar in Cherokee.” He smiled. “It’s real good ta finally git ta meet ya.”
I couldn’t help but wonder, What had he heard? But rather than ask, I introduced the family. “This is my wife, Barb, and our daughter, Kate. I hear you have Christmas trees for sale.”
He smiled as his hands spread toward the expanse of trees. “Just a few.”
We walked among the trees, looking them over and chatting, until one caught Barb’s eye. While we were looking, an elderly man walked down from the home place. He had a slight limp and seemed frail. “This here’s ma pappy.” Greg introduced us. His family had been in Swain County for well over a hundred years. As we talked, the senior Shuler was whittling a small stick. I found myself wondering about his life. Then, without a word, he handed the knife to me to examine.
“It’s a mighty fine pocketknife,” I commented. “It looks old.”
“It was my pappy’s. It’s a Buck. ’Bout as good as you can get.”
“Mighty fine gift. Your pop must have been something special,” I said, looking the knife over and imagining what it must have meant for a boy to receive such a gift from his daddy. I handed it back, and it was then that I saw his eyes staring at me, filling with tears. He turned on his heels and walked away silently. With nary a word he had told me volumes—about himself and his pappy. I wanted to know more.
Greg was watching his dad limp back up toward the house. “Sometimes he gets like that. I think he knows his time is short. To him, family is everything.” Greg sighed and turned to me. “You come back tomorrow, and I’ll have her dug out and the root ball bound in burlap.”
“Any chance I could get it delivered?”
“Yep. But I’ll have to charge ya another five bucks.”
“No problem. It’s a deal.” I shook his hand and turned to leave.
“Oh, one thing, Doc.”
I turned to face him.
“Don Grissom’s a real nice fella and all, but he’s not much of a fisherman. My family’s been in these here hills a long time. I know some of the better spots. I’d love to take you fishin’ sometime—if you’re interested.”
“I’d love to go. Just let me know when.”
“Maybe after the holidays.” He paused. “One more thing, if’n it’s no problem.” He looked at his wife and placed an arm around her shoulder. She looked down. “Myra here. . . ,” he paused again, looking for just the right words. “Myra here’s thinkin’ of givin’ my pop some grandkids. If’n we’re gonna have one, we’d be right proud if you’d be our doctor.”
“I’d be delighted, Greg. Delighted.”
We shook hands. They both smiled ear to ear.
“Bet she’s already pregnant,” observed Barb as we were driving away.
I nodded.
By Wednesday our family preparations for Christmas were complete. Greg Shuler had delivered our tree into the living room. Barb and I thoroughly enjoyed decorating it and had invited Rick over for the occasion. Although we had been married less than a decade, we already had a number of well-established holiday traditions. One was our collection of ornaments from all the places we had lived and visited. Hanging them and decorating the tree was a precious family time for us. As each ornament was hung, we would reminisce about the location from where it came and feel gratitude for the memories we had carried through the years. At one point I sat down and watched my wife and daughter and my partner, each hanging ornaments, telling stories and laughing. Rick held Kate up high as she placed an angel on top of the tree. I had a deep sense of comfort in my soul.
Barb was very pregnant with Erin, who was due in another month or so, and she was so beautiful when she was pregnant. Her laughter filled our home. And that it was—our home. Decorating the tree this way took so much longer than just throwing the ornaments on, but it was such a special time for us all.
Two nights before Christmas I had been on call for the county and had made several trips to the ER—which meant I had slept very little. Fortunately, Thursday was only going to be a half-day in the office, so I was looking forward to a “long winter’s nap” on Christmas Eve. Better yet, Gary’s weather report on WBHN that morning predicted that a cold front would be coming through that afternoon and that it would be snowing by evening and continue through the night.
Barb exclaimed, “We’re going to have our first white Christmas!” Having grown up in Louisiana, neither of us had ever experienced one.
After hospital rounds, I arrived at the office in the costume I was to wear each Christmas for the next two decades—a Christmas tie and festive holiday socks. My staff and patients got a kick out of the doctor’s unusual garb.
Midmorning I walked into an exam room to see a four-year-old girl who had a sore throat. Of all my daily visits in the office, I was discovering that I liked seeing kids best. They were so honest and disarming. I loved their candor, their lack of pretentiousness. Plus, there was a lot of kid left in me!
“How’s work?” I asked my little patient that morning.
“Dr. Walt,” Erica giggled, “I’m a kid, I don’t work!” Mom and daughter and doctor all laughed. Then Erica saw my socks. Her eyes widened in surprise. “Dr. Walt . . .” She paused for a moment, looking from my red Christmas socks to my face. “Dr. Walt,” she repeated, “I love your panty hose.”
Now it was time for my eyes to widen as Erica’s mom doubled over in laughter.
Suddenly there was a knock on the door.
“Come in,” I said.
Rick stuck his head in. “Excuse me, Dr. Larimore. I need you for a moment.”
“Excuse me,” I said to Erica and her mom as I stepped out. Rick motioned me back toward Ray’s office.
“Walt, sorry to disturb you,” he said, “but Barb came in for an office visit. She was concerned that after her shower this morning, she couldn’t keep dry.”
“Keep dry?” I inquired. “What do you mean?”
Rick put his head down, and I felt a lump rising in my throat as my h
eart began to speed up.
“What is it?”
“Well, she came over to be checked, and, believe it or not, she’s ruptured her membranes.”
He was quiet for a moment. He suspected the sudden terror that was gripping my soul. Barb was only eight months pregnant. We had had Kate a month early—and she had cerebral palsy. Barb’s membranes had suddenly ruptured over a month before Kate was due. All at once I felt almost faint.
Rick’s voice softened as he placed his hand on the arms crossed across my chest. “Walt, all of Barb’s tests and exams have been normal. The ultrasounds have shown us that your little girl is growing well and doing well. I don’t expect any problems whatsoever.”
“Thanks, Rick.” I let out a sigh of relief. “Well, what do you think we should do? Wait and watch? Or would you prefer to go ahead and induce labor?”
I asked because these were the two options we usually considered when a woman who was beyond thirty-five weeks gestation experienced rupture of membranes when not in labor. With Kate, Barb had chosen to “wait and watch.” When labor did not begin after twelve hours, Barb’s physician had offered her induction with an intravenous drug called Pitocin. Most of my patients choose induction and, given the choice again, I thought Barb would, too.
“Neither,” Rick answered.
“Neither?” I was shocked.
Rick walked over to the window. “Walt, it’s starting to cloud up. We’ve got a cold front and a possible snowstorm coming through this afternoon.” He paused for a moment. “I’m not at all worried about Barb. Actually, getting her through labor is the easy part. What I am concerned about is your little girl. Thirty-five- or thirty-six-weekers usually do well. I know you know that. However, we’ve only had our new nursery up and running for a few weeks.”
Bryson City Tales Page 22