JOYCE:  In fact, a number of times the baby arrived before anybody got there arrival.  I've taken care of innumerable newborns.  Usually I can get them to go into Kodiak because of one experience working in the -- at the hospital, I've had lots of practical experience there, and this one birth, they had a -- had a nurse midwife who did most of the deliveries at that time.  She was an expert. 
Things were going wrong.  She called for a specialist doctor.  And then the mother was bleeding just terribly.  And she said -- they said this is the reason that we prefer that you get babies into the hospital rather than do these deliveries.  Most of the time everything's fine, but when something goes wrong, it could be life and death. 

KAREN:  Right. 

JOYCE:  I saw it right there. One thing that I enjoyed about the training at the hospital in Anchorage was not only you got practical experience along with the teaching, but I enjoyed going on rounds with the doctors.  And you'd see some of the most critical cases and they would -- they would treat us just like fellow professionals.  And any questions we asked were answered completely in detail.  I respected the way that they -- they treated us as equals.  And I don't know what they are doing now, but they had a trailer connected, a passageway to the emergency area in the hospital.  And part of our training would be to work in that trailer.  There would be a doctor and he would have the patient file and he would send us in to do an exam, complete exam, and get a history, come back and tell him what we had found.  And he could compare it with what the files which he had and we didn't have. 
And I don't know how it worked with others, but it got so that he would ask me if you had this happen in the village, he'd say, what would you do? 
I'd say, well, I'd do this and so on and I'd give this medication. 
Well, go ahead and do it.  At this time, you know, the doctor would go and examine and indicate -- he'd examine the patient after we did, but he would leave it in our hands to take care of the patient.  And that was very good experience. 

KAREN:  Yeah, that hands on --

JOYCE:  Hum? 

KAREN:  Hands-on practical training. 

JOYCE:  Very good.